Literatura científica selecionada sobre o tema "H.O.M.E. (Organization : Orland, Me.)"

Background and Objective: Suicide attempts are 10-20X more common than completed suicide and an important risk factor for death by suicide, yet most people who attempt suicide do not die by suicide. The process of recovering after a suicide attempt has not been well studied. The Reasons to go on Living (RTGOL) Project, a narrative web-based study, focuses on experiences of people who have attempted suicide and made the decision to go on living, a process not well studied. Narrative research is ideally suited to understanding personal experiences critical to recovery following a suicide attempt, including the transition to a state of hopefulness. Voices from people with lived experience can help us plan and conceptualize this work. This paper reports on a secondary research question of the larger study: what stories do participants tell of the positive role/impact of the mental health system. Material and Methods: A website created for The RTGOL Project (www.thereasons.ca) enabled participants to anonymously submit a story about their suicide attempt and recovery, a process which enabled participation from a large and diverse group of participants. The only direction given was “if you have made a suicide attempt or seriously considered suicide and now want to go on living, we want to hear from you.” The unstructured narrative format allowed participants to describe their experiences in their own words, to include and emphasize what they considered important. Over 5 years, data analysis occurred in several phases over the course of the study, resulting in the identification of data that were inputted into an Excel file. This analysis used stories where participants described positive involvement with the mental health system (50 stories). Results: Several participants reflected on experiences many years previous, providing the privilege of learning how their life unfolded, what made a difference. Over a five-year period, 50 of 226 stories identified positive experiences with mental health care with sufficient details to allow analysis, and are the focus of this paper. There were a range of suicidal behaviours in these 50 stories, from suicidal ideation only to medically severe suicide attempts. Most described one or more suicide attempts. Three themes identified included: 1) trust and relationship with a health care professional, 2) the role of friends and family and friends, and 3) a wide range of services. Conclusion: Stories open a window into the experiences of the period after a suicide attempt. This study allowed for an understanding of how mental health professionals might help individuals who have attempted suicide write a different story, a life-affirming story. The stories that participants shared offer some understanding of “how” to provide support at a most-needed critical juncture for people as they interact with health care providers, including immediately after a suicide attempt. Results of this study reinforce that just one caring professional can make a tremendous difference to a person who has survived a suicide attempt. Key Words: web-based; suicide; suicide attempt; mental health system; narrative research Word Count: 478 Introduction My Third (or fourth) Suicide AttemptI laid in the back of the ambulance, the snow of too many doses of ativan dissolving on my tongue.They hadn't even cared enough about meto put someone in the back with me,and so, frustrated,I'd swallowed all the pills I had with me— not enough to do what I wanted it to right then,but more than enough to knock me out for a good 14 hours.I remember very little after that;benzodiazepines like ativan commonly cause pre- and post-amnesia, says Google helpfullyI wake up in a locked rooma woman manically drawing on the windows with crayonsthe colors of light through the glassdiffused into rainbows of joy scattered about the roomas if she were coloring on us all,all of the tattered remnants of humanity in a psych wardmade into a brittle mosaic, a quilt of many hues, a Technicolor dreamcoatand I thoughtI am so glad to be able to see this. (Story 187)The nurse opening that door will have a lasting impact on how this story unfolds and on this person’s life. Each year, almost one million people die from suicide, approximately one death every 40 seconds. Suicide attempts are much more frequent, with up to an estimated 20 attempts for every death by suicide.1 Suicide-related behaviours range from suicidal ideation and self-injury to death by suicide. We are unable to directly study those who die by suicide, but effective intervention after a suicide attempt could reduce the risk of subsequent death by suicide. Near-fatal suicide attempts have been used to explore the boundary with completed suicides. Findings indicated that violent suicide attempters and serious attempters (seriousness of the medical consequences to define near-fatal attempts) were more likely to make repeated, and higher lethality suicide attempts.2 In a case-control study, the medically severe suicide attempts group (78 participants), epidemiologically very similar to those who complete suicide, had significantly higher communication difficulties; the risk for death by suicide multiplied if accompanied by feelings of isolation and alienation.3 Most research in suicidology has been quantitative, focusing almost exclusively on identifying factors that may be predictive of suicidal behaviours, and on explanation rather than understanding.4 Qualitative research, focusing on the lived experiences of individuals who have attempted suicide, may provide a better understanding of how to respond in empathic and helpful ways to prevent future attempts and death by suicide.4,5 Fitzpatrick6 advocates for narrative research as a valuable qualitative method in suicide research, enabling people to construct and make sense of the experiences and their world, and imbue it with meaning. A review of qualitative studies examining the experiences of recovering from or living with suicidal ideation identified 5 interconnected themes: suffering, struggle, connection, turning points, and coping.7 Several additional qualitative studies about attempted suicide have been reported in the literature. Participants have included patients hospitalized for attempting suicide8, and/or suicidal ideation,9 out-patients following a suicide attempt and their caregivers,10 veterans with serious mental illness and at least one hospitalization for a suicide attempt or imminent suicide plan.11 Relationships were a consistent theme in these studies. Interpersonal relationships and an empathic environment were perceived as therapeutic and protective, enabling the expression of thoughts and self-understanding.8 Given the connection to relationship issues, the authors suggested it may be helpful to provide support for the relatives of patients who have attempted suicide. A sheltered, friendly environment and support systems, which included caring by family and friends, and treatment by mental health professionals, helped the suicidal healing process.10 Receiving empathic care led to positive changes and an increased level of insight; just one caring professional could make a tremendous difference.11 Kraft and colleagues9 concluded with the importance of hearing directly from those who are suicidal in order to help them, that only when we understand, “why suicide”, can we help with an alternative, “why life?” In a grounded theory study about help-seeking for self-injury, Long and colleagues12 identified that self-injury was not the problem for their participants, but a panacea, even if temporary, to painful life experiences. Participant narratives reflected a complex journey for those who self-injured: their wish when help-seeking was identified by the theme “to be treated like a person”. There has also been a focus on the role and potential impact of psychiatric/mental health nursing. Through interviews with experienced in-patient nurses, Carlen and Bengtsson13 identified the need to see suicidal patients as subjective human beings with unique experiences. This mirrors research with patients, which concluded that the interaction with personnel who are devoted, hope-mediating and committed may be crucial to a patient’s desire to continue living.14 Interviews with individuals who received mental health care for a suicidal crisis following a serious attempt led to the development of a theory for psychiatric nurses with the central variable, reconnecting the person with humanity across 3 phases: reflecting an image of humanity, guiding the individual back to humanity, and learning to live.15 Other research has identified important roles for nurses working with patients who have attempted suicide by enabling the expression of thoughts and developing self-understanding8, helping to see things differently and reconnecting with others,10 assisting the person in finding meaning from their experience to turn their lives around, and maintain/and develop positive connections with others.16 However, one literature review identified that negative attitudes toward self-harm were common among nurses, with more positive attitudes among mental health nurses than general nurses. The authors concluded that education, both reflective and interactive, could have a positive impact.17 This paper is one part of a larger web-based narrative study, the Reasons to go on Living Project (RTGOL), that seeks to understand the transition from making a suicide attempt to choosing life. When invited to tell their stories anonymously online, what information would people share about their suicide attempts? This paper reports on a secondary research question of the larger study: what stories do participants tell of the positive role/impact of the mental health system. The focus on the positive impact reflects an appreciative inquiry approach which can promote better practice.18 Methods Design and Sample A website created for The RTGOL Project (www.thereasons.ca) enabled participants to anonymously submit a story about their suicide attempt and recovery. Participants