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Smartphones have become an integral part of daily life, yet their impact on the attentional and affective system remains uncertain. This study investigates whether using smartphones during breaks between cognitive tasks influences subsequent performance and mind wandering compared to sitting quietly. Using a within-subjects design, participants completed a 2-back task and took short breaks during which they either used their smartphones or sat quietly without using their smartphones. We measured task performance and mind wandering frequencies during the 2-back task as well as mind wandering during breaks, participants' mood before and after the breaks, and their tendency to check their smartphones spontaneously in daily life. The results revealed no significant differences in mind wandering frequency during the two types of breaks. Additionally, there were no significant differences in subsequent task performance or mind wandering frequency between smartphone and no-smartphone breaks. However, participants felt more positive after smartphone than no-smartphone breaks, and their tendency to check their smartphones spontaneously was positively correlated with this positive mood improvement. These findings suggest that brief smartphone use during breaks may enhance mood, but do not affect performance or mind wandering in a subsequent cognitive task.

The associations of stress and negative emotion with alcohol use are well established. These associations are mediated by cognitive and psychological mechanisms that may be sex-dependent. This pilot study examined sex differences in the effects of stress on inhibitory control and alcohol craving in the lab, and of the efficacy of cognitive reappraisal in mitigating stress effects among male and female veterans with alcohol use disorder (AUD). Twenty-six male and twenty-six female military veterans were randomized to the microintervention or control condition and engaged in two sessions. In Session 1, participants in the microintervention condition learned cognitive reappraisal to regulate negative emotion, while those in the control condition received health education. In Session 2, each participant underwent a personalized stress induction; after the induction, participants in the microintervention condition were instructed to use cognitive reappraisal, while those in the control group were asked to sit quietly. Changes in affect, craving, and inhibitory control were measured in response to the stress induction and after using cognitive reappraisal/sitting quietly. At baseline, poorer inhibitory control was associated with higher alcohol craving among women but not associated with men. All participants had increased negative affect and craving in response to the stressor, with larger effect sizes among women. Across sexes, the condition using cognitive reappraisal after the stressor had improved inhibitory control, while the control condition had worsened inhibitory control. Sex further moderated these effects. Men, but not women, had improved inhibitory control after cognitive reappraisal; women had no change in inhibitory control in either condition. Alcohol craving remained elevated after using cognitive reappraisal and sitting quietly in men and women. Pilot findings suggest an association of inhibitory control and alcohol craving specific to women, and a sex-dependent beneficial effect of cognitive reappraisal on stress-modulated inhibitory control for men.

Nancy Scheper-Hughes's and Margaret Lock's (1987) article on the "the mindful body," in which they introduce their framework of three interconnected bodies (individual, social, and the body politic), has shaped debates in medical anthropology over the last three decades and, as Yates-Doerr (2017: 142) puts it, represented "a zeitgeist for the field" (italics in original). Scheper-Hughes's related, but more politicized idea of the "rebel body," however-which she sketches in the following reprint-has not yet entered mainstream debates.Originally published only in print in the Traditional Acupuncture Society Journal (Scheper-Hughes, 1991), the article conceptualizes the rebel body as one that "refuse[s] the demand to suffer quietly" and thereby reveals and challenges political etiologies of illness. We discovered the article in our preparation of the special issue (see Führer and Vorhölter, 2025) and found it to be extremely valuable for our reflections on liberation medicine-and surprisingly timely. The article offers a compelling analysis of the political causes and potentials of illness, of pain and its demand for recognition, and of the power of refusal. While some of these themes have since been prominently discussed in more recent scholarship (see e.g., Buchbinder, 2015; Hamdy, 2008; Rose Hunt, 2016; McGranahan, 2016; Simpson, 2014), the conceptualization of the rebel body remains provocative and relevant to contemporary debates in and on medicine. By republishing this article here, we hope to make it accessible to a new generation of scholars, practitioners, patients, and activists and hereby further their aspirations toward an understanding of medicine as a form of everyday resistance.The article begins with a survey of anthropological understandings of and debates on the body, embodiment, and somatization. Based on her own fieldwork in North-Western Brazil, and using the framework of the "three bodies," Scheper-Hughes reflects on the interrelations between the individual body, the social body, and the body politic. Through a reworking of established notions of illness, suffering, and healing, she proposes to understand illness as a form of bodily praxis that can be read as an expression of protest and rebellion to unequal and unjust social and political orders. Thus read, the moment of illness carries the potential for radical reflection and subsequent action, which medicine as well as society can either mute through biomedical cooptation or respond to with engagement in political therapy.We are republishing the article with the kind permission of the British Acupuncture Council. The text has been lightly edited and this introductory note/abstract has been added by Amand-Gabriel Führer and Julia Vorhölter. We have added references that were missing in the original article and have removed those that were not mentioned in the text. Furthermore, we have included the works that we cite in this introductory note/abstract in the reference section. The article in the present form is reprinted with the permission of the author.

