bluuebunny/crossref_metadata_2025 huggingface dataset:
Self Reported Hearing Impairments and Associated Risk Factors Among Metal and Woodwork Workers in Gondar Town, North West Ethiopia
Authors: Worede Eshetu Abera , Yalew Walelegn Worku , Wami Sintayehu Daba
Published: March 2022

Background:

The global prevalence of occupational noise-induced hearing loss ranges between 16% and 24%. The wood and metalwork industries have recently expanded in Ethiopia. This study aims to determine the level of noise exposure and the prevalence of self-reported hearing impairments and associated risk factors among metal and woodworkers in Gondar town Ethiopia.

Material and Methods:

An institutional-based cross-sectional study was conducted on 580 metal and woodwork workers from February10 to March 25/2020. The data were collected through an interviewer-led questioner and the noise level measurement. Multivariate Poisson regression models were used. P-values less than .05 and adjusted prevalence ratios with 95%CI were used to declare the presence and strength of an association respectively.

Result:

The mean (SD) average noise exposure level in the wood and metalworking industries was 96.9 ± 3.5 dBA and 96.2 ± 4 dBA, respectively. The overall prevalence of self-reported hearing impairment was 20.7% [95%CI: (17.4-24)]. In an adjusted Poisson regression, listening to music with earphones for more than 2 hours per day (PR = 2.95, 95%CI: 1.32, 6.21) and listening to music at maximum volume (PR = 2.24, 95%CI: 1.05, 4.79) were associated with hearing impairments.

Conclusion:

The majority of workers are exposed to noise levels that exceed OSHA’s permissible exposure limit value. A hearing conservation program should be implemented to reduce noise exposure levels in the wood and metal work industries. Workers should be aware of the duration and volume of recreational noise exposure.
Becoming a Virtual Cutie: Digital Cross-Dressing in Japan
Authors: Bredikhina Liudmila , Giard Agnès
Published: March 2022

There is a predominance for cute characters among Japanese virtual YouTubers (VTubers). Men who publicly use feminine avatars to conduct online entertainment are called babiniku in Japan. This research paper investigates whether embodying cute avatars impacts males’ perception of self. Examining the process leading some online performers to turn into outwardly feminine characters, we address the reasons why babiniku reproduce gender stereotypes. Our presumption is that such role play is part of a strategy with purposes yet to be deciphered. We deployed quantitative and qualitative methods, such as survey and semi structured interviews, to collect first-hand testimonies from 24 babiniku participants. This article contributes to an existing literature about digital gender swapping with avatars and Japanese cross-dressing from an anthropological perspective. As stressed by the babiniku who took part in this research, digital cross-dressing enables them to create a world where they can indulge in fancy and fantasy. All together with their fans, babiniku build a notion of femininity that allows users to act and live outside of societal pressures.
Remembrance of contact past: When intergroup contact metacognitions decrease outgroup tolerance
Authors: Drury Lisbeth , Birtel Michèle D. , Randsley de Moura Georgina , Crisp Richard J.
Published: March 2022

Positive intergroup contact reliably reduces prejudice, yet little is known about the metacognitive processes involved in recalling prior contact experiences and their impact on outgroup tolerance. The present research examined whether contact interventions that rely on the recollection of past contact experiences can be susceptible to ease of retrieval effects, and the potential impact on intergroup attitudes. Specifically, we tested whether manipulating the number of contact memories participants were asked to recall (five vs. one) impacts on outgroup tolerance, and whether this effect is contingent upon participants’ prior contact experiences. Results of two experiments ( N = 220) revealed a moderated mediation effect of contact recollection on outgroup tolerance via perceived ease of retrieval, dependent upon levels of prior contact. Recalling more (five) versus fewer (one) contact memories was perceived as more difficult, and this, in turn, decreased tolerance, specifically for individuals low in prior contact. Countering this negative indirect effect, however, recalling more contact experiences had a positive direct effect. Therefore, greater cognitive effort appears to act as a suppressor of the positive effect of contact recall. Our findings provide insight into meta-cognitive processes involved in recalling autobiographical contact memories, and the resulting impact on intergroup relations.
Re-imagining Marketing Scholarship in the era of the UN Sustainable Development Goals
Authors: Voola Ranjit , Carlson Jamie , Azmat Fara , Viet Ngo Liem , Porter Kylie , Sinha Ashish
Published: March 2022

The pandemic, rising inequalities, climate change, consumer mistrust of brands, organizations and their intentions, pose important questions relating to marketing’s relevance and impact in the real world. Additionally, there are growing calls by global bodies, such as the UN, national governments, consumers, students, suppliers, and leading practitioners to re-imagine and broaden the role of business and marketing to consider benefits to stakeholders (consumers, suppliers, employees, community, as well as shareholders). In this editorial, we contend that the United Nations Sustainable Development Goals (UN SDGs) framework has the potential to address the myriad of challenges identified by marketing scholars and practitioners. With the assistance of quotes from marketing scholars, non-marketing scholars, marketing students and practitioners, we offer a rationale for a proactive and considered engagement by marketing scholarship, with the UN SDGs. We then introduce the six papers included in this special issue. We conclude by calling for further critical inquiry at the marketing-SDGs interface including; 1) Re-imagining the philosophy of marketing and marketing education; 2) Marketing capabilities and the SDGs; 3) Understanding consumer behavior, and 4) Learning across contexts.
Novel and accurate solitary wave solutions of the conformable fractional nonlinear Schrödinger equation
Authors: Zhao Dexu , Lu Dianchen , Salama Samir A , Yongphet Piyaphong , Khater Mostafa MA
Published: March 2022

