bluuebunny/crossref_metadata_2025 huggingface dataset:
New Patterns of Flow and Rethinking International Mediascapes: The Influence of Stuart Cunningham on Theories of Television's Travels
Authors: Lotz Amanda D.
Published: October 2021

Stuart Cunningham contributed to important publications that advanced thinking about transnational media flows, much of which remains relevant a quarter of a century later. This essay explores Cunningham's collaborations with Elizabeth Jacka and John Sinclair in ‘Australian Television and International Mediascapes' and ‘New Patterns in Global Television: Peripheral View’ to explore the prescient and productive theoretical innovations these books offered the field.
Shifting party goals: Party electoral support and legislative behavior in the majority and the minority
Authors: Ballard Andrew O , Hassell Hans JG
Published: October 2021

While scholars agree that parties are interested in both pragmatic (electoral) and programmatic (policy) goals, they disagree about the relative importance of those goals. How parties weight these goals has implications for the effect of party involvement on legislative behavior. We argue that parties emphasize these goals differently based on whether they are in the majority or minority. We examine links between party support in primary elections for the US Congress and subsequent legislative behaviors, finding that candidates who received more party support during the primary election were more likely to engage in partisan efforts in the next Congress. Further, party support of incoming legislators is linked to increased partisan behavior through leapfrog representation. We find that these relationships are stronger for majority party candidates, suggesting that parties put a greater emphasis on winning majorities when in the minority but a greater emphasis on policy congruence when in the majority.
Improving second language vocabulary learning and retention by leveraging memory enhancement techniques: A multidomain pedagogical approach
Authors: Karatas Nur Basak , Özemir Oya , Lovelett Jarrett T. , Demir Bora , Erkol Kemal , Veríssimo João , Erçetin Gülcan , Ullman Michael T.
Published: October 2021

We investigated whether learning and retaining vocabulary in a second language (L2) can be improved by leveraging a combination of memory enhancement techniques. Specifically, we tested whether combining retrieval practice, spacing, and related manipulations in a ‘multidomain’ pedagogical approach enhances vocabulary acquisition as compared to a typical learning approach. In a classroom-laboratory design, 48 Turkish university students studying L2 English were trained on 64 English words over 17 days. They were assigned to either a ‘typical’ study regimen of (re)studying the words on the first day (initial study) and last day (cramming) of training, or an ‘optimized’ regimen of retrieval practice (retrieving the words), moreover with feedback, spaced throughout the period, moreover with expanding gaps. The target words were tested before training (pre-test) and one and 11 days afterwards (post-tests). Mixed-effects modeling revealed a training-group by test-session interaction, due to greater improvements from optimized training (a striking 18 percentage-point accuracy increase from pre-test to both post-tests) than typical training (an 8 percentage-point increase). Further analyses showed that the optimized training advantages were mainly driven by high (rather than low) frequency words. Overall, the results suggest that a multidomain approach of combining different memory enhancement techniques can lead to substantial gains in both the learning and retention of L2 words, as compared to a typical study pattern. The findings have implications for L2 learning and pedagogy.
Examining EFL learners’ source text use in summary writing
Authors: Li Jiuliang
Published: October 2021

To avoid plagiarism, students have to learn the appropriate and effective ways of source text use, such as paraphrasing, summarizing, and citation. However, few studies have investigated how learners of English as a foreign language (EFL) employ copy and paraphrase as source text use strategies in completing writing tasks involving reading material, and how characteristics of the reading material, such as genre, affect such use. This article reports an empirical study that attempted to address the issue. Eighty students from an undergraduate program of a Chinese university wrote summaries for a narrative text and an expository text. Their drafts and the source texts are compared to identify instances of retention of strings of words from sources. Analysis of the summary scripts showed that participants heavily relied on the source texts when writing summaries. The expository text elicited a larger proportion of words than the narrative text in total text borrowed, and the former also led the participants to stronger reliance on its surface structure than the latter. The less proficient group used Exact Copy more but Paraphrase less than the more proficient group. Higher level of source use – Major Paraphrase and Maximal Paraphrase – seems to be immune to changes in terms of genre of source text and language proficiency. Implications of these findings are discussed with reference to the teaching, learning, and assessing appropriate source text use of university level EFL learners.
The influence of child-based factors and parental inputs on expressive language abilities in children with autism spectrum disorder
Authors: Song Xue-Ke , So Wing-Chee
Published: October 2021

Studies of language development in children with autism spectrum disorder (ASD) have been primarily focused on the influence of child-based factors such as autism traits, IQ, and initial language skills. Yet the findings of these studies are inconclusive. There has, moreover, been little research compared the relative influences of child-based factors with environmental factors, (e.g. parental inputs). The current study attempts to fill this research gap by examining a range of both child-based factors and parental inputs. We measured the structural language abilities manifested in parent-child interactions over four time points across nine months in 42 Chinese-speaking autistic children ( M = 57.42 months, SD = 11.39). Our results showed that children’s mean length of utterance (MLU), word types, and word tokens grew rapidly, but their development trajectories varied. Initial expressive language ability was a significant predictor of children’s language outcomes, while nonverbal IQ and autism traits did not relate to children’s language abilities when controlling for initial expressive language ability. Parents’ MLU, word tokens, and word types did not associate with children’s structural language abilities. The findings shed lights on the importance of one of the child-based factors in particular, that is, initial expressive language skills, in the language development of autistic children.

