bluuebunny/crossref_metadata_2025 huggingface dataset:
Determinants of Volunteers’ Perceptions of Crime and Disorder: Do Perceptions Reflect Reality?
Authors: Wang Xinting , Lee Jae-Seung , Zhao Jihong Solomon
Published: March 2024

Perceptions of crime and disorder are conducive to the quality of life in a neighborhood and closely related to social stability and residents’ psychological health. If residents’ perceptions overestimate the reality of neighborhood crime and disorder, it can generate a significant amount of personal fear and stress. To identify factors associated with public perceptions of crime and disorder, the current study investigated a sample of 394 volunteers who participated in a community policing program in Houston, Texas. Results from the structural equation modeling analysis indicated that volunteers’ crime and disorder perceptions were not influenced by the reported crime in their neighborhoods. The findings showed that the significant predictors were associated with collective efficacy in the neighborhood and their attitudes toward the police. Moreover, perceptions of crime had different predictors from perceptions of disorder. Implication for future research was discussed in the end.
Local Treatment of Children Suffering From Parameningeal Rhabdomyosarcoma: A Retrospective Single-Center Study From China
Authors: Peng Xiaomin , Xiong Xilin , Li Yang , Li Chunmou , Wang Zhixuan , Wu Yu , Su Mingwei , Weng Wenjun , Huang Ke , Zhou Dunhua , Fang Jianpei
Published: March 2024

Background

Treatment for parameningeal rhabdomyosarcoma (PM-RMS) has been a challenge since local control is difficult. The goal of this study was to analyse the impact of different local treatment approaches on childhood PM-RMS patients and help dispel the doubt that whether secondary radical surgery (SRS) should be encouraged in the management of PM-RMS.

Methods

A total of 17 children with PM-RMS who received unified systemic chemotherapy and individualized local therapy such as radiotherapy (RT) and/or SRS were included in this retrospective study. The overall survival (OS) and event free survival (EFS) were compared between groups adopting different local strategies.

Results

The 3-year OS and EFS of our PM-RMS patients was 75.5% and 56.5% respectively. The OS and EFS of patients who received SRS were both significantly lower than that of the non-SRS group (3-year OS: 50.0% vs 90.0%, P = .031; 3-year EFS: 33.3% vs 60.6%, P = .020). The OS and EFS of the patients who received RT was higher than that of the patients of the non-RT group (3-year OS: 85.6% vs 0%, P = .001; 3-year EFS: 64.0% vs 0%, P = .011).

Conclusion

This study illustrates that SRS was associated with poor prognosis of PM-RMS and should not be routinely performed. Optimized RT strategies along with more intensive chemotherapy may be alternative options to improve the survival of patients with PM-RMS. Multi-center, large sample and prospective studies are needed to further validate these findings.
Free vibrational behavior of a conical sandwich shell with a functionally graded auxetic honeycomb core
Authors: Amirabadi Hossein , Mottaghi Ali , Sarafraz Mirsalman , Afshari Hassan
Published: March 2024

In the presented paper, the free vibration of a conical sandwich shell with a re-entrant auxetic honeycomb (AH) core made of ceramic-metal functionally graded material (FGM) is analyzed. The percentage (volume fraction) of ceramic in the functionally graded auxetic honeycomb (FGAH) core changes from zero at the inner surface of the core to one at the outer surface according to a power-law function. The FGAH core is enfolded with a homogenous outer face layer made of ceramic and a homogenous inner one made of metal. The shell is modeled based on the first-order shear deformation theory (FSDT), and Hamilton’s principle is utilized to attain the governing equations and boundary conditions. A trigonometric-based analytical solution is carried out in the circumferential direction, and an approximate solution is presented in the meridional direction via the differential quadrature method (DQM). The impacts of various factors on the natural frequencies are inspected like the thickness of the core-to-thickness of the shell ratio, geometric factors of the cells in the FGAH core, and material gradation in the FGAH core.
Adapting telehealth to address health equity: Perspectives of primary care providers across the United States
Authors: Azar Rachel , Chan Rachel , Sarkisian Miriam , Burns Robert D , Marcin James P , Gotthardt Christine , De Guzman Keshia R , Rosenthal Jennifer L , Haynes Sarah C
Published: March 2024

Background

Telehealth has the potential to increase access to care for medically underserved patients. This qualitative study aimed to identify telecare practices used during the COVID-19 pandemic to meet the needs of patients experiencing homelessness, patients with disabilities, and patients with language preference other than English (LOE).

Methods

We conducted a secondary qualitative data analysis of 47 clinician interviews at Federally Qualified Health Centers (FQHCs) around the country. Using thematic analysis, transcripts were coded by line-by-line by five qualitative researchers. A multidisciplinary team of telehealth experts, researchers and primary care clinicians reviewed memos and excerpts to generate major themes.