In this paper, the Khater II analytical technique is used to examine novel soliton structures for the fractional nonlinear third-order Schrödinger (3-FNLS) problem. The 3-FNLS equation explains the dynamical behavior of a system’s quantum aspects and ultra-short optical fiber pulses. Additionally, it determines the wave function of a quantum mechanical system in which atomic particles behave similarly to waves. For example, electrons, like light waves, exhibit diffraction patterns when passing through a double slit. As a result, it was fair to suppose that a wave equation could adequately describe atomic particle behavior. The correctness of the solutions is determined by comparing the analytical answers obtained with the numerical solutions and determining the absolute error. The trigonometric Quintic B-spline numerical (TQBS) technique is used based on the computed required criteria. Analytical and numerical solutions are represented in a variety of graphs. The strength and efficacy of the approaches used are evaluated.
Sex tracking apps and sexual self-care
Authors: Saunders Rebecca
Published: March 2022

‘To-Do List: Masturbate’ reads one of the Instagram posts for the fashionable, new Lioness vibrator and tracking app. Lioness is just one of the most publicised of a spate of sex tracking apps principally aimed at women that have emerged over the past 5 years, which asks users to monitor their sexual interactions, and which also offers medical and holistic advice on how to improve one’s sex life. This article focuses on how the value of this technology is articulated through the rhetoric of self-care that connects these apps to the increasingly culturally pervasive valorisation of sex as a form of work; and how its connections both to self-care and quantification demonstrate important developments in post- and neoliberal feminism where objectivity and distance become central to the formation to female sexual subjectivity.
Informal social learning dynamics and entrepreneurial knowledge acquisition in a micro food learning network
Authors: Hersleth Stine Alm , Kubberød Elin , Gonera Antje
Published: March 2022

This paper expands and contextualises social perspectives on entrepreneurial learning by considering the informal learning dynamics and outcomes in a facilitated learning network (FLN) targeting micro-entrepreneurs within the local food sector. This research builds new theoretical and empirical knowledge on the contributions of FLN as a community of inquiry (CoI) to support entrepreneurial knowledge acquisition. Our research strategy was a single embedded case study with the units of analysis consisting of 12 micro-firms within the local meat industry in Norway. In retrospective in-depth interviews, founder-managers reflected on their learning from others from participation in a local-food learning network. Three main themes emerged from our analysis, reflecting the informal regulating mechanisms for knowledge sharing and how entrepreneurs acquired new entrepreneurial knowledge: (1) cultural norms stabilising the community of inquiry, (2) engagement in the practices of others regulates access to community knowledge and (3) from community inquiry to individual entrepreneurial knowledge. Based on these themes, we built a conceptual framework showing informal knowledge-sharing mechanisms and the individual micro-entrepreneurs’ entrepreneurial knowledge acquisition in a CoI. Our study contributes to the research stream on social entrepreneurial learning and how learning from others in a CoI enhances entrepreneurial learning.
The investigation of inclined AFT wall cavities in a circular scramjet combustor
Authors: Relangi Naresh , Ingenito Antonella , Jeyakumar Suppandipillai
Published: March 2022

Achieving good mixing with high combustion efficiency, stable flame holding, and low stagnation pressure losses are still open issues in supersonic reacting flows. Mixing and vorticity in supersonic flows are mainly driven by the baroclinic term that is correlated to the density and pressure gradients. An increase of the baroclinic term has been observed to strongly depend on shock waves arising within the combustion chamber. This work numerically investigated the interaction between the fuel jet and the air stream as a function of the aft wall angle inclination. In fact, this parameter has a primary impact on the shock wave inclination arising from the cavity leading edge and therefore on the baroclinic term. Four different combustor geometries have been investigated: without cavity and with three different aft wall inclinations (90°–15°, 60°–15°, 30°–15°). 3D RANS numerical simulations showed that the primary ramp angle has a critical impact on the fuel-air mixing and consequently on the combustion efficiency. A correlation between the combustor geometry and the shock angle inclination has been proposed. Greater combustion efficiency, homogeneous H2O, and temperature distribution across the combustor are found with the 30–15 aft wall cavity configuration. Lowering the primary aft wall of the cavity from 90° to 30°, resulted in the rising of a stronger bow shock, extended recirculation volume within the cavity, and increased fuel-air mixing.
Text Message Intervention for Latino Adults to Improve Diabetes Outcomes
Authors: Patton Sharon R. , Coffman Maren J. , De Haven Mark J. , Miller Cindy , Krinner Lisa M.
Published: March 2022

