bluuebunny/crossref_metadata_2025 huggingface dataset:
Radiologic Assessment of the Sinonasal Tract, Nasopharynx and Mastoid Cavity in Patients with SARS-Cov-2 Infection Presenting with Acute Neurological Symptoms
Authors: Moonis Gul , Mitchell Ryan , Szeto Betsy , Lalwani Anil K.
Published: February 2021

Background:

Acute neurological sequela in patients with COVID-19 infection include acute thromboembolic infarcts related to cytokine storm and post infectious immune activation resulting in a prothrombotic state. Radiologic imaging studies of the sinonasal tract and mastoid cavity in patients with COVID-19 infection are sparse and limited to case series. In this report, we investigate the radiologic involvement of nasal cavity, nasopharynx, paranasal sinuses, and mastoid cavity in patients with SARS-CoV-2 infection who presented with acute neurological symptoms.

Methods:

Retrospective review of medical records and neuroradiologic imaging in patients diagnosed with acute COVID-19 infection who presented with acute neurological symptoms to assess radiologic prevalence of sinus and mastoid disease and its correlation to upper respiratory tract symptoms.

Results:

Of the 55 patients, 23 (42%) had partial sinus opacification, with no evidence for complete sinus opacification. The ethmoid sinus was the most commonly affected (16/55 or 29%). An air fluid level was noted in 6/55 (11%) patients, most commonly in the maxillary sinus. Olfactory recess and mastoid opacification were uncommon. There was no evidence of bony destruction in any of the studies, Cough, nasal congestion, rhinorrhea, and sore throat were not significantly associated with any radiological findings.

Conclusion:

In patients who present with acute neurological symptoms, COVID-19 infection is characterized by limited and mild mucosal disease within the sinuses, nasopharynx and mastoid cavity.

Level of Evidence:

4
Nonprofits as socially responsible actors: Neoliberalism, institutional structures, and empowerment in the United Nations Global Compact
Authors: Lim Alwyn
Published: February 2021

Nonprofit and nongovernmental organizations have become prominent participants in a global organizational responsibility movement. This trend of nonprofit responsibility is puzzling because nonprofits are presumably already dedicated to the pursuit of collective well-being objectives. This article examines the nonprofit responsibility movement from a cultural perspective, whereby broader cultural changes at the level of international organizations have constructed nonprofit entities as empowered and socially responsible actors. Using the case of the United Nations Global Compact, a global framework for corporate social responsibility, the author shows how (1) the construction of cultural meanings of autonomy and decentralization in the neoliberal context, (2) existing institutional structures, and (3) the delegation of responsibility to nonprofit organizations have enabled nonprofit organizations to become active participants in the global organizational responsibility movement. This article utilizes documentary data from the United Nations as well as previously-existing interviews with United Nations officials.
The Role of Cue-Based Strategies in Skilled Diagnosis Among Pathologists
Authors: Carrigan Ann J. , Charlton Amanda , Foucar Elliott , Wiggins Mark W. , Georgiou Andrew , Palmeri Thomas J. , Curby Kim M.
Published: February 2021

Objective

This research was designed to test whether behavioral indicators of pathology-related cue utilization were associated with performance on a diagnostic task.

Background

Across many domains, including pathology, successful diagnosis depends on pattern recognition that is supported by associations in memory in the form of cues. Previous studies have focused on the specific information or knowledge on which medical image expertise relies. The target in this study is the more general ability to identify and interpret relevant information.

Method

Data were collected from 54 histopathologists in both conference and online settings. The participants completed a pathology edition of the Expert Intensive Skills Evaluation 2.0 (EXPERTise 2.0) to establish behavioral indicators of context-related cue utilization. They also completed a separate diagnostic task designed to examine related diagnostic skills.

Results

Behavioral indicators of higher or lower cue utilization were based on the participants’ performance across five tasks. Accounting for the number of cases reported per year, higher cue utilization was associated with greater accuracy on the diagnostic task. A post hoc analysis suggested that higher cue utilization may be associated with a greater capacity to recognize low prevalence cases.

Conclusion

This study provides support for the role of cue utilization in the development and maintenance of skilled diagnosis amongst pathologists.

Application

Pathologist training needs to be structured to ensure that learners have the opportunity to form cue-based strategies and associations in memory, especially for less commonly seen diseases.
Grape wine in ancient and early Medieval India: The view from the centre
Authors: McHugh James
Published: February 2021