were required to read and agree with a consent form before being able to submit their story through a text box or by uploading a file. No demographic information was requested. Text submissions were embedded into an email and sent to an account created for the Project without collecting information about the IP address or other identifying information. The content of the website was reviewed by legal counsel before posting, and the study was approved by the local Research Ethics Board. Stories were collected for 5 years (July 2008-June 2013). The RTGOL Project enabled participation by a large, diverse audience, at their own convenience of time and location, providing they had computer access. The unstructured narrative format allowed participants to describe their experiences in their own words, to include and emphasize what they considered important. Of the 226 submissions to the website, 112 described involvement at some level with the mental health system, and 50 provided sufficient detail about positive experiences with mental health care to permit analysis. There were a range of suicidal behaviours in these 50 stories: 8 described suicidal ideation only; 9 met the criteria of medically severe suicide attempts3; 33 described one or more suicide attempts. For most participants, the last attempt had been some years in the past, even decades, prior to writing. Results Stories of positive experiences with mental health care described the idea of a door opening, a turning point, or helping the person to see their situation differently. Themes identified were: (1) relationship and trust with a Health Care Professional (HCP), (2) the role of family and friends (limited to in-hospital experiences), and (3) the opportunity to access a range of services. The many reflective submissions of experiences told many years after the suicide attempt(s) speaks to the lasting impact of the experience for that individual. Trust and Relationship with a Health Care Professional A trusting relationship with a health professional helped participants to see things in a different way, a more hopeful way and over time. “In that time of crisis, she never talked down to me, kept her promises, didn't panic, didn't give up, and she kept believing in me. I guess I essentially borrowed the hope that she had for me until I found hope for myself.” (Story# 35) My doctor has worked extensively with me. I now realize that this is what will keep me alive. To be able to feel in my heart that my doctor does care about me and truly wants to see me get better.” (Story 34). The writer in Story 150 was a nurse, an honours graduate. The 20 years following graduation included depression, hospitalizations and many suicide attempts. “One day after supper I took an entire bottle of prescription pills, then rode away on my bike. They found me late that night unconscious in a downtown park. My heart threatened to stop in the ICU.” Then later, “I finally found a person who was able to connect with me and help me climb out of the pit I was in. I asked her if anyone as sick as me could get better, and she said, “Yes”, she had seen it happen. Those were the words I had been waiting to hear! I quickly became very motivated to get better. I felt heard and like I had just found a big sister, a guide to help me figure out how to live in the world. This person was a nurse who worked as a trauma therapist.” At the time when the story was submitted, the writer was applying to a graduate program. Role of Family and Friends Several participants described being affected by their family’s response to their suicide attempt. Realizing the impact on their family and friends was, for some, a turning point. The writer in Story 20 told of experiences more than 30 years prior to the writing. She described her family of origin as “truly dysfunctional,” and she suffered from episodes of depression and hospitalization during her teen years. Following the birth of her second child, and many family difficulties, “It was at this point that I became suicidal.” She made a decision to kill herself by jumping off the balcony (6 stories). “At the very last second as I hung onto the railing of the balcony. I did not want to die but it was too late. I landed on the parking lot pavement.” She wrote that the pain was indescribable, due to many broken bones. “The physical pain can be unbearable. Then you get to see the pain and horror in the eyes of someone you love and who loves you. Many people suggested to my husband that he should leave me in the hospital, go on with life and forget about me. During the process of recovery in the hospital, my husband was with me every day…With the help of psychiatrists and a later hospitalization, I was actually diagnosed as bipolar…Since 1983, I have been taking lithium and have never had a recurrence of suicidal thoughts or for that matter any kind of depression.” The writer in Story 62 suffered childhood sexual abuse. When she came forward with it, she felt she was not heard. Self-harm on a regular basis was followed by “numerous overdoses trying to end my life.” Overdoses led to psychiatric hospitalizations that were unhelpful because she was unable to trust staff. “My way of thinking was that ending my life was the only answer. There had been numerous attempts, too many to count. My thoughts were that if I wasn’t alive I wouldn’t have to deal with my problems.” In her final attempt, she plunged over the side of a mountain, dropping 80 feet, resulting in several serious injuries. “I was so angry that I was still alive.” However, “During my hospitalization I began to realize that my family and friends were there by my side continuously, I began to realize that I wasn't only hurting myself. I was hurting all the important people in my life. It was then that I told myself I am going to do whatever it takes.” A turning point is not to say that the difficulties did not continue. The writer of Story 171 tells of a suicide attempt 7 years previous, and the ongoing anguish. She had been depressed for years and had thoughts of suicide on a daily basis. After a serious overdose, she woke up the next day in a hospital bed, her husband and 2 daughters at her bed. “Honestly, I was disappointed to wake up. But, then I saw how scared and hurt they were. Then I was sorry for what I had done to them. Since then I have thought of suicide but know that it is tragic for the family and is a hurt that can never be undone. Today I live with the thought that I am here for a reason and when it is God's time to take me then I will go. I do believe living is harder than dying. I do believe I was born for a purpose and when that is accomplished I will be released. …Until then I try to remind myself of how I am blessed and try to appreciate the wonders of the world and the people in it.” Range of Services The important role of mental health and recovery services was frequently mentioned, including dialectical behavioural therapy (DBT)/cognitive-behavioural therapy (CBT), recovery group, group therapy, Alcoholics Anonymous, accurate diagnosis, and medications. The writer in Story 30 was 83 years old when she submitted her story, reflecting on a life with both good and bad times. She first attempted suicide at age 10 or 12. A serious post-partum depression followed the birth of her second child, and over the years, she experienced periods of suicidal intent: “Consequently, a few years passed and I got to feeling suicidal again. I had pills in one pocket and a clipping for “The Recovery Group” in the other pocket. As I rode on the bus trying to make up my mind, I decided to go to the Recovery Group first. I could always take the pills later. I found the Recovery Group and yoga helpful; going to meetings sometimes twice a day until I got thinking more clearly and learned how to deal with my problems.” Several participants described the value of CBT or DBT in learning to challenge perceptions. “I have tools now to differentiate myself from the illness. I learned I'm not a bad person but bad things did happen to me and I survived.”(Story 3) “The fact is that we have thoughts that are helpful and thoughts that are destructive….. I knew it was up to me if I was to get better once and for all.” (Story 32): “In the hospital I was introduced to DBT. I saw a nurse (Tanya) every day and attended a group session twice a week, learning the techniques. I worked with the people who wanted to work with me this time. Tanya said the same thing my counselor did “there is no study that can prove whether or not suicide solves problems” and I felt as though I understood it then. If I am dead, then all the people that I kept pushing away and refusing their help would be devastated. If I killed myself with my own hand, my family would be so upset. DBT taught me how to ‘ride my emotional wave’. ……….. DBT has changed my life…….. My life is getting back in order now, thanks to DBT, and I have lots of reasons to go on living.”