Introduction: Determine the effectiveness of a diabetes text message intervention to improve diabetes outcomes in Latino adults at a free clinic in the southeastern United States. Methods: A pre–post, one-group design was used with a convenience sample ( n = 24) of Latino adults with type 2 diabetes and A1C ≥ 7 who consented to participate. Over 8 weeks, participants were sent 23 educational and motivational text messages that were based on the American Association of Diabetes Educators (AADE) 7 self-care tasks and the American Diabetes Association (ADA) Standards of Medical Care in Diabetes Mellitus (DM). Diabetes knowledge, self-efficacy, self-care, and A1C were measured. Results: Diabetes knowledge, self-efficacy, self-care, and A1C improved after 8 weeks. Statistically significant results ( p < .05) were seen in two of the four evaluation instruments administered (Spoken Knowledge in Low Literacy in Diabetes Scale [SKILLD], p = .001, Diabetes Self-Efficacy Scale [DSES], p = .000). A1C improvements were significant (0.86 or 10 mmol/mol) from the pre-intervention ( M = 9.06 [76 mmol/mol], SD = 1.49) to the post-intervention ( M = 8.20 [66 mmol/mol], SD = 1.27, t [23] = 3.02, p = .006). Conclusion: Personalized communication, education, and follow-up via text messages improved diabetes knowledge, self-efficacy, self-care, and A1C among pilot project participants. Text messages are a useful tool for diabetes management.
Far Cry 5, American Right-Wing Terrorism, and Doomsday Prepper Culture
Authors: Green Amy M.
Published: March 2022

The article explores Far Cry 5’scommentary on the rise of the radical right, domestic terrorism, and extremism in America. The game's two primary modes for this narrative critique involve its use of Christian symbolism and its exploration of doomsday prepper culture. What emerges from this analysis is that Far Cry 5 provides a harrowing reckoning in the rise of extremist thought in this country and its ramifications, one that is a timely reflection of current American culture. In Far Cry 5, America becomes the next great empire poised to fall throughout the game and finally, in its tense final sequences, succumbs to nuclear annihilation.
Transiting Out of Full-Time National Service: A Qualitative Study of Barriers and Motivators of Weight Change in Young Adult Men in Singapore
Authors: Chong Mary Foong-Fong , Lim Hui Xian , Wong Beverly W. X. , Chi Zi Han , Inthujaa J. K. , Müller-Riemenschneider Falk , Cheon Bobby K. , Gorny Alexander W. , Chia Kee Seng
Published: March 2022

Higher prevalence of obesity in men compared with women, particularly among those 18 to 40 years of age, has been observed in Singapore. We explored young men’s perceptions of weight change after transiting out of National Service (NS) over a 12-month period and sought to understand the underlying drivers. In-depth interviews, guided by the Health Belief Model (HBM), were conducted with young men 12 months after they had completed full-time NS. Six constructs from the HBM, namely, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and perceived self-efficacy, were utilized to guide the analysis. Thematic analysis revealed that participants generally perceived a gain in body weight after the transition and attributed this to decreased exercise-related physical activity (PA) levels and increased consumption of unhealthy food. However, many did not display immediate concerns nor view leading a healthy lifestyle as priority, citing time constraints, inertia to comply, or lack of access to sports facilities and healthy food options as barriers. Healthy lifestyle behaviors, mainly PA, were mostly pursued for physical health and appearance. Motivators toward a healthy lifestyle tended to be internal factors such as self-motivation, personal preference, and habit, whereas external motivators included peer or familial influence and environmental factors. Our findings align with key concepts of the HBM and suggest a need to educate young men transiting out of NS on lifestyle, weight, and health, in particular addressing their misconceptions.
Patterns of instruction in Finnish and Norwegian lower secondary mathematics classrooms
Authors: Luoto Jennifer Maria , Klette Kirsti , Blikstad-Balas Marte
Published: March 2022

This paper focuses on patterns of instructional practices in mathematics classrooms in two Nordic contexts, Finland and Norway. While sharing some key features in terms of ways of organizing schooling and education, these two contexts also exhibit interesting differences in instruction at the classroom level. In using a standardized coding manual to systematically analyze features of instruction in 16 classrooms, eight in Helsinki, and eight in Oslo, we found that whole-class instruction dominated in Oslo, and individual seatwork was the main instructional activity in Helsinki. Instruction in Helsinki showed more evidence of clear instructional explanations, connection of new knowledge to existing knowledge, and explicit learning goals; Oslo students had greater opportunities to participate in classroom discourse and peer discussions. This study contributes to the understanding of how similar contexts enact distinct instructional patterns in the classroom, and how these can be related to the aspects of instructional quality.
First pass effect in posterior circulation occlusions: Analysis from the CICAT registry
Authors: Terceño Mikel , Silva Yolanda , Bashir Saima , Chamorro Ángel , Pérez de la Ossa Natalia , Hernandez-Pérez María , Castaño Carlos , Camps-Renom Pol , Wenger Denisse , Cardona Pere , Molina Carlos , Rodríguez-Campello Ana , Cánovas David , Purroy Francisco , Salvat-Plana Mercè , Serena Joaquín
Published: March 2022

Background:

The first pass effect (FPE) is an independent predictor of functional independence in patients with large vessel occlusion in anterior circulation ischemic strokes. However, whether it predicts outcome in posterior circulation large vessel occlusion (PC-LVO) is uncertain. We aimed to study the frequency, characteristics, and predictors of FPE and its association with clinical outcomes in PC-LVO.