Grape wine is not mentioned in our earliest texts from South Asia, the Vedas nor in the epics, yet these texts contain evidence of an established drinking culture based on grain and sugarcane liquors. When did grapes and wine appear in the Indic cultural world and how were they received? Previous scholarship has focused on peripheral, Hellenised, wine-producing regions, like Gandhāra, or on finds of Roman amphorae, thus emphasising possible influences on Indic drinking culture from regions to the West. This article explores wine from the Indian perspective. When did grapes and wine first appear in the Indic textual record and in what contexts? Why did people in India choose to import grape wine when they already had plenty of local drinks? Far from being passively Hellenised, Indic drinking cultures consciously adopted wine-as-foreign. The article considers how this prestigious, somewhat new drink was assigned a place in Indian drinking culture, as well as briefly exploring representations of wine from a grape-producing region, Kashmir. By the first millennium CE, wine was apparently the most prestigious liquor in South Asia, joining grain drinks, sugarcane drinks and betel to constitute a culture of recreational intoxicants that is distinctive in global drug history.
The burden of care and burn out syndrome in caregivers of an Egyptian sample of schizophrenia patients
Authors: Khalil Sherien Ahmed , Elbatrawy Amira Naseeb , Saleh Nermin Mohamed , Mahmoud Dalia Abdel Moniem
Published: February 2021

Background:

The role of caregivers of schizophrenia patients in management and prognosis is crucial, caregivers are considered cornerstones in getting better outcome and quality of life.

Aim:

To assess the burden of care and burn out syndrome in the caregivers of schizophrenia patients and its sociodemographic and clinical correlates.

Methods:

Recruiting all schizophrenia patients and their caregivers who sought help at El Mamoura hospital, Alexandria, Egypt, for assessment of burn out syndrome and burden of care and its sociodemographic and clinical correlates over full 6 months period.

Results:

The study included 120 schizophrenia patient and their 120 caregivers, Zarit Caregiver Burden Interview score was 25.758 ± 7.382, which indicates high burden level. Regarding the Maslach Burnout Inventory results, the mean score of Emotional Exhaustion was 50% of the caregivers have high Emotional Exhaustion scores, 35% have moderate scores; followed by 15% with low scores. The mean score of Depersonalization 46.67% of the caregivers have high (DP) scores, 30.83% have moderate scores; while 22.50% low scores. The mean score of Personal Accomplishment was 62.50% of the caregivers have low scores; 36.67% have moderate scores, while only 0.83% have high scores. Most important correlates were, male patient, positive symptoms, continuous course of illness, noncompliance, living in rural areas, and low family income.

Conclusions:

Levels of Burn out syndrome and burden of care is high in caregivers of schizophrenia patients, caring for caregivers is very important for providing better mental health services, more research is still needed in this field.
Gilding Kepler’s cosmology
Authors: Andrews Noam
Published: February 2021

The article explores Johannes Kepler’s abortive attempts to produce an opulent, decorative art object to accompany the publication of his first treatise, Mysterium Cosmographicum (1596). It was Kepler’s hope that this Credentzbecher, so-called because it was designed to resemble a large, ceremonial chalice, would valorize the significance of what he believed to be an epoch-defining discovery concerning the proportional nature of the planetary intervals and serve as a personal introduction to his local sovereign, Duke Friedrich I of Württemberg (1557–1608). The correspondences of Kepler and his circle, some of which have been reproduced and translated here for the first time, reveal in excruciating detail the struggles to negotiate the demands, and exacting standards, of the Stuttgart court and Kepler’s difficulty working with the local goldsmiths employed by the court to enact his vision. Though met with skepticism and destined for failure, the model, its design, and the misunderstandings its failure revealed, poignantly display the sometimes-insurmountable gap between artisanal knowledge and scientific ambition.
The 1970–1984 lunar laser ranging observations in the Crimean Astrophysical Observatory
Authors: Tryapitsyn V.N. , Pavlov D.A. , Yagudina E.I. , Rumyantsev V.V.
Published: February 2021

The Lunar Laser Ranging (LLR) has been the main method of study of the dynamics of the Sun-Earth-Moon system since 1969 to present. Lunar parts of the three modern high-precision ephemerides of the Solar system bodies are based solely on LLR measurements: DE (USA), EPM (Russia), INPOP (France). LLR measurements allow to determine parameters of lunar orbital and rotational motion, as well as some parameters related to terrestrial and lunar tides, and also fundamental relativistic parameters. Those parameters were determined from LLR with high accuracy by different authors. In USSR, LLR measurements were performed in the Crimean Astrophysical Observatory (CrAO) in Nauchny, on the 2.6 m Shajn’s Zenith telescope (ZTSh) with an automated laser ranging system developed by the Russian Lebedev Physical Institute (LPI). Within the time span of 1969–1984, 1400 measurements were obtained. Unlike LLR measurements done in other observatories, they were eventually forgotten and have not made their way into the dataset that is used by scientists worldwide to build lunar ephemerides and conduct other lunar research. The main reason for writing this paper was the discovery by Tryapitsyn, a researcher at the Katziveli station of CrAO, of old printouts containing the 1970–1984 LLR observations made with the ZTSh 2.6 m telescope. Some details were missing from the printouts, which required careful restoration work. In this paper the history of those LLR observations with surrounding historical events is presented, and some details of the analysis these observations are described. Of particular interest is the finding related to the three normal points of Lunokhod-1 ranges obtained in 1974 that allowed Odile Calame to determine the rover’s position with a few kilometers accuracy. Unfortunately, the accuracy was not sufficient for other researchers to confirm and pin down the location of the rover.
Algol anomaly or careful observations of its brightness? The values recorded for the magnitude of Algol in the medieval astronomical corpus
Authors: Mozaffari S. Mohammad , Drake Jeremy J.
Published: February 2021