(Story 19) The writer of Story 67 described the importance of group therapy. “Group therapy was the most helpful for me. It gave me something besides myself to focus on. Empathy is such a powerful emotion and a pathway to love. And it was a huge relief to hear others felt the same and had developed tools of their own that I could try for myself! I think I needed to learn to communicate and recognize when I was piling everything up to build my despair. I don’t think I have found the best ways yet, but I am lifetimes away from that teenage girl.” (Story 67) The author of story 212 reflected on suicidal ideation beginning over 20 years earlier, at age 13. Her first attempt was at 28. “I thought everyone would be better off without me, especially my children, I felt like the worst mum ever, I felt like a burden to my family and I felt like I was a failure at life in general.” She had more suicide attempts, experienced the death of her father by suicide, and then finally found her doctor. “Now I’m on meds for a mood disorder and depression, my family watch me closely, and I see my doctor regularly. For the first time in 20 years, I love being a mum, a sister, a daughter, a friend, a cousin etc.” Discussion The 50 stories that describe positive experiences in the health care system constitute a larger group than most other similar studies, and most participants had made one or more suicide attempts. Several writers reflected back many years, telling stories of long ago, as with the 83-year old participant (Story 30) whose story provided the privilege of learning how the author’s life unfolded. In clinical practice, we often do not know – how did the story turn out? The stories that describe receiving health care speak to the impact of the experience, and the importance of the issues identified in the mental health system. We identified 3 themes, but it was often the combination that participants described in their stories that was powerful, as demonstrated in Story 20, the young new mother who had fallen from a balcony 30 years earlier. Voices from people with lived experience can help us plan and conceptualize our clinical work. Results are consistent with, and add to, the previous work on the importance of therapeutic relationships.8,10,11,14–16 It is from the stories in this study that we come to understand the powerful experience of seeing a family members’ reaction following a participant’s suicide attempt, and how that can be a potent turning point as identified by Lakeman and Fitzgerald.7 Ghio and colleagues8 and Lakeman16 identified the important role for staff/nurses in supporting families due to the connection to relationship issues. This research also calls for support for families to recognize the important role they have in helping the person understand how much they mean to them, and to promote the potential impact of a turning point. The importance of the range of services reflect Lakeman and Fitzgerald’s7 theme of coping, associating positive change by increasing the repertoire of coping strategies. These findings have implications for practice, research and education. Working with individuals who are suicidal can help them develop and tell a different story, help them move from a death-oriented to life-oriented position,15 from “why suicide” to “why life.”9 Hospitalization provides a person with the opportunity to reflect, to take time away from “the real world” to consider oneself, the suicide attempt, connections with family and friends and life goals, and to recover physically and emotionally. Hospitalization is also an opening to involve the family in the recovery process. The intensity of the immediate period following a suicide attempt provides a unique opportunity for nurses to support and coach families, to help both patients and family begin to see things differently and begin to create that different story. In this way, family and friends can be both a support to the person who has attempted suicide, and receive help in their own struggles with this experience. It is also important to recognize that this short period of opportunity is not specific to the nurses in psychiatric units, as the nurses caring for a person after a medically severe suicide attempt will frequently be the nurses in the ICU or Emergency departments. Education, both reflective and interactive, could have a positive impact.17 Helping staff develop the attitudes, skills and approach necessary to be helpful to a person post-suicide attempt is beginning to be reported in the literature.21 Further implications relate to nursing curriculum. Given the extent of suicidal ideation, suicide attempts and deaths by suicide, this merits an important focus. This could include specific scenarios, readings by people affected by suicide, both patients themselves and their families or survivors, and discussions with individuals who have made an attempt(s) and made a decision to go on living. All of this is, of course, not specific to nursing. All members of the interprofessional health care team can support the transition to recovery of a person after a suicide attempt using the strategies suggested in this paper, in addition to other evidence-based interventions and treatments. Findings from this study need to be considered in light of some specific limitations. First, the focus was on those who have made a decision to go on living, and we have only the information the participants included in their stories. No follow-up questions were possible. The nature of the research design meant that participants required access to a computer with Internet and the ability to communicate in English. This study does not provide a comprehensive view of in-patient care. However, it offers important inputs to enhance other aspects of care, such as assessing safety as a critical foundation to care. We consider these limitations were more than balanced by the richness of the many stories that a totally anonymous process allowed. Conclusion Stories open a window into the experiences of a person during the period after a suicide attempt. The RTGOL Project allowed for an understanding of how we might help suicidal individuals change the script, write a different story. The stories that participants shared give us some understanding of “how” to provide support at a most-needed critical juncture for people as they interact with health care providers immediately after a suicide attempt. While we cannot know the experiences of those who did not survive a suicide attempt, results of this study reinforce that just one caring professional can make a crucial difference to a person who has survived a suicide attempt. We end with where we began. Who will open the door? References 1. World Health Organization. Suicide prevention and special programmes. http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/index.html Geneva: Author; 2013.2. Giner L, Jaussent I, Olie E, et al. Violent and serious suicide attempters: One step closer to suicide? J Clin Psychiatry 2014:73(3):3191–197.3. Levi-Belz Y, Gvion Y, Horesh N, et al. Mental pain, communication difficulties, and medically serious suicide attempts: A case-control study. Arch Suicide Res 2014:18:74–87.4. Hjelmeland H and Knizek BL. Why we need qualitative research in suicidology? Suicide Life Threat Behav 2010:40(1):74–80.5. Gunnell D. A population health perspective on suicide research and prevention: What we know, what we need to know, and policy priorities. Crisis 2015:36(3):155–60.6. Fitzpatrick S. Looking beyond the qualitative and quantitative divide: Narrative, ethics and representation in suicidology. Suicidol Online 2011:2:29–37.7. Lakeman R and FitzGerald M. How people live with or get over being suicidal: A review of qualitative studies. J Adv Nurs 2008:64(2):114–26.8. Ghio L, Zanelli E, Gotelli S, et al. Involving patients who attempt suicide in suicide prevention: A focus group study. J Psychiatr Ment Health Nurs 2011:18:510–18.9. Kraft TL, Jobes DA, Lineberry TW., Conrad, A., & Kung, S. Brief report: Why suicide? Perceptions of suicidal inpatients and reflections of clinical researchers. Arch Suicide Res 2010:14(4):375-382.10. Sun F, Long A, Tsao L, et al. The healing process following a suicide attempt: Context and intervening conditions. Arch Psychiatr Nurs 2014:28:66–61.11. Montross Thomas L, Palinkas L, et al. Yearning to be heard: What veterans teach us about suicide risk and effective interventions. Crisis 2014:35(3):161–67.12. Long M, Manktelow R, and Tracey A. The healing journey: Help seeking for self-injury among a community population. Qual Health Res 2015:25(7):932–44.13. Carlen P and Bengtsson A. Suicidal patients as experienced by psychiatric nurses in inpatient care. Int J Ment Health Nurs 2007:16:257–65.14. Samuelsson M, Wiklander M, Asberg M, et al. Psychiatric care as seen by the attempted suicide patient. J Adv Nurs 2000:32(3):635–43.15. Cutcliffe JR, Stevenson C, Jackson S, et al. A modified grounded theory study of how psychiatric nurses work with suicidal people. Int J Nurs Studies 2006:43(7):791–802.16. Lakeman, R. What can qualitative research tell us about helping a person who is suicidal? Nurs Times 2010:106(33):23–26.17. Karman P, Kool N, Poslawsky I, et al. Nurses’ attitudes toward self-harm: a literature review. J Psychiatr Ment Health Nurs 2015:22:65–75.18. Carter B. ‘One expertise among many’ – working appreciatively to make miracles instead of finding problems: Using appreciative inquiry as a way of reframing research. J Res Nurs 2006:11(1): 48–63.19. Lieblich A, Tuval-Mashiach R, Zilber T. Narrative research: Reading, analysis, and interpretation. Sage Publications; 1998.20. Braun V and Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006:3(2):77–101.21. Kishi Y, Otsuka K, Akiyama K, et al. Effects of a training workshop on suicide prevention among emergency room nurses. 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Research between physical activity and cognitive work in children is still relatively rare and inconsistent, even though children's motor development and cognitive learning are related to positive effects on academic work. This study aims to determine the increase in mathematical logical intelligence of early childhood through physical activity. This is action research. This type of research was a sequential exploratory design. Data analysis in this study used a combined quantitative and qualitative analysis (Mix Method). The results showed increasing logical mathematics intelligence in DKI Jakarta's childhood. The initial assessment results showed that the average value of the child's logical mathematics intelligence was 28 and then increased to 57 in the final assessment of cycle 1 and continued to increase to 78 in the final assessment of cycle 2. Physical activity learning with games strategies increasing the logical mathematics intelligence in childhood in Jakarta Kindergarten. Future research is expected to examine more childhood intelligence with many respondents. Keywords: early childhood, physical activity, logical-mathematics intelligence References: Andriyani, FD, Biddle, SJH, Arovah, NI, & de Cocker, K. (2020). Physical activity and sedentary behavior research in Indonesian youth: A scoping review. International Journal of Environmental Research and Public Health,17(20), 1–15. https://doi.org/10.3390/ijerph17207665 Aubert, S., Brazo-sayavera, J., González, SA, Janssen, I., Manyanga, T., Oyeyemi, AL, Picard, P., Sherar, LB, Turner, E., & Tremblay, MS (2021). Global prevalence of physical activity for childhood and adolescents; inconsistencies , research gaps , and recommendations : a narrative review. 