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Digital interventions for palliative care education for nursing students: a systematic review
No full textBackground/Objectives: Palliative care education is a core component of undergraduate nursing preparation; however, many nursing students report limited exposure and confidence in providing end-of-life care. Digital and web-based educational approaches have increasingly been adopted to address gaps in palliative care training and to provide flexible, scalable learning opportunities. This mixed-methods systematic review examined the use of digital and web-based approaches in palliative care education for pre-registration nursing students. The aim was to synthesize existing evidence on educational outcomes, confidence development, practice preparation, and acceptability to guide future design and implementation of technology-enhanced learning in this field. Methods: The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. The search was conducted across Medline (Ovid), Embase, CINAHL, Scopus and PsycINFO in October 2025. Studies employing qualitative, quantitative, or mixed-methods designs were eligible if they evaluated fully digital or web-based palliative care educational interventions for nursing students. Screening, quality appraisal, and data extraction were undertaken independently by multiple reviewers. Methodological quality was assessed using the Mixed Methods Appraisal Tool (MMAT). Extracted data were synthesized narratively to integrate qualitative and quantitative findings. Results: The search yielded 1826 records; after removing duplicates and applying eligibility criteria, 12 studies were included in the final synthesis. Considerable heterogeneity in design and outcomes was observed. Most included studies reported improvements in students’ knowledge, self-efficacy, and reflective capacity, alongside high levels of acceptability. Conclusions: Digital and technology-enhanced learning appears feasible and acceptable for palliative care education; however, the current evidence base is limited by methodological heterogeneity, reliance on self-reported outcomes, and predominantly short-term evaluations. Further rigorous, large-scale studies with objective outcome measures are required to determine sustained educational and practice impact
Healthcare decarbonisation education for health profession students: a scoping review
No full textClimate change is the greatest health threat of the 21st century, with healthcare contributing approximately 4–5% of global greenhouse gas emissions. Decarbonising healthcare, the deliberate reduction of emissions across all healthcare activities, is essential to reduce the health sector’s environmental impact while maintaining equitable, high-quality care. Preparing future health professionals for sustainable, low-carbon practice is increasingly recognised as critical; however, education on healthcare decarbonisation remains inconsistent and weakly embedded in curricula. This scoping review mapped existing educational resources for pre-registration health profession students. Following the JBI methodology, six databases (Scopus, Web of Science, MEDLINE, CINAHL, PsycINFO, and GreenFILE) were searched in April 2025 (updated in October 2025). Data were thematically analysed. In total, 32 studies met inclusion criteria, comprising 17 mixed-methods, 11 quantitative, and 4 qualitative designs. Most interventions were multimodal, addressing sustainability or climate change through simulation, digital, formal, or didactic methods. Knowledge and attitudes were the most frequently evaluated outcomes. Thematic analysis identified knowledge and awareness, attitudes and emotional responses, behavioural intent and action, identity formation through collaborative learning, and barriers to decarbonisation. Findings suggest that blended, interactive, and technology-enhanced education improves knowledge, attitudes, and identity, but sustained impact requires longitudinal, skills-based, and policy-aligned interventions to drive meaningful healthcare decarbonisation action
Beyond conventional routes: an approach to understanding leptospirosis transmission dynamics through mathematical modeling with real data from Thailand
No full textLeptospirosis is a zoonotic disease caused by Leptospira bacteria, that occurs mainly in tropical regions such as Thailand. This study presents a mathematical model that captures the dynamics of Leptospira transmission. The model incorporates direct and environmental transmission pathways and notably includes an exposed human compartment, an often-neglected element in existing leptospirosis models. We combined several control interventions, including environmental management, reservoir control, and human treatment to explore strategies for mitigating disease spread. The equilibrium points of the system are identified, and their stability properties are analyzed. Using real data from Thailand, we estimate key parameters and perform a global sensitivity analysis to identify the dominant factors driving leptospirosis transmission. Finally, we evaluate optimal control theory and conduct a comparative cost-effectiveness analysis of the proposed interventions. Our findings suggest that environmental management is the most effective and potentially cost-effective strategy to reduce leptospirosis transmission
Post-traumatic stress disorder and memory function in older adults exposed to civilian conflict: findings from the Northern Ireland Cohort for the Longitudinal Study of Ageing (NICOLA)