Results

We identified six main areas demonstrating how community providers developed strategies or practices to improve access to care for vulnerable patients: reaching patients experiencing homelessness, serving deaf and hard of hearing patients, improving access for patients with disabilities, serving patients with LOE, improving access for mental and behavioral health services, and educating patients about telehealth. During the pandemic, FQHCs developed innovative solutions to provide access to care for the unhoused, including using telehealth in shelters, vans, and distributing devices like mobile phones and tablets. Telehealth reduced transportation burdens for patients with disabilities and reduced no-show rates for mental health services by adapting group therapy via telehealth features (like break-out rooms) and increasing provider capacity.

Conclusion

Our study identified strategies adopted by FQHCs to serve underserved populations during the COVID-19 pandemic. Our findings highlight the need for enduring strategies to improve health equity through telehealth..
Misdiagnosis of functional neurological symptom disorders in paediatrics: Narrative review and relevant case report
Authors: Baglioni Valentina , Esposito Dario , Bernardi Katerina , Novelli Maria , Zaccaria Valerio , Galosi Serena , Pisani Francesco
Published: March 2024

Functional neurological symptom disorders (FNSD) pose a common challenge in clinical practice, particularly in pediatric cases where the clinical phenotypes can be intricate and easily confused with structural disturbances. The frequent coexistence of FNSDs with other medical disorders often results in misdiagnosis. In this review, we highlight the distinctions between FNSD and various psychiatric and neurological conditions. Contrary to the misconception that FNSD is a diagnosis of exclusion, we underscore its nature as a diagnosis of inclusion, contingent upon recognizing specific clinical features. However, our focus is on a critical learning point illustrated by the case of a 14-year-old male initially diagnosed with FNSD, but subsequently found to have a rare primary monogenic movement disorder (paroxysmal kinesigenic dyskinesia, PKD). The crucial takeaway from this case is the importance of avoiding an FNSD diagnosis based solely on psychiatric comorbidity and suppressible symptoms. Instead, clinicians should diligently assess for specific features indicative of FNSD, which were absent in this case. This emphasizes the importance of making a diagnosis of inclusion. Extended follow-up and clinical-oriented genetic testing might help identify comorbidities, prevent misdiagnosis, and guide interventions in complex cases, which cannot be simply classified as “functional” solely because other conditions can be excluded.
The protective effects of Swedish COVID-19 pandemic strategies on adolescents’ mental health: a longitudinal cohort study
Authors: Lilja Josefine L. , Augustsson Pia , Praetorius Björk Marcus , Marteinsdottir Ina , Craighead W. Edward , Örn Arnarson Eiríkur , Sveinsdottir Gudny , Wikberg Carl
Published: March 2024

Aim:

The aim of this study was to investigate a cohort of Swedish eighth graders’ mental health and experiences during the COVID-19 pandemic.

Methods:

Participants were 157 eighth graders recruited in junior high schools during 2020 who completed a depression questionnaire and a survey about their psychosocial health in relation to the COVID-19 pandemic, alongside a follow-up assessment in 2021. Analyses were conducted using latent change score and cross-lagged models.

Results:

Participants’ depressive symptoms did not substantially increase during the COVID-19 pandemic. The level of depressive symptoms in 2020 was significantly associated with participants’ perceptions of the pandemic in 2020 and spring 2021. Participants with higher depression scores reported worse experiences of the pandemic.

Conclusions:

The stable level of depressive symptoms among this cohort of eighth graders suggested that keeping schools open during a nationwide lockdown could mitigate some mental health consequences. Adolescents in this study with higher self-assessed depressive symptoms were more likely to experience increased depression after 6 months and had worse experiences during the pandemic than others. This suggests that the pandemic may not immediately affect mental well-being, but those at risk may be affected over time.
Corrosion resistance of hybrid plasma electrolytic oxidation coatings on AZ31B magnesium alloy in simulated body fluid
Authors: Kumar C. Vinoth , Rajyalakshmi G.
Published: March 2024