1–11. Azman, KF, & Zakaria, R. (2022). Recent Advances on the Role of Brain-Derived Neurotrophic Factor (BDNF) in Neurodegenerative Diseases. 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Frontiers in Human Neuroscience, 7(FEB), 1–13. https://doi.org/10.3389/fnhum.2013.00072 Colucci-D'amato, L., Speranza, L., & Volpicelli, F. (2020). Neurotrophic factor bdnf, physiological functions and therapeutic potential in depression, neurodegeneration and brain cancer. International Journal of Molecular Sciences, 21(20), 1–29. https://doi.org/10.3390/ijms21207777 Daly-Smith, AJ, Zwolinsky, S., McKenna, J., Tomporowski, PD, Defeyter, MA, & Manley, A. (2018). Systematic review of acute physically active learning and classroom movement breaks on childhood's physical activity, cognition, academic performance and classroom behavior: Understanding critical design features. BMJ Open Sport and Exercise Medicine, 4(1), 1–16. https://doi.org/10.1136/bmjsem-2018-000341 Deer, LBK, Hastings, PD, & Hostinar, CE (2020). The Role of Childhood Executive Function in Explaining Income Disparities in Long-Term Academic Achievement. Child Development, 91(5), e1046–e1063.https://doi.org/10.1111/cdev.13383 Fischer, U., Suggate, SP, & Stoeger, H. (2020). The Implicit Contribution of Fine Motor Skills to Mathematical Insight in Early Childhood. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.01143 Flores, P., Coelho, E., Mourão-Carvalhal, MI, & Forte, P. (2023). Association between motor and math skills in preschool childhood with typical development: Systematic review. Frontiers in Psychology, 14(February), 1–23. https://doi.org/10.3389/fpsyg.2023.1105391 Gao, Z., Chen, S., Sun, H., Wen, X., & Xiang, P. (2018). Physical Activity in Childhood's Health and Cognition. BioMed Research International, 2018. https://doi.org/10.1155/2018/8542403 Gomez-Pinilla, F., & Hillman, C. (2013). The influence of exercise on cognitive abilities. Comprehensive Physiology, 3(1), 403–428. https://doi.org/10.1002/cphy.c110063 Grieco, LA, Jowers, EM, Errisuriz, VL, & Bartholomew, JB (2017). 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The pandemic of COVID-19 has afflicted every individual and has initiated a cascade of directly or indirectly involved events in precipitating mental health issues. The human species is a wanderer and hunter-gatherer by nature, and physical social distancing and nationwide lockdown have confined an individual to physical isolation. The present review article was conceived to address psychosocial and other issues and their aetiology related to the current pandemic of COVID-19. The elderly age group has most suffered the wrath of SARS-CoV-2, and social isolation as a preventive measure may further induce mental health issues. Animal model studies have demonstrated an inappropriate interacting endogenous neurotransmitter milieu of dopamine, serotonin, glutamate, and opioids, induced by social isolation that could probably lead to observable phenomena of deviant psychosocial behavior. Conflicting and manipulated information related to COVID-19 on social media has also been recognized as a global threat. Psychological stress during the current pandemic in frontline health care workers, migrant workers, children, and adolescents is also a serious concern. Mental health issues in the current situation could also be induced by being quarantined, uncertainty in business, jobs, economy, hampered academic activities, increased screen time on social media, and domestic violence incidences. The gravity of mental health issues associated with the pandemic of COVID-19 should be identified at the earliest. Mental health organization dedicated to current and future pandemics should be established along with Government policies addressing psychological issues to prevent and treat mental health issues need to be developed. References World Health Organization (WHO) Coronavirus Disease (COVID-19) Dashboard. 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The hospitality industry is under intense pressure. COVID-19 restrictions and limited trading opportunities have forced restaurateurs to consider their pricing structures. Reflecting those concerns, Richard Corney, MD of the Inigo Coffee Group, proposed that the retail price of a cup of coffee needed to rise to between $6.50 and $7.00 to “take into account all the other cost increases hospitality establishments have experienced in the last decade, not to mention the challenges of the pandemic in the last two years” [1]. Alongside these revenue issues, the industry also needs to move away from a tradition of low pay and low value [2], and perhaps towards the concept of a ‘hospitable wage’ [3]. However, laudable as these goals might be, upward price movement may be resisted by many customers. So how can restaurateurs and hoteliers ‘sell’ revised-price-products to their customers? Clearly, increased revenue can be achieved through both marginal price increases and up-selling to increase average customer spend. We propose that both of these goals can be achieved if employers embrace the concept of hospitality as an experience [4, 5], where the performance of staff is central [6], and where the experience is delivered with ‘hospitality personality’. Much has been written about the personality of hospitality staff. Most of that work can be traced back to the early work of Erving Goffman [7] who proposed that hospitality employees were playing roles, and acting out, by using their emotional intelligence. Goffman likened such workers to actors who literally ‘take on’ a character. The characteristics of the hospitality personality have been explored by many authors [8–10] and include, agreeableness, extroversion, openness to experience, conscientiousness, and emotional stability; although some research also reveals that neuroticism is also a hospitality characteristic in hotel receptionists. Alongside this research, other studies have identified the role of mood and personality in positive guest experiences, specifically service quality perception and customer satisfaction [11]. This supports our suggestion that the performance of staff can have a direct impact on customer experience and potentially revenue, and that Corney’s price recommendation could be a realistic option for many businesses struggling economically. But there’s a ‘fly in the ointment’: the Tall Poppy Syndrome. Tall poppy syndrome originated around 500BC in ancient Rome, when King Tarquinius Superbus demonstrated how the nation should deal with its enemies. In an active display he lopped off the heads of the tallest poppies in his garden with a stick [12]. Today, tall poppies are conspicuously successful people, who may attract envy, resentment or hostility, and the Tall Poppy Syndrome (TPS) is the habit of others to diminish those who have attained excellence in a field – to cut them down to size [13]. While TPS is commonly associated with Australia and New Zealand, it is also part of other cultures. Within Scandinavian cultures, janteloven1 promotes humility and conformity paralleling TPS [15]; in Japanese culture, ‘the nail that sticks up gets pounded down’ [16]; and within Filipino culture a crab mentality exists whereby crabs in a bucket tend to pull back any adventurous crabs trying to escape [17]. TPS is often described as being ingrained in New Zealand culture [18] and has been identified as a phenomenon in New Zealand entrepreneurship and business [19]. While TPS encourages conformist cultures, our research provides a valuable insight into how employers can spot potential employees who actively resist notions of TPS’s conformity and are more likely to perform to the highest levels. Using Instagram, we interviewed 1000 young self-identifying New Zealanders to explore their qualitative experiences of TPS. They identified as 68% female and 32% male. Their age ranges were: 58% aged 18–24; 27% aged 25–34; 7% aged 35–44; 3% aged 45–54; and 2% aged 55 or above. Three percent of the respondents were excluded from our final sample because they were aged 17 or younger. The respondents’ feelings, victimhood, self-esteem, and knowledge about TPS provided our research with the largest amount of data. Of our 1000 participants, 50% knew what TPS was, while 50% did not. Similarly, 45% of our respondents claimed to be victims of TPS. Contrastingly, 55% had no experiences of TPS. Within those considerations, the data revealed clearly that TPS was perceived by participants as ‘something done to them’ and not as ‘something they do to other people’. Yet, and despite that difference, the pervasive nature of TPS within Kiwi socio-culture was noted by participants. Several participants recounted the cost of TPS; for example, “Definitely held me back. It can knock your confidence so much” and “Made me want to hide/play down my talents/my life.” Other participants perceived TPS “put-downs” (belittling or humiliating remarks) as a challenge or motivating force. They commented, “Uncomfortable but it pushed me harder to be even more successful” and “It motivated me. I realized people saw something in me and strived to continue improving.” For the 45% of our participants directly experiencing TPS, those experiences were grounded within two base reactions. Reflecting that, more than half of our participants adopted conformist behaviours, succumbing to the bullying pressures of others. However, 45% recognised TPS and its bullying as a motivator to create further behaviours and actions of excellence. The role of social media in TPS was significant. Participants directly linked TPS to social media with 89% of respondents recognising the role of social media in TPS. Key to their views was the realisation that social media not only provided distance between people but also that people used social media to manipulate the image they projected to