bluuebunny/crossref_metadata_2025 huggingface dataset:
The Use of Antigenic SARS-CoV-2 Point-of-Care Test: The Italian Pediatric Real-Life Experience
Authors: Ferrari Federica , Civitelli Fortunata , Ardenti Morini Francesca , Buonaiuto Federico Angelo Carmelo , Frega Gianluca , Fabbri Francesca , Ioppi Mauro , Maione Alberto , Minniti De Simeonibus Elena , Soscia Francesca , Torre Piera , Toselli Francesca , Cortis Elisabetta
Published: November 2021

In Italy, during the second epidemic wave of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), rapid antigenic (Ag) test at point-of-care (POCT) station were employed to quickly evaluate large numbers of swabs. We collected data of all children who underwent the Ag test in our hospital. All positive patients were recalled to perform reverse transcription polymerase chain reaction. A total of 2133 tests were collected over 1 month. Clinical data of 1941 children (median age = 3.7 years) were analyzed: 1343 (69.2%) patients complained of symptoms, 594 (30.6%) had a history of close contact with SARS-CoV-2-positive individuals. Among symptoms reported, acute rhinitis was the most frequent (67.9%), followed by cough (42.6%) and fever (31.5%). Among all tests, 95.8% resulted negative, 4.2% positive: 37/89 were confirmed. In confirmed cases, fever (56.2% vs 32.2%; P = .041) and gastrointestinal symptoms (18.8% vs 6.25%; P = .041) were significantly more frequent compared with negative children. The use of POCT for Ag test seems appropriate for SARS-CoV-2 screening in the pediatric population. In children, fever and gastrointestinal symptoms may constitute red flags of SARS-CoV-2.
Looking at Team Improvised Adaptation Through a Paradoxical Lens: The Role of Team Plasticity
Authors: Abrantes António C.M. , Passos Ana M. , Cunha Miguel P. e , Silva Sílvia A. da
Published: November 2021

When time is of the essence and teams face unexpected contextual changes, they must adapt quickly, sometimes even in real time, that is, they may have to improvise. This paper adopts an inductive approach to explore how teams decide to engage in improvised adaptation, and what happens during those processes for improvisation to be successful. The study analyzes improvisation from the perspective of paradox theory and identifies six paradoxical tensions driven by these contexts: deployment, development, temporal, procedural, structural, and behavioral tensions. We propose a dynamic equilibrium model of team improvised adaptation that leads to team plasticity. By properly managing the paradoxical tensions emerging from the convergence of design and execution, teams become more plastic and able to cope with sudden change. These findings contribute to adaptation and improvisation literatures by delving into the adaptation process under the temporal and material confluence of design and execution.
Characterization and analysis of novel natural cellulosic fiber extracted from Strelitzia reginae plant
Authors: Lemita Nourelhouda , Deghboudj Samir , Rokbi Mansour , Rekbi Fares Mohammed Laid , Halimi Rafik
Published: November 2021

The purpose of this study is to evaluate in detail the usability of new cellulosic fibers extracted from the stem of the plant Strelitzia reginae, as a potential reinforcement for polymer composites. The morphological, physical, thermal, and mechanical properties of fibers were addressed for the first time in this paper. Both untreated and alkali-treated fibers were characterized, using scanning electron microscopy (SEM), Fourier-transform infrared, thermogravimetric analysis (TGA), differential scanning calorimetry (DSC), optical microscope, and X-ray diffraction (XRD) and applying tensile test for determining the mechanical behavior. For both fiber treated at one hour (T1H) and at four hours (T4H), the stem anatomy and fiber SEM micrographs showed a strong presence of fiber cells. Thermogravimetry and DSC showed that the fiber was thermally stable up to 233°C for untreated fiber, 254 and 240°C, respectively, In single-fiber tensile tests, it was observed that the fibers extracted from the stem of Strelitzia reginae were strong. The mean values of Young’s modulus exhibited by untreated fibers and treated (T1H) and (T4H) are, respectively, 9.89 GPa, 12.08, and 18.39 GPa. Also mean values of tensile strength are 271.79, 306.23, and 421.39 MPa. The XRD reveals the presence of cellulose with a Crystallinity Index of 70% for raw fiber and 72% for the treated one. Fourier-transform infrared analysis well demonstrated the effect of chemical treatment. It can be concluded from the results of all above experiments that the Strelitzia reginae fibers (SR) could serve as a possible reinforcement in composite materials.
Numerical and experimental evaluation of mechanical performance of the multifunctional energy storage composites
Authors: Wang Yinan , Chang Fu-Kuo
Published: November 2021