Lay abstract

Language impairment is one of the early signs of Autism Spectrum Disorder (ASD) that alerts parents to take their children for early diagnosis and intervention. Little is known about how children’s autism traits, IQ, initial language abilities and parental inputs influence their language abilities. In addition, only a few studies have compared the relative influence of these factors. The present study addressed these issues by examining the structural language in parent-child spontaneous interactions. Forty-two Cantonese (Chinese)-speaking autistic children aged four to eight were recruited. Their expressive language skills grew rapidly more than 9 months, but their development trajectories varied. Initial expressive language ability is the only significant predictor of child language outcomes and language growth trajectories. In contrast, nonverbal cognition, autism traits, and parents’ input do not affect language outcomes in children with ASD. Therefore, early language intervention is crucial for autistic children at all severity and IQ levels.
Science through a tribal lens: A group-based account of polarization over scientific facts
Authors: Fasce Angelo , Adrián-Ventura Jesús , Lewandowsky Stephan , van der Linden Sander
Published: October 2021

Previous research has confirmed the prominent role of group processes in the promotion and endorsement of disinformation. We report three studies on a psychological framework derived from integrated threat theory—a psychological theory which describes how perceived threat leads to group polarization and prejudice—composed of the following constructs: group belongingness, perceived threat, outgroup derogation, and intergroup anxiety. Our pilot study suggested that need to belong and intergroup anxiety predict antiscientific beliefs (pseudoscientific, paranormal, and conspiracy theories), thus justifying the general applicability of integrated threat theory. Study 1 investigates the transition from weak to strong critical thinking regarding pseudoscientific doctrines. Besides greater outgroup derogation and perceived threats among strong critical thinkers, the model does not perform well in this context. Study 2 focuses on the intergroup conflict around anthropogenic global warming, revealing the strong predictive power of the model. These results are discussed in relation to the distinctive psychological profiles of science acceptance and rejection.
Big data analytics capability as a major antecedent of firm innovation performance
Authors: Muhammad Arshad , Yu Chen Kun , Qadir Aneela , Ahmed Waqar , Yousuf Zahid , Fan Gu
Published: October 2021

Purpose: This study aimed to investigate the big data analytics capabilities (BDAC) model using resource-based theory (RBT) and dimensions of big data analytics (management, technological, and talent) that influenced the firm innovation performance. Design/methodology/approach: The research uses quantitative research design where 548 respondents were selected for the survey from Pakistan electronic media regulatory authority (PEMRA), national database and registration authority (NADRA), and cellular companies. Only 394 useable responses were received from the respondents. Findings: The findings revealed that BDAC has a statistically positive impact on firm innovation performance. All of the proposed hypotheses were approved in this study. Research limitations/implications: The study gives future direction to the researchers and practitioners to implement this model in other industries. Practical implications: The research makes important theoretical and methodological contributions to the business and society's nexus in developing country firms that are under economic pressure. Originality/value: The paper is new in the context of the developing firm's innovation.
Bayesian clustered coefficients regression with auxiliary covariates assistant random effects
Authors: Hu Guanyu , Xue Yishu , Ma Zhihua
Published: October 2021

In regional economics research, a problem of interest is to detect similarities between regions, and estimate their shared coefficients in economics models. In this article, we propose a mixture of finite mixtures clustered regression model with auxiliary covariates that account for similarities in demographic or economic characteristics over a spatial domain. Our Bayesian construction provides both inference for number of clusters and clustering configurations, and estimation for parameters for each cluster. Empirical performance of the proposed model is illustrated through simulation experiments, and further applied to a study of influential factors for monthly housing cost in Georgia.
The Effectiveness of Trauma-Focused Interventions in Prison Settings: A Systematic Review and Meta-Analysis
Authors: Malik Nabeela , Facer-Irwin Emma , Dickson Hannah , Bird Annie , MacManus Deirdre
Published: October 2021

Background:

Posttraumatic stress disorder (PTSD) is overrepresented in prison relative to community populations and can be difficult to manage in an environment which can inherently exacerbate trauma-related symptomology. Little is known about the effectiveness of trauma-focused interventions in prison and less is known about factors that moderate the effectiveness of these interventions.