This study examines the effects of a hydroxyapatite/anatase TiO2/CeO2 coating on the corrosion of AZ31B magnesium alloy in a simulated body fluid. Plasma electrolytic oxidation (PEO) is used to create the coating, and the surface properties are analysed using X-ray diffraction (XRD), atomic force microscopy (AFM) and field-emission scanning electron microscopy (FE-SEM). Contact angle measurements adapted to compare the uncoated substrate (144.74 ± 2.08°) with the coated substrates, which exhibit contact angles of (107.92 ± 2.16°), (95.88 ± 2.06°) and (66.05 ± 2.09°) for the respective coating durations. Increasing the thickness of the coating improves its corrosion resistance. Specifically, a 6-minute PEO coating significantly increases the thickness and provides better protection against corrosion for the AZ31B magnesium alloy. Cross-sectional scans of the coated samples revealed an increase in specimen thickness from 32.92 μm to77.17 μm. Potentiodynamic polarisation tests in a simulated body fluid reveal that the 6-minute coated sample shows the highest corrosion resistance, with the lowest corrosion current density (1.9037 × 10-06) compared to other coatings, indicating strong protection against corrosion. This research proposes a novel method to enhance the corrosion resistance of PEO coatings on magnesium alloys by depositing a thicker layer of hydroxyapatite, anatase TiO2 and CeO2. This approach results in a stronger and more effective protective system against corrosion.
Transition and Future of Assessment for Effective Intervention
Authors: Stevenson Nathan A. , Bellara Aarti P.
Published: March 2024

By tradition, editors of Assessment for Effective Intervention (AEI) typically serve 3-year terms. As of January 1, 2024, AEI officially transitioned from outgoing editor Dr. Leanne Ketterlin Geller to incoming co-editors Drs. Aarti Bellara and Nathan Stevenson. The following article describes recent history and current state of AEI as a peer-reviewed scientific journal. The new editorial team describes some of the challenges ahead and their vision for the future of AEI.
Occupational Encounters: The Interpersonal Impact of Bus Drivers’ Engagement With Disabled Passengers
Authors: Das Neves Bonnie , Unsworth Carolyn
Published: March 2024

Whether mundane or meaningful, interpersonal encounters are prerequisites for (and have a significant impact on) many occupations. This study sought to understand the interpersonal impact and occupational relevance of encounters, through exploring encounters between bus drivers and disabled passengers. The Person-Environment-Occupation-Performance (PEOP) Model was applied as part of a Framework Analysis, separately examining bus driver and disabled passenger data. The Interpersonal-Person-Environment-Occupation-Performance (I-PEOP) Model prototype was then developed to enable simultaneous exploration of the factors impacting such encounters. Application of the I-PEOP and PEOP Models found encounters between bus drivers and disabled passengers were pivotal to the exclusion or inclusion of disabled passengers in their communities. Understanding the occupational relevance of encounters, and the factors that determine their interpersonal impact, prompts occupational therapists to identify and address how intersectionality, power dynamics, occupational roles, and inter-perceptions impact an individual’s community mobility and inclusion.
Prognostic Value of Lymphocyte-to-Monocyte Ratio (LMR) in Patients With Prostate Cancer: A Systematic Review and Meta-Analysis
Authors: Xiang Qin , Liu Yueguang , Xiao Junwen , Ou Longhua , Du Jianhui
Published: March 2024

The objective of this study is to evaluate the prognostic value of lymphocyte-to-monocyte ratio (LMR) in patients with prostate cancer (PCa) by a method of meta-analysis. China National Knowledge Infrastructure (CNKI), Wanfang Data, PubMed, Web of Science, Cochrane Library, and Embase were searched to collect relevant literature until March 2023. The Newcastle-Ottawa Scale was used to assess the bias risk of the literature included. Hazard ratios (HRs) and 95% confidence intervals (CIs) were used to evaluate the prognostic value of LMR in PCa. Stata 15.0 statistical software was used for data analysis. A total of six published articles were included in this meta-analysis, containing 1,104 patients with PCa. The results of the meta-analysis indicated better overall survival (OS; HR = 1.73, 95% CI: 1.73, p = .001) and progression-free survival (PFS; HR = 2.63, 95% CI: 1.58~4.38, p < .001) in patients with PCa with low LMR compared with high LMR. In conclusion, compared with low LMR, PCa patients with high LMR have a better prognosis. LMR is an independent risk factor affecting the long-term prognosis of patients with PCa. The detection of LMR before treatment is of certain significance in judging the clinical prognosis of patients with PCa.
Collaboratively Stepping Back as a Method in an Arts-Inspired Self-Study to Move Forward in Professional Learning for Social Change
Authors: van Laren Linda , Mudaly Ronicka
Published: March 2024