others. In those ways, social media was a mediating factor. As participants observed, “Easier to be mean and cut someone down through a comment than to their face” and “Social media has made it easier to abuse and put down those that stand out.” Given the attributes of the hospitality personality, and Richard Corney’s proposed pricing restructures in hospitality, the key is for employers to consider the resilience of their staff to TPS and conformity. They should consider whether they can recruit and retain the 45% of staff that use TPS as inspiration to succeed – the staff who will rise the challenge of delivering exceptional customer experiences through their own performance of the ‘hospitality personality’. It is within the unique characteristics of these staff that hospitality businesses can generate that extra point of difference and experience that customers will be happy to pay a little more to enjoy; and perhaps hospitality businesses might go a step further by also considering the concept of the ‘hospitable wage’. Corresponding author Lindsay Neill can be contacted at: lindsay.neill@aut.ac.nz Note “Janteloven (the law of Jante) at its simplest describes the way that all Norwegians (and in fact, other Scandinavians too) behave: putting society ahead of the individual, not boasting about individual accomplishments, and not being jealous of others” [14]. References (1) Wilkes, M. We Need to Pay $7 for a Flat White if Cafes are Going to Survive, Says Coffee Boss, 2021. https://www.stuff.co.nz/life-style/food-drink/drinks/127196374/we-need-to-pay-7-for-a-flat-white-if-cafes-are-going-to-survive-says-coffee-boss (accessed Dec 12, 2021). (2) Te Ora, N. Does Hospitality Have a Low Wages Problem? Workers Say Yes. Some Restaurant Owners Say No, 2021. https://www.stuff.co.nz/business/industries/125301113/does-hospitality-have-a-low-wages-problem-workers-say-yes-some-restaurant-owners-say-no (accessed Dec 10, 2021). (3) Douglas, J.; Williamson, D.; Harris, C. Dirty Deeds Done Dirt Cheap: Creating “Hospitable Wages” through the Living Wage Movement. Hospitality & Society 2020, 10 (1), 3–22. (4) Hemmington, N. From Service to Experience: Understanding and Defining the Hospitality Business. The Service Industries Journal 2007, 27 (6), 747–755. (5) Lugosi, P. Hospitality Spaces, Hospitable Moments: Consumer Encounters and Affective Experiences in Commercial Settings. Journal of Foodservice 2008, 19 (2), 139–149. (6) Morgan, M.; Watson, P.; Hemmington, N. Drama in the Dining Room: Theatrical Perspectives on the Foodservice Encounter. Journal of Foodservice 2008, 19 (2), 111–118. (7) Goffman, E. The Presentation of Self in Everyday Life; Doubleday: Garden City, New York, 1959. (8) Köşker, H.; Unur, K.; Gursoy, D. The Effect of Basic Personality Traits on Service Orientation and Tendency to Work in the Hospitality and Tourism Industry. Journal of Teaching in Travel & Tourism 2019, 19 (2), 140–162. (9) Grobelna, A. Extraversion and its Importance in the Hospitality Workplace. Scientific Journal, No. 876, Economic Problems of Tourism 2015, 3 (31), 89–96. (10) Gonzalez-Gonzalez, T.; García-Almeida, D. J. Frontline Employee-Driven Change in Hospitality Firms: An Analysis of Receptionists’ Personality on Implemented Suggestions. International Journal of Contemporary Hospitality Management 2021, 33 (12), 4439–4459. (11) Kocabulut, Ö.; Albayrak, T. The Effects of Mood and Personality Type on Service Quality Perception and Customer Satisfaction. International Journal of Culture, Tourism, and Hospitality Research 2019, 13 (1), 98–112. (12) Felton, D. Advice to Tyrants: The Motif of “Enigmatic Counsel” in Greek and Roman Texts. Phoenix 1998, 52 (1–2), 42–54. (13) Feather, N. T. Attitudes towards the High Achiever: The Fall of the Tall Poppy. Australian Journal of Psychology 1989, 41 (3), 239–267. (14) Nikel, D. What Exactly Is Janteloven? Life in Norway, 2015. https://www.lifeinnorway.net/what-exactly-is-janteloven/ (accessed Dec 10, 2021). (15) Ahlness A. Janteloven and Social Conformity in Thorbørn Egner’s Literature, 2014. http://ncurproceedings.org/ojs/index.php/NCUR2014/article/view/738 (accessed Oct 8, 2019). (16) Matsumoto, D. Culture and Self: An Empirical Assessment of Markus and Kitayama’s Theory of Independent and Interdependent Self-Construals. Asian Journal of Social Psychology 1999, 2, 289–310. (17) Licuanan, P. A Moral Recovery Program: Building a People – Building a Nation. In: Dy, M. B. (ed) Values in Philippine Culture and Education: Philippine Philosophical Studies, 1; The Council for Research in Values and Philosophy: Washington, DC, 1994, pp. 35–54. (18) Ockhuysen, S. It's Time to Do Better and Cut Tall Poppy Syndrome out of Our Culture. Stuff, Feb 20, 2020. https://www.stuff.co.nz/taranaki-daily-news/news/119627156/its-time-to-do-better-and-cut-tall-poppy-syndrome-out-of-our-culture (accessed Dec 11, 2021) (19) Kirkwood, J. Tall Poppy Syndrome: Implications for Entrepreneurship in New Zealand. Journal of Management & Organization 2007, 13 (4), 366–382.

e4519020The mark of violence is present in today's society. It is in this context that human rights education is fundamental. The research, of qualitative nature, aimed to apprehend and analyze, in compliance with human rights, the problematized aspects with regard to violence against women, supporting on the structured interview, projective modality, which used the device of photo reproduction so that the interviewees could talk, critically, about what they saw. For discussion, two textual productions related to the reading of two reproductions that “spoke” of violence against women, were considered and submitted to interpretative analysis. The texts expressed contradiction to what was put in the photo reproduction, problematizing the violations of rights and, at the same time, considering ethics, values, and human rights as fundamental components to the exercise of citizenship and, still, evoking the dignity of the human person for the constitution of scenarios sensitive to humanity.ResumoA marca da violência está presente na atual sociedade. É nessa conjuntura que a educação em direitos humanos se mostra fundamental. A pesquisa, de cunho qualitativo, buscou apreender e analisar, na observância aos direitos humanos, os aspectos problematizados no tocante à violência contra a mulher, apoiando-se na entrevista estruturada, modalidade projetiva, que utilizou o dispositivo de foto reprodução para que os entrevistados discorressem, criticamente, sobre o que viam. Trouxemos para a discussão duas produções textuais relativas à leitura de duas fotos reproduções que “falavam” da violência contra a mulher, as quais foram submetidas à análise interpretativa. Os textos expressavam contrariedade ao que estava posto nas fotos reproduções, problematizando as violações dos direitos e, ao mesmo tempo, considerando a ética, os valores e os direitos humanos como componentes fundamentais ao exercício da cidadania; e, ainda, evocando a dignidade da pessoa humana para a constituição de cenários sensíveis à humanidade.ResumenLa marca de la violencia está presente en la sociedad actual. Es en este momento que la educación en derechos humanos es fundamental. La investigación, de carácter cualitativo, buscó aprehender y analizar, en cumplimiento de los derechos humanos, los aspectos problematizados en torno a la violencia contra las mujeres, basándose en la entrevista estructurada, la modalidad proyectiva, que utilizó el dispositivo fotorreproducción para que los entrevistados hablaran, críticamente, de lo que vieron. Trajimos la discusión de las producciones textuales relacionadas con la lectura de dos fotorreproducción que "hablaban" de la violencia contra la mujer, que fueron sometidas a un análisis interpretativo. Los textos expresaron contradicción con lo que se puso en las fotoreproducciones, problematizando las violaciones de los derechos y, al mismo tiempo, considerando la ética, los valores y los derechos humanos como componentes fundamentales para el ejercicio de la ciudadanía y, aún, evocando la dignidad de la persona humana para la constitución de escenarios sensibles a la humanidad.Palavras-chave: Formação de professores, Educação em direitos humanos, Violência contra a mulher.Keywords: Teacher training, Human rights education, Violence against women.Palabras claves: Formación de profesores, Educación en derechos humanos, La violencia contra las mujeres.ReferencesAFONSO, Maria Rosa. Trabalhar os direitos humanos no contexto escolar: da compreensão aos instrumentos. Lisboa: DGIDC/ME, 2005. Disponível em: http://www.dhnet.org.br/dados/livros/edh/portugal/rosa_afonso/livro_rosa_afonso.pdf. Acesso em: 20 dez. 2018.ARAÚJO, Aline Soares Storch de; AFONSO, Maria Lúcia Miranda. A educação em direitos humanos na educação infantil: formação de sujeitos de direitos. Revista Eletrônica de Educação, São Carlos, v. 12, n. 1, p. 46-60, 2018. Disponível em: http://www.reveduc.ufscar.br/index.php/reveduc/article/view/1887/667. Acesso em: 28 jun. 2020.AWAD, Fahd. O princípio constitucional da dignidade da pessoa humana. Justiça do Direito, Passo Fundo, v. 20, n. 1, p. 111-120, 2006. Disponível em: http://seer.upf.br/index.php/rjd/article/view/2182. Acesso em: 22 nov. 2019.BASÍLIO, Ana Luiza. 5 escolas combatem a violência contra as mulheres. 2017. Carta Capital online, de 30 de março de 2020. Disponível em: https://www.cartacapital.com.br/educacao/5-escolas-combatem-violencia-contra-as-mulheres/. Acesso em: 30 mar. 2020.BRASIL. Câmara dos Deputados. Comissão de Defesa dos Direitos da Mulher. Mapa de violência contra a mulher 2018. Brasília: Câmara dos Deputados 55ª legislatura-4ª sessão legislativa, Comissão de Defesa dos Direitos da Mulher, 2018a. Disponível em: https://www2.camara.leg.br/atividade-legislativa/comissoes/comissoes-permanentes/comissao-de-defesa-dos-direitos-da-mulher-cmulher/arquivos-de-audio-e-video/MapadaViolenciaatualizado200219.pdf. Acesso em: 15 jan. 2020.BRASIL. Fórum Brasileiro de Segurança Pública. Anuário brasileiro de segurança pública. São Paulo: Fórum Brasileiro de Segurança Pública. 