This work presents numerical simulation methods to model the mechanical behavior of the multifunctional energy storage composites (MESCs), which consist of a stack of multiple thin battery layers reinforced with through-the-hole polymer rivets and embedded inside carbon fiber composite laminates. MESC has been demonstrated through earlier experiments on its exceptional behavior as a structural element as well as a battery. However, the inherent complex infrastructure of the MESC design has created significant challenges in simulation and modeling. A novel homogenization technique was adopted to characterize the multi-layer properties of battery material using physics-based constitutive equations combined with nonlinear deformation theories to handle the interface between the battery layers. Second, mechanical damage and failure modes among battery materials, polymer reinforcements, and carbon fiber-polymer interfaces were characterized through appropriate models and experiments. The model of MESCs has been implemented in a commercial finite element code in ABAQUS. A comparison of structural response and failure modes from numerical simulations and experimental tests are presented. The results of the study showed that the predictions of elastic and damage responses of MESCs at various loading conditions agreed well with the experimental data. © 2021
Preparation by solution mixing and characterization of condensation type poly(dimethyl siloxane)/graphene nanoplatelets composites
Authors: Ketikis Panayiotis , Damopoulos Efthimios , Pilatos Georgios , Klonos Panagiotis , Kyritsis Apostolos , Tarantili Petroula A
Published: November 2021

The impact of the incorporation of graphene nanoplatelets (GN) on the properties of hydroxyl-terminated poly(dimethylsiloxane) (PDMS) matrices was investigated. The composites were prepared by solution mixing, using tetrahydrofuran (THF) as a solvent. Brookfield viscosimetry, implemented during the vulcanization process, revealed that GN increases the viscosity of the system, compared to pristine PDMS, proportionally to its concentration. X-ray diffraction patterns suggested an efficient dispersion of GN in the polysiloxane matrix. The D and G bands ratio (ID/IG) calculation, based on RAMAN spectra of GN/PDMS specimens, revealed more defects in graphene nanoplatelets when incorporated in the PDMS matrix. By differential scanning calorimetry (DSC), a marginal increase in crystallization, glass transition and melting temperatures of PDMS in GN/PDMS composites was observed. Improvement of the thermal stability of LMW PDMS composites, especially for higher GN concentrations (3 and 5 phr), was noticed by thermogravimetric analysis (TGA). Additionally, GN enhanced the tensile strength of composites, up to 73% for the 3 phr GN/LMW PDMS composite. A significant increase in the elongation at break was recorded, whereas no effect on the modulus of elasticity was recorded. The decrease in toluene-swelling, for the LMW PDMS matrix composites, was attributed to the increase in the tortuosity path because of the efficient dispersion of GN. A decrease in oxygen permeability of 55–65% and 44–58% was measured in membranes made of PDMS composites containing 0.5 phr and 1 phr GN, respectively. Dielectric relaxation spectroscopy (DRS) measurements recorded a significant increase in the conductivity of the higher graphene content composites.
Serving the Greater Social Good for Personal Gain: Effects of Polite Disagreements in Online Debates
Authors: Chiu Ming Ming , Oh Yu Won , Kim Jeong-Nam , Cionea Ioana A.
Published: November 2021

Asynchronous, anonymous online debaters might be less likely than face-to-face debaters to value their public self-image ( face), and thus disagree more freely. In this study, we examined whether polite disagreements (as opposed to rude ones) help online debaters win over audience members. An analysis of the most voted-on 100 political debates on Debate.org (200 debaters; 1,750 voters; 472,652 words) showed that debate initiators who used politer face-saving strategies to disagree (i.e., using expressions such as negatives with agree words rather than disagree or harsh rejection words) were more likely to receive more audience votes and win their debates. These results suggest that politeness tactics during online debates increase effectiveness, align with normative ideals, and yield pragmatic gain.
Brazilian Dependent Capitalism under the Hegemony of Financialized Capital
Authors: Crivelenti e Castro Lucas
Published: November 2021

An analysis of the Brazilian economic history of the past 50 years shows that the accumulation of foreign debt and its subsequent crisis in the 1980s, the ensuing fiscal adjustments with supervision by the International Monetary Fund, the execution of the Real Plan in 1994, the resulting macroeconomic trifecta, and new laws and resolutions have reinforced and expanded Brazil’s economic and financial dependency. Since the 1990s, its political-economic relations have been shaped by the principles of a liberal-monetarist economy that is the basis for the accumulation and revaluation of domestic and foreign capital.

Uma análise da história econômica brasileira dos últimos 50 anos mostra que o acúmulo da dívida externa e sua posterior crise nos anos 1980, os subsequentes ajustes fiscais com supervisões do International Monetary Fund, a execução do Plano Real em 1994, a decorrente política do tripé macroeconômico e as leis e resoluções, reforçaram e ampliaram a dependência econômico-financeira do Brasil em sua inserção mundial. Desde os anos 1990, o âmago das relações político-econômicas brasileiras está gestado por princípios doutrinários de uma economia liberal-monetarista, a qual é a base para a acumulação e revalorização de capital interno e externo.
Effects of mediated communication on conflict behavior, resolution, and affect in romantic couples
Authors: Ruppel Erin K. , Cherney Maura R. , Quinn Samantha F. , Richards Riley J.
Published: November 2021