Aim/Methods:

We examined the effectiveness of trauma-focused interventions in prison relative to prison controls using meta-analytic techniques. We further used meta-regression analysis to examine treatment, methodological and participant-level moderators to determine factors that increased the effectiveness of these interventions.

Results:

From 16 studies eligible for the meta-analysis, we found a small but significant effect size for trauma-focused interventions. Phase 2 trauma processing interventions and interventions delivered individually led to greater reductions in PTSD symptoms. Studies utilizing an active treatment control resulted in smaller effect sizes than those using waitlist or no contact controls. Treatment length, study quality, outcome type, and gender were not significant moderators of treatment effectiveness.

Conclusion:

Findings from this review are encouraging but should be interpreted with caution. Results suggest that trauma processing therapies, and individual modality trauma-focused interventions can be effective and delivered successfully in prison. However, inadequate comparison groups do not allow a firm conclusion to be drawn. There is a need for high quality Randomized Controlled Trial’s that additionally measure Complex PTSD, utilize a modular treatment approach, and include treatments recommended in the National Institute for health and Care Excellence (NICE) guidelines such as Trauma-focused CBT and Eye Movement Desensitization Reprocessing (EMDR).
The Use of Critical Care Services After Orthopedic Surgery at a High-Volume Orthopedic Medical Center: A Retrospective Study
Authors: Zhong Haoyan , Garvin Sean , Poeran Jashvant , Liu Jiabin , Kirksey Meghan , Wilson Lauren A. , DeMeo Danya , Yang Elaine , Hong Genewoo , Jules-Elysee Kethy M. , Nejim Jemiel , Memtsoudis Stavros G.
Published: October 2021

Background: With an aging population, orthopedics has become one of the largest and fastest growing surgical fields. However, data on the use of critical care services (CCS) in patients undergoing orthopedic procedures remain sparse. Purpose: We sought to elucidate the prevalence and characteristics of patients requiring CCS and intermediate levels of care after orthopedic surgeries at a high-volume orthopedic medical center. Methods: We retrospectively reviewed inpatient electronic medical record data (2016–2020) at a high-volume orthopedic hospital. Patients who required CCS and intermediate levels of care, including step-down unit (SDU) and telemetry services, were identified. We described characteristics related to patients, procedures, and outcomes, including type of advanced services required and surgery type. Results: Of the 50,387 patients who underwent orthopedic inpatient surgery, 1.6% required CCS and 21.6% were admitted to an SDU. Additionally, 482 (1.0%) patients required postoperative mechanical ventilation and 3602 (7.1%) patients required continuous positive airway pressure therapy. Spine surgery patients were the most likely to require any form of advanced care (45.7%). Conclusions: This retrospective review found that approximately one-fourth of orthopedic surgery patients were admitted to units that provided critical and intermediate levels of care. These results may prove useful to hospitals in estimating needs and allocating resources for advanced and critical care services after orthopedic surgery.
“Virtual stent” – clinical evaluation and user experience of on-the-fly stent simulation in treatment of cerebral aneurysms
Authors: Luecking Hannes , Birkhold Annette , Hoelter Philip , Lang Stefan , Goelitz Philipp , Schmidt Manuel , Mrochen Anne , Brandner Sebastian , Doerfler Arnd
Published: October 2021

Background

Predicting final stent position can be challenging when treating cerebral aneurysms. Third-Party software proved helpful in selecting proper stents in treatment planning. Recent angiographic systems provide basic stent simulation capabilities integrated in the post-processing software to simulate stent position. Goal of this analysis was to evaluate the simulation process and correlation with definite stent position.

Materials and Methods

Thirty-three datasets with fusiform (n = 10) and saccular (n = 23) aneurysms, treated with stent or flow-diverter, were processed. A “virtual stent” of the same (nominal) size was simulated and its position was compared to the treatment result. Simulated length was rated in five grades (too short, shorter, equal, longer, too long), with regard to side-branches, anchoring zone etc. Simulation quality (centerline recognition/adherence to vessel margins) was rated in three grades (no, minor or major corrections required).

Results

Simulation was successful in 32/33 cases (97%), with one abortive attempt (3%). In 27/33 simulations (82%), there was no need for centerline refinement. Minor corrections were necessary in four and major corrections in two cases. Simulated nominal length was rated “equal” in 14/33 (42%) cases and “shorter” or “longer” – but within acceptable range – in each 9/33 (27%) cases.

