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Research retreats are elements of scientific graduate training programs. Although expected to provide strong educational value, some students are reluctant to attend. Here, we identify participation barriers and provide guidelines for retreat design that minimize obstacles and establish an inclusive environment to improve attendance and enrichment for all attendees.

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OBJECTIVES: Patients with advanced breast cancer (ABC) face an incurable disease that brings along many challenges. Health care professionals, and nurses in particular, have a main role in supporting these patients to adapt and adjust to their condition. In this study, we discuss how good communication skills can be the first level of emotional support to patients and families; and how the high prevalence of distress in this population makes it of great importance to screen for distress regularly and treat it when needed. DATA SOURCES: We present our research study on the impact of negative effects on biobehavioral processes that contribute to disease progression, and comment on the psychological interventions that may reduce it, with a particular focus on the CALM therapy model we validated for the Portuguese ABC patients. We also report on the added human value of a retreat for couples and professionals that our team has tested with ABC patients and their partners. CONCLUSION: It is critical to screen for distress in ABC patients who have a higher prevalence of distress. There are available evidence-based interventions to assist clinicians in reducing their suffering. CALM therapy and a retreat format may be options to consider with ABC patients. IMPLICATIONS FOR NURSING PRACTICE: As front-line clinicians, nurses have an important role in providing provide emotional support to patients using good communication skills, but also in identifying patients at risk for distress, screening for it regularly, and referring patients for specialized psychosocial care when needed.

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Challenges faced by doctoral researchers led to a concerning "doctoral mental health crisis" within academia. Recognizing the pressing need to address mental health concerns, notably among doctoral students, the Quebec Ministry of Higher Education introduced the Higher Education Student Mental Health Action Plan 2021-2026. One potentially relevant intervention approach is the implementation of tailored structured writing retreats for graduate students. Aiming to measure and explain the effects of participating to a three-day writing retreat on doctoral mental health, this study followed an explanatory sequential mixed method, including an experimental design. One hundred doctoral researchers were randomly assigned to either the experimental group (n = 50) or the waitlist control trial group (n = 50). Both groups answered a questionnaire comprising validated scales and open-ended questions at different timepoints, separated by a two-week gap. Results reveal that writing retreats reduced doctoral researchers' psychological distress and improved their psychological, emotional, and social wellbeing. Among the multiple writing retreat aspects evaluated, only productivity experienced, as well as socialization/networking opportunities, acted as predictors for all doctoral mental health measures. Qualitative findings further supported the importance of perceived productivity and socialization/networking in promoting doctoral mental health. Recommendations are provided for fostering a supportive research work environment for doctoral researchers.

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Purpose: This study aims to investigate the impact of perceived service quality (PSQ) on tourist satisfaction and behavioral intentions and explore the potential mediating role of tourist satisfaction in the relationship between service quality and behavioral intentions in the yoga tourism context during the COVID-19 pandemic. Further, this is to examine to what extent yoga tourist satisfaction directly affects their behavioral intentions. Design/methodology/approach: Based on a review of literature, the study proposes a conceptual model to test four hypothesized relationships among the constructs of perceived service quality, tourist satisfaction, and behavioral intentions. Data was collected by using a self-administrated questionnaire that was developed and directed to a convenience sample of yoga tourists (380 forms). Structural equation modeling (SEM) was employed to determine the relationship between study constructs. Findings: The results of SEM illustrated that all the hypothesized relationships are supported. The findings confirm that yoga tourists' behavioral intentions are significantly affected directly and indirectly (through tourist satisfaction) by perceived service quality. Additionally, tourist satisfaction significantly partially mediates the relationship between PSQ and tourists' behavioral intentions. Research limitations: The subject of this study was yoga tourists staying in yoga retreats/studios in Egyptian destinations (South Sinai Governorate). Future research may focus on other geographical destinations and other influential variables of yoga tourists' satisfaction and behavioral intentions should be investigated. Practical implications: For improving tourists' satisfaction and behavioral intentions, yoga service providers should take care by giving tourists personalized attention, and understanding, fulfilling their specific needs. Health and hygiene practices must be considered during the COVID-19 pandemic. Originality/value: This study is perhaps the first empirical study that examines the relationship between PSQ and tourists' satisfaction and behavioral intentions in the yoga tourism context. A new integrated conceptual model that combined three service quality dimensions, namely, tangibles, intangibles as well as health and hygiene was developed and validated.