Mediated communication such as text messaging influences how romantic couples engage in and perceive conflict interactions, but the precise nature of these effects is unclear. We randomly assigned 43 romantic couples to engage in a conflict interaction either face-to-face ( n = 23 couples) or using a text-based messaging application ( n = 20 couples). Participants completed self-report measures of positive and negative conflict behaviors (e.g., humor and hostility), perceived progress toward conflict resolution, and positive and negative affect (e.g., inspired and afraid). Participants who engaged in more positive conflict behaviors reported more progress toward conflict resolution and more positive affect. Positive conflict behaviors were lower in text-based than face-to-face interactions. Progress toward conflict resolution, positive and negative affect, and negative conflict behaviors did not differ between text-based and face-to-face conflict interactions. The findings highlight the utility of examining both positive and negative conflict behaviors in mediated conflict and suggest that future research should further examine when and how participants compensate for a lack of nonverbal cues in mediated conflict.
The drivers of the post-entry internationalisation commitment of small and medium-sized enterprises
Authors: Zahoor Nadia , Lew Yong Kyu
Published: November 2021

By integrating relational embeddedness in international strategic alliance networks (ISANs) and the dynamic capability perspective, this article presents an examination of the drivers of the post-entry internationalisation commitment of small- and medium-sized enterprises (SMEs). Specifically, we investigated the mediating effect of opportunity-sensing capabilities (OSCs) on the relationship between ISAN relational embeddedness and the post-entry internationalisation commitment of SMEs. We also examined the moderating impact of strategic adaptiveness on the relationship between OSCs and post-entry internationalisation commitment. An analysis of 320 UK-based SMEs, performed using structural equation modelling, revealed that OSCs are an important mechanism through which the ISAN relational embeddedness leads to increased post-entry internationalisation commitment. Furthermore, strategic adaptiveness strengthens the positive relationship between OSCs and post-entry commitment to foreign markets. This article extends the existing SME venturing and internationalisation literature to the domain of SME post-entry internationalisation commitment.
What matters for keeping or losing support in televised debates
Authors: König Pascal D. , Waldvogel Thomas
Published: November 2021

What leads citizens to change their candidate preferences during televised debates? The present paper addresses this question with real-time response and panel survey data from respondents recruited in the run-up to the 2017 German national election. Probing the importance of party identity and performance perceptions formed during the debate, the analysis more closely examines several core determinants than has previously been done with real-time response data. The findings suggest, first, that only a strong or very strong party identity is an effective barrier to candidate preference change. Second, beyond party identity, ratings of candidates’ issue-specific statements on policy issues show a very strong effect, albeit regardless of personal issue importance. Third, this influence of candidate ratings does not seem to be mediated through changes in valence perceptions. Rather, viewers seem to form a general impression of the candidates which cannot be reduced to performance perceptions regarding policy issues.
Compensatory justice to the victim of a crime and judicial practices in India: An empirical study
Authors: Sharma Madhuker
Published: November 2021

The Constitution of India guarantees that justice shall be delivered to all. The duty to ensure that justice delivery is accessible to all is entrusted to state bodies. The legislature is expected to ensure that the legal framework is there, the executive is expected to ensure that all infrastructural needs of the justice delivery system are in place, and the judiciary is expected to ensure that justice is delivered in their area. This paper deals with the issue of delivery of victim justice, with a special focus on compensatory mechanisms laid down under the Code of Criminal Procedure 1973. The Code empowers the courts to award compensation to the victim of a crime to ensure his/her rehabilitation. In light of the observations made by the Supreme Court of India that the trial court judges do not exercise their discretionary power under the relevant statutory provisions to award compensation to the victims of a crime, this paper explores the extent of such failure and the reasons behind it.
Behind the US-China Cold War
Authors: Harris Jerry
Published: November 2021

As the global pandemic accelerates economic problems, divisions over global capitalism have sharpened. This includes those who want to delink the US/China relationship, those who wish to recalibrate but maintain the transnational system, and China’s own more assertive strategy as its economic power increases. These debates affect national and world politics as antagonism grows, even as capital continues to pour into China.
Multi-Level Laboratory Performance Evaluation of Conventional and High Polymer-Modified Asphalt Mixtures
Authors: Habbouche Jhony , Boz Ilker , Diefenderfer Brian K. , Kim Sungho
Published: November 2021

Asphalt concrete (AC) overlays have been one of the most common treatments used by the Virginia Department of Transportation (VDOT) for maintaining/rehabilitating pavements. However, when the overlay is placed on existing composite pavements or cracked AC pavements, differential movements across any cracks or joints can result in physical tearing of the AC overlay. Thus, the long-term performance of many AC overlays will highly depend on their ability to resist cracking. The purpose of this study was to assess the viability of using high polymer-modified (HP) AC mixtures in Virginia as a crack mitigation technique or when deemed appropriate as a tool for increased resistance to rutting and cracking on higher volume facilities. Another objective was to assess the ability of various testing protocols to discern the performance of pavements through a comprehensive evaluation of three conventional polymer-modified (PMA) and five HP field-produced mixtures placed in Virginia. This included laboratory testing at multiple levels of complexity (basic, intermediate, and advanced) on collected asphalt binders, plant-produced asphalt mixtures, and field cores. The performance characteristics of PMA and HP mixes were evaluated in the laboratory in relation to durability and resistance to rutting and cracking. Based on the mixes tested, stone matrix asphalt (SMA) mixes showed better performance than dense-graded surface mixes (SM) regardless of the asphalt binder type. Moreover, HP mixes showed better performance than PMA mixes regardless of the mixture type. Overall, SMA-HP mixes showed the most promising performance among all evaluated mixes.
A Quality Improvement Project on Pain Management at a Tertiary Pediatric Hospital
Authors: Wilding Jodi , Scott Hailey , Suwalska Victoria , Geddes Zarina , Venegas Carolina Lavin , Long Deborah , Macartney Gail , MacNeil Mary , Martelli Brenda , Mervitz Deborah , Reszel Jessica , Theoret-Douglas Carol , Ullyot Nora , Harrison Denise
Published: November 2021

To assess and improve pain management practices for hospitalized children in an urban tertiary pediatric teaching hospital.