Optic flow stimuli in the lower visual field reduce center of pressure (COP) sway in the anteroposterior direction. The central nervous system (CNS) may adopt a stiffness control strategy in response to vection, defined as the visually induced illusion of self-motion. Do visual stimuli presented in the lower visual field elicit stronger vection and promote a stiffness strategy? Twenty-seven healthy young adults participated in this study. Visual stimuli were presented in two field-of-view conditions (upper and lower visual fields) and three velocity conditions (slow, medium, and fast) using a head-mounted virtual reality display. The optic flow consisted of small white spheres expanding radially toward the periphery. Participants stood quietly for 70 s. Postural responses were quantified using the root mean square (RMS), mean velocity, and power spectral density (PSD) of COP, as well as the co-contraction index (CCI) of ankle muscles. Subjective vection was assessed using a visual analogue scale. Optic flow in the lower visual field significantly reduced the RMS of COP in the anteroposterior direction and produced a more anterior COP position compared with the upper visual field condition. Additionally, PSD in the low-frequency band (0-0.3 Hz) was significantly reduced, whereas PSD in higher-frequency bands (0.3-3 Hz) and CCI were significantly increased. In contrast, vection was weaker under lower visual field stimulation. The CNS modulates ankle muscle co-contraction and postural orientation when optic flow is presented in the lower visual field, independently of vection strength.

In 2026, we are sending probes to Mars, mining metals from asteroids, and debating whether artificial intelligence should write our operative notes, yet we are still arguing about which tendon to use for anterior cruciate ligament reconstruction. Amid the noise, the quadriceps tendon has quietly re-emerged as the pragmatic choice in a field long dominated by graft dogma. With its broad cross-sectional area, favorable collagen alignment, and lower donor-site morbidity, it offers an appealing balance between biomechanics and biology. Recent evidence shows comparable stability and superior patient comfort compared with bone-patellar tendon-bone and hamstring grafts, particularly in athletes and revision cases. The quadriceps graft combines strength, predictability, and humility-it performs without demanding worship. As we move toward precision surgery and personalized orthopedics, perhaps the real question is no longer which graft is superior, but whether our reasoning has evolved as fast as our technology.

Postural control is expressed as intermittent organization of center-of-pressure (CoP) motion on a saddle-shaped manifold typically aligned with the anteroposterior (AP) and mediolateral (ML) axes. When task demands reorient postural focus, this saddle rotates away from the AP-ML alignment yet preserves orthogonal axes that indicate directions of greatest and least fractal temporal correlations in sway. Preserved orthogonality appears to reflect a balance between endogenous fractal fluctuations and exogenous task demands. Perturbation, however, seems to erode older adults' endogenous fractal support, prompting heavier, less nuanced reliance on exogenous constraints. We recruited older and younger adults to coordinate with tasks in orthogonal directions-performing the Trail Making Test (TMT) with forward (AP) focus while standing quietly or on a wobble board that induced ML perturbations. The wobble board weakened endogenous fractal support for inter-axial orthogonality in both groups while expanding the range of fractality. A forward focus during TMT reinstated endogenous fractal support in younger adults-except on the wobble board-and narrowed the fractality range. In older adults, TMT increased orthogonality only via exogenous influence, without reinstating endogenous fractal support. Thus, deviations of the saddle topology from the classical AP-ML orientation under competing task alignments reveal that aging entails greater reliance on exogenous supports as endogenous fractality weakens, even as perturbations can increase the range or magnitude of fractal temporal correlations. Neither aging nor perturbed posture so much loses fractal complexity as loses the capacity to exploit endogenous fractality to maintain stable topologies.