Conclusion

Basic stent simulation tools available with genuine angiographic workplace software can provide good simulation capabilities without need for third-party equipment. They can facilitate treatment planning and help to avoid shortage of devices. Yet, lack of calculation of foreshortening in large vessel diameters leaves the user to rely on their experience to account for device-specific properties.
The cultural scope and criminological potential of the “hardman story”
Authors: Wattis Louise Tanya
Published: October 2021

The true crime genre has become synonymous with the serial killer. As such, other narratives dealing with different types of violent criminal subjects have been overlooked in academic and media analyses. The following article explores a subgenre of true crime which has been overlooked—the life story of the violent criminal or “hardman biography.” However, in acknowledging the hardman, the discussion also reveals his presence across fact/fiction boundaries and a range of cultural terrain. Following a discussion of the cultural space this figure occupies, I turn my attention to hardman stories which exist predominantly in the local imaginary and focus on one such text which tells the story of a violent protagonist and cultures of crime and violence in the North of England in the late 1980s and early 1990s. In so doing, I focus on how this text animates cultures of violence and marginality left in the wake of deindustrialization and economic decline, combining this with relevant theoretical and ethnographic work. I conclude by arguing that the text is a further example of the way in which popular criminology can complement and advance academic criminological understandings of crime and violence.
Comparing self-reported vs. parent/caregiver reported levels of social participation for young adults with intellectual disabilities: A pilot study
Authors: Espiritu Elena Wong , Michaels Natalie N , Schmidt Kathryn , Gegen Margaret , King Halle R. , Miller Cara , Munro Hannah , Uzzell-Baggett Karon
Published: October 2021

Background:

This study focused on the level of satisfaction of social participation reported by young adults with intellectual disabilities, and the comparison of these levels to those reported by their caregivers.

Methods:

Fifteen young adults with intellectual disabilities and their parents/caregivers completed the Patient-Reported Outcomes Measurement Information System Satisfaction with Participation in Discretionary Social Activities–Calibrated Items (PROMIS SF–Social Sat DSA) and the Satisfaction with Social Roles and Activities–Short Form (Neuro-QoL SF).

Results:

Reports from these young adults were compatible to that of the general population. There was general agreement on the Social Sat DSA between the individuals and their caregivers, but there were differences between groups on the Neuro-QoL SF, with the caregivers typically giving higher scores ( p = .025).

Conclusion:

This pilot study demonstrates the importance of involving both the individuals with intellectual disabilities, and their parents/caregivers when conducting survey research. Further research is encouraged.
Maintaining stroke care during the COVID-19 pandemic in lower- and middle-income countries: World Stroke Organization Position Statement endorsed by American Stroke Association and American Heart Association
Authors: Pandian Jeyaraj D , Panagos Peter D , Sebastian Ivy A , Sampaio Silva Gisele , Furie Karen L , Liu Liping , Owolabi Mayowa O , Caso Valeria , Alrukn Suhail A
Published: October 2021

For more than a year, the SARS-CoV-2 pandemic has had a devastating effect on global health. High-, low-, and middle-income countries are struggling to cope with the spread of newer mutant strains of the virus. Delivery of acute stroke care remains a priority despite the pandemic. In order to maintain the time-dependent processes required to optimize delivery of intravenous thrombolysis and endovascular therapy, most countries have reorganized infrastructure to optimize human resources and critical services. Low-and-middle income countries (LMIC) have strained medical resources at baseline and often face challenges in the delivery of stroke systems of care (SSOC). This position statement aims to produce pragmatic recommendations on methods to preserve the existing SSOC during COVID-19 in LMIC and propose best stroke practices that may be low cost but high impact and commonly shared across the world.
An enantiodivergent synthesis of N-Boc-protected (R)- and (S)-4-amino cyclopent-2-en-1-one
Authors: Conway Lorna , Evans Paul
Published: October 2021

Routes are reported for the synthesis of both (1 R)- and (1 S)- tert-butyl-(4-oxocyclopent-2-en-1-yl)carbamate 2. Featuring Mitsunobu reactions with di- tert-butyl iminodicarbonate, both syntheses begin from ( S)-4-[( tert-butyldimethylsilyl)oxy]cyclopent-2-en-1-one (3) and take advantage of the 1,4-cyclopentenyl dioxygenation pattern of this optically active starting material. Thus both (−)- and (+)-2 have been accessed from 3 in an enantiodivergent manner in 11% and 10% overall yield over five and seven reaction steps, respectively.
Reconstruction of hook grip function of the fingers in patients with traumatic brachial plexus injury
Authors: Hara Yuki , Nishiura Yasumasa , Yoshii Yuichi , Asakawa Shunsuke , Matsumoto Yukei , Ochiai Naoyuki
Published: October 2021

We described a reconstruction method for restoring hook grip function of the fingers in patients with total brachial plexus injury. The paralysed latissimus dorsi muscle was transferred to the upper limb as a pedicle flap and sutured to the flexor digitorum profundus tendons. The muscle was then reanimated with two intercostal donor nerves to the thoraco-dorsal nerve. Fourteen young adult patients (mean 23 years, range 17 to 32 years) with traumatic brachial plexus injury who underwent reconstruction using this technique from 2000 to 2019. After mean follow-up of 65 months (range 20 to 170), finger flexion of strength greater than or equal to M3 was achieved in 10 of the 14 patients. The mean weight that could be lifted using a hook grip was 2.6 kg, and that which could be lifted with both hands was 4.1 kg. The intercostal nerve-innervated latissimus dorsi muscle transfer can provide useful hook grip hand function without the need to sacrifice donor vessels or healthy muscles.