Methods

Health Quality Ontario Quality Improvement (QI) framework informed this study. A pre (T1) – post (T2) intervention assessment included chart reviews and children/caregiver surveys to ascertain pain management practices. Information on self-reported pain intensity, painful procedures, pain treatment and satisfaction were obtained from children/caregivers. Documented pain assessment, pain scores, and pharmacological/non-pharmacological pain treatments were collected by chart review. T1 data was fed back to pediatric units to inform their decisions and pain management targets.

Results

At T1, 51 (58% of eligible participants) children/caregivers participated. At T2, 86 (97%) chart reviews and 51 (54%) children/caregivers surveys were completed. Most children/caregivers at T1 (78%) and T2 (80%) reported moderate to severe pain during their hospitalization. A mean of 2.6 painful procedures were documented in the previous 24 h, with the most common being needle-related procedures at both T1 and T2. Pain management strategies were infrequently used during needle-related procedures at both time points.

Conclusion

No improvements in pain management as measured by the T1 and T2 data occurred. Findings informed further pain management initiatives in the participating hospital.
Neuroimaging Features of Intracranial Hypertension in Pediatric Patients With New-Onset Idiopathic Seizures, a Comparison With Patients with Confirmed Diagnosis of Idiopathic Intracranial Hypertension: A Preliminary Study
Authors: Kamali Arash , Aein Azin , Naderi Niyousha , Choi Sally J. , Doyle Nathan , Butler Ian J. , Huisman Thierry A.G.M. , Bonfante Eliana E. , Sheikh-Bahaei Nasim , Khanpara Shekhar , Patel Rajan P. , Riascos Roy F. , Zhang Xu , Tang Rosa A. , Radmanesh Alireza
Published: November 2021

Seizures have been reported in association with idiopathic intracranial hypertension in pediatric patients. Magnetic resonance imaging (MRI) signs of intracranial hypertension have not been investigated before in pediatric patients with new-onset idiopathic seizures. MRI scans of 182 pediatric patients were retrospectively analyzed for imaging findings of intracranial hypertension, including 46 patients with new-onset idiopathic seizures and elevated cerebrospinal fluid opening pressure, 40 patients with new-onset idiopathic seizures and normal opening pressure, 56 patients with confirmed idiopathic intracranial hypertension, and 40 age- and sex-matched controls. The optic nerve sheath diameter is significantly larger in the group with new-onset idiopathic seizures and elevated opening pressure (mean diameter of 6.02 ± 0.45 mm) compared to patients with new-onset idiopathic seizures and normal opening pressure (mean diameter of 5.24 ± 0.50 mm) ( P value <.001). The cutoff value of 6.0 mm for optic nerve sheath diameter showed 63% sensitivity and 88% specificity to differentiate pediatric patients with seizures and elevated opening pressure from those with seizures and normal opening pressure.

Conclusion

A cutoff value of 6.0 mm for optic nerve sheath dilation may be used as a screening imaging marker to suspect elevated opening pressure with specificity of 88% in pediatric patients with new-onset idiopathic seizures.
Use of Colony-Stimulating Factors in Patients With Systemic Lupus Erythematosus
Authors: Ragsdale Morgan E. , Hall Zimmerman Lisa G.
Published: November 2021

Systemic lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease that commonly manifests as cutaneous rashes, renal disease, gastrointestinal dysfunction, and cytopenia. Hematological anomalies are frequently associated with drug-induced toxicity in SLE patients. Colony-stimulating factors have been used to treat drug-induced cytopenia in past case reports; however, evidence suggests that colony-stimulating factors can exacerbate autoimmune disorders, including SLE. This case report presents two patients with SLE exacerbations after colony-stimulating factor administration. The first case is a young male with SLE who developed pancytopenia with a white blood cell count (WBC) of 1 × 109 cells/L. The patient was administered filgrastim during his initial admission and presented to the hospital 2 days after discharge in cardiac arrest with a WBC of 66.7 × 109 cells/L. The second case is a 49-year-old female with SLE who was administered sargramostim in response to a WBC count of 9 × 109 cells/L. The patient experienced a drastic increase in WBC followed by a cardiac arrest. These cases highlight the need for more research regarding the safe use of colony-stimulating factors in SLE patients.
Social Ethic or Spiritual Ethos? Non-Orthodox Christian and Coptic Orthodox Perspectives
Authors: Meawad Stephen M.
Published: November 2021