Method:

We performed an analysis from the prospective CICAT Registry. All patients with PC-LVO who underwent endovascular therapy between January 2016 and January 2020 were included. A centrally assessed clinical follow-up was performed at 3 months by blinded investigators. FPE was defined as the achievement of modified Thrombolysis In Cerebral Infarction 3 in a single pass of the endovascular thrombectomy device, and multi-pass effect (MPE) if it was achieved in more than one pass. A multivariable analysis was performed to identify whether FPE is an independent predictor of functional independence defined as a modified Rankin Score of 0–2.

Results:

We analyzed data from 265 patients in who FPE was achieved in 105 (39.6%). Patients with FPE were more likely to achieve functional independence compared to the non-FPE group (52.4% vs 25.1%, p < .001) and the MPE group (52.4% vs 26.7%, p < .001). FPE was independently associated with functional independence (adjusted odds ratio (aOR): 2.10, 95% confidence interval (CI) 1.01-4.37) but MPE was not (aOR: 0.92, 95% CI 0.40-2.13). Independent predictors of FPE were the use of direct aspiration, embolic mechanism of stroke, and the absence of general anesthesia (GA) use.

Conclusions:

FPE is an independent predictor of functional independence in PC-LVO and was associated with a significantly better outcome than MPE.
Spontaneous spinal cord infarction in Austria: a two-center comparative study
Authors: Pikija Slaven , Kunz Alexander B. , Nardone Raffaele , Enzinger Christian , Pfaff Johannes A.R. , Trinka Eugen , Seifert-Held Thomas , Sellner Johann
Published: March 2022

Background:

Spinal cord infarction (SCI) is a neurological emergency associated with high rates of persistent neurological deficits. Knowledge about this rare but potentially treatable condition needs to be expanded.

Objective:

To describe the characteristics of spontaneous SCI in a large retrospective series of patients treated at two tertiary care centers in Austria.

Methods:

We performed a descriptive and comparative analysis of spontaneous SCI treated at the University Hospitals of Salzburg and Graz between the years 2000 and 2020. The analysis included pre- and in-hospital procedures, clinical presentation, etiology, diagnostic certainty, reperfusion therapy, and functional outcome at discharge.

Results:

We identified 88 cases, 61% were ascertained in the second half of the study period. The median age was 65.5 years [interquartile range (IQR) = 56–74], 51.1% were women. Anterior spinal artery infarction was the predominant syndrome (82.9%). Demographics, vascular comorbidities, and clinical presentation did not differ between the centers. The most frequent etiology and level of diagnostic certainty were distinct, with atherosclerosis (50%) and definite SCI (42%), and unknown (52.5%) and probable SCI (60%) as front runners in Salzburg and Graz, respectively. Patients arrived after a median of 258.5 min (IQR = 110–528) at the emergency room. The first magnetic resonance imaging (MRI) of the spinal cord was performed after a median of 148 min (IQR = 90–312) from admission and was diagnostic for SCI in 45%. Two patients received intravenous thrombolysis (2.2%). The outcome was poor in 37/77 (48%).

Conclusion:

Demographics, clinical syndromes, and quality benchmarks for spontaneous SCI were consistent at two Austrian tertiary care centers. Our findings provide the foundation for establishing standards for pre- and in-hospital care to improve outcomes.
Longitudinal changes in home-based arts engagement during and following the first national lockdown due to the COVID-19 pandemic in the UK
Authors: Bu F , Mak HW , Bone JK , Fancourt D
Published: March 2022

Aims:

This study aimed to examine potential heterogeneity in longitudinal changes in home-based arts engagement during the first national lockdown and following gradual easing of restrictions in the UK. Furthermore, it sought to explore factors that were associated with patterns of longitudinal changes in home-based arts engagement.

Method:

Data were from the UCL COVID-19 Social Study. The analytical sample consisted of 29,147 adults in the UK who were followed up for 22 weeks from 21 March to 21 August 2020. Data were analysed using growth mixture models.

Results:

Our analyses identified five classes of growth trajectories. There were two stable classes showing little change in arts engagement over time (64.4% in total), two classes showing initial increases in arts engagement followed by declines as restrictions were eased (29.8%), and one class showing slight declines during strict lockdown followed by an increase in arts engagement after the easing of restrictions (5.9%). A range of factors were found to be associated with class membership of these arts engagement trajectories, such as age, gender, education, income, employment status, and health.