Cervical cancer is a common malignant tumor in the female reproductive system, surgery is the main radical treatment methods. Lymphedema, as a postoperative complication of cervical cancer, affects the prognosis of patients. Identifying the risk factors for lymphedema after surgery is of great clinical significance for reducing its incidence. This study aims to systematically analyze the related risk factors for lymphedema after cervical cancer surgery. Clinical medical data of 701 cervical cancer patients at Meizhou People's Hospital from December 2018 to December 2023 were collected, including age, body mass index (BMI), hypertension, diabetes mellitus, induced abortion, menopause, clinical stage, number of dissected lymph nodes, lymph node metastasis, postoperative complications, postoperative chemotherapy, postoperative radiotherapy, postoperative living habits, and lymphedema. The relationship between lymphedema and clinical features in cervical cancer was analyzed. A total of 220 (31.4%) patients developed lymphedema and 481 (68.6%) did not. The cervical cancer patients with lymphedema had higher proportions of advanced age, hypertension, menopause, number of dissected lymph nodes&#x2265;30, postoperative radiotherapy, and sitting quietly> 1 hour every day than patients without lymphedema. Logistic regression analysis showed that advanced age (odds ratio (OR): 2.713, 95% confidence interval (CI): 1.560-4.717, p<0.001), menopause (OR: 1.954, 95% CI: 1.091-3.501, p=0.024), pelvic lymph nodes plus para-aortic lymph nodes plus inguinal lymph nodes were dissected (OR: 2.039, 95% CI: 1.297-3.207, p=0.002), number of dissected lymph nodes (&#x2265;30 vs <30, OR: 1.666, 95% CI: 1.105-2.514, p=0.015), postoperative radiotherapy (OR: 3.775, 95% CI: 2.348-6.069, p<0.001), and sitting quietly>1 hour every day (OR: 14.782, 95% CI: 7.926-27.567, p<0.001) were associated with lymphedema in cervical cancer. Advanced age, menopause, pelvic lymph nodes plus para-aortic lymph nodes plus inguinal lymph nodes were dissected, number of dissected lymph nodes, postoperative complications, postoperative radiotherapy, and sitting quietly every day were independently associated with lymphedema in cervical cancer patients.

Whole-body exercise can attenuate postprandial glucose (PPG) excursions, one of the three main components in glucose control. Respiratory muscle endurance exercises (RMEE) based on resisted hyperpnea could offer an alternative or managing postprandial glucose (PPG) excursions in individuals unable or unwilling to perform whole-body exercise. We investigated whether PPG excursions during a 2-h oral glucose tolerance test are attenuated with 5 min (RMEE-5) or 15 min (RMEE-15) of respiratory muscle endurance exercises in 18 younger (age 24 &#xb1; 4 years) and 10 older (age 54 &#xb1; 7 years) healthy adults. On three separate visits, participants (8-h fasted) ingested 75 g of glucose and, 14min later, performed either RMEE-5, RMEE-15, or sat quietly (control). Blood glucose concentration was monitored periodically for a 2-h period. Neither intervention differed from control in terms of glucose area under the curve (p > 0.53), peak glucose (p > 0.09), time to peak glucose (p > 0.21), or glucose level at 2 h (p > 0.60). Based on the apparent lack of effects regardless of age group and exercise duration, bouts of increased respiratory muscle work do not seem to be effective for the management of PPG.

Assess the impact of different stance variations, body composition and use of shoes among healthy young men and women on postural sway during quiet stance. A repeated-measures study with 123 participants (40 males, 83 females) aged 18-39 years was conducted. Participants stood quietly without shoes on a force plate with hands on hips (also performed with shoes), hands by sides, arms across chest, hands behind head and while isometrically contracting. Postural sway metrics were assessed for each condition. Body composition was assessed using bioelectric impedance analysis. There were no significant differences found between stances involving hands on hips, arms across chest, hands behind head, or hands by sides in the measured variables. Postural sway was greatest during isometric contraction (p&#x202f;<&#x202f;0.05). Women had greater path length, sway frequency and greater anterior-posterior sample entropy (AP SampEn) compared to men (p&#x202f;<&#x202f;0.05). Quiet stance postural sway was not influenced by the use of shoes. Variables related to lean body mass are significantly associated with postural sway as assessed by principal component analysis. The assessment of quiet standing postural control in healthy young adults can use a variety of stance variations (with or without shoes) since they yield statistically similar measures of postural sway. Postural sway is significantly increased with muscle contraction. Young women exhibit greater path length, sway frequency and AP SampEn compared to young men. Lean body mass may represent a target for improved postural control since it is associated with postural sway.