This article modestly anticipates the still-unfolding reception of the laudable document For the Life of the World: Toward a Social Ethos of the Orthodox Church by two broadly-envisioned communities—those of non-Orthodox Christians and Coptic Orthodox Christians. There is much to be commended by the former, especially regarding the document's balanced assessment amidst complicated issues uncharted in the Orthodox world. This balance is possible through the effective coalescence of a theocentric worldview, a comfort with mystery, and a loosely-defined Orthodox anthropology. Regarding the latter community, the document serves as a pioneering and bold example that does not neglect social relevance at the behest of theological commitments. At the same time, Coptic Orthodox Christians, in their insistence on the centrality of desert spirituality, are likely to question the document's sometimes tepid allusions to spiritual transformation, since the principal means out of which come social change, right action and good conscience for Orthodox Christians is through a life entrenched in Godward ascetic spirituality.
Partisan Epistemology and Post-Truth Power
Authors: Herdt Jennifer A.
Published: November 2021

Theological reckoning with our contemporary post-truth context must be cognizant of the ways in which adherence to biblical inerrancy fostered the rise of partisan epistemology. It is essential as well to grapple with the question of whether postliberal theologies, by way of a very different theory of truth, also promote the epistemic insulation of Christian faith communities. We need to understand how groups threatened with the erosion of social influence are tempted to indulge in partisan epistemology. It is equally critical to grasp how unjust power exploits such tendencies in girding its loins with epistemological supremacy. Jesus, facing in Pilate a post-truth dominator, models an alternative, namely, disruptive engagement that resists epistemic injustice and opens new space for the construction of unbounded communities of trust and shared understanding.
Luther's Tears: Hagar and the Limits of Empathy
Authors: Elser Ashleigh
Published: November 2021

In his Enarrationes in Genesin, Martin Luther finds stories of suffering he can ‘hardly read with dry eyes’. Recent scholars attribute profound ethical value to Luther's tears, especially those shed over the suffering of female characters. This article reconsiders the ethical salience of Luther's tears as a demonstration of interpretive empathy by examining his reading of Hagar and its modern reception history. By comparing Luther's reading of the enslaved Hagar to his reading of her master Abraham, it is argued that gender, power and inequality shape the very conditions in which terms like ‘empathy’, ‘charity’ and ‘suspicion’ appear and this, in turn, invites a reconsideration of the ethical responsibilities we incur as we read texts of terror in light of their role in enduring histories of violence.
Assessing effect heterogeneity of a randomized treatment using conditional inference trees
Authors: Venkatasubramaniam Ashwini , Koch Brandon , Erickson Lauren , French Simone , Vock David , Wolfson Julian
Published: November 2021

Treatment effect heterogeneity occurs when individual characteristics influence the effect of a treatment. We propose a novel approach that combines prognostic score matching and conditional inference trees to characterize effect heterogeneity of a randomized binary treatment. One key feature that distinguishes our method from alternative approaches is that it controls the Type I error rate, that is, the probability of identifying effect heterogeneity if none exists and retains the underlying subgroups. This feature makes our technique particularly appealing in the context of clinical trials, where there may be significant costs associated with erroneously declaring that effects differ across population subgroups. Treatment effect heterogeneity trees are able to identify heterogeneous subgroups, characterize the relevant subgroups and estimate the associated treatment effects. We demonstrate the efficacy of the proposed method using a comprehensive simulation study and illustrate our method using a nutrition trial dataset to evaluate effect heterogeneity within a patient population.
Autologous Hematopoietic Stem Cell Transplantation for Patients with Lymphoma-Associated Hemophagocytic lymphohistiocytosis
Authors: Song Yue , Yin Qingxia , Wang Jingshi , Wang Zhao
Published: November 2021

Background:

Hemophagocytic lymphohistiocytosis (HLH) is a severe or even fatal inflammatory status. Lymphoma associated hemophagocytic lymphohistiocytosis (LAHS) is a kind of secondary HLH (sHLH). It suffers the worst outcome among sHLH. Allo-HSCT is often considered necessary. Autologous stem cell transplantation (auto-SCT) is widely used in the treatment of lymphoma, especially for high-risk NHL. There have been no clinical reports on the use of auto-SCT in LAHS in the past 20 years.

Methods:

We retrospectively evaluated 12 LAHS patients who received auto-SCT at our center from January 2013 to January 2020. Follow-up started at the date of LAHS diagnosis and ended at the date of death or last examination. Overall survival (OS) was calculated from the diagnosis of HLH to death of any cause.

Results:

The median period between diagnosis and auto-SCT is 6.7 months. All 12 patients achieved remission after transplantation. Follow-up to 1 January 2021, 8 patients remained disease-free, 4 patients relapsed and 2 of them died eventually. The median follow-up time is 20.9 months, and the median overall survival time has not been reached yet. The 3-year OS rates was 71%. Compared with LAHS patients who did not undergo transplantation during the same period (median OS time is 3.4 months), patients who underwent auto-SCT had a significantly better prognosis ( P=0.001). Even if the lymphoma reaches CR after treatment, auto-SCT still provides a better prognosis compared to CR patients without transplantation ( P=0.037). Compared with lymphoma patients without HLH who underwent auto-SCT during the same period, they had a similar prognosis ( P=0.350).