Conclusion:

There is substantial heterogeneity in longitudinal changes in home-based arts engagement. For participants whose engagement changed over time, growth trajectories of arts engagement were related to changes in lockdown measures. These findings suggest that some individuals may have drawn on the arts when they needed them the most, such as during the strict lockdown period, even if they usually had lower levels of arts engagement before the pandemic. Overall, our results indicate the importance of promoting arts engagement during pandemics and periods of lockdown as part of public health campaigns.
Systematic review on the effects of the physical and social aspects of community pharmacy spaces on service users and staff
Authors: Dhital R , Sakulwach S , Robert G , Vasilikou C , Sin J
Published: March 2022

Aim:

This systematic review aimed to provide new insights into how pharmacy spaces, or the architecture of pharmacies, are experienced by pharmacy service users and staff. The review sought to identify environmental factors which may influence service users’ and staff participation in community-based pharmacy health services.

Method:

Ten databases were searched for English language publications, using a combination of search terms relating to pharmacy service users and staff; pharmacy spaces; and health and social care outcomes. Data from the final selected studies were extracted, thematically analysed using a narrative approach and the quality of each study assessed using the Integrated quality Criteria for the Review of Multiple Study designs (ICROMS).

Results:

80 articles reporting 80 studies published between 1994 and 2020 were identified; they were from 28 countries, involving around 3234 community pharmacies, 13,615 pharmacy service users, 5056 pharmacists and 78 pharmacy health staff. Most studies (94%) met the ICROMS minimum score, and half did not meet the mandatory quality criteria. Four themes likely to influence service users’ and staff experiences of pharmacy health services were identified: (1) privacy; (2) experience of the physical environment; (3) professional image; and (4) risk of error.

Conclusion:

To optimise the delivery and experience of pharmacy health services, these spaces should be made more engaging. Future applied research could focus on optimising inclusive pharmacy design features.
Foliar Essential Oil of White Fir (Abies concolor (Gordon) Lindl. ex Hildebr.): Chemical Composition and Enantiomeric Distribution
Authors: Swor Kathy , Poudel Ambika , Rokaya Anil , Satyal Prabodh , Setzer William N.
Published: March 2022

Members of the Abies genus (Pinaceae) have been used in traditional medicines in their natural ranges, and essential oils derived from Abies species have found use in aromatic therapy. In this work, the foliar (leaves and twigs) essential oil of Abies concolor have been obtained from mature trees growing in southwestern Idaho and analyzed using gas chromatographic techniques. The essential oils were rich in α-pinene (15.2-20.5%), camphene (7.5-10.2%), β-pinene (24.2-25.6%), δ-3-carene (5.5-6.5%), limonene (5.4-6.9%), and bornyl acetate (14.6-22.1%). The dominant enantiomers for the major terpenoids were (+)-α-pinene, (–)-camphene, (–)-β-pinene, (+)-δ-3-carene, (–)-limonene, and (–)-bornyl acetate. The essential oil compositions are qualitatively similar to other Abies species, but the enantiomeric distributions for α-pinene, β-pinene, and camphene did reveal notable variation between Abies essential oils.
Elevated Intracranial Pressure After Primary Surgical Correction of Sagittal Suture Craniosynostosis
Authors: Dibbs Rami P. , Ferry Andrew M. , Davies Lesley , Bauer David F. , Buchanan Edward P. , Beh Han Zhuang
Published: March 2022

Study Design: A Case Report.

Objective: Craniosynostosis is a craniofacial condition defined by premature fusion of at least one cranial suture. Resynostosis or secondary craniosynostosis of a previously patent adjacent suture following primary repair is a relatively common complication. While studies have assessed the rates of secondary craniosynostosis and subsequent reoperation, extremely limited data regarding reoperation techniques is available.

Methods: We present a unique case of a pediatric patient with sagittal craniosynostosis who previously underwent a modified pi procedure and later developed resynostosis of the sagittal suture and secondary synostosis of the bicoronal sutures. We subsequently performed total cranial vault reconstruction with virtual surgical planning (VSP).

Results: At his 31-month postoperative follow-up, he displayed normal head shape and denied any clinical signs of elevated intracranial pressures with a normal ophthalmological exam.

Conclusions: The reoperation was successful with no significant postoperative complications noted. Performing geometric expansion with VSP to manage fusion of a previously open suture following primary treatment of sagittal synostosis should be considered within the armamentarium of operative options.
Strategy for improving cell-mediated vascularized soft tissue formation in a hydrogen peroxide-triggered chemically-crosslinked hydrogel
Authors: Wei Shih-Yen , Chen Tzu-Hsuan , Kao Feng-Sheng , Hsu Yi-Jung , Chen Ying-Chieh
Published: March 2022