The historical evidence from the past two millennia show two problems concerning the star Algol (β Per): First, a critical variation in its brightness from a magnitude m ~ 2 in (1) Ptolemy’s Almagest (2nd century AD) and reported by (2) al-Ṣūfī (10th ct.) through its diminution to m = 4 in (3) the star catalog prepared by the Persian astronomers in service of the Yuan dynasty of China in the 13th ct. to becoming brighter, m = 3, as reported by (4) Ibn al-Shāṭir (14th ct.) and (5) Tycho Brahe (16th ct.). In the early modern period, it returned back to m ~ 2, as reported, for example, by Hevelius and Flamsteed (17th ct.), before the discovery of its periodic variability in 1783. Second, al-Ṣūfī reports it as a red star. We present detailed analyses of the sources (3) and (4) for the test of their accuracy and reliability. Our conservative hypothesis concerning the first problem is that the past astronomers observed the star at various phases of its 3-day period of variability. We reject the reddening to have arisen from the extinction due to either the Earth’s atmosphere or an interstellar medium. For resolving both problems, we instead speculate on astrophysical explanations for the observations. These are: copious dust produced as a result of arrested coronal mass ejections or pulverized planetary debris that resides close to the central binary before being dispersed; and a much-enhanced accretion rate that lead Algol into a W Ser-like state in which the primary was enveloped in an inflated accretion disk. We draw an analogy between the dimming of Algol and the recent dimming of Betelgeuse in order to highlight the value of historical observations for understanding astrophysical phenomena.
The Constitutional Court of South Africa: Thoughts on its 25-Year-Long Legacy of Judicial Activism
Authors: Mathebe Lucky
Published: February 2021

After almost 25 years of what could justifiably be called transformative change in South Africa, a truism is that the country’s new legal order, established by the Constitution in 1993 and 1996, provides the critical foundation of peace and security upon which its freedom has been built. The Constitutional Court was one of the most important of the new democratic institutions in the shaping of the country’s position as a constitutional democracy, upholding the values for which millions of people, black and white, had fought. This article is a brief reflection on the role of the Court in establishing the meaning of this democracy and giving it effect. The main goal of the article is to understand how the Court’s new jurisprudence works in particular contexts, how its work is related to crime and punishment, and what it means for the rights of marginalised groups in society. Using the examples of the Court’s decision in Makwanyane on the death penalty, and the Court’s decision on the findings of the Public Protector’s report on Nkandla, the article finds that the Court’s new jurisprudence takes quite a different view of legal developments in South Africa, insofar as the jurisprudence entrusts broad discretion to the Court and emphasises the need for sustained leadership of the Court to advance the battle for fundamental human rights, the rule of law, and democratic accountability.
The Appointment of Judges: Reflections on the Performance of the South African Judicial Service Commission
Authors: Oxtoby Chris
Published: February 2021

South Africa’s Constitution provides multitudinous examples of clear breaks from past governance structures and practices. Regarding the judiciary, one of many significant changes has been in how judges are appointed. Prior to the onset of constitutional democracy, judges were appointed by the executive, with consultation with the senior judiciary but little or no scope for broader input from any other stakeholders. The Constitution established the Judicial Service Commission (JSC), one of the major functions of which is to recommend the appointment of judges. The JSC was intended to mark a decisive break with the previous appointment system, by creating a broad-based structure that includes politicians, lawyers and judges. The JSC interviews prospective candidates for judicial office in public and provides the opportunity for other stakeholders to engage in the process. This article assesses the performance of the JSC over the first 25 years of South Africa’s constitutional democracy. Several shortcomings will be discussed, including the failure of the commission to develop and apply clear and consistent criteria, challenges with implementing demographic transformation of the judiciary, managing the role of politicians and politics in the judicial appointment process, and an apparent aversion to appointing independently-minded judges, informed at least in part by a restrictive understanding of the principle of the separation of powers.
Regulatory Politics in South Africa 25 Years After Apartheid
Authors: Klaaren Jonathan
Published: February 2021

This paper explores debates and politics over the place of regulatory democracy in contemporary South African constitutionalism. Twenty-five years after the formal legal transition from apartheid, regulatory institutions – by and large not the focus of negotiations in the early 1990s – have increasingly assumed prominence within the South African state. Such organisations and their functions do not fit easily within one ‘branch’ of the classic legal theory of the separation of powers into three parts, namely the judiciary, the legislature, and the executive. A typology of regulatory institutions in the South African polity includes at least four distinct types. The work of these regulatory organisations in formulating and implementing law in post-apartheid South Africa has become significant in politics, especially over the past decade. While the existence and operation of regulatory institutions does not itself comprise the whole of regulatory politics, such organisations do constitute a crucial component of and locus for such politics.
Safeguarding the Republic? The South African Police Service, Legitimacy and the Tribulations of Policing a Violent Democracy
Authors: Lamb Guy
Published: February 2021