We are a team of two South African teacher educator researchers at a higher education institution in the province of KwaZulu-Natal. Each of us has distinct research niches, and stem from different racial and cultural backgrounds. Our common interest in and commitment to social change through education led to this collaboration where we explored ways of extending the learning we had acquired whilst completing our doctoral research projects. In our doctoral projects we focused on teaching, learning, and our professional responsibilities as South African educators in the HIV and AIDS context to facilitate social change in education. For our current study we asked the question: “What professional learning in the HIV and AIDS context can we (re)construct by stepping back and co-reflecting using arts-inspired approaches?” We used the following data sources: (1) self-chosen exemplars from each researcher’s completed doctoral projects; (2) e-mailed communications as to why we selected the particular exemplars to enhance our professional re-learning in the HIV and AIDS context; (3) individually selected artefacts used as metaphors to explore our research question; and (4) transcriptions of Zoom dialogic meetings where we probed our metaphors and found poems. Our analysis commenced with individually composed found poems using our data sources. These poems were used for poetic interrogation using a co-created Red Ribbon silhouette found poem. Combining all these arts-inspired methods and through co-reflection we could step back and look forward to answer our research question.
Adaptive lexical processing of semantic competitors extends to alternative names: Evidence from blocked-cyclic picture naming
Authors: Wöhner Stefan , Mädebach Andreas , Schriefers Herbert , Jescheniak Jörg D.
Published: March 2024

Naming a picture (e.g., “duck”) in the context of semantically related pictures (e.g., “eagle,” “stork,” “parrot”) takes longer than naming it in the context of unrelated pictures (e.g., “knave,” “toast,” “atlas”). Adaptive models of word production attribute this semantic interference effect in blocked-cyclic naming (BCN) to an adaptive mechanism that makes competitor words, (e.g., the semantically related word “eagle” for the target word “duck”) which are activated but not selected for production, less accessible for future retrieval. Results from a recent picture-word-interference study, however, suggested that alternative names (e.g., “bird” for “duck”) might be exempt from this mechanism, challenging adaptive lexical processing as a general mechanism. We tested whether converging evidence is obtained in BCN. In Experiment 1, we embedded pictures responded to with alternative (category) names (e.g., “bird”) into contexts composed of pictures responded to with specific (exemplar) names (e.g., “duck,” “eagle,” “stork,” and “parrot”). If alternative names are exempt from adaptive lexical processing, interference in the homogeneous context should be found for specific name items but not for alternative name items. In contrast to this prediction, there was similar-sized interference for both types of items. In Experiment 2, we replaced the alternative name items with unrelated items. For these items, interference was largely diminished, ruling out that the effect found in Experiment 1 is a general set effect. Overall, our data suggest that alternative names are not special with respect to adaptive lexical processing.
The Whiteman and gifts: Underlying concepts influencing Ghanaian officials’ explanation of corruption
Authors: Amagnya Moses Agaawena
Published: March 2024

Corruption – the (mis)use of entrusted power or public office for private gain – is a widely researched and discussed subject matter with various descriptions. Understanding the meaning and nature of corruption from the perspectives of criminal justice and anti-corruption officials is essential for developing effective anti-corruption measures and strategies. However, justice and anti-corruption officials’ perspectives of what corruption means are under-explored. Addressing this gap, the current study explores Ghanaian justice and anti-corruption officials’ understanding of corruption and factors that might influence their perceptions. The study uses a qualitative design of interviews with judges, prosecution lawyers, police officers, defence lawyers and anti-corruption officials. The results show that colonialism, Western domination and historical and cultural practices are key factors underpinning officials’ understanding and explanation of corruption. The discussion depicts clashes between Western values and cultural practices of developing countries like Ghana. Finally, the article concludes by discussing the implications of the results for policy and practice.
The pronator contracture syndrome: A new entity in supination restriction
Authors: Philips Tim , Duerinckx Joris , Van Melkebeke Laurens , van Riet Roger , Caekebeke Pieter
Published: March 2024

Forearm rotation is essential for daily activities and functional dexterity, involving both pronation and supination. Forearm rotation limitations can result from various pathologies, often linked to trauma, structural changes in radio-ulnar joints, and interosseous membrane alterations. Soft tissue contracture, such as post-burn scarring or specific neurological conditions, can also restrict forearm rotation. We present two cases of painless restricted passive and active supination, devoid of bony, neurovascular, soft tissue, or congenital abnormalities. We describe a surgical technique to improve forearm rotation in these patients.
Analysis of tumor mutational burden and mutational landscape comparing whole-exome sequencing and comprehensive genomic profiling in patients with resectable early-stage non-small-cell lung cancer
Authors: Choi Su-Jin , Lee Jii Bum , Kim Jae Hwan , Hong Min Hee , Cho Byoung Chul , Lim Sun Min
Published: March 2024

Background:

Identifying actionable driver mutations via tissue-based comprehensive genomic profiling (CGP) is paramount in treatment decisions for metastatic non-squamous, non-small-cell lung cancer (NSCLC). However, the role of CGP remains elusive in resectable NSCLC. Here, we elucidate the feasibility of CGP in early-stage NSCLC Korean patients and compare the tumor mutational burden (TMB) and mutation landscape using three different platforms.