Conclusion:

LAHS, as a common type in secondary HLH, may have a better prognosis after removing the trigger of HLH. In this study, the autologous transplantation in LAHS can significantly improve the prognosis, and provide LAHS a similar prognosis as high-risk lymphoma without HLH.
Tokens of Presence: Second-Personal Presence and Baptistic Accounts of the Eucharist
Authors: Hill Daniel L.
Published: November 2021

This paper attempts to provide a bridge between the two predominant Baptistic accounts of divine presence in Eucharist, with the help of Eleonore Stump’s account of second-personal presence and theories of emergence. Predominantly understood in either Zwinglian (memorialist) or Reformed (instrumentalist) categories, a dividing wall is erected with baptistic theology over the question of whether or not communion is strictly an act of human remembrance or involves divine presence in some form or fashion. After identifying three key problems with the memorialist account, this paper attempts to provide a middle way between the two views, arguing that the Spirit appropriates the bread and wine as tokens through which he communicates the thoughts, intentions, desires, and second-personal presence of Christ to the gathered body in order to strengthen the church's union with Christ.
1 year posterior corneal changes after Bowman Layer Transplant for keratoconus
Authors: Tourkmani Abdo Karim , Lyons Conor , Hossain Parwez N. , Konstantopoulos Aristides , Anderson David F. , Alio Jorge L.
Published: November 2021

Introduction

To report the posterior corneal changes after Bowman Layer Transplant for keratoconus in a tertiary hospital in the UK.

Methods

5 eyes of 5 patients receiving Bowman Layer Transplant for advanced keratoconus in Royal Gwent Hospital (Newport, UK) were included. Pre and postoperative posterior corneal astigmatism, posterior Kmean, and back surface elevation were analysed.

Results

No significant changes were seen in the posterior corneal astigmatism, posterior Kmean, or back surface elevation between the pre- and postoperative period.

Conclusion

This results would support the idea that the corneal changes seen after Bowman Layer Transplant are mainly in the anterior corneal surface.
Effects of axial motion and couple stress on lubrication performances of ship stern shaft
Authors: Zheng Liangyan , Zhu Hanhua , Fan Shidong , Yang Taiwei , Wu Jie , Wang Chunping , Cao Jiyin
Published: November 2021

Increasingly prominent marine oil pollution problems highlight the importance of environmentally friendly lubricants in a ship. According to the actual navigation environment, the couple stress effect of environmentally friendly lubricants and axial motion of stern shaft is considered to establish a new hydrodynamic lubrication model, and finite difference method and Simpson integral method have been utilized to solve film pressure and bearing carrying capacity, respectively. Various performance characteristics were obtained for a range of couple stress parameters, misalignment angles and rotation speeds. The results show that axial motion and couple stress have opposite effects on film distribution, the minimum film thickness decreases with the increasing of axial velocity while the maximum film pressure significant reduce as couple stress parameter grows. The axial position corresponding to the maximum pressure is reduced from 0.51 to 0.49 m as axial velocity enhances from 0 to 0.8 m/s while couple stress parameter is 0, but nearly remains the place while couple stress is considered. Meanwhile, couple stress lubricants effectively restrain friction of journal caused by hydrodynamic effect, and the decreasing amplitude is nearly independent of axial velocity.
Material Appropriation for Infant Mortality Reduction: Troubling the discourse
Authors: Watson Debbie L. , Reid James
Published: November 2021

Reducing the risk of Sudden and Unexpected Death in Infancy (SUDI) is a priority for infant health care services across the globe. Medical knowledge of risk factors for SUDI are well understood and have been part of public health messaging in the UK since the 1990s. These include the ‘back to sleep’ campaign that focused on newborn sleep position, not over wrapping the infant and to avoid passive smoke. Whilst progress has been made in reducing SUDI deaths worldwide, there are some infants who remain at high risk. This article adopts a sociomaterial lens to address the potential for material-based interventions to support messages to be tailored in culturally appropriate ways that do not negate parenting knowledge and practices. We focus on the proliferation of the ‘baby box’ as an example of material appropriation and consider the risks and the potentials for this object as a participant in parenting practices.
Suet puddings and red pillarboxes: A review of Marc Stears’ Out of the Ordinary
Authors: Hall Edward
Published: November 2021

Marc Stears’ Out of the Ordinary: How Everyday Life Inspired a Nation and How It Can Again is an engaging and sincere work of political theory. In it, Stears explores how the work of a number of British writers and artists in the 1930s, 1940s and 1950s – Bill Brandt, Barbara Jones, Laurie Lee, George Orwell, JB Priestley and Dylan Thomas – can help us to overcome some of the lazy ideological conventions of our time which suggest it is impossible to simultaneously value tradition and progress, patriotism and diversity, individual rights and social duties, nationalism and internationalism, conservativism and radicalism. In this review, I highlight the timely and engaging elements of Stears’ book while also raising doubts about his treatment of the ‘everyday’ and his Blue Labour solutions to our political ills.
The Multimethod Evaluation of a Curricular Intervention Intended to Reduce Sexual Violence on a College Campus: A Synthesis of Findings and Lessons Learned
Authors: Lederer Alyssa M. , Johnson Katherine M. , Liddell Jessica L. , Sheffield Sydney
Published: November 2021