Since 1994 the South African Police Service (SAPS) has undertaken various efforts to build legitimacy in South Africa. Extensive community policing resources have been made available, and a hybrid community-oriented programme (sector policing) has been pursued. Nevertheless, public opinion data has shown that there are low levels of public trust in the police. Using Goldsmith’s framework of trust-diminishing police behaviours, this article suggests that indifference, a lack of professionalism, incompetence and corruption on the part of the police, particularly in high-crime areas, have eroded public trust in the SAPS. Furthermore, in an effort to maintain order, reduce crime and assert the authority of the state, the police have adopted militaristic strategies and practices, which have contributed to numerous cases of excessive use of force, which has consequently weakened police legitimacy in South Africa
Governmentality and South Africa’s Edifice of Gender and Sexual Rights
Authors: Lewis Desiree
Published: February 2021

Leading feminist scholars and activists have critiqued the current impact of South Africa’s provisions for gender equality and sexual rights. The country boasts one of the most progressive constitutions in the world, and its formal mechanisms for gender transformation and sexual citizenship are – at a global level – pathbreaking. At the same time, however, violence against women, gender non-conforming people and gays and lesbians or ongoing gender-based injustices in workplaces, educational institutions and many homes testify to the fact that such measures have not transformed ideological beliefs, institutional cultures and power relations in many public and domestic contexts. This article confronts the disjuncture between the formal provision of rights and actual practice, by analysing the effects of provisions devoid of transformative impact. It is argued that the country’s seemingly democratic arrangements for gender justice and sexual citizenship reproduce new forms of governmentality, biopolitics and biopower. By drawing on the work of Jasbir Puar, the article argues that South Africa’s imagining as a democratic state is based largely on its provision of rights around sexuality and gender, and in relation to peripheries that are ‘measured’ by the absence of these. In the global imagining, gender equality and sexual citizenship currently serve as tropes for definitive freedoms and democracy. The recognition of gender equality and sexual citizenship ratifies a particular international understanding of ‘democracy’, one that is congruent with global neoliberal standards, and that actively reproduces the gendered, heteronormative, classist and racist status quo.
Gukurahundi Remembered: The Police, Opacity and the Gukurahundi Genocide in Bulilimamangwe District, 1982–1988
Authors: Dube Thembani
Published: February 2021

The liberation struggle for Zimbabwe culminated in the attainment of independence from the autocratic rule of minority white settlers on 18 April 1980. Peace prevailed only for a short period after independence, followed by a harrowing genocide which affected the Matabeleland and Midlands regions. Much attention has been given to the role of the Fifth Brigade during this genocide. Thus, an emphasis on the actions of the Fifth Brigade soldiers leads us to negate all violence that took place during the period. Therefore, this article seeks to explore the role of the police as partners in crime with the Fifth Brigade during the Gukurahundi genocide. Further, the article raises questions of state opacity and how this was used by the police to eliminate the so-called enemies of the independent state. It draws from interviews conducted with the people of Bulilimamangwe, ex-Zimbabwe People’s Revolutionary Army cadres and ex-policemen who served during the period and other documentary evidence to engage with the role of the police during the genocide.
Evaluation of the relationship between the detectability of seminal stains on laundered fabric and stain age
Authors: Karadayı Şükriye , Karadayı Beytullah , Öner Dilara , Çetin Gürsel
Published: February 2021

In some cases of sexual assault that are not reported to judicial authorities within a certain time, it is important to detect and identify seminal stains on laundered fabrics. In this study, we aimed to reveal the effect of the time from staining to laundering on the detectability and identification of seminal stains on laundered clothes. A total of 180 pieces of fabric (four different colours and five different types) were stained with seminal fluids, and three different lag times (12 hours, 1 week and 1 month) from staining to laundering were used. Three different laundering protocols were applied to these fabrics after staining. The built-in camera of the Mobile Multispectral UV-VIS-IR Imaging System® was used to take photos (1260 in total) of the stains with seven different wavelength and filter options, and the obtained images were evaluated. The Seratec® PSA Semiquant test was used to analyse the presence of prostate-specific antigen (PSA) in the seminal stains laundered after different lag times. We observed that in examining with the forensic light source (FLS) system, the time from staining to laundering affected the detectability of seminal stains on pieces of cloth. The best fluorescence was obtained in the examination of semen-stained fabric with FLS, particularly when the fabric was not laundered for one month after staining. On the other hand, the time from staining to laundering had a more limited effect on PSA test positivity than on the results of the examination with FLS.
The Role of Socio-economic and Female Indicators on Child Mortality Rate in Bangladesh: A Time Series Analysis
Authors: Rahman Mohammad Mafizur , Alam Khosrul
Published: February 2021