Scientific publishing is changing - and it's changing fast. Digital platforms have made it easier than ever to share research across borders, open-access models have pulled down paywalls that once limited who could read or contribute to scientific discourse, and global collaboration has become the norm rather than the exception. Into this already shifting landscape, artificial intelligence (AI) has arrived - quietly at first, and now with considerable force - touching nearly every stage of how research gets done, analyzed, and communicated. The promise here is real. But so is the tension it creates. The central question facing the scientific community isn't whether to embrace these changes - that ship has largely sailed - but whether we can move this quickly without eroding the credibility that makes science worth doing in the first place. For journals, this isn't a theoretical problem. Editorial standards are the backbone of the scientific record, and right now, those standards are being stress-tested. As the Editor-in-Chief of Cureus, I think we're at a moment that calls for clarity, not hedging - a moment to say plainly what principles must hold even as everything else shifts. Cureus was built around a straightforward idea that medical publishing was too slow, too exclusive, and too gatekept to serve science well. The journal set out to change that by reducing barriers to dissemination while keeping editorial rigor intact. That core mission hasn't changed. What has changed is the environment in which we pursue it. Two issues now sit at the center of that effort: the responsible use of AI in scholarly communication&#xa0;and the ongoing fight to protect research integrity.

According to previous research, if people rest quietly for a brief period of time after learning, they have better memory (i.e., reduced forgetting) after a delay compared to when they engage in a cognitively demanding task. We call this the wakeful rest effect. It has been observed with different kinds of study items, interference tasks, and delay intervals involving younger adults, older adults, and patients with amnesia. Despite the sometimes-presumed robustness of the effect, many studies have failed to observe significant results, particularly in healthy young adult populations. This random-effects meta-analysis combined 142 effect sizes from 51 studies to evaluate the evidence for the wakeful rest effect and to identify the sources of variation. Meta-regression was also done. As expected, there were larger effects for patient populations than for healthy populations, as well as weaker effects for younger than older adults. The results of this meta-analysis can inform further research on the potential benefits of wakeful rest.

Immigrant nurses may walk into the cardiac room with the same credentials as everyone else, yet discover that their authority is questioned when their voice does. This article begins with a cardiac alert in which a patient's "Where are you from?" cuts through the alarms, and follows that question to ask how institutional legitimacy is translated-or stalled-at the level of vowels, cadence, and bedside speech. Working with Goffman's theatre of everyday life, Carper's aesthetic way of knowing, Cavarero's philosophy of the voice, and Bourdieu's account of linguistic authority, I trace how "professional seriousness" is taught, rehearsed, and auditioned through sound rather than policy. Empirical studies of accent bias in healthcare share the stage with immigrant nurses who slow their speech, straighten their posture, and trim their idioms to match an unspoken standard of "neutral" American English. The paper then turns to Camp, through Sontag, Babuscio, Meyer, and Mu&#xf1;oz, to read professional seriousness as a role, a costume, a script that some can slip into unnoticed while others must over-rehearse. From this vantage point, immigrant nurses become both actors and directors of their clinical presence, inhabiting required forms of seriousness while quietly bending them. The final act considers the ethical cost of this continuous performance and argues that the real scene change must occur at the institutional level, where listening practices and ideals of seriousness can be rewritten to recognize authority in more than one voice.