Methods:

All surgically resected NSCLC samples ( N = 96) were analyzed to assess the concordance in TMB calculation and targetable mutations using whole-exome sequencing (WES) and TruSight Oncology 500 (TSO500). In all, 26 samples were analyzed with Foundation One CDx Assay (F1CDx). Programmed death-ligand 1 (PD-L1) expression was evaluated using Vectra Polaris.

Results:

Stage distribution post-surgery was 80% I ( N = 77) and 20% II ( N = 19). Ninety-nine percent ( N = 95) were adenocarcinoma. The median TMB with WES and TSO500 was 1.6 and 4.7 mut/Mb, respectively ( p < 0.05). Using all three platforms, the median TMB was 1.9, 5.5, and 4 mut/Mb for WES, TSO500, and F1CDx, respectively ( p = 0.0048). Linear regression analysis of TMB values calculated between WES and TSO500 resulted in a concordance correlation coefficient of 0.83. For the PD-L1 tumor proportion score of <1% (negative, N = 18), 1–49% (low, N = 68), and ⩾50% (high, N = 10), the R2 values were 0.075, 0.79, and 0.95, respectively. The R2 values for TMB concordance were variable between the three platforms. Mutation landscape revealed EGFR mutation (51%, N = 49) as the most common actionable driver mutation, comprising L858R ( N = 22), E19del ( N = 20), and other non-common EGFR mutations ( N = 7).

Conclusion:

TSO500 and F1CDx showed robust analytical performance for TMB assessment with TSO500 showing stronger concordance of TMB with high PD-L1 expression. As the paradigm for the management of early-resected NSCLC continues to evolve, understanding TMB and the mutation landscape may help advance clinical outcomes for this subset of patients.
Do Disciplinary Sanctions Affect Political Parties’ Re-election? Evidence from Colombia
Authors: Posada Héctor M. , Burbano Valencia Enrique Javier , Mondragón-Mayo Angie
Published: March 2024

Our study examines whether citizens punish political misbehavior by estimating the impact of disciplinary sanctions on the re-election of political parties in Colombian mayoral elections. Results reveal that disciplinary sanctions have no effect on the re-election of paramilitary-linked parties. However, they can have a significant negative impact on the re-election of traditional and minority parties. The lack of punishment suggests that organizations manipulate voters through persuasion mechanisms, aligned with the Schumpeterian view of political competition.
Identification and analysis of e-Learning development components and validation of e-LDC questionnaire based on four-lens model
Authors: Karimian Zahra , Masoudi Maria
Published: March 2024

The development of e-learning in recent decades is one of the main policies of higher education administrators, but it requires the identification of development requirements and infrastructure. The aim of this study was to achieve two objectives: identifying the components of e-learning development (e-LDC) and validation of the eLDC tools. The study was conducted in 2020 on 156 faculty members of the Shiraz University of Medical Sciences. The research utilized random sampling through email and e-questionnaires. The research tool employed was a valid questionnaire based on a four-dimensional model . The research tool was a valid questionnaire based on the four-dimensional model (Bolman and Deal, 2003) with 32 items in four components: human resource (9), structural (8), political (6) and symbolic (9). The validity of the instrument was confirmed by CVI = 0.914, CVR = 0.83 and Cronbach’s-alpha of 0.969. 18 (11.5%) were instructors, 80 (51.3%) were assistant professors, 39 (25%) were associate professors, and 19 (12.2%) were professors. In the factor analysis test, KMO = 0.944 and the significance of Bartlett’s Test of Sphericity with ( p < 0.0001) confirmed the adequacy of the sample and the appropriateness of the test. According to the Scree Polt diagram and the variance explained, the four factors are cultural, structural, political, and manpower, respectively, influencing the development of e-learning. The explained common value of all items was more than 0.5 and the fit of the questionnaire at the special point was 67.12%. The development of e-learning in the universities requires a comprehensive view on the provision of infrastructure and e-learning requirements. But cultural development and modification of faculty members’ beliefs in e-learning is the most important factor and can be effective in the development of other factors.
Successful Late Repair of Truncus Arteriosus: A Single Center Experience
Authors: Elgayar Mohamed M. , Mostafa Mohamed M. , Adel Mohamed , Hosny Hatem
Published: March 2024