The physically-crosslinked collagen hydrogels can provide suitable microenvironments for cell-based functional vascular network formation due to their biodegradability, biocompatibility, and good diffusion properties. However, encapsulation of cells into collagen hydrogels results in extensive contraction and rapid degradation of hydrogels, an effect known from their utilization as a pre-vascularized graft in vivo. Various types of chemically-crosslinked collagen-based hydrogels have been successfully synthesized to decrease volume contraction, retard the degradation rate, and increase mechanical tunability. However, these hydrogels failed to form vascularized tissues with uniformly distributed microvessels in vivo. Here, the enzymatically chemically-crosslinked collagen-Phenolic hydrogel was used as a model to determine and overcome the difficulties in engineering vascular networks. Results showed that a longer duration of inflammation and excessive levels of hydrogen peroxide limited the capability for blood vessel forming cells-mediated vasculature formation in vivo. Lowering the unreacted amount of crosslinkers reduced the densities of infiltrating host myeloid cells by half on days 2–4 after implantation, but blood vessels remained at low density and were mainly located on the edge of the implanted constructs. Co-implantation of a designed spacer with cell-laden hydrogel maintained the structural integrity of the hydrogel and increased the degree of hypoxia in embedded cells. These effects resulted in a two-fold increase in the density of perfused blood vessels in the hydrogel. Results agreed with computer-based simulations. Collectively, our findings suggest that simultaneous reduction of the crosslinker-induced host immune response and increase in hypoxia in hydrogen peroxide-triggered chemically-crosslinked hydrogels can effectively improve the formation of cell-mediated functional vascular networks.
Testosterone concentrations and prescription patterns of 1% testosterone gel in transgender and gender diverse individuals
Authors: Nolan Brendan J. , Zwickl Sav , Wong Alex F. Q. , Locke Peter , Simpson Satu , Li Ling , Zajac Jeffrey D. , Cheung Ada S.
Published: March 2022

Background:

Masculinising hormone therapy with testosterone is used to align an individual’s physical characteristics with their gender identity. Standard testosterone doses and formulations recommended for hypogonadal cisgender men are typically administered, although there are currently limited data evaluating the use of 1% testosterone gel in gender-affirming hormone therapy regimens.

Objectives:

The objective of the study was to assess the prescription patterns and serum total testosterone concentrations achieved with 1% testosterone gel in trans and gender diverse individuals.

Materials and Methods:

A retrospective cross-sectional analysis was undertaken of trans individuals at a primary and secondary care clinic in Melbourne, Australia. Sixty-seven individuals treated with 1% testosterone gel were included. Primary outcomes were testosterone dose and serum total testosterone concentration achieved.

Results:

Median age was 25 (22–30) years and median duration of testosterone therapy was 12 (7–40) months. Thirty-five (52%) individuals had a nonbinary gender identity. Initial median testosterone dose was 25 mg (12.5–31.3) daily. Fifty-two (78%) individuals commenced doses <50 mg daily, the recommended starting dose for hypogonadal cisgender men. Median total testosterone concentration achieved was 11.9 nmol/l (7.3–18.6). Polycythaemia (haematocrit >0.5) was documented in eight of 138 (6%) laboratory results in six individuals.

Discussion and Conclusions:

One percent testosterone gel achieves serum total testosterone concentrations in the cisgender male reference range. A high proportion of individuals had a nonbinary gender identity and most individuals commenced a lower dose than that typically administered to hypogonadal cisgender men, potentially related to slow or ‘partial’ masculinisation goals.
Ten-year trends in adverse drug reaction–related hospitalizations among people with dementia
Authors: Zaidi Anum Saqib , Peterson Gregory M. , Bereznicki Luke R.E. , Curtain Colin M. , Salahudeen Mohammed S.
Published: March 2022

Aim:

Trends in the incidence of adverse drug reaction (ADR)–related hospitalizations have been studied in the general population, but not specifically in people with dementia. This study aimed to investigate trends in the incidence of ADR-related hospitalizations among people with dementia, and identify the most commonly implicated drugs and diagnoses in these admissions.

Methods:

This study utilized the administrative data of all adults admitted to the four major public hospitals of Tasmania, Australia, with a primary or secondary diagnosis of dementia from July 2010 to December 2019. ADR-related hospitalizations were identified by using diagnosis-based and external cause codes. The Cochran–Armitage test was used to examine trends in the incidence of ADR-related hospitalizations.

Results:

Of the 7552 people with dementia admitted to the hospital at least once within the study period, 1775 (23.5%) experienced at least one ADR-related hospitalization. The estimated annual incidence of ADR-related hospitalizations increased 18% (1484–1760 per 100,000 population with dementia, p for trend <0.05) from 2010 to 2019. For those ADR-related admissions with a drug code recorded, 19.3% were due to antithrombotics and 11.5% to antihypertensives. The most frequent ADR-related admission diagnoses were renal diseases (72.9%). Length of hospital stay and in-hospital mortality were both significantly greater for ADR-related, relative to non-ADR-related, admissions (median 7 versus 5 days and 11% versus 6.7%, respectively; p < 0.001).

Conclusion:

The annual incidence of ADR-related hospitalizations in people with dementia increased between 2010 and 2019. Antithrombotics were the most commonly implicated drug class. The ADR-related hospitalizations were associated with increased length of stay and greater mortality.

Plain Language Summary

Adverse drug reaction–related hospitalizations among people with dementia

Introduction:

This study aimed to investigate trends in hospitalizations associated with medication problems among people with dementia, and identify the most commonly implicated drugs and diagnoses in these admissions.

Methods:

This study utilized the administrative data of all adults admitted to the four major public hospitals of Tasmania, Australia, with dementia from July 2010 to December 2019.

Results:

The annual incidence of hospitalizations associated with medication problems among people with dementia increased nearly 20% over 10 years. The length of hospital stay and in-hospital mortality were significantly greater for hospitalizations related to medication problems.