Sexual harassment persists in academic workplaces despite extensive policy frameworks. This study explored how employees at a large Swedish university perceive and articulate the organisational culture and everyday norms that shape sexual harassment. Ten focus group discussions were held with forty staff members, separated by managerial role and conducted in Swedish or English. Transcripts were analysed using qualitative content analysis to identify shared meanings, latent themes and interpretive patterns. Analysis generated one overarching theme, perceiving sexual harassment through the lens of organisational silence, power relations, and negotiated boundaries, supported by four sub-themes. Participants described boundary-setting as a collective, situational process: definitions of harassment shifted in real time, with women often seeking peer confirmation while men framed the same conduct as innocuous. Formal and informal hierarchies amplified this ambiguity: senior researchers with grant-generating prestige were deemed 'untouchable', and managers reported uncertainty about how to act without clear procedural guidance. Silence emerged as a strategic response to protect careers and collegial relationships, normalising borderline behaviours through humour and rationalisation. Yet employees also engaged in discrete forms of peer solidarity, staying with vulnerable colleagues after meetings, quietly redirecting collaborations, which signalled a sense of collective responsibility even in the absence of robust institutional support. These findings show that policy compliance alone cannot shift workplace culture when interpretive authority rests with peer groups and incentive structures reward silence. Universities therefore need to focus on organisational level responses that equip leaders with emotional competence and procedural clarity and support the creation of a work environment that can identify, prevent, and respond to sexual harassment. Embedding such measures can transform informal solidarity into a shared, institutionally endorsed standard of respect.

OBJECTIVE: Across two summers self-report surveys were completed by a total of 130 older adults who were trialling a digital heat early warning system in Southeast Queensland. The purpose of the project was to assess participants&#x2019; access to (accessibility), and willingness to use (acceptability) commonly promoted cooling strategies, and to further explore the reasons for reluctance to use. RESULTS: Most participants reported access to all strategies (93&#x2013;100%). Acceptability (mean response [95%CI]) was high for opening/closing windows or blinds (97 [94&#x2013;100]%), fans, drinking cool water, sitting quietly, removing excess clothing (all 96 [93&#x2013;99]%), cold showers (92 [87&#x2013;96]%), and air-conditioning (90 [84&#x2013;95] %). Conversely, hand/forearm baths (76 [69&#x2013;84]%), icepacks (68 [60&#x2013;76]%), dampened clothing (64 [56&#x2013;72]%), foot baths (63 [54&#x2013;71]%), and cold baths (49 [39&#x2013;60]%) were less acceptable. Key reported barriers included messiness (n&#x2009;=&#x2009;48), physical discomfort (n&#x2009;=&#x2009;47), and preference for other strategies (n&#x2009;=&#x2009;47). Among this sample of older adults, several widely promoted water-based cooling strategies were reported as unacceptable despite high accessibility. These findings highlight an implementation gap between public health recommendations and self-reported willingness to use such strategies, underscoring the need for co-designed heat-health interventions.

This article examines how intergenerational memory shapes clinicians' moral experience and empathic engagement in everyday clinical practice. Drawing on a reflexive account of a routine medical encounter that unexpectedly activated inherited histories of war, displacement, and fear, the essay is situated within anthropological and medical humanities scholarship on clinician subjectivation, postmemory, and moral experience. While existing literature has examined how professional training and institutional norms shape clinicians' subjectivities, less attention has been paid to how pre-professional, intergenerational histories of trauma enter clinical encounters and quietly inform ethical perception. By engaging concepts from psychological anthropology and narrative medicine, this article argues that clinicians' inherited affective histories are not extraneous to care but constitutive of moral judgment and empathic response. Attending to these dimensions of subjectivity is not antithetical to professionalism but central to reflective and ethically attentive clinical practice.

W. R. Bion's (1950) case of the Imaginary Twin is revisited from different vertices. This paper has remained underappreciated because of two sets of factors: one related to how Bion structured his text in a baffling manner; and the other related to some of the uses to which the paper has been put. In subsequent commentaries on the Twin case (e.g., Bion's own epistemological commentary alongside the questionable thesis of playwright Samuel Beckett as the patient in question), these aspects have distracted from the Twin as a genuine contribution to contemporary psychoanalytic technique. It is a close clinical reading of how Bion went about analyzing a patient who was quite deft in unwittingly hiding in plain sight and illuminates his unique contributions to analytic technique. While accounting for the analytic mentors who inspired his psychoanalytic work, a thesis is maintained that in this first psychoanalytic case study Bion began to craft what would become his defining signature, namely an interactional/emotional focus in his technique of the here and now. The author terms it Bion's implicit method of clinical inquiry. While he adroitly articulated some of Melanie Klein's ideas, he simultaneously and quietly distanced his technical approach from hers.