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Shelters are microhabitats where animals rest and hide. These microhabitats can be used from short daily periods to long-term estivation or hibernation. Environmental conditions and the phenotypical characteristics of the animal drive habitat selection in relation to shelters. Based on this, climate regions and phylogeny are expected to affect the use of different shelter types. Although shelters are yet to be described for most anuran species, a variety of microhabitats have already been reported as shelter-sites, including dense vegetation, rock crevices, and holes in the ground. In this study, we evaluated photos of frogs for sheltering behaviour from 29 countries in the Americas deposited on the popular citizen-science platform, iNaturalist. We compared the frequency of use of different shelter types identified on the photos among different climate regions and anuran families, also testing possible phylogenetic signals. We identified 11,133 photographs of 378 frog species showing individuals hiding in shelters or in a resting position. We classified observations into 10 shelter types, with live vegetation (24.7 %) being the most commonly recorded natural shelter, followed by hole in the ground (11.4 %) and tree trunk (11.1 %). The use of different shelter types varied between arid and humid climates, and also among different anuran families. We found strong phylogenetic signal for three shelter types (hole in the ground, live vegetation, and water) and the differences in shelter use among taxa suggest a relation with body characteristics. Approximately 47 % of observations of threatened and near threatened species were in hole in the ground, while artificial habitat represented only 3.6 % of the observations in this group. The daily pattern of shelter use corroborated the nocturnal activity of most species. Our findings also expanded the description of shelter sites for 330 species that had no published information on this behaviour. This study contributes to our current knowledge about animal behaviour and highlights the use of citizen science as an effective approach to understand the natural history of amphibians at a large scale.

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BACKGROUND: Due to the excessive service delivery loads in public hospitals supported by academic institutions in developing environments, researchers at these institutions have little time to develop scientific writing skills or to write up their research. It is imperative to expand the writing skills of researchers and train the next generation of health sciences academics in order to disseminate research findings. This study reports on the implementation of approaches for writing and publication and the extent of support to staff suffering from the overload of service delivery and of heavy teaching duties. METHODS: Workshops in scientific writing and writing retreats were initiated and were offered to all staff. RESULTS: Feedback from participants of the writing skills workshops indicated that the workshops provided an injection of confidence and proficiency. Protected writing time resulted in 132 papers submitted to journals and 95 in preparation from 230 participants of the writing retreats over a two year period. Staff commended the off-site, collegial environment, which also supported future collaboration with new-found colleagues. CONCLUSION: This enabling environment facilitates not only the development of writing skills per se, but also the dissemination of the generated scientific knowledge. In addition, the training in writing skills of this generation will be of value in the training of future cohorts in countries with similar health care deliverables.

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Inquiries in Psychoanalysis: Collected Papers of Edna O'Shaughnessy. By Edna O'Shaughnessy; edited by Richard Rusbridger. London/New York: Routledge, 2014. 342 pp.

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Introducing three papers by Leon Wurmser, Claude Janin and John Steiner the author gives an overview of the development of the concept of shame in psychoanalytic theory and practice. Different aspects of the phenomenon of shame are being discussed including its relation to guilt, object relations and identity as well as the role of gaze when emerging from a psychic retreat.

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En el artículo se revisa el concepto de refugios psíquicos, su origen y las bases teóricas que llevaron a Steiner a desarrollarlo. El autor toma la forma de refugio descrita por Steiner como "refugio ante ansiedades de las posiciones esquizoparanoide y depresiva", y plantea que es posible extender su uso también como refugio ante las ansiedades de lo que Ogden ha llamado posición autista-contigua. Se describen las ansiedades y defensas de esta posición autista-contigua, desarrollando especialmente la identificación adhesiva. Se examina el concepto de identificación adhesiva, comenzando por su autora E. Bick , para luego continuar con algunos de sus seguidores que han ampliado y enriquecido su teoría.Finalmente el autor fundamenta la existencia de refugios ante la posición autista -contigua mediante el uso de identificaciones adhesivas. Se discute sus posibles expresiones clínicas y los problemas teóricos que puede enfrentar el desarrollo de este concepto.

The paper reviews the concept of psychic retreat, its origin and the theoretical basis Steiner took to develop it. The author takes the form of retreat described by Steiner as "refuge from anxieties paranoid-schizoid and depressive positions," and suggests that it is also possible to extend its use as a retreat from the anxieties of what Ogden has called autistic-contiguous position. It describes the anxieties and defenses of the autistic-contiguous position, especially developing adhesive identification. He reviews the concept of adhesive identification, starting with its author E. Bick, then continue with some of his followers have expanded and enriched her theory.Finally, the author explains the existence of retreats to the autistic-contiguous position using adhesive identifications. Discussing the possible clinical expressions and theoretical problems that the development of this concept may face.