Sexual violence is a major problem on college campuses, and innovative solutions are needed. Our university created a semester-long, credit-bearing, academic course as a curricular intervention intended to reduce sexual violence on campus. In this article, we describe the multiple methods used to evaluate the course, including a pre–post online survey with a quasi-experimental design, a qualitative content analysis of student reflection papers, and semistructured interviews with previously enrolled students conducted by a peer interviewer 3 months after course completion. The synthesis of evaluation findings indicated that an academic course has the potential to positively affect campus climate around sexual violence. Furthermore, using multiple methods enabled us to create a theory of change that illustrates how key course components shaped students’ knowledge, attitudes, and behaviors about sexual violence, thereby ideally generating campus change. Results have been used by various stakeholders for both practice-based and scholarly purposes. We provide lessons learned and implications for practice that are transferable to other multimethod curricular intervention evaluations regardless of topical focus, including the many ways in which using multiple methods added value to the study; the considerable investment of time and resources needed when using multiple methods; the challenges that can arise when integrating findings across methods; the major benefits of having a multidisciplinary research team consisting of faculty and students; and the need to engage in critical reflexivity.
Distributing Whiteness: Please Like Me and Global Television Circulation
Authors: Kohnen Melanie E. S.
Published: November 2021

This essay examines the formal and informal distribution of Australian dramedy Please Like Me via the now-defunct American digital cable channel Pivot and via fan communities on Tumblr. I argue that structural whiteness operates as an invisible engine at the heart of Please Like Me’s distribution. My analysis unpacks how an unexamined narrative of white privilege forms the backbone of Please Like Me’s diegesis, fandom’s investment in circulating the show, and Pivot’s alignment of the show with its supposedly socially conscious brand. Examining trade press, promotional material, and fan discourse, I demonstrate how structural whiteness functions as point of intersection between industry and fan-driven distribution.
A Different Kind of Transgender Celebrity: From Entertainment Narrative to the “Wrong Body” Discourse in Japanese Media Culture
Authors: Ho Michelle H. S.
Published: November 2021

Scholars have criticized how tarento (television personalities) who might be considered “transgender” have for decades provided comic relief on Japanese mainstream television, but few have considered the recent emergence of a different kind of trans celebrity who rejects the entertainment narrative to embrace the “wrong body” discourse (having mismatched corporeality). This article explores this phenomenon through the example of Nishihara Satsuki, a trans-identified internet celebrity-turned- tarento, drawing mainly on discourse analysis of their blog, memoir, and variety program appearances. I demonstrate how Satsuki’s celebrity departs from narratives of trans tarento as objects of entertainment to align with hegemonic discourses of the wrong body, which govern how trans individuals are understood in Japan and reflect the broader context of heightened trans visibility elsewhere. In doing so, Satsuki offers an important platform for discussing trans issues and experiences today, which I argue has encouraged the media to take trans representation more seriously.
Hidden Influences: Exploring the Red Castle Restorations During the Italian Colonization of Libya
Authors: Ejroushi Aida M.
Published: November 2021

This article examines alterations made to the Red Castle in Tripoli during Italy’s colonization of Libya between 1911 and 1943. Italian architects completed two projects which both restored the castle and altered its design through the construction of a tunnel that cuts through the historic site and joined sections of the coastal road (Lungomare Conti Volpi). Using a new visual analysis of the structures, this study argues that traditional Roman architecture influenced changes to the castle, which included elements found in preexisting Roman structures. The implications of these interventions within the context of historic preservation and colonialism are also explored.
Cessation and resumption of elective neurointerventional procedures during the coronavirus disease 2019 pandemic and future pandemics
Authors: Malisch Tim W , Ansari Sameer A , Duckwiler Gary R , Fargen Kyle M , Hetts Steven W , Marden Franklin A , Patsalides Athos , Schirmer Clemens M , Brook Allan , Fraser Justin F
Published: November 2021

At the time of this writing, the coronavirus disease 2019 pandemic continues to be a global threat, disrupting usual processes, and protocols for delivering health care around the globe. There have been significant regional and national differences in the scope and timing of these disruptions. Many hospitals were forced to temporarily halt elective neurointerventional procedures with the first wave of the pandemic in the spring of 2020, in order to prioritize allocation of resources for acutely ill patients and also to minimize coronavirus disease 2019 transmission risks to non-acute patients, their families, and health care workers. This temporary moratorium on elective neurointerventional procedures is generally credited with helping to “flatten the curve” and direct scarce resources to more acutely ill patients; however, there have been reports of some delaying seeking medical care when it was in fact urgent, and other reports of patients having elective treatment delayed with the result of morbidity and mortality. Many regions have resumed elective neurointerventional procedures, only to now watch coronavirus disease 2019 positivity rates again climbing as winter of 2020 approaches. A new wave is now forecast which may have larger volumes of hospitalized coronavirus disease 2019 patients than the earlier wave(s) and may also coincide with a wave of patients hospitalized with seasonal influenza. This paper discusses relevant and practical elements of cessation and safe resumption of nonemergent neurointerventional services in the setting of a pandemic.
COVID-19 pandemic: Real-world experiences and lessons learned
Authors: Srijithesh PR , Hakim Shakir H
Published: November 2021