Background: Truncus arteriosus is a rare congenital heart defect resulting from the failure of the truncus arteriosus to divide during fetal development. It leads to a single outflow tract from the heart and, if left untreated, can be fatal. Late presentation and repair can also increase the risk of pulmonary hypertensive crises, which can lead to morbidity and mortality after repair. Methods: We performed a retrospective study examining outcomes of late-presenting patients who were repaired for this anomaly at our institution. Results: We identified seven patients who underwent late repair of truncus arteriosus who were 3 to 11 years of age. There were six females and one male. Postoperatively, all patients showed improvement in symptoms and hemodynamic parameters, with no reported mortality. The median duration of stay in the intensive care unit was nine days and with a range from 3 to 18 days, while the median hospital stay was 29 days with a range from 21 to 60 days. Conclusion: These findings highlight the potential for successful outcomes even in cases of delayed diagnosis.
Low Household Income Increases Hospital Length of Stay and Decreases Home Discharge Rates in Lumbar Fusion
Authors: Gallagher Ryan S. , Karsalia Ritesh , Borja Austin J. , Malhotra Emelia G. , Punchak Maria A. , Na Jianbo , McClintock Scott D. , Malhotra Neil R.
Published: March 2024

Study Design

Retrospective Matched Cohort Study.

Objectives

Low median household income (MHI) has been correlated with worsened surgical outcomes, but few studies have rigorously controlled for demographic and medical factors at the patient level. This study isolates the relationship between MHI and surgical outcomes in a lumbar fusion cohort using coarsened exact matching.

Methods

Patients undergoing single-level, posterior lumbar fusion at a single institution were consecutively enrolled and retrospectively analyzed (n = 4263). Zip code was cross-referenced to census data to derive MHI. Univariate regression correlated MHI to outcomes. Patients with low MHI were matched to those with high MHI based on demographic and medical factors. Outcomes evaluated included complications, length of stay, discharge disposition, 30- and 90 day readmissions, emergency department (ED) visits, reoperations, and mortality.

Results

By univariate analysis, MHI was significantly associated with 30- and 90 day readmission, ED visits, reoperation, and non-home discharge, but not mortality. After exact matching (n = 270), low-income patients had higher odds of non-home discharge (OR = 2.5, P = .016) and higher length of stay (mean 100.2 vs 92.6, P = .02). There were no differences in surgical complications, ED visits, readmissions, or reoperations between matched groups.

Conclusions

Low MHI was significantly associated with adverse short-term outcomes from lumbar fusion. A matched analysis controlling for confounding variables uncovered longer lengths of stay and higher rates of discharge to post-acute care (vs home) in lower MHI patients. Socioeconomic disparities affect health beyond access to care, worsen surgical outcomes, and impose costs on healthcare systems. Targeted interventions must be implemented to mitigate these disparities.
It’s About Time, Part II: Does Time Poverty Contribute to Inequitable College Outcomes by Gender and Race/Ethnicity?
Authors: Wladis Claire , Hachey Alyse C. , Conway Katherine M.
Published: March 2024

Existing research demonstrates gender- and race/ethnicity-based inequities in college outcomes. Separately, recent research suggests a relationship between time poverty and college outcomes for student parents and online students. However, to date, no studies have empirically explored whether differential access to time as a resource for college may explain differential outcomes by gender or race/ethnicity. To address this, this study explored the relationship between time poverty, gender or race/ethnicity, and college outcomes at a large urban public university with two and four year campuses. Time poverty explained a significant proportion of differential outcomes (retention and credit accumulation) by gender and race/ethnicity. More time-poor groups also dedicated a larger proportion of their (relatively limited) discretionary time to their education, suggesting that inequitable distributions of time may contribute to other negative outcomes (e.g., reduced time for sleep, exercise, healthcare). This suggests that time poverty is a significant but understudied equity issue in higher education.
Misleading Mandates: The Null Curriculum of Genocide Education
Authors: Yonas Anna M. , van Hover Stephanie
Published: March 2024

This content analysis examines the ways that genocide is included in the high school world history content standards of eleven states with legislative mandates requiring genocide education, as well as if the content standards in those states differ from those of states without mandated genocide education. The null curriculum theorizes that the content that is not taught may be as important as what is taught; this lens allows for a nuanced analysis of the ways that genocide is included and excluded in state standards. The findings suggest that states with legislative mandates requiring genocide education do not necessarily have high school world history content standards that require genocide education. The content standards in states with legislative mandates often omit acts of genocide, refrain from using the term “genocide,” and frame genocides as less important than the Holocaust, perpetuating the null curriculum of genocides.
Crash Course in the Classroom: Exploring How and Why Social Studies Teachers Use YouTube Videos
Authors: Miles James , Compton Allyson , Herold Eve
Published: March 2024