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BACKGROUND: Last year, our pathology informatics fellowship added informatics-based interactive case studies to its existing educational platform of operational and research rotations, clinical conferences, a common core curriculum with an accompanying didactic course, and national meetings. METHODS: The structure of the informatics case studies was based on the traditional business school case study format. Three different formats were used, varying in length from short, 15-minute scenarios to more formal multiple hour-long case studies. Case studies were presented over the course of three retreats (Fall 2011, Winter 2012, and Spring 2012) and involved both local and visiting faculty and fellows. RESULTS: Both faculty and fellows found the case studies and the retreats educational, valuable, and enjoyable. From this positive feedback, we plan to incorporate the retreats in future academic years as an educational component of our fellowship program. CONCLUSIONS: Interactive case studies appear to be valuable in teaching several aspects of pathology informatics that are difficult to teach in more traditional venues (rotations and didactic class sessions). Case studies have become an important component of our fellowship's educational platform.

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Leptodactylus labyrinthicus tadpoles reach a large size in the nest through consumption of trophic eggs. We previously suggested that the trophic eggs are laid just after amplexus has finished, but our new data do not support this hypothesis. We also present further details on the natural history of the species with regard to breeding activity, spawning site, retreats and the ability of tadpoles in preying upon fully-growth heterospecific tadpoles. We also show that the tadpoles are mainly nocturnal and take diurnal refuges. We collected the data in Brazil in three localities within the Cerrado Biome. We examined burrows used by L. labyrinthicus males, verified if females still contained mature eggs just after released from amplexus, and tested the ability of tadpoles in preying fully-growth heterospecific tadpoles. Field observations and experiments were conducted on tadpole activity time, hiding behaviour and level of susceptibility to predation by the bird leaf-scrapers in four sheltering situations. Reproduction could start before the first rains; this may be advantageous by allowing the tadpoles to exploit eggs of other frogs. We found one floating nest built in a temporary pool. The nest of the species is normally circumscribed in an excavated basin beside the water body. Adult males were found during the day with their head-out of the entrance of underwater burrows, which were perforations through dense root mats beside calling/spawning sites. Probably, these burrows in permanently water-filled soil are actively excavated by males. Females released all their eggs during the amplexus, so trophic eggs are not produced by the currently-accepted mechanism. Fully-grown heterospecific tadpoles were not preyed upon by L. labyrinthicus tadpoles, which can prey only slow-moving newly hatched ones. Field tadpoles took shelter under mud/dead leaves during daylight and became exposed on the bottom at night. Free-ranging leaf-scrapers removed...

Girinos de L. labyrinthicus crescem parcialmente no ninho consumindo ovos tróficos. Sugerimos anteriormente que os ovos tróficos seriam postos logo após o amplexo, porém nossos novos dados não corroboram esta hipótese. Apresentamos também mais detalhes da história natural da espécie relacionados à estação reprodutiva, local de desova, abrigos e capacidade dos girinos em predar girinos heteroespecíficos plenamente desenvolvidos. Demonstramos ainda que os girinos são noturnos e se utilizam de refúgios diurnos. Coletamos os dados no Brasil em três locais no Bioma Cerrado. Determinamos o formato e dimensões de buracos utilizados por machos, verificamos se fêmeas liberadas do amplexo ainda portavam óvulos maduros e testamos a capacidade dos girinos em predar girinos heteroespecíficos plenamente desenvolvidos. Realizamos observações naturalísticas e experimentais com girinos para descrever o horário de atividade, comportamento de refúgio e grau de suscetibilidade à predação pela ave sabiá-poca em diferentes tipos de substratos. Desovas podiam ocorrer antes das primeiras chuvas, possibilitando aos girinos explorar ovos de outros anuros no meio da estação chuvosa. Encontramos um ninho construído na superfície da água de uma poça temporária. Os ninhos da espécie geralmente são circunscritos em bacias escavadas às margens do corpo d'água. Machos adultos foram encontrados durante o dia em buracos subaquáticos, os quais eram perfurações adjacentes aos sítios de vocalização/desova. Provavelmente, esses buracos em solos encharcados são ativamente escavados pelos machos. As fêmeas liberam todos os óvulos durante o amplexo, portanto, os ovos tróficos não são produzidos pelo mecanismo aceito presentemente. Os girinos oferecidos nos testes não foram consumidos pelos girinos de L. labyrinthicus, os quais conseguem predar apenas recém-eclodidos. No campo, os girinos se refugiavam entre o lodo ou folhas mortas durante o dia, porém ficavam expostos sobre...

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