Level of evidence: IV
Diagnosing renal disease
Authors: Aneke Ikenna Anderson
Published: October 2021

Making clear diagnoses of renal disease can prove challenging for the general practitioner considering the limitations in consulting time and diagnostic tools in primary care. In addition, many of these diseases are asymptomatic and a high index of suspicion is needed to make a diagnosis. As always, the diagnostic pathway begins with a detailed history, physical examination and relevant investigations. This will help determine whether the patient requires emergency referral to secondary care, referral on the cancer pathway or management within the community.
How can health promotion contribute to pulling humans back from the brink of disaster?
Authors: Baum Fran
Published: October 2021

Health promotion has evolved over the last decades from a primary focus on behaviour change to establishing an ambitious goal of creating healthy, fair and sustainable environments in a manner which realises the rights of all people to health and well-being while protecting the health of our planet and its ecosystems. This paper argues that in order to contribute to this ambitious goal, health promotion must address three key tasks. The first is the need to take planetary health more seriously and move away from reductionist thinking to an approach that sees the planet as a complex system and values more harmony with nature, protects biodiversity and prevents global warming. The second task is to advocate and support governments to govern for health. The key to doing this is putting health and equity before profit, creating healthy urban environments, encouraging participatory decision-making, advocating for healthy economic models and assessing the ways in which corporate determinants of health operate. The third task is to ensure that moves to professionalise health promotion do not come at the expense of health promotion advocacy to powerful people and organisations. Health promotion is well placed to support civil society movements arguing for social and economic change that will benefit health such as the Black Lives Matter and environment movements.
Jet-Induced Blood Release From Human Fingertips: A Single-Blind, Randomized, Crossover Trial
Authors: Xu Jiali , McKeage James W. , Ruddy Bryan P. , Nielsen Poul M. F. , Taberner Andrew J.
Published: October 2021

Background:

Lancet pricks are often poorly received by individuals with diabetes; jet injection may allow lancet-free blood sampling. We examine whether the technique of jet injection can release sufficient blood from the fingertip to enable measurement of blood glucose concentration. In addition, we assess the effect of jet shape and cross-sectional area on fluid release, blood dilution, and perceived pain.

Methods:

A randomized, single-blind, crossover study was conducted on 20 healthy volunteers who received interventions on four fingertips: a lancet prick, and jet injection of a small quantity of saline solution through three differently shaped and sized nozzles. Released fluid volume, blood concentration, and glucose concentration were assessed immediately after the intervention. Pain perception and duration, and any skin reactions, were evaluated both immediately and 24 hours after the intervention.

Results:

Jet injection released sufficient blood from the fingertip to conduct a glucose measurement. A slot-shaped nozzle released the most blood, although less than a lancet, with slightly higher pain. The blood glucose levels estimated from the extracted fluid showed a mean absolute percentage error of 25%. There was no consistent evidence that a jet injection leads to different skin reactions at the intervention site relative to a lancet prick.

Conclusions:

Fingertip penetration by jet injection can release a volume of fluid sufficient for blood glucose measurement. Jet injection with a slot-shaped nozzle and/or a nozzle with larger outlet area helps to release more fluid. This technique may enable blood sampling, glucose concentration measurement, and insulin delivery to be performed in a single device.
Comparison of Short-Term Outcomes After Total Ankle Replacement and Ankle Arthrodesis: An ACS-NSQIP Database Study
Authors: Anigian Kendall , Ahn Juhno , Wallace S. Blake , Manchanda Kshitij , Liu George T. , Raspovic Katherine M. , Van Pelt Michael , Wukich Dane K. , Lalli Trapper A. J.
Published: October 2021

Over the past 2 decades, several studies comparing intermediate- and long-term outcomes after total ankle replacement (TAR) versus ankle arthrodesis (AA) have reported differing rates of complications and outcomes. Recently, there has been a dramatic increase in patients undergoing TARs without any epidemiologic studies examining the short-term and perioperative complications. The purpose of this prognostic study was to compare perioperative outcomes after TAR and AA using data from the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database between 2012 and 2017. Patient data were collected from the NSQIP database for surgeries between January 2012 and December 2017 using Current Procedural Terminology codes 27700, 27702, 29899, and 27870. Patients were excluded if treated for fracture, infection, or revision procedures. The outcomes of interest were readmission and reoperation related to initial surgery, surgical site infections, and hospital length of stay. There were 1214 patients included—1027 (84.6%) TAR and 187 (15.4%) AA. The TAR patients were older, had a lower body mass index, and were less likely to have insulin-dependent diabetes. Readmission rate and length of stay was similar between groups. Multivariate regression revealed higher anesthesia severity scores ( P = .0007), diabetes mellitus ( P = .029), and AA ( P = .049) had positive correlations with adverse outcomes. We report a lower complication rate with TAR than previously described. AA arthrodesis is associated with a higher risk of perioperative complications, including deep surgical site infections and reoperations. There were no differences between the 2 groups comparing superficial infection, wound dehiscence, or readmissions in the first 30 days.