This study aims to identify the role of socio-economic and female indicators on child mortality in Bangladesh from the data of 1975 – 2019. A number of econometric techniques of time series analysis like Augmented Dickey-Fuller, Autoregressive Distributive Lag bounds and pair-wise Granger causality tests have been applied to ascertain the desired outcomes. The Augmented Dickey-Fuller test has confirmed that neither series is integrated at level two and the Autoregressive Distributive Lag bounds testing approach has shown the cointegration and short-run and long-run relationship between the variables. Total fertility rate and urbanization have a positive effect, and female education, female life expectancy at birth, and economic growth rate have a negative effect on the child mortality rate. The pair-wise Granger causality test has shown the unidirectional and bidirectional causal relationship among the studied variables. All the outcomes are theoretically consistent and the policy recommendations are made based on findings.
Comparison of Treadmill and Overground Walking in Children and Adolescents
Authors: Jung Taeyou , Kim Yumi , Kelly Luke E. , Wagatsuma Mayumi , Jung Youngok , Abel Mark F.
Published: February 2021

The primary purpose of this study was to compare biomechanical gait variables and perceived gait velocity between overground and treadmill walking conditions among typically developing children and adolescents. Twenty children and adolescents ( Mage = 11.4, SD = 2.9 years) walked overground and on a treadmill at a matched comfortable walking speed while a 3-D motion analysis system captured spatiotemporal and kinematic gait parameters. In order to compare perceived gait velocities, we acquired data at self-selected comfortable and fastest walking speeds. Paired t-tests comparing the children’s speed and gait in these two different walking conditions revealed significantly higher cadence ( p < .001) and shorter stride length ( p < .002), during treadmill versus overground walking. In addition, treadmill walking showed statistically significant differences in joint kinematics of ankle excursion and pelvic rotation excursions ( p < .001). Participants chose slower speeds on the treadmill than for overground walking when they were asked to select their comfortable and fastest walking speeds ( p < .001). Our findings suggest that these differences between treadmill and overground walking in cadence, stride length, and perceived gait velocity should be considered whenever a treadmill is used for gait research within the pediatric population. However, the differences we found in gait kinematics between these two walking conditions appear to be relatively trivial and fell within the common error range of kinematic analysis.
The Impact of Acute Exercise Timing on Memory Interference
Authors: Crawford Lindsay K. , Caplan Jeremy B. , Loprinzi Paul D.
Published: February 2021

This study evaluated whether the timing of acute exercise can attenuate a memory interference effect. Across two experiments, participants completed an AB/AC memory task. Participants studied eight word pairs; four denoted AB (e.g., Hero – Apple) and four control (DE) pairs. Following this List 1, participants studied eight additional word pairs (List 2); four denoted AC, re-using words from the AB pairs (e.g., Hero – Project) and four control (FG) pairs. Following their study of both lists, participants completed a cued recall assessment. In Experiment 1 (N = 100), an acute exercise bout occurred before the AB/AC memory interference task, and the participants’ three lab visits (successive conditions) were control, moderate-intensity (50% HRR; heart rate reserve) exercise, and vigorous-intensity (80% HRR) exercise. In Experiment 2 (N = 68), the acute exercise occurred between List 1 and List 2, and the participants’ two lab visits (successive conditions) were a (80% HRR) vigorous-intensity exercise visit and a control visit. Across both experiments, we observed evidence of both proactive and retroactive interference ( p < .05), but acute exercise, regardless of intensity, did not attenuate this interference ( p > .05). Acute moderate-intensity exercise was better than control or vigorous-intensity exercise in enhancing associative memory ( p < .05), independent of interference. In Experiment 2, vigorous intensity exercise was associated with more pronounced interference ( p < .05). Our results suggest that acute exercise can enhance associative memory performance, with no attenuation of interference by exercise.
Assessing Youth Level of Service/Case Management Inventory Implementation Outcomes: Lessons from Five Diverse Pennsylvania Counties
Authors: Miller Joel , Maloney Carrie , Harding Courtney S. , Palmer Krissinda , Brey Jesse , Sandoval Juan R.
Published: February 2021

We examined implementation outcomes several years after rollout of the Youth Level of Service/Case Management Inventory (YLS/CMI) risk/need assessment (RNA) tool in five diverse Pennsylvania county juvenile probation offices. Offices had policies to direct the use of the YLS/CMI, and officers tended to view the tool favorably, complete it, and apply it in their work. However, there were also variations in the extent of implementation. These seemed related to differences in office leadership and climate, implementation and quality assurance strategies, probation officers’ support for reforms, and the broader stakeholder environment. Results are largely consistent with implementation science principles.
The Effects of Day of the Week on Temporal Ambiguity Resolution
Authors: Medimorec Srdan
Published: February 2021