The COVID-19 pandemic has disrupted all walks of life on an unprecedented scale. In the following report, we recount the experience of stroke and neurointerventional practitioners from different parts of India. It was written in September 2020 when the first wave of the pandemic was at its zenith in India and vaccines were not yet available.
Can a knowledge threshold save the de minimis principle?
Authors: Stefánsson H. Orri , Lundgren Björn
Published: November 2021

The de minimis principle states that some risks are so trivial that they can be ignored or treated categorically differently from non-trivial risks. Lundgren and Stefánsson criticize the de minimis principle, arguing that it either has to be applied locally or globally and that problems arise whichever application is chosen. Aven and Seif respond to Lundgren and Stefánsson’s argument and defend the de minimis principle as a “meaningful and useful perspective for handling risk in practice.” The response highlights some aspects of the argument in Lundgren and Stefánsson that needs clarification, which is what we do in this note.
Evaluating the efficiency of Mediterranean container ports using data envelopment analysis
Authors: Fancello Gianfranco , Serra Patrizia , Aramu Valentina , Vitiello Daniel Mark
Published: November 2021

Mediterranean container ports are constantly requested to face new market challenges after years of decline of their traffic in favour of a stronger leadership of Northern range ports, also favoured by the consolidation of the Arctic Route and the Belt and Road Initiative. To regain competitiveness, Mediterranean ports must undertake a path of operational, managerial and infrastructural strengthening. This study applies Data Envelopment Analysis (DEA) to 35 Mediterranean container ports in order to identify the potential key success factors on which to intervene to improve their competitiveness potential and response to the new market needs. The application uses the port throughput as output, and three inputs: yard area, number of quay cranes and distance of the port from the Suez–Gibraltar axis. The latter has been inserted in the study to evaluate whether it can affect port efficiency. Both input- and output-oriented approaches are used in order to investigate the port competitiveness through the production function (input-oriented), and the port commercial competitiveness based on the output and feasibility of its production (output-oriented). Results can provide insights for the implementation of future policies and management strategies aimed to strengthen the Mediterranean port context.
Lateral Locking Plate Fixation of Simple Weber B Fibula Fractures Without a Lag Screw Yields Excellent Radiographic Results
Authors: Mehraban Nasima , Lew Alexandra R. , Foran Ian M. , Lee Simon , Bohl Daniel D. , Hamid Kamran S.
Published: November 2021

Background

The most common first-line fixation technique for simple Weber B fibula fractures is a lag screw with lateral neutralization plate. The most common surgical technique for unstable Weber B fibula fracture is one-third semi-tubular plate and cortical screws, implemented with lag screw when appropriate. However, the lag technique can be technically challenging in osteoporotic bone or within fibulas of smaller diameter, and in some cases can result in fragmentation at the fracture site, malreduction, or peroneal irritation. The purpose of this study is to examine an alternative first-line method for routine treatment of simple Weber B fibula fractures.

Methods

Fifty-two consecutive patients undergoing open reduction internal fixation (ORIF) of a Weber B fibula fracture by a single surgeon were included in this retrospective study. After reduction, a lateral locking plate was applied with cortical screws proximally and locking screws distally. No screw crossed the fracture in any case. Per published precedent, nonunion was defined as either a gap of >3 mm between fracture surfaces >6 months postoperatively or a fracture line >2 to 3 mm wide and sclerosing of the fracture surfaces. Similarly, malunion was defined as one or more of the following: talar tilt >2º, talar subluxation >2 mm, or tibiofibular clear space ≥5 mm.

Results

The mean (± standard deviation) age of the 52 included patients was 44.2 ± 16.2 years, the mean body mass index was 27.7 ± 6.6 kg/m2, and 63.5% of patients identified themselves as female sex. The mean follow-up was 6.2 (range: 1.5-15) months. In addition to undergoing fixation of the lateral malleolus, 21 patients also underwent fixation of the posterior malleolus, 27 underwent fixation of the medial malleolus, 29 underwent fixation across the syndesmosis, and 7 underwent repair of the deltoid. In all patients, bony anatomic union of the fibula and congruence of the mortise were achieved with no cases of malunion or nonunion.

Conclusions

The Arbeitsgemeinschaft für Osteosynthesefragen (AO) fixation technique for simple Weber B fractures with a lag screw and lateral neutralization plating has provided good outcomes for decades. We present an alternative technique for ORIF of these fractures with a lateral locking plate and no lag screw. In our series, we evaluated radiographic union and alignment as our primary outcome measures and found no cases of nonunion or malunion. Prospective cohort testing of lateral locking plates versus traditional fixation in the context of patient-centered value is warranted. Level of Evidence: Level III