2018b. Disponível em: http://www.forumseguranca.org.br/wp-content/uploads/2019/03/Anuario-Brasileiro-de-Seguran%C3%A7a-P%C3%BAblica-2018.pdf. Acesso em: 15 dez. 2019.BRASIL. Ministério da Educação. Base Nacional Comum Curricular. Ministério da Educação, Brasília, DF: MEC, 2017. Disponível em: http://basenacionalcomum.mec.gov.br/ . Acesso em: 20 nov. 2019.BRASIL. Ministério da Educação, Secretaria de Educação Básica. Programa Ética e Cidadania. Construindo valores na escola e na sociedade: inclusão e exclusão social. Módulo 3: Direitos Humanos. Brasília: Ministério da Educação, Secretaria de Educação Básica. 2007. 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Timeliness of financial reporting is a qualitative characteristics that enhance the usefulness of information and significant to users of financial statements. This study examines that board diversity (GENDERCHAIR), CEO age (CEOAGE) have impact on audit report timeliness. The sample of this study comprises of 100 companies listed on Vietnamese Stock Exchange in the period 2012 - 2014. Ordinary Least Square (OLS) regression analysis are performed to test the audit report timeliness determinants . Using quantitative research methods, findings found that there is a significant positive relationship between board diversity on timeliness of financial reporting while proxy variables of the CEO age have a significant negative relationship with timeliness of financial reporting. . This paper extends prior research by addressing the potential effects of female executives on timeliness of financial reporting. 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Public engagement of scientists is defined as “all kinds of publicly accessible communication carried out by people presenting themselves as scientists. This includes scholarly communication directed at peers as well as science communication directed at lay publics” (Jünger & Fähnrich, 2019, p. 7). Field of application/theoretical foundation: The variable “public engagement of scientists” can be differentiated according to the following three main dimensions (Jünger & Fähnrich, 2019): Directions of engagement: Describes the extent to which communication scientists on Twitter connect with people from different sectors of society (e.g. science, politics, media, economy). This allows conclusions to the potential influence of scientists reaching specific audiences beyond the scientific community (Jünger & Fähnrich, 2019). Topics of engagement: Previous research reveals that social scientists not only act as experts in their research field, but often present themselves as public intellectuals by also referring to political and social issues (Albæk, Christiansen, & Togeby, 2003; Fähnrich & Lüthje, 2017). For this reason, communication scientists are expected to communicate not only on scientific but also on political or economic issues. Modes of engagement: In addition to disseminating information, social networking sites also allow for more interactive ways of maintaining relationships. Thus, following Ellison and Boyd (2013), it can be assumed that communication on social networking sites can be both content-centered and user-centered. This dimension can be linked to the speech act theory (Klemm, 2000; Searle, 1990), according to which every use of language has a performative function. References/combination with other methods of data collection: In some cases, a mixed method approach, employing two data collection methods, is applied: a content analysis is complemented by a survey to gain information about the science communicators such as demographic information (Hara, Abbazio, & Perkins, 2019). Furthermore, their social networks are investigated by means of network analysis (Walter, Lörcher, & Brüggemann, 2019). Example studies: Hara et al. (2019); Jahng & Lee (2018); Kouper (2010); Mahrt & Puschmann (2014); Walter et al. (2019) Information on Jünger & Fähnrich, 2019 Authors: Jakob Jünger & Birte Fähnrich, 2019 Research questions: How can the public engagement of scientists in the context of online communication be conceptualized? Which types of engagement occur in the Twitter activity of communication scholars? Object of analysis: Tweets and followers belonging to the Twitter profiles of communication scientists who are following the International Communication Association (ICA) on Twitter (only German- and English-speaking users) Timeframe of analysis: Data collection in September 2017 Info about variables Variable name/definition: Subject area of the content of the tweets Level of analysis: Tweet Values: - Science-related topics (research, teaching) - Non-scientific topics (politics, economy, media, sports, environment, society, leisure time, and others) Scale of measurement: Nominal Reliability: Gwet’s AC1: 0,71 – 1,00; Holsti: 0,82 – 1,00 Variable name/definition: Language patterns of communication scientists (Speech acts) Level of analysis: Tweet Values: - Actor-centered patterns (discussing, activating, socializing), - Content-centered patterns (reporting, commenting), - Other language patterns Scale of measurement: Nominal Reliability: Gwet’s AC1: 0,54 – 0,95; Holsti: 0,75 – 1,00 Variable name/definition: References of the communication scientists on Twitter Level of analysis: Tweet Values: - Self-reference, - Reference to specific actor, - Reference to other unspecific actor, - No reference to actors Scale of measurement: Nominal Reliability: Gwet’s AC1: 0,83 – 0,87; Holsti: 0,88 – 0,93 Variable name/definition: Type of actor (followers of the investigated scientists) Level of analysis: Self description in profile Values: Person, Organization Scale of measurement: Nominal Reliability: Gwet’s AC1: 0,89; Holsti: 0,91; Kappa: 0,84; Krippendorffs’ Alpha: 0,84 Variable name/definition: Social sphere of action of the followers Level of analysis: Self description in profile Values: - Science (communication science, other sciences, science in general) - Politics (party, state/administration, activists & lobbyists) - Media (media & journalism, news & comments) - Economy (communication industry, other economic sectors) - Arts & Entertainment - Health - Other (Other areas of activity, personal interests) Scale of measurement: Nominal Reliability: Gwet’s AC1: 0,81 – 0,87; Holsti: 0,82 – 0,88; Kappa: 0,83 – 0,85; Krippendorffs’ Alpha: 0,83 – 0,85 Codebook: in the appendix (in German) Information on Walter, Lörcher & Brüggemann, 2019 Authors: Stefanie Walter, Ines Lörcher & Michael Brüggemann Research question: How do scientists interact with politicians and civil society on Twitter? Object of analysis: Climate-related English-language Tweets posted by scientists from the United States (to classify the Twitter users, an automated content analysis, a dictionary approach, was applied; Krippendorffs’ Alpha: 0,74) Timeframe of analysis: Data collection took place from October 1, 2017 to March 31, 2018 Variable name/definition: Mode and content of communication Level of analysis: Tweet Values: Negative emotion, Certainty Scale of measurement: Linguistic Inquiry and Word Count (LIWC) program for computerized text analysis Reliability: – Codebook: in the appendix (R-Script) Information on Hara et al., 2019 Authors: Noriko Hara, Jessica Abbazio & Kathryn Perkins Research questions: What kind of demographic characteristics do the scientists participating in “Science” subreddit AMAs have? [survey] What was the experience like to host an AMA in the “Science” subreddit? [survey] What type of discussions did “Science” subreddit AMA participants engage in? Do questions receive answers? What are posters’ intentions? What kind of content features appear? Who is posting comments? What kind of responses do posts receive? Object of analysis: Six Ask Me Anything (AMA) sessions on Reddit’s “Science” subreddit (r/science) Timeframe of analysis: – Info about variable Variable name/definition: Poster’s intentions (PI); Answer status (AS); Comment status (CS); Poster’s identity (PID); Content features (CF) Level of analysis: Post Values: - PI: Seeking information, Seeking discussion, Non-questions/comments, Further discussion/interaction among users, Answering a question - AS: Answered, Not answered - CS: Commented on, Not commented on - PID: Host, Participant – flair, Participant – no flair - CF: Providing factual information, Providing opinions, Providing resources, Providing personal experience, Providing guidance on forum governance, Making an inquiry – initial question, Making an inquiry – embedded question, Requesting resources, Off-topic comment Scale of measurement: Nominal Reliability: Intercoder reliability ranged between 0.66 and 1.0 calculated by Cohen’s Kappa Codebook: in the appendix (in English) References Albæk, E., Christiansen, P. M., & Togeby, L. (2003). Experts in the mass media: Researchers as sources in Danish daily newspapers, 1961–2001. Journalism & Mass Communication Quarterly, 80(4), 937–948. Ellison, N. B., & Boyd, D. M. (2013). Sociality through social network sites. In W. H. Dutton, N. B. Ellison, & D. M. Boyd (Eds.), The Oxford Handbook of Internet Studies (pp. 151–172). Oxford: Oxford University Press. Fähnrich, B., & Lüthje, C. (2017). Roles of Social Scientists in Crisis Media Reporting: The Case of the German Populist Radical Right Movement PEGIDA. Science Communication, 39(4), 415–442. Hara, N., Abbazio, J., & Perkins, K. (2019). An emerging form of public engagement with science: Ask Me Anything (AMA) sessions on Reddit r/science. PloS One, 14(5), e0216789. Jahng, M. R., & Lee, N. (2018). When scientists tweet for social changes: Dialogic communication and collective mobilization strategies by flint water study scientists on Twitter. 