Previous research has suggested that individuals’ resolution of temporal ambiguity relies on experiences in physical domains, as well as on future event valence and emotional experiences. In the current study, we investigate whether the interpretation of a temporally ambiguous question is modulated by the day of the week on which the study was conducted. We asked participants ( N = 208) to resolve the ambiguous time question on different days of the week (Monday or Friday). The results of the experiment indicate differences in processing of temporal ambiguity between different days of the week. The study raises the interesting possibility that days of the week can have important implications for resolving temporal ambiguity.
Current Posttraumatic Stress Symptoms Mediate the Relationship Between Adverse Childhood Experiences and Executive Functions
Authors: Maja Rachel A. , Kilshaw Robyn E. , Garcia-Barrera Mauricio A. , Karr Justin E.
Published: February 2021

Adverse childhood experiences (ACEs) and posttraumatic stress disorder (PTSD) are both associated with lower performances on executive function tasks. However, few researchers have evaluated ACEs, posttraumatic stress (PTS) symptoms, and executive function difficulties in conjunction. Using an online micropayment service, the current study assessed whether PTS symptoms mediated the relationship between ACEs and executive functions. In total, 83 participants (54.2% female, age: M = 28.86, SD = 7.71) were administered the ACE questionnaire, PTSD Checklist for DSM-5 (PCL-5), and the Executive Function Index (EFI). A higher number of reported ACEs was related to greater PTS symptom severity ( β = .40, p < .001) and worse self-rated executive functions ( β = –.32, p = .002). Controlling for the number of reported ACEs, current PTS symptom severity was related to worse executive functions ( β = –.45, p < .001). A bootstrapped 95% confidence interval (CI) indicated a significant indirect effect, β = –.18 (95% CI: –.30, –.08), by which current PTS symptoms mediated the relationship between the number of reported ACEs and executive functions. These results suggest that psychological interventions targeting PTS symptoms, in the context of a history of childhood trauma, may concurrently improve executive functions in adult populations.
Effects of Versatile Kinesthetic Experiences on Balance Ability and Interpersonal Relationships
Authors: Matsuura Yuki , Kokubu Masahiro , Sakairi Yosuke
Published: February 2021

The study aimed to investigate the effects of kinesthetic experiences on balance ability (using exercise balls for gymnastics) and on interpersonal relationships by comparing two different learning methods. Participants learning gymnastics during physical education classes at university were randomly allocated to a kinesthetic-experiential learning (KEL) group ( n = 20) or a model-mastery learning (MML) group ( n = 22). Both groups practiced a balancing exercise on an exercise ball. In the KEL group, participants were asked to pay attention to the sensations of their body on the ball in a variety of movements, whereas the MML group was asked to reproduce the instructions of the ideal model provided by an instructor. The results showed that the participants in the KEL group had longer balancing time on the exercise ball, higher self-evaluation scores, and higher interpersonal relationship scores than those in the MML group, although the objective evaluations of postural stability were better in the MML group than in the KEL group. These findings suggest that methods that provide learners with versatile kinesthetic experiences through a variety of movements are more effective for enhancing balance ability and interpersonal relationships.
Geographic Differences in Social Determinants of Health Among US-Born and Non–US-Born Hispanic/Latino Adults With Diagnosed HIV Infection, United States and Puerto Rico, 2017
Authors: Gant Zanetta , Johnson Lyons Shacara , Jin Chan , Dailey André , Nwangwu-Ike Ndidi , Satcher Johnson Anna
Published: February 2021

Objective

HIV disproportionately affects Hispanic/Latino people in the United States, and factors other than individual attributes may be contributing to these differences. We examined differences in the distribution of HIV diagnosis and social determinants of health (SDH) among US-born and non–US-born Hispanic/Latino adults in the United States and Puerto Rico.

Methods

We used data reported to the Centers for Disease Control and Prevention’s National HIV Surveillance System (NHSS) to determine US census tract–level HIV diagnosis rates and percentages among US-born and non–US-born Hispanic/Latino adults aged ≥18 for 2017. We merged data from the US Census Bureau’s American Community Survey with NHSS data to examine regional differences in federal poverty level, education, median household income, employment, and health insurance coverage among 8648 US-born (n = 3328) and non–US-born (n = 5320) Hispanic/Latino adults.

Results

A comparison of US-born and non–US-born men by region showed similar distributions of HIV diagnoses. The largest percentages occurred in census tracts where ≥19% of residents lived below the federal poverty level, ≥18% did not finish high school, the median household income was <$40 000 per year, ≥6% were unemployed, and ≥16% did not have health insurance. A comparison of US-born and non–US-born women by region showed similar distributions.

Conclusion

The findings of higher numbers of HIV diagnoses among non–US-born Hispanic/Latino adults than among US-born Hispanic/Latino adults, regional similarities in patterns of SDH and HIV percentages and rates, and Hispanic/Latino adults faring poorly in each SDH category are important for understanding SDH barriers that may be affecting Hispanic/Latino adults with HIV in the United States.
Dual MD–MPH Degree Students in the United States: Moving the Medical Workforce Toward Population Health
Authors: Reilly Jo Marie , Plepys Christine M. , Cousineau Michael R.
Published: February 2021

Objective

A growing need exists to train physicians in population health to meet the increasing need and demand for physicians with leadership, health data management/metrics, and epidemiology skills to better serve the health of the community. This study examines current trends in students pursuing a dual doctor of medicine (MD)–master of public health (MPH) degree (MD–MPH) in the United States.