No full textResearch with veterans, refugees and other trauma-exposed groups has identified a link between post-traumatic stress disorder (PTSD) and deficits in memory. This study sought to determine whether similar associations can be observed in a large, population-representative sample of older adults with high levels of exposure to conflict amongst older adults in Northern Ireland (NI). Using data from the Northern Ireland COhort for the Longitudinal study of Ageing (NICOLA), we assessed whether the presence of PTSD was associated with poorer performance on tasks of global cognition, immediate and delayed verbal recall, executive function, verbal fluency and two tests of prospective memory. Participants were 2142 community dwelling adults, resident in NI and aged 50 and over. The NI weighted prevalence of current PTSD was 4.74 %, which is high relative to other international estimates. Nearly 60 % of those with PTSD reported the NI Troubles as their self-reported worst traumatic exposure, despite the height of the conflict occurring decades before, suggesting long-term consequences of the civil conflict. Individuals with PTSD recalled approximately half a word less than those without on tests of verbal recall and scored lower on global cognitive assessments: Mini Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA), after accounting for sociodemographic characteristics. However, this effect was attenuated after further adjusting for health behaviours and current depression. The findings suggest an effect of trauma on cognitive function at a population level. Future research should explore the nature of this relationship over time.<br/
Movement strategies of neotropical nectarivorous birds: insights from high‐andean hummingbirds and flowerpiercers
No full textTropical nectarivorous birds should have flexible movement behaviors in response to the spatiotemporal availability of flowers. In the Neotropics, hummingbirds (Trochilidae) have diet breadths constrained by trait‐matching with flowers, while nectar‐robbing flowerpiercers (Thraupidae) typically drink nectar from holes pierced at the flower's base. Distinct movement patterns for these two bird families would be expected from optimal foraging theory due to differences in dietary specialization and behavioral flexibility, yet little is known about the daily movement patterns of tropical nectarivores. We used fine‐resolution tracking data from an automated radio telemetry grid to compare movement patterns between hummingbirds and flowerpiercers in high‐Andean mountain ecosystems, and obtained an accumulated total of 435,513 location estimates and 452 tracking days from 22 individuals across six bird species. Our results indicate that hummingbirds exhibit a greater diversity of movement behaviors compared to flowerpiercers, with varying space use and recursion patterns that are characteristic of sedentary, commuting/traplining and exploratory strategies, whereas most species of flowerpiercers were classified as central‐place foragers. However, there is substantial variation in daily movement metrics and hierarchical clustering does not necessarily group together bird families, species, nor even individuals as more similar to each other. Flexibility in movement behaviors has seldom been described for neotropical nectarivorous birds in the wild. It emerges as an important trait to adjust behavior to variable local contexts, and may be adaptive for the persistence of pollinators in challenging mountain ecosystems, where weather conditions are harsh and floral resources are seasonal
EP250207b is not a collapsar fast X-ray transient. Is it due to a binary compact object merger?
No full textFast X-ray transients (FXTs) are short-lived extragalactic X-ray sources. Recent progress through multiwavelength follow-up of Einstein Probe-discovered FXTs has shown that several are related to collapsars, which can also produce -ray bursts (GRBs). In this paper, we investigate the nature of the FXT EP250207b. The Very Large Telescope/Multi Unit Spectroscopic Explorer spectra of a nearby (15.9 kpc in projection) lenticular galaxy reveal no signs of recent star formation. If this galaxy is indeed the host, EP250207b lies at a redshift , implying a peak observed absolute magnitude for the optical counterpart of . At the time when supernovae (SNe) would peak, it is substantially fainter than all SN types. These results are inconsistent with a collapsar origin for EP250207b. The properties favour a binary compact object merger-driven origin. The X-ray, optical, and radio observations are compared with predictions of several types of extragalactic transients, including afterglow and kilonova models. The data can be fitted with a slightly off-axis viewing angle afterglow. However, the late-time ( d) optical/near-infrared counterpart is too bright for the afterglow and also for conventional kilonova models. This could be remedied if that late emission is due to a globular cluster or the core of a (tidally disrupted) dwarf galaxy. If confirmed, this would be the first case where the multiwavelength properties of an FXT are found to be consistent with a compact object merger origin, increasing the parallels between FXTs and GRBs. We finally discuss whether the source could originate in a higher redshift host galaxy
Evaluating the effects of the crescendo programme on music and self-regulation with 5–6-year-old pupils: a quasi-experimental study
No full textCrescendo is a music-based social and emotional learning (SEL) programme designed for primary/elementary school children living in disadvantaged communities. It is a community-led, orchestra-delivered, and evidence-informed initiative aimed at im-proving children’s musical and SEL outcomes through sustained engagement. Children growing up in socioeconomically disadvantaged areas often experience challenges with SEL and limited access to orchestral music education. However, emerging research suggests a relationship between music participation and SEL development. This study evaluated the initial impact of Crescendo on 559 children aged 5–6 in their first year of participation (Year 1 of 7). A quasi-experimental, rolling cohort design compared pupils in four participating Crescendo schools with pupils in four matched control schools not re-ceiving the programme. Outcome measures included music skills (beat, pitch, and re-action to music) and SEL (behavioural self-regulation). The findings indicated significant positive effects of the programme across all outcome domains, with moderate effects observed in self-regulation (Cohen’s d = 0.29) and reaction to music (Cohen’s d = 0.21) compared to control schools. These results suggest that collaboration between orchestral musicians and educators can positively influence young children’s musical and SEL development in resource-constrained settings. The findings also underscore the im-portance of clearly defined programme models to support replication and scalability