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The depiction of alcohol is the focus of a growing number of content analyses in the field of social media research. Typically, the occurrence and nature of alcohol representations are coded to measure the prevalence, normalization, or even glorification of alcohol and its consumption on different social media platforms (Moreno et al., 2016; Westgate & Holliday, 2016) and smartphone apps (Ghassemlou et al., 2020). But social media platforms and smartphone apps also play a role in the prevention of alcohol abuse when they disseminate messages about alcohol risks and foster harm reduction, abstinence, and sobriety (Davey, 2021; Döring & Holz, 2021; Tamersoy et al., 2015; Westgate & Holliday, 2016). Field of application/theoretical foundation: Social Cognitive Theory (SCT; Bandura 1986, 2009) as the dominant media effects theory in communication science, is applicable and widely applied to social media representations of alcohol: According to SCT, positive media portayals of alcohol and attractive role models consuming alcohol can influence the audience’s relation to alcohol. That’s why positive alcohol portayals in the media are considered a public health threat as they can foster increased and risky alcohol consumption among media users in general and young people in particular. The negative health impact predicted by SCT depends on different aspects of alcohol portrayals on social media that have been traditionally coded in manual content analyses (Beullens & Schepers, 2013; Mayrhofer & Naderer, 2019; Moreno et al., 2010) and most recently by studies relying on computational methods for content analysis (e.g. Ricard & Hassanpour, 2021). Core aspects of alcohol representations on social media are: a) the type of communicator / creator of alcohol-related social media content, b) the overall valence of the alcohol portrayal, c) the people consuming alcohol, d) the alcohol consumption behaviors, e) the social contexts of alcohol consumption, f) the types and brands of consumed alcohol, g) the consequences of alcohol consumption, and h) alcohol-related consumer protection messages in alcohol marketing (Moreno et al., 2016; Westgate & Holliday, 2016). For example, a normalizing portrayal shows alcohol consumption as a regular and normal behavior of diverse people in different contexts, while a glorifying portrayal shows alcohol consumption as a behavior that is strongly related to positive effects such as having fun, enjoying social community, feeling sexy, happy, and carefree (Griffiths & Casswell, 2011). While criticism of glorifying alcohol portrayals in entertainment media (e.g., music videos; Cranwell et al., 2015), television (e.g., Barker et al., 2021), and advertising (e.g., Curtis et al., 2018; Stautz et al., 2016) has a long tradition, the concern about alcohol representations on social media is relatively new and entails the phenomenon of alcohol brands and social media influencers marketing alcohol (Critchlow & Moodie, 2022; Turnwald et al., 2022) as well as ordinary social media users providing alcohol-related self-presentations (e.g., showing themselves partying and drinking; Boyle et al., 2016). Such alcohol-related self-presentations might elicit even stronger identification and imitation effects among social media audiences compared to regular advertising (Griffiths & Casswell, 2011). Because of its psychological and health impact, alcohol-related social media content – and alcohol marketing in particular – is also an issue of legal regulation. The World Health Organization states that “Europe is the heaviest-drinking region in the world” and strongly advocates for bans or at least stricter regulations of alcohol marketing both offline and online (WHO, 2020, p. 1). At the same time, the WHO points to the problem of clearly differentiating between alcohol marketing and other types of alcohol representations on social media. Apart from normalizing and glorifying alcohol portayals, there are also anti-alcohol posts and comments on social media. They usually point to the health risks of alcohol consumption and the dangers of alcohol addiction and, hence, try to foster harm reduction, abstincence and sobriety. While such negative alcohol portayals populate different social media platforms, an in-depth investigation of the spread, scope and content of anti-alcohol messages on social media is largely missing (Davey, 2021; Döring & Holz, 2021; Tamersoy et al., 2015). References/combination with other methods of data collection: Manual and computational content analyses of alcohol representations on social media platforms can be complemented by qualitative interview and quantitative survey data addressing alcohol-related beliefs and behaviors collected from social media users who a) create and publish alcohol-related social media content and/or b) are exposed to or actively search for and follow alcohol-related social media content (e.g., Ricard & Hassanpour, 2021; Strowger & Braitman, 2022). Furthermore, experimental studies are helpful to directly measure how different alcohol-related social media posts and comments are perceived and evaluated by recipients and if and how they can affect their alcohol-related thoughts, feelings, and behaviors (Noel, 2021). Such social media experiments can build on respective mass media experiments (e.g., Mayrhofer & Naderer, 2019). Insights from content analyses help to select or create appropriate stimuli for such experiments. Last but not least, to evaluate the effectiveness of alcohol marketing regulations, social media content analyses conducted within a longitudinal or trend study design (including measurements before and after new regulations came into effect) should be preferred over cross-sectional studies (e.g., Chapoton et al., 2020). Example Studies for Manual Content Analyses: Coding Material Measure Operationalization (excerpt) Reliability Source a) Creators of alcohol-related social media content Extensive explorations on Facebook, Instagram and TikTok Creators of alcohol-related social media content on Facebook, Instagram and TikTok Polytomous variable “Type of content creator” (1: alcohol industry; 2: media organization/media professional; 3: health organization/health professional; 4: social media influencer; 5: ordinary social media user; 6: other) Not available Döring & Tröger (2018) Döring & Holz (2021) b) Valence of alcohol-related social media content N = 3 015 Facebook comments N = 100 TikTok videos Valence of alcohol-related social media content (posts or comments) Binary variable “Valence of alcohol-related social media content” (1: positive/pro-alcohol sentiment; 2: negative/anti-alcohol sentiment) Cohen’s Kappa average of .72 for all alcohol-related variables in codebook* Döring & Holz (2021) *Russell et al. (2021) c) People consuming alcohol N = 160 Facebook profiles (profile pictures, personal photos, and text) Portrayal of people consuming alcohol on Facebook profiles Binary variable “Number of persons on picture” (1: alone; 2: with others) Cohen’s Kappa > .90 Beullens & Schepers (2013) d) Alcohol consumption behaviors N = 160 Facebook profiles (profile pictures, personal photos, and text) Type of depicted alcohol use/consumption Polytomous variable “Type of depicted alcohol use/consumption” (1: explicit use such as depiction of person drinking alcohol; 2: implicit use such as depiction of alcohol bottle on table; 3: alcohol logo only) Cohen’s Kappa = .89 Beullens & Schepers (2013) N = 100 TikTok videos Multiple alcoholic drinks consumed per person Binary variable “Multiple alcoholic drinks consumed per person” as opposed to having only one drink or no drink per person (1: present; 2: not present) Cohen’s Kappa average of .72 for all alcohol-related variables in codebook Russell et al. (2021) N = 100 TikTok videos Alcohol intoxication Binary variable “Alcohol intoxication” (1: present; 2: not present) Cohen’s Kappa average of .72 for all alcohol-related variables in codebook Russell et al. (2021) N = 4 800 alcohol-related Tweets Alcohol mentioned in combination with other substance use Binary variable “Alcohol mentioned in combination with tobacco, marijuana, or other drugs” (1: yes; 2: no) Cohen’s Kappa median of .73 for all pro-drinking variables in codebook Cavazos-Rehg et al. (2015) e) Social contexts of alcohol consumption N = 192 Facebook and Instagram profiles (profile pictures, personal photos, and text) Portrayal of social evaluative contexts of alcohol consumption on Facebook and Instagram profiles Polytomous variable “Social evaluative context” (1: negative context such as someone looking disapprovingly at a drunk person; 2: neutral context such as no explicit judgment or emotion is shown; 3: positive context such as people laughing and toasting with alcoholic drinks) Cohen’s Kappa ranging from .68 to .91 for all variables in codebook Hendriks et al. (2018), based on previous work by Beullens & Schepers (2013) N = 51 episodes with a total of N = 1 895 scenes of the American adolescent drama series “The OC” Portrayal of situational contexts of alcohol consumption in scenes of a TV series Polytomous variable “Setting of alcohol consumption” (1: at home; 2: at adult / youth party; 3: in a bar; 4: at work; 5: at other public place) Polytomous variable “Reason of alcohol consumption” (1: celebrating/partying; 2: habit; 3: stress relief; 4: social facilitation) Cohen’s Kappa for setting of alcohol consumption .90 Cohen’s Kappa for reason of alcohol consumption .71 Van den Bulck et al. (2008) f) Types and brands of consumed alcohol N = 17 800 posts of Instagram influencers and related comments Portrayal of different alcohol types and alcohol brands in Instagram posts Polytomous variable “Alcohol type” (1: wine; 2: beer; 3: cocktails; 4: spirits; 5: non-alcoholic drinks/0% alcohol) Binary variable “Alcohol brand visibility” (1: present if full brand name, recognizable logo, or brand name in header or tag are visible; 2: non-present) String variable “Alcohol brand name” (open text coding) Krippendorff’s Alpha ranging from .69 to 1.00 for all variables in codebook Hendriks et al. (2019) g) Consequences of alcohol consumption N = 400 randomly selected public MySpace profiles Portayal of consequences of alcohol consumption on MySpace profiles Five individually coded binary variables for different consequences associated with alcohol use (1: present; 2: not present): a) “Positive emotional consequence highlighting positive mood, feeling or emotion associated with alcohol use” b) “Negative emotional consequence highlighting negative mood, feeling or emotion associated with alcohol use” c) “Positive social consequences