Conclusion:

The incidence of hospitalizations associated with medication problems in people with dementia increased between 2010 and 2019.
The meaning of health among newly arrived immigrants: A qualitative study from stakeholders’ perspectives
Authors: Ekstrand Per , Tegnestedt Charlotta , Schuster Marja , Eriksson Henrik , Hägg-Martinell Ann , Larsen Joacim
Published: March 2022

Good health is a prerequisite for individuals to function in everyday life. The same applies to newly arrived immigrants, where good health is crucial for successful establishment. The aim of this study was to describe stakeholders’ experiences of how newly arrived immigrants’ health affects their opportunities to establish themselves in society. The study had a qualitative design where open-ended questions were analysed following Braun and Clarke’s guidelines for conducting a qualitative thematic analysis. The results consist of three themes: Mental health problems, disabilities, and tormenting concerns about absent family members; A precarious life situation related to housing, education, and income; and Deficiencies in responding to health challenges in organisations and in society. Stakeholders face health problems among newly arrived immigrants that they do not have the right skills to deal with. We argue for the presence of nurses in organisations working with newly arrived immigrants, and that nurses’ competence is necessary to capture their needs.
Double Switch in Congenitally Corrected Transposition of the Great Arteries With Incomplete Atrioventricular Septal Defect, Ebsteinoid Tricuspid Valve, Ventricular Outflow Tract Obstructions, and Multiple VSDs
Authors: Najm Hani K. , Tucker Dominique , Patel Viral , Karamlou Tara , Oh Nicholas A.
Published: March 2022

We describe the management of a 2 month-old male (BSA 0.27 m2) with congenitally corrected transposition of the great arteries (CCTGA), left and right ventricular outflow tract obstruction, incomplete atrioventricular (AV) canal defect, Ebsteinoid left AV valve, and multiple VSDs. In short, the patient presented with respiratory failure, metabolic acidosis with worsening AV valve regurgitation, and acute decompensation from pulmonary overcirculation. We performed a complex double switch operation described below. Despite the unique anatomical complexities, the patient’s successful course demonstrates the importance of multidisciplinary discourse, preoperative imaging and planning, and intraoperative decision making from patient selection to anatomic repair.
Risk Factors for Perioperative Hidden Blood Loss After Intertrochanteric Fracture Surgery in Chinese Patients: A Meta-Analysis
Authors: Wang Tao , Guo Junfei , Hou Zhiyong
Published: March 2022

Study Design

A meta-analysis

Introduction

To perform a meta-analysis to explore the risk factors of perioperative hidden blood loss (HBL) in the treatment of intertrochanteric fracture for Chinese patients.

Significance

An extensive search of the literature was performed in the English databases of PubMed, Embase, and Cochrane Library and the Chinese databases of CNKI and WAN FANG (up to July 2021). We collected factors including demographic data and surgical factors. Data analysis was conducted with RevMan 5.3 and STATA 12.0.

Results

Finally, we collected 7 studies including 1377 patients in the final analysis. In our study, female patients ( P <.00001), hypertension ( P =.008), time from injury to operation (<2 days, P =.02), operation time (≥60 mins, P =.001), fracture type (A2.2 to A3.3, P <.00001), and without anticoagulation ( P <.00001) were found to be associated with perioperative HBL in Chinese patients receiving the treatment of the intertrochanteric fracture. However, anesthesia, ASA classification, and body mass index were not associated with perioperative HBL.

Conclusions

In our study, female patients, hypertension, time from injury to operation (<2 days), operation time (≥60 mins), fracture type (A2.2 to A3.3), and without anticoagulation were related to increased risks of perioperative HBL in Chinese patients receiving the treatment for the intertrochanteric fracture. We hope this article can guide for surgeons to reduce perioperative HBL as far as possible in the treatment of intertrochanteric fracture.
Evidence-Based School Counseling: Embracing Challenges/Changes to the Existing Paradigm
Authors: Zyromski Brett , Dimmitt Carey
Published: March 2022

This special edition of Professional School Counseling presents some of the key proceedings from the ninth annual Evidence-Based School Counseling Conference. This article offers both an overview of the content of this issue and—in this complex world context we now inhabit—new ideas for ways to use evidence-based school counseling (EBSC) to support the emotional well-being and future success of our students, families, and school colleagues. We include some possible ways to do antiracist and social justice-focused school counseling from an EBSC lens and offer several suggestions for updates to the EBSC lens itself.
School Counselor Consultation Effects on Teachers’ Mindfulness, Stress, and Relationships
Authors: Molina Citlali E. , Lemberger-Truelove Matthew E. , Zieher Almut K.
Published: March 2022