Levels of Evidence: Level V.
Designing an integrated, nurse-driven and home-based digital intervention to improve insulin management in under-resourced settings
Authors: Ngassa Piotie Patrick , Wood Paola , Webb Elizabeth M. , Hugo Johannes F.M. , Rheeder Paul
Published: October 2021

Background:

In South Africa, initiating insulin for people with type 2 diabetes and subsequent titration is a major challenge for the resource-constrained healthcare system. Inadequate support systems in primary care, including not being able to access blood glucose monitors and test strips for self-monitoring of blood glucose, results in patients with type 2 diabetes being referred to higher levels of care. In primary care, initiation of insulin may be delayed due to a shortage of healthcare workers. The delayed initiation of insulin is also exacerbated by the reported resistance of both healthcare providers and people with type 2 diabetes to start insulin. In South Africa, telehealth provides an opportunity to overcome these challenges and manage insulin therapy in primary care.

Methods:

We describe the development of a digital health intervention including the framework used, the theoretical approach and subsequent implementation strategies.

Results:

This intervention is an innovative, nurse-driven and app-enabled intervention called ‘the Tshwane Insulin Project intervention’. The Tshwane Insulin Project intervention was designed and evaluated using the framework recommended by the Medical Research Council for complex interventions. The Tshwane Insulin Project intervention was developed in four sequential phases: planning, design, implementation and evaluation. The Tshwane Insulin Project intervention followed the Integrated Chronic Disease Management framework to facilitate implementation and acceptability. The Tshwane Insulin Project comprises a facility-level intervention, where nurses evaluate patients and initiate insulin, an individual-level intervention where community healthcare workers visit patients at their homes to follow-up and provide educational information, while using telehealth to enable physician-directed insulin titration if needed, and a community-level intervention aimed at empowering community healthcare workers to support people living with diabetes and raise awareness of diabetes.

Conclusion:

The technological advancements in digital health and telemedicine present an opportunity to improve diabetes care in resource-limited countries. This work can inform those intending to develop and implement complex interventions in primary healthcare in developing countries.
Evolution of anaplastic thyroid cancer management: perspectives in the era of precision oncology
Authors: Agosto Salgado Sarimar
Published: October 2021

Anaplastic thyroid cancer is a rare aggressive malignancy resulting in poor outcomes, including significant morbidity and mortality. Historically, the overall survival of patients with anaplastic thyroid cancer has been less than 12 months. Multidisciplinary approaches combining surgery, radiation, and chemotherapy have been implemented to control this ominous disease. The evolution in science and technology has promoted deeper knowledge in the genetic pathways and mechanisms driving advance thyroid cancer. Furthermore, understanding molecular pathways resulted in the application of antineoplastic agents used in other tumors to thyroid cancer and the development of new highly selective drugs. A major landmark in anaplastic thyroid cancer management history was recently reached with the approval of BRAF and MEK inhibitor combination, specifically dabrafenib and trametinib for BRAF-mutated anaplastic thyroid cancer; this treatment has improved survival and outcomes in this population. Similarly, newer kinase inhibitors and immunotherapy are further shifting advanced thyroid cancer management to consider as first-line therapy inhibiting actionable oncogenic alterations. Therefore, newer treatment paradigms are incorporating molecular testing to provide personalized cancer care in anaplastic thyroid cancer. In this review, the principal aim is to provide an overview of the available international data on tyrosine kinase inhibitors and immunotherapy in the management of anaplastic thyroid cancer.
Olfactory-Specific Quality of Life Outcomes after Endoscopic Endonasal Surgery of the Sella
Authors: Raikundalia Milap D. , Huang Ryan J. , Chan Lyndon , Truong Tracy , Kuchibhatla Maragatha , Merchant James , Hachem Ralph Abi , Codd Patrick J. , Zomorodi Ali R. , Teitelbaum Jordan I. , Goldstein Bradley J. , Jang David W.
Published: October 2021

Objective

To assess olfactory outcomes as measured by an olfactory-specific quality of life (QOL) questionnaire in patients undergoing EESBS for sellar lesions.

Design

Retrospective case series.

Setting

Tertiary academic medical center.

Participants

In total, 36 patients undergoing EESBS for lesions limited to the sella were evaluated.