highlighting perceived social gain associated with alcohol use” d) “Negative social consequences highlighting perceived poor social outcomes associated with alcohol use” e) “Negative physical consequences describing adverse physical consequences or outcomes associated with alcohol use” Cohen’s Kappa ranging from 0.76 to 0.82 for alcohol references and alcohol use Moreno et al. (2010) h) Alcohol-related consumer protection messages in alcohol marketing N = 554 Tweets collected from 13 Twitter accounts of alcohol companies in Ireland Alcohol-related consumer protection messages in alcohol marketing (covers both mandatory and voluntary messages depending on national legislation) Four individually coded binary variables for different alcohol-related consumer protection messages in alcohol marketing (1: present; 2: not present): a) “Warning about the risks/danger of alcohol consumption” b) “Warning about the risks/danger of alcohol consumption when pregnant” c) “Warning about the link between alcohol consumption and fatal cancers” d) “Link/reference to website with public health information about alcohol” Not available Critchlow & Moodie (2022) The presented measures were developed for specific social media platforms, but are so generic that they can be used across different social media platforms and even across mass media channels such as TV, cinema, and advertisement. The presented measures cover different aspects of media portrayals of alcohol and can be used individually or in combination. Depending on the research aim, more detailed measures can be developed and added: for example, regarding the media portrayal of people consuming alcohol, additional measures can code people’s age, gender, ethnicity and further characteristics relevant to the respective research question. In the course of a growing body of content analyses addressing alcohol-related prevention messages on social media, respective measures can be added as well. References Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall. Bandura, A. (2009). Social cognitive theory of mass communication. In J. Bryant & M. B. Oliver (Eds.), Communication series. Media effects: Advances in theory and research (3rd ed., pp. 94–124). Routledge. Barker, A. B., Britton, J., Thomson, E., & Murray, R. L. (2021). 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A inserção do jovem à vida acadêmica é uma fase caracterizada por mudanças e adaptações, e há uma forte propensão de desenvolvimento de transtornos psiquiátricos neste grupo populacional. Este estudo objetivou investigar os relatos de estudantes de odontologia sobre as razões que os levaram à pretensão de desistência do curso, opções profissionais, e falas condizentes à intenções suicidas proferidas por colegas. Trata-se de um estudo quanti-qualitativo, no qual participaram 423 graduandos de uma faculdade pública brasileira de odontologia. Foi utilizada estatística descritiva e, para a variável “pretensão de desistência”, utilizou-se análise de conteúdo. Para 45,39%, a odontologia não era a primeira opção de curso, sendo que destes, 61,08% tinham a Medicina como principal escolha. Com relação à intenção de abandono do curso, 45,63% responderam afirmativamente, sendo o motivo mais prevalente “incertezas na escolha do curso” (18,35%). Verificou-se que 59,81% dos alunos tinham conhecimento de colegas que disseram frases condizentes à intenção de suicídio. Os relatos dos estudantes denotam grande insatisfação na carreira seguida e comportamento depressivo, tendo sido observado relatos de baixa autoestima e vontade de morrer.Descritores: Depressão; Ansiedade; Educação em Odontologia; Suicídio.ReferênciasBolsoni-Silva AT, Loureiro SR. O Impacto das Habilidades Sociais para a Depressão em Estudantes Universitários. Psic Teor e Pesq. 2017;32(4): e324212.Vasconcelos TC, Dias BRT, Andrade LR, Melo GF, Barbosa L, Souza E. Prevalência de Sintomas de Ansiedade e Depressão em Estudantes de Medicina. Rev bras educ med. 2015;39(1):135-42.Catunda MAP, Ruiz VM. Qualidade de vida de universitários. Pensamento Plural: Rev Cient UNIFAE. 2008;2(1):22-31.Teixeira MAP, Dias ACG, Wottrich SH, Oliveira AM. Adaptação à universidade em jovens calouros. 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Perfil e expectativas dos ingressantes da Faculdade de Odontologia da USP: uma visão integrada com as diretrizes curriculares nacionais e o sistema único de saúde. Rev ABENO. 2015;15(1):28-37.Karibe H, Kawakami T, Suzuki A, Warita S, Ogata K, Aoyagi K et al. Career choice and attitudes towards dental education amongst dental students in Japan and Sweden. Eur J Dent Educ. 2009;13(2):80-6.Cervinski LF, Enricone JRB. Percepção de calouros universitários sobre o processo de adaptação ao sair da casa dos pais. Perspectiva. 2012;36(136):101-10.Silva JO, Ferreira SKA, Silva SF, Bergamini GB, Samuelsson E, Joner C et al. Correlação existente entre o estresse no ambiente de trabalho e doenças psicossomáticas. Rev Cient da Fac Educ e Meio Ambiente. 2017;8(2):177-91.Avila LA. Corpo e mente em questão: em busca da gênese dos sintomas psicossomáticos. Ide. 2016;38(61):51-61.Hernández-Pozo MR, Ávlarez OC, Contreras VA, Reséndiz SC. 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Introdução: O fibroma ossificante juvenil psamomatoide é um neoplasma de tecido conjuntivo fibroso celularizado, tipicamente não encapsulados de limites bem definidos, de crescimento rápido e assintomático, acometendo principalmente maxila de pacientes jovens. O diagnóstico geralmente acontece pela observação clínica da expansão cortical e deformidade facial evidente. Radiograficamente apresentam-se como lesões radiolúcidas circunscritas, com possíveis áreas radiopacas centrais. O tratamento cirúrgico através da excisão cirúrgica e curetagem parece ser o mais adequado em vista da agressividade expansiva da lesão e da baixa taxa de recidiva. Objetivo: O objetivo desse trabalho é relatar o tratamento cirúrgico de um paciente do gênero masculino, jovem, diagnosticado com fibroma ossificante juvenil psamomatoide de grande dimensões em seio maxilar esquerdo. Caso clínico: Clinicamente assintomático, com expansão da cortical óssea em fundo de sulco maxilar esquerdo, divergência de raízes dentárias, estreitamento da fossa nasal e deformidade facial esquerda, o exame radiográfico panorâmico evidenciava lesão radiolúcida circunscrita com áreas radiopacas. O tratamento de escolha foi a excisão cirúrgica completa da lesão através do acesso único de Weber-Ferguson para prover adequado acesso a todas as regiões envolvidas e manutenção da morfologia da face por meio de reconstrução com malha de titânio. Este relato de caso ilustra a conduta frente a fibroma ossificante juvenil psamomatoíde de grande proporção. Conclusão: Apesar do acesso cirúrgico eleito, a estética facial foi pouco comprometida, a malha de titânio proveu manutenção apreciável do tecido mole e a área operada encontra-se em acompanhamento pós-operatório para eventual futura reconstrução.Descritores: Fibroma Ossificante; Neoplasias de tecido ósseo; Cirurgia; Weber-Ferguson; Lesões fibro-ósseas.ReferênciasFigueiredo LM, de Oliveira TF, Paraguassú GM, de Hollanda Valente RO, da Costa WR, Sarmento VA. Psammomatoid juvenile ossifying fibroma: case study and a review. Oral Maxillofac Surg. 2014;18(1):87-93.Speight PM, Takata T. New tumour entities in the 4th edition of the World Health Organization Classification of Head and Neck tumours: odontogenic and maxillofacial bone tumours. Virchows Arch. 2018;472(3):331-39.Linhares P, Pires E, Carvalho B, Vaz R. Juvenile psammomatoid ossifying fibroma of the orbit and paranasal sinuses. A case report. Acta Neurochir (Wien). 2011;153(10):1983-88.Figueiredo LMG, Valente ROH, Sarmento VA, Trindade SC, Oliveira TFL, Costa WRM. Aspectos atuais no diagnóstico e tratamento do fibroma ossificante juvenil. Rev bras cir cabeça pescoço. 2012;41(2):99-102.Agarwal SP, Kumar S, Singh HP, Usmani SA. Huge ossifying fibroma maxilla. Natl J Maxillofac Surg. 2015;6(2):241-43.Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia oral e maxilofacial. 3.ed. Rio de Janeiro: Elsevier; 2009.El-Mofty S. Psammomatoid and trabecular juvenile ossifying fibroma of the craniofacial skeleton: two distinct clinicopathologic entities. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93(3):296-304.Nogueira RLM, Nonaka CFW, Cavalcante RB, Carvalho AC, Souza LB. Fibroma ossificante juvenil localizado em mandíbula: relato de caso e breve revisão da literatura. Rev cir traumatol buco-maxilo-fac. 2009; 9(1):25-32.Ranganath K, Kamath SM, Munoyath SK, Nandini HV. Juvenile psammomatoid ossifying fibroma of maxillary sinus: case report with review of literature. J Maxillofac Oral Surg. 2014;13(2):109-14.Toro C, Millesi W, Zerman N, Robiony M, Politi M. A case of aggressive ossifying fibroma with massive involvement in the mandible: differential diagnosis and management options. Int J Pediatr Otorhinolaryngol. 2006 Extra 1:167-72.Leimola-Virtanen R, Vähätalo K, Syrjänen S. Juvenile active ossifying fibroma of the mandible: a report of 2 cases. J Oral Maxillofac Surg. 2001;59(4):439-44.Papadaki ME, Troulis MJ, Kaban LB. Advances in diagnosis and management of fibro-osseous lesions. Oral Maxillofac Surg Clin North Am. 2005;17(4):415-34.Santos JN, Vieira TSLS, Góis Filho DM, Vasconcelos SJA, Azevedo RA. Displasia fibrosa: osteoplastia com acesso Weber-Ferguson. Relato de caso. Rev cir traumatol buco-maxilo-fac. 2010;10(1):73-80.Melo RB, Silva PF, Gonçalves FLN, Rodrigues AL, Pontes HAR. Tratamento cirúrgico de granuloma central de células gigantes agressivo em maxila com acesso Weber Ferguson: Relato de caso. Rev cir traumatol buco-maxilo-fac. 2014; 14(4):65-70.Reddy AV, Reddy KR, Prakash AR, Rajinikanth, Vidhyadhari P. Juvenile ossifying fibroma with aneurysamal bone cyst: a case report. J Clin Diagn Res. 2014;8(10):ZD01-ZD2.Slootweg PJ, Müller H. Juvenile ossifying fibroma. Report of four cases. J Craniomaxillofac Surg. 1990;18(3):125-29.Chiavaioli GMO. Fibroma ossificante juvenil em mandíbula: Relato de caso [monografia]. Belo Horizonte: Faculdade de Odontologia da Universidade Federal de Minas Gerais; 2015.