In this randomized controlled trial, we explored the effects of a combined mindfulness and social/emotional learning (SEL) school counselor consultation intervention. Participants included a diverse sample of 30 secondary educators teaching in Title 1 school districts. Participants received 5 weeks of consultation based on mindfulness and SEL. Results of hierarchical linear regressions revealed statistically significant improvement in teachers’ mindfulness disposition of acting with awareness. Further, results indicated a practically significant decrease in teacher-reported stress and conflict in the student–teacher relationship. We discuss implications for offering direct services to teachers through consultation with school counselors as a way of providing indirect services to students. Results of this study illustrate how teachers might benefit from school counselor consultation that supports their use of mindfulness strategies and SEL skills in coping with the demands of teaching and in building relationships with students.
Untangling the Adverse Effect of SNS Stressors on Academic Performance and Its Impact on Students’ Social Media Discontinuation Intention: The Moderating Role of Guilt
Authors: Masood Ayesha , Luqman Adeel , Feng Yang , Shahzad Fakhar
Published: March 2022

In recent research on information systems (IS), the advantages of social networking sites (SNS) in the education field have received widespread attention. However, excessive use of SNSs will negatively impact students academic performance, leading to the discontinuation intentions of social media. Therefore, this study aims to investigate an extended research model drawing on the stress-strain-outcome (SSO) theory and transactional model of stress to examine the adverse effect of SNS stressors on academic performance. The required data from the target population was collected through a structured questionnaire. The valid sample size of this study was n = 505 respondents. The data were analyzed using structural equation modeling (SEM) in AMOS (version 23.0) to examine the study hypotheses. The results confirmed that the SNS stressors, namely, social overload, information overload, and system feature overload, induce strain in terms of poor academic performance by generating feelings of guilt. It also unravels the effect of guilt feelings on discontinuance intention indirectly. This study offers imperative theoretical and practical implications.
How Perceived Organizational Obstruction Influences Job Satisfaction: The Roles of Interactional Justice and Organizational Identification
Authors: Koçak Daimi , Kerse Gökhan
Published: March 2022

In this study, the concept of perceived organizational obstruction was discussed and the results of the perception of obstruction were determined with reference to social exchange theory perspective. In this context, we tested a moderated mediation model that examines organizational identification as the mediator and interactional justice as the moderator in the relationship between perceived organizational obstruction and job satisfaction. Research data were obtained through the survey technique from 293 employees of a hospital in Turkey. In the findings of the analysis, it was observed that organizational identification has a mediating effect on the relationship between perceived organizational obstruction and job satisfaction. In addition, it was determined that interactional justice has a moderator effect on the relationship between perceived organizational obstruction and organizational identification. Furthermore, results supported the moderated mediation model and showed that the indirect effect of perceived organizational obstruction on job satisfaction through organizational identification was stronger under low interactional justice than under high interactional justice. Theoretical and practical implications are discussed.
Investigating the Asymmetric Effect of Oil Price on the Economic Growth in Malaysia: Applying Augmented ARDL and Nonlinear ARDL Techniques
Authors: Kriskkumar Karunanithi , Naseem Niaz Ahmad Mohd , Azman-Saini Wan Ngah Wan
Published: March 2022

This paper attempts to investigate if the effect of oil price on growth is asymmetrical for Malaysia, a small-open-dynamic oil-exporting country, over a period from 1981 to 2017. The empirical method employed in this study is the augmented autoregressive distributed lag model (ARDL) bound test approach and the recent innovative nonlinear autoregressive distributed lag (NARDL) model. Results suggest that neglecting nonlinearities can lead to misleading results. More precisely, the result reveals that adjustments in the price of oil influence Malaysia’s economic growth asymmetrically. An increase and decrease in the price of oil strengthen the economic growth of Malaysia, demonstrating Malaysia’s ability to be both an oil-producing country and a trading nation. These results strongly imply that Malaysia is able to take advantage of changes in the oil price efficiently.
Transgender Equity in the Workplace: A Systematic Review
Authors: Davis Nickolas B. , Yeung Stephen T.
Published: March 2022

Within the workplace, employees face many job challenges. Those who identify as transgender may face many adverse job outcomes because of a lack of equity in the workplace. This lack of equity may be the result of a lack of trans-inclusive non-discrimination policies and laws. Additionally, trans-inclusive organizational cultures are not uniform across the spectrum of employment. Studies have shown the workplace challenges faced by many transgender individuals; however, the current knowledge base is lacking. This study contributes to the existing knowledge base by conducting a systematic review of existing literature and proposing the initial stages of developing a conceptual model to better understand how transgender equity can be achieved in the workplace. It is the hope that this review will stimulate further research into this area.
Stakeholder Engagement in the Generation of Urban Ecosystem Services: The Case of the Vuores Stormwater System
Authors: Kujala Johanna , Heikkinen Anna , Jokinen Ari , Tapaninaho Riikka
Published: March 2022

This case study examines how stakeholder engagement supports the process of generating urban ecosystem services. As our empirical case, we study the Vuores stormwater system in a new urban residential district in Finland. The Vuores site is interesting and valuable for a case study, as it is one of the most comprehensive urban stormwater systems in Finland and it generates a variety of ecosystem services. The empirical data consists of interviews with 10 planners and designers of the Vuores site, representing both public and private organizations. Qualitative content analysis is used in the data analysis. The findings of the study present how the key stakeholders, namely business organizations, the public sector and the local community, engage within the case. The case study provides a deep understanding of stakeholder engagement, that is, the aims, practices and outcomes of stakeholder relationships, in the process of generating urban ecosystem services.