Methods

We conducted an extensive literature review of existing MD–MPH databases to determine characteristics (eg, sex, race/ethnicity, MPH area of study) of this student cohort in 2019. We examined a trend in the MD community to pursue an MPH career, adding additional public health and health care policy training to the MD workforce. We conducted targeted telephone interviews with 20 admissions personnel and faculty at schools offering MD–MPH degrees in the United States with the highest number of matriculants and graduates. Interviews focused on curricula trends in medical schools that offer an MD–MPH degree.

Results

No literature describes the US MD–MPH cohort, and available MD–MPH databases are limited and incomplete. We found a 434% increase in the number of students pursuing an MD–MPH degree from 2010 to 2018. The rate of growth was greater than the increase in either the number of medical students (16%) or the number of MPH students (65%) alone. Moreover, MD–MPH students as a percentage of total MPH students more than tripled, from 1.1% in 2010 to 3.6% in 2018.

Conclusions

As more MD students pursue public health training, the impact of an MPH degree on medical school curricula, MD–MPH graduates, and MD–MPH career pursuits should be studied using accurate and comprehensive databases.
How Do Urban Environments Affect Young People’s Mental Health? A Novel Conceptual Framework to Bridge Public Health, Planning, and Neurourbanism
Authors: Buttazzoni Adrian , Doherty Sean , Minaker Leia
Published: February 2021

Childhood and adolescence are crucial periods for mental and social development. Currently, mental illness among young people is a global epidemic, and rates of disorders such as depression and anxiety are rising. Urban living, compared with rural living, is linked with a higher risk of serious mental illness, which is important because the world is urbanizing faster than ever before. Urban environments and their landscapes, designs, and features influence mental health and well-being. However, no conceptual frameworks to date have detailed the effect of urban environments on young people’s mental health, and few studies have considered the growing role of digital and social media in this relationship, leading to calls for the development of holistic approaches to describe this relationship. This article synthesizes existing knowledge on urban places (both built and natural environments) and mental health in the public health and urban planning literature and examines the emerging field of neurourbanism (a multidisciplinary study of the effect of urban environments on mental health and brain activity) to enhance current practice and research. We developed 2 novel conceptual frameworks (1 research-oriented, 1 practice-oriented), adapted from Bronfenbrenner’s socioecological model, that focus on the relationship between urban environments and young people’s mental health. We added a digital and social media contextual level to the socioecological model, and we applied a multilayer concept to highlight potential cross-field interactions and collaborations. The proposed frameworks can help to guide future practice and research in this area.
Tracing accountability in higher education
Authors: Macheridis Nikos , Paulsson Alexander
Published: February 2021

Drawing upon earlier studies of reforms and institutional changes in higher education, the purpose of this paper is to trace how the understanding of accountability has changed over the past twenty years and how it is understood to have impacted on higher education institutions. We do so by reviewing more than 350 papers and by asking three questions: Who answers to whom? For what are they answering? And how to assess those accountability arrangements? With these three questions as guides, our results indicate that higher education institutions have been undergoing processes of what we term accountabilization. These results contribute to the scholarship on higher education governance by conceptualizing the processes of accountabilization.
(Re)connecting the food chain: Entangling cattle, farmers and consumers in the sale of raw milk
Authors: Hamilton Lindsay , Carrigan Marylyn , Bellet Camille
Published: February 2021

This article investigates the growing market for cow’s milk sold directly from the farm, often known as ‘raw milk’. Drawing on qualitative research with UK raw milk producers we add new insights to the sociology of food by demonstrating how knowledge about the ‘goodness’ and ‘purity’ of cow’s milk arises and becomes powerful in producer and consumer groups. Our empirical findings highlight that for a small proportion of producers and consumers, raw milk helps to provide visual, gustatory and sensory points of contact. These contact points, we argue, address some of the contemporary concerns that have arisen over the source, content and ethics of milk by bringing together the means and ends of the food chain. Importantly within this process, cattle and farmyards help forge a powerful entanglement that sustains the commercial exchange. Our findings show that messages about ‘goodness’ and ‘purity’ in raw milk provide a timely counterpoint to the distancing and separation that characterises many modern food chains.
Sober Rebels or Good Consumer-Citizens? Anti-Consumption and the ‘Enterprising Self’ in Early Sobriety
Authors: Nicholls Emily
Published: February 2021