Main Outcome Measures

The following were performed before and three months after surgery: 22-Item Sinonasal Outcomes Test (SNOT-22), University of Pennsylvania Smell Identification Test (UPSIT), and the Assessment of Self-reported Olfactory Functioning (ASOF), which has three domains: subjective olfactory capability scale (SOC), smell-related problems (SRP), and olfactory-related quality of life (ORQ).

Results

Median age at surgery was 52.5 years, with a median tumor size of 1.8 cm (range: 0.2 to 3.9 cm). Pre- and postoperative median scores were 35 [34, 36.2] and 34.5 [32, 36] for UPSIT, 21 [7.5, 33.5] and 21.5 [6.8, 35.7] for SNOT-22, 10 [9, 10] and 9 [8, 10] for ASOF-SOC, 5 [4.8, 5] and 4.5 [4, 5] for ASOF-SRP, and 5 [5, 5] and 5 [4.5, 5] for ASOF-ORQ. There was no significant change in the two of the three domains of the ASOF. Correlation between ASOF and UPSIT scores were weak. Older age and larger tumor size were associated with worsened olfaction after surgery.

Conclusions

Patients did not experience significant changes in olfactory-specific QOL three months after EESBS, as measured by two domains of the ASOF. The ASOF may serve as a useful adjunctive tool for assessing olfaction after surgery. The lack of correlation between UPSIT and ASOF suggests the need for more research in subjective olfactory-related quality of life after surgery.
Developing a Framework for the Optimization Processes of Logistics Costs: A Hurwitz Criterion Approach
Authors: Yan Xinfeng , Madjidov Shakhrukh , Halepoto Habiba , Ikram Muhammad
Published: October 2021

The logistics department is one of the critical departments for most industries that play a critical role in their business objective. Therefore, this study develops a framework by considering the problem of optimization processes of multiple decision-making regarding the choice of any logistics in the frame of the present logistics system. We employed the theoretic game called Game with nature model for analysis. We took this process a step further and utilized the Hurwitz criterion as the optimality criterion synthetic, which is under consideration, for mixed strategies that allow obtaining their optimality with a joint position of winnings and risks is being used. This study demonstrates the vital approach to the optimization processes that is precise, concurrent, with similar risks and winnings. Since the developed criterion was defined for solving games with nature from a joint point of view, whereas, at the same time choosing the optimal strategy both for gains and relative to risks. This study provides strategy guidelines for managers to reduce their logistic costs as well as optimize the logistics and supply chain processes.
Understanding the barriers faced by TNE-students when completing advanced-level laboratory-based practical classes
Authors: Cranwell Philippa B , Li Daguo , Page Elizabeth M , Whiteside Karin L , Woodcock Aaron EW
Published: October 2021

This study reports the barriers faced by Transnational Education (TNE)-students when completing practical work in the UK, having transferred to the UK for their final year of study as part of a chemistry degree. Self-identified barriers these students faced included the following: recall of information, difficulties writing the technical reports required for assessment, different educational cultural norms between China and the UK, especially in relation to health and safety, and a lack confidence using English, in particular with the technical language. It was noticed by both participants and researchers that there was minimal interaction with the domestic students and prevalent use of Chinese within the TNE-students’ social group, which may have created a ‘cultural enclave’. The results from this study have been used to derive a number of recommendations for practice for TNE-programmes that contain a significant practical element.
Sagittal balance of the cervical spine
Authors: Scheer Justin K , Lau Darryl , Ames Christopher P
Published: October 2021

The treatment of adult cervical deformity continues to be complex with high complication rates. However there are many new advancements and overall patients do well following surgical correction. To date there are now many types of cervical deformity that have been classified and there exists a variety of surgical options. These recent advances have been developed in the last few years and the field continues to grow at a rapid rate. Thus, the goal of this article is to provide an updated review of cervical sagittal balance including; cervical alignment parameters, deformity classification, clinical evaluation, with both conservative and surgical treatment options.
Hierarchical and Role-Based Differences in the Perception of Organizational Listening Effectiveness
Authors: Brandt David Randall
Published: October 2021

A growing body of research underscores the importance of how effectively (or poorly) organizations listen and respond to key external publics and stakeholders. This paper describes research focusing on how organizational hierarchy and member roles impact perceptions of organizational listening effectiveness, specifically the process of capturing, analyzing, disseminating, and utilizing the “Voice of the Consumer” (VoC). After reviewing literature in three relevant areas of research, the paper describes a study in which senior executives’ perceptions of the effectiveness of consumer listening efforts in their respective organizations are compared with those of lower-level consumer intelligence providers and users. Results indicate that senior executives assess VoC program effectiveness in their organizations more favorably than consumer intelligence providers/users with respect to 10 key aspects of organizational listening. Implications for theory-building and knowledge development, along with implications for practitioners and directions for future research, are discussed.
Pediatric Inflammatory Multisystem Syndrome or Multisystem Inflammatory Syndrome in Children: A New Thread in Pandemic Era
Authors: Arízaga-Ballesteros Víctor , Gutierrez-Mendoza Marissa Andrea , Villanueva-Sugishima Kinoa Rina , Santos-Guzmán Jesús
Published: October 2021

