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An explanatory mixed methods study assessing Canadian chiropractors’ attitudes and orientation toward patient-centred care
Full text linkBackground: Patient-centred care (PCC) is considered an essential concept in twentyfirst-century healthcare; however, health care providers’ attitudes can be an important barrier or facilitator to its actual implementation. Chiropractic is frequently referred to as providing PCC. However, the attitudes of practising chiropractors towards patient-centred care have not previously been evaluated. Objectives: To explore attitudes and orientation of chiropractors towards patient-centered care. Methods: We used a sequential explanatory mixed methods with quantitative priority study design. Data were collected from May 2018 to April 2019 from a convenience sample of Canadian chiropractors located across Canada. Quantitative data were collected by a survey consisting of demographic and clinical practice questions, and the Patient-Practitioner Orientation Scale (PPOS) to measure practitioner attitudes towards care delivered (range 1–6, scores < 4.57 = doctor-centred attitudes). Qualitative data were collected using semi-structured interviews. Quantitative data were analyzed with descriptive statistics and bivariate analysis; whilst qualitative data were analyzed using thematic analysis. Results: We included 31 chiropractors in the study, with seven completing interviews. The mean for PPOS Overall score was 4.35 (95% CI [4.18, 4.52]) and was found to be significantly associated with years in practice and number of patients seen per week. The average PPOS Sharing and PPOS Caring scores were 4.20 (95% CI 3.95–4.45) and 4.50 (95% CI 4.35–4.66), respectively. Number of patients seen per week and per hour were significant predictors of the PPOS Sharing score; whilst years in practice was a significant predictor of PPOS Caring and Overall scores. Interview data supported the association between greater exposure to patients and more patient-centred attitudes among chiropractors. Conclusions: In our sample of Canadian chiropractors, doctor-centred attitudes towards care prevailed, comparable to that reported for other health professions. The significant association between patient-centred attitudes and patient load and clinical experience suggests that chiropractors may learn such attitudes through experience. Future research to further explore chiropractors’ attitudes and orientation towards care using the PPOS or a similar instrument are required
Integrative focus on the space exposome-integrome: physiological challenges and practical limits of countermeasures beyond low Earth orbit
Full text linkHuman spaceflight is advancing toward sustainable exploration through initiatives like NASA’s Artemis program, aiming for a lunar outpost and eventual Mars mission. Astronauts face hazards including altered gravity, isolation, and cosmic radiation, linked to over thirty health risks. This review, reflecting ESA community expertise, outlines how understanding the space exposome–integrome interaction can improve risk stratification, guide personalized countermeasures, and address knowledge gaps essential for safe deep-space exploration
Exploring the nexus: Clinical and physiological correlation between cardiovascular disease and colorectal cancer
Full text linkColorectal cancer (CRC) and cardiovascular disease (CVD) are leading causes of morbidity and mortality worldwide, traditionally studied as distinct pathologies. However, emerging evidence suggests a significant physiological and molecular overlap between these conditions, indicating that they might share common pathophysiological pathways. The aim of this paper is to explore the interconnected mechanisms linking CRC and CVD to identify shared risk factors, underlying molecular processes and potential avenues for integrated prevention and treatment strategies. The review highlights chronic inflammation, oxidative stress, metabolic dysregulation and gut microbiota dysbiosis as central factors contributing to CRC and CVD. Key inflammatory mediators, such as interleukin‐6, C‐reactive protein and tumour necrosis factor‐α, are discussed in the context of their dual role in tumour progression and atherogenesis. Additionally, metabolic disorders, including obesity, insulin resistance and hyperlipidaemia, are shown to elevate the risk of both diseases synergistically, with shared pathways involving insulin‐like growth factors and endothelial dysfunction. The manuscript also addresses the role of lifestyle and environmental factors, such as diet, physical activity and carcinogen exposure, in modulating the risk for CRC and CVD. Furthermore, it considers the implications of commonly used therapies, such as aspirin and statins, which exhibit cross‐benefits in both conditions. In conclusion, understanding the molecular and physiological crosstalk between CRC and CVD provides valuable insight into their co‐occurrence and offers opportunities for integrated screening, prevention and management approaches. This unified perspective supports the development of multidisciplinary strategies that could improve patient outcomes and reduce the global burden of these major chronic diseases
Cultivating Presence: A Conceptual Autoethnography Examining Neofolk and Its Relation to Contemporary Miracle and Mystery Traditions
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#Barbiecore: The Cruel(?) Optimism of Postfeminist Nostalgia
Get PDF#Barbiecore has trended across social media platforms since summer 2022. A fashion aesthetic rooted in Y2K nostalgia, #Barbiecore emphasizes the glamour, glitter, and girl power of the early 2000s through an updated and rose-tinted filter. Using data insights, fashion trend reports, and content analysis, this chapter provides a close examination of the #Barbiecore fashion aesthetic and the broader cultural implications of its Y2K nostalgia in a post-#MeToo landscape. Informing this discussion is the role of Paris Hilton and her media reckoning with her “Barbie doll” celebrity performance. Lauren Berlant’s work, Cruel Optimism, is essential to my analysis. Through this research, I establish a feminist reading of the current state of “Barbie” as shorthand and signifier for a diffuse range of feminine identifications and (post)feminist longings in popular Anglo-American media discourse. In all, then, this chapter grapples with both the baggage and the possibilities of Barbie’s re-emergence as contemporary trend-setter in digital discourse
Critical Sets and Unavoidable Sets of Strictly Concentric Magic Squares of Odd Order and Their Application to Prime Strictly Concentric Magic Squares of Order 5
Full text linkThere has been much interest in the mathematical investigation of critical sets and unavoidable sets in Latin Squares, Sudoku, and their applications to practical problems in areas such as agriculture and cryptology. This paper considers the associated structures of Strictly Concentric Magic Squares (SCMSs) and Prime Strictly Concentric Magic Squares (PSCMSs). A framework of formal definitions is given that leads to the definitions of critical sets and unavoidable sets. Minimal critical sets are of interest in Latin Squares, and in this article, the cardinality of minimal critical sets of SCMS is given for all n, n odd. Two families of unavoidable sets are established for SCMS, leading to a complete classification of unavoidable sets of minimum PSCMS of order 5