Former drinkers in the UK are required to negotiate sobriety in a society that positions consumption (of alcohol but also more widely) as an important part of identity formation. A refusal to consume risks positioning the self outside of the established neoliberal order, particularly as traditional models of sobriety and ‘recovery’ position the non-drinker as diseased or flawed. As drinking rates decline across western contexts and new movements celebrating sobriety as a positive ‘lifestyle choice’ proliferate, this article will highlight ways in which sober women rework elements of traditional recovery models in order to construct an ‘enterprising self’ who remains a good consumer-citizen despite – or indeed because of – their refusal to drink. In doing so, this article enhances our understandings of the ways in which neoliberal notions of a successful, enterprising self can be incorporated into (re)constructions of the self and identity by ‘anti-consumers’ more widely.
The impact of immediate urban environments on people’s momentary happiness
Authors: Su Lingling , Zhou Suhong , Kwan Mei-Po , Chai Yanwei , Zhang Xue
Published: February 2021

The research interest of urban researchers and geographers in the relationship between urban environments and happiness has been increasing. Previous studies have mostly focused on people’s long-term overall wellbeing. However, there is limited evidence that momentary happiness is associated with immediate urban environments. This study provides new evidence on this issue. 144 participants living in Guangzhou, China, were asked to repeatedly self-report their momentary happiness through ecological momentary assessment (EMA) and the day reconstruction method (DRM). The microenvironment variables were captured by portable sensors, while the built environment variables were captured by associating the GPS response locations with objective spatial data. The results indicate that momentary happiness is influenced by immediate microenvironment variables and built environment characteristics including temperature, noise, PM2.5, population, POI density, POI types and street intersections. On the other hand, the use of different sizes of contextual units affects the results. The built environment in 100 m buffers and the microenvironment has higher explanatory power for momentary happiness recorded by EMA than the built environment in 500 m buffers. Similarly, the temporality of the contextual influences also affects the results. Urban environment features have higher explanatory power for real-time momentary happiness recorded by EMA than recalled momentary happiness recorded by DRM. These results also strongly corroborate the results of recent studies on the uncertain geographic context problem (UGCoP) and partly explain the inconsistency in the results of past research.
Do the characteristics of new green space contribute to gentrification?
Authors: Kim Seung Kyum , Wu Longfeng
Published: February 2021

A number of recent studies have examined the socioeconomic functions and side effects of environmental amenity in urban development. In this study, an urban green space is viewed as both a positive and negative environmental externality because it could be a potential contributor to gentrification. Employing the difference-in-differences method at the public use microdata areas and census-tract level, this study examines the effects of new green space characteristics on multiple gentrification indicators in New York City. Unlike previous studies, we examine the causal inference of multiple green space types and characteristics on gentrification indicators jointly, estimating a relatively short- and mid-term gentrification effect in a homogeneous institutional and geographical setting. The empirical results indicate that newly added green spaces potentially foster gentrification, influencing the replacement of the poor with wealthier inhabitants; more importantly, the gentrification effects differ depending on the type and characteristics of green spaces. A strong green gentrification effect has been observed in passive, natural and medium-sized green spaces. Taking these short-term and local-level gentrification effects of green space characteristics into consideration allows for more inclusive development and equitable outcomes.
Understanding Effects of Tourism on Residents: A Contingent Subjective Well-Being Approach
Authors: Lindberg Kreg , Munanura Ian E. , Kooistra Chad , Needham Mark D. , Ghahramani Ladan
Published: February 2021

Research regarding tourism’s effect on the subjective well-being (SWB) of destination residents has provided important insight, but it generally has relied on indirect analyses and diverse measures. This study used livability theory and a novel contingent SWB method in which respondents directly reported anticipated SWB effects. This method is exploratory, but it provides greater confidence in causal relationships. Results from a general population survey in Oregon (USA) suggested the method functioned as intended. County-level population growth and visitor intensity predicted perceived current impacts of tourism. In turn, perceived impacts predicted change in SWB contingent on a vignette reflecting a 20% increase in tourists. Across all individuals and counties, average SWB changes were negative for the environment domain and positive for other domains. Practical implications are discussed, with the most positive SWB effects from tourism development expected to occur in counties with low visitor intensity, especially those with low population growth.
The Model of Goal-Directed Behavior in Tourism and Hospitality: A Meta-analytic Structural Equation Modeling Approach
Authors: Chiu Weisheng , Cho Heetae
Published: February 2021

The model of goal-directed behavior (MGB) has been widely utilized to explore consumer behavior in the fields of tourism and hospitality. However, prior studies have demonstrated inconsistent findings with respect to the causal relationships of the MGB variables. To address this issue, we conducted a meta-analytic review based on studies that had previously applied MGB. Moreover, we compared the cultural differences that emerged within MGB. By reviewing and analyzing 37 studies with 39 samples ( N = 14,581), this study found that among the causal relationships within MGB, positive anticipated emotion was the most influential determinant in the formation of consumer desire. In addition, different patterns of causal relationships between Eastern culture and Western culture were identified within MGB. This article is the first meta-analysis to address the application of MGB in tourism and hospitality and, thus, contributes to the theoretical advancement of MGB.