After the perturbing effects of the COVID-19 Pandemic, we observed intense public health efforts in a global-scale to prevent, control, and treat the SARS-CoV-2. Hundreds of clinical center researched for adequate treatments, other were devoted to the development the COVID-19 vaccines and other studied the nature and the effects of this mutant coronavirus SARS-CoV-2. As time goes by, the pediatric inflammatory multisystem syndrome has been recently defined and associated the COVID-19 past infection and is now considered a shot to middle-term complication of COVID-19. In this paper, we review the actual concepts of PIMS in children, the epidemiology, the clinical presentation, and evolution, the recommended laboratory and other testing. The recommended specialties interconsultation for hospitalized patients and a full discussion on the appropriate treatment of these patients. We include the Latin-American experience with PIMS and a final discussion on the outcome of this disease.
Autonomy supportive and controlling leadership as antecedents of work design and employee well-being
Authors: Sarmah Pallavi , Van den Broeck Anja , Schreurs Bert , Proost Karin , Germeys Filip
Published: October 2021

The continuation of work that undermines employee well-being necessitates an investigation into the antecedents of work design. Therefore, we examined how autonomy supportive and controlling leadership—as defined in self-determination theory (SDT)—relate to employees’ job resources, job demands, and well-being. Using a cross-sectional ( N = 501) and a daily diary study ( N = 123), we found that autonomy supportive leadership relates to employees’ work engagement via job resources both at the between- and within-person levels. However, only the cross-sectional study evidenced a relationship between autonomy supportive leadership and exhaustion via job resources. Controlling leadership related to exhaustion via job demands at the between-person level in both studies but not at the within-person level. Alongside implications for the literature on SDT, work design theory, the leadership literature, and workplace re-enchantment, we advance concomitant insights to practitioners.

JEL CLASSIFICATION: I31, J81, M12
Telehealth use and Satisfaction among U.S. Households: Results of a National Survey
Authors: Kyle Michael A , Blendon Robert J , Findling Mary G , Benson John M
Published: October 2021

Telehealth services have expanded dramatically during the coronavirus disease-2019 pandemic; we provide estimates of telehealth use and satisfaction based on a nationally representative, random survey of 3454 U.S. households. Fifty percent of households reported using telehealth because they could not receive medical care in person. Satisfaction was high among telehealth users (86%). However, satisfaction with telehealth was lower (65%) among households who reported experiences of delayed medical care for serious problems. Telehealth use was lower among rural households than urban households (46% vs. 53%) and among <$30,000 annually (47%), $30,000–<$50,000 (39%), and $75,000–<$100,000 (49%) compared with those earning $100,000 + (60%). Telehealth use was lower among households without high-speed internet compared to those with it (36 vs. 53%). Among users, satisfaction did not differ significantly by metro area, income, or internet quality. Telehealth may play a valuable role in access for many patient populations, but may not always be a perfect substitute for in-person care.
Motivational Interviewing Confidence and Perceived Competence Among Undergraduate and Graduate Dietetics Students
Authors: Savoie-Roskos Mateja R. , Brown Katie N.
Published: October 2021

BACKGROUND

Motivational interviewing (MI) aligns with the scope of practice and competency standards for Registered Dietitian Nutritionists; however, few dietitians receive adequate training. Furthermore, little is known about MI training within dietetics curricula.

OBJECTIVE

The objective of this study was to determine differences in undergraduate and graduate-level dietetics students’ confidence and perceived competence before/after taking a MI course.

METHODS

A 38-item pre–postsurvey was completed by students enrolled in a Basic and Advanced MI course at Utah State University. The survey included demographic questions and questions related to confidence and perceived competence using MI techniques. Paired t-tests were used to compare pre/post results and analysis of variance was used to compare groups.

RESULTS

Increased confidence and perceived competence were observed for Basic MI students (n = 72) ( P < .0001) and Advanced MI students (n = 32) ( P < .0001) after course completion. In the presurvey, Advanced MI students had higher confidence in 5 of 14 MI skills, higher competence in 2 of 11 MI skills, and higher overall MI competence scores ( P = .008) than Basic MI students. Following completion of the course, Advanced MI students had higher overall MI confidence scores ( P = .03).

CONCLUSIONS

Students’ confidence and perceived competence with using MI increased after taking a college-level MI course. Incorporating MI courses into dietetics curricula may be an effective way to increase confidence and perceived competence of using MI techniques and therefore improving communication between dietitians and patients.