This article explores how the Crash Course video series are being used as a content-focused resource in the social studies classroom. It argues that the Crash Course series, alongside its YouTube competitors, has significantly stepped in to fill a vacuum left by criticisms and the unpopularity of lectures, textbooks, and feature films. With over 15 million subscribers and accumulated views over 1.9 billion, Crash Course has become an important and ubiquitous force in history and social studies classrooms and represents a new genre of educational media found on YouTube. However, the dramatic rise in the popularity of educational videos online has not coincided with a growth in educational research, particularly in social studies and history education. This article explores the findings of a mixed-methods study that examines how and why history and social studies teachers are using Crash Course videos in their teaching and planning. In particular, it analyses descriptive statistics derived from the results of a teacher survey ( n = 181) and semi-structured interviews with seven social studies teachers who have used Crash Course in their classrooms. The authors found that teachers in the study are regularly using the Crash Course video series to deliver content which is clearly meeting a need many social studies teachers have. The videos–short, easily accessible, and fun–fit nicely with demands to keep students engaged, reduce reliance on textbooks, and explore new content that teachers have little time to learn themselves. This study also found that rarely, if ever, are teachers inviting students to evaluate or assess the content, trustworthiness, or perspective of Crash Course videos. This article discusses what is gained and what are the risks of embracing Crash Course in the social studies and history classroom.
How Far Can Interventions to Increase Income Improve Adolescent Mental Health? Evidence From the UK Millennium Cohort Study and Next Steps
Authors: Villadsen Aase , Johnson Elliott Aidan , Cookson Richard , Johnson Matthew Thomas
Published: March 2024

UK adolescents and young adults are facing increasing rates of mental health problems and extremely difficult economic circumstances. There is strong evidence that interventions to increase income during adolescence can mitigate conditions such as anxiety and depression. However, policymakers lack quantified risk differences in the probability of mental illness between different income groups by which to establish the prospective scale of mitigation. Here, we estimate risk differences using two longitudinal cohort studies: Millennium Cohort Study (cohort members born between 2000 and 2002) and Next Steps (born 1989–1990). We quantify the association between income and risk of depression at age 14, serious mental illness at age 17, and non-psychotic mental illness at age 25. We also conduct sensitivity analysis using numerous other markers of socioeconomic (SES) status. We estimate that those living in the poorest quintile group of households have a greater probability of mental health problems than the richest at ages 14, 17, and 25. We find that other markers of SES status—subjective financial strain, cohort member assessed wealth relative to friends, occupational class, and education—display steeper associations with mental health symptoms relative to associations between mental health symptoms and income. Our findings are likely to be conservative underestimates since they are likely to be attenuated by well-known and large measurement errors in both mental health problems and living standards during adolescence.
Belonging in the Search for Identity
Authors: Liu Chiao-Wei
Published: March 2024

In this column, I explore the relationships between identity work and the sense of belonging. I argue that the absence of critical conversations such as race may prompt students to fit in but does not warrant a sense of belonging. Using a research study on Asian immigrant students as a reference point, I propose that we consider students’ engagements with music beyond the classroom as potential sites for critical analysis of elements that play into their realities and frame how they see and understand the world.
Low HDL cholesterol and the eNOS Glu298Asp polymorphism are associated with inducible myocardial ischemia in patients with suspected stable coronary artery disease
Authors: Vecoli Cecilia , Caselli Chiara , Modena Martina , Todiere Giancarlo , Poddighe Rosa , Valente Serafina , Bandini Fabrizio , Natali Andrea , Ghiadoni Lorenzo , Clerico Aldo , Prontera Concetta , Vittorini Simona , Botto Nicoletta , Emdin Michele , Neglia Danilo
Published: March 2024

Background

The endothelial nitric oxide synthase (eNOS) gene deficiency is known to cause impaired coronary vasodilating capability in animal models. In the general clinical population, the eNOS gene polymorphisms, able to affect eNOS activity, were associated with cardiometabolic risk features and prevalence of coronary artery disease (CAD).

Aim

To investigate the association of eNOS Glu298Asp gene polymorphism, cardiometabolic profile, obstructive CAD and inducible myocardial ischemia in patients with suspected stable CAD.

Methods

A total of 506 patients (314 males; mean age 62 ± 9 years) referred for suspected CAD was enrolled. Among these, 325 patients underwent stress ECG or cardiac imaging to assess the presence of inducible myocardial ischemia and 436 patients underwent non-invasive computerized tomography or invasive coronary angiography to assess the presence of obstructive CAD. Clinical characteristics and blood samples were collected for each patient.

Results

In the whole population, 49.6% of patients were homozygous for the Glu298 genotype (Glu/Glu), 40.9% heterozygotes (Glu/Asp) and 9.5% homozygous for the 298Asp genotype (Asp/Asp). Obstructive CAD was documented in 178/436 (40.8%) patients undergoing coronary angiography while myocardial ischemia in 160/325 (49.2%) patients undergoing stress testing. Patients with eNOS Asp genotype (Glu/Asp + Asp/Asp) had no significant differences in clinical risk factors and in circulating markers. Independent predictors of obstructive CAD were age, gender, obesity, and low HDL-C. Independent predictors of myocardial ischemia were gender, obesity, low HDL-C and Asp genotype. In the subpopulation in which both stress tests and coronary angiography were performed, the Asp genotype remained associated with increased myocardial ischemia risk after adjustment for obstructive CAD.

Conclusion

In this population, low-HDL cholesterol was the only cardiometabolic risk determinant of obstructive CAD. The eNOS Glu298Asp gene polymorphism was significantly associated with inducible myocardial ischemia independently of other risk factors and presence of obstructive CAD.
Partial facial paralysis induced by sialolithiasis of the parotid gland: a case report
Authors: Suri Abhinav , Avila Stephen , Tan Christina , Alalami Huda , Harris Jennifer
Published: March 2024

Background

Facial paralysis due to parotid sialolithiasis-induced parotitis is a unusual clinical phenomenon that has not been reported in prior literature. This scenario can present a diagnostic challenge due to its rarity and complex symptomatology, particularly if a patient has other potential contributing factors such as facial trauma or bilateral forehead botox injections as in this patient. This case report elucidates such a complex presentation, aiming to increase awareness and promote timely recognition among clinicians.

Case presentation

A 56-year-old male, with a medical history significant for hyperlipidemia, recurrent parotitis secondary to parotid sialolithiasis, and recent bilateral forehead cosmetic Botox injections presented to the emergency department with right lower facial drooping. This onset was about an hour after waking up and was of 4 h duration. The patient also had a history of a recent ground level fall four days prior that resulted in facial trauma to his right eyebrow without any evident neurological deficits in the region of the injury. A thorough neurological exam revealed sensory and motor deficits across the entirety of the right face, indicating a potential lesion affecting the buccal and marginal mandibular branches of the facial nerve (CN VII). Several differential diagnoses were considered for the lower motor neuron lesion, including soft tissue trauma or swelling from the recent fall, compression due to the known parotid stone, stroke, and complex migraines. An MRI of the brain was conducted to rule out a stroke, with no significant findings. A subsequent CT scan of the neck revealed an obstructed and dilated right Stensen's duct with a noticeably larger and anteriorly displaced sialolith and evidence of parotid gland inflammation. A final diagnosis of facial palsy due to parotitis secondary to sialolithiasis was made. The patient was discharged and later scheduled for a procedure to remove the sialolith which resolved his facial paralysis.

Conclusions

This case emphasizes the need for a comprehensive approach to the differential diagnosis in presentations of facial palsy. It underscores the potential involvement of parotid sialolithiasis, particularly in patients with a history of recurrent parotitis or facial trauma. Prompt recognition of such uncommon presentations can prevent undue interventions, aid in timely appropriate management, and significantly contribute to the patient's recovery and prevention of long-term complications.
The association between Dental Fluorosis and COL1A2 gene polymorphism among a Tunisian Population
Authors: Kallala Rim , Slimani Afef , Gassara Yosra , Garrach Behaeddin , Chouchen Sawssen , Foddha Hajer , Rouis Asma , kenani Aberraouf
Published: March 2024

Dental fluorosis (DF) is a prevalent developmental defect of tooth enamel caused by exposure to excessive fluoride, with the severity dependent on various factors. This study aimed to investigate the association between DF and a specific genetic polymorphism (rs412777) in the COL1A2 gene among a Tunisian population. A case-control study was conducted from July to November 2022, involving a total of 95 participants including 51 cases and 44 controls. Dental examinations and genetic analysis were performed to assess the relationship between the COL1A2 gene polymorphism and DF.

The results of allelic distribution revealed that A allele carriers were significantly protected against (DF) when compared to those with the C allele (C vs. A, p = 0.001; OR = 0.375 (0.207–0.672)). This suggests a strong correlation between the presence of the C allele and the risk of developing DF. Additionally, significant association between the CC genotype of rs412777 and an increased risk of DF was found under both codominant and dominant genetic models (P = 0.002 and P < 0.001 respectively).

The findings suggest that genetic predisposition plays a relevant role in the development of DF. Further research is needed to explore the potential use of genetic markers for DF and their implications for public health. This study provides the first insights into the genetic factors associated with DF in the Tunisian population, contributing to our understanding of this prevalent dental condition.
Evaluating clinical reasoning in first year DPT students using a script concordance test
Authors: Kojich Lindsey , Miller Stephanie A. , Axman Katelyn , Eacret Timothy , Koontz J. Atticus , Smith Caroline
Published: March 2024

Background

A script concordance test (SCT) provides a series of clinical vignettes to assess clinical reasoning in uncertainty. Appraised throughout health education literature, SCTs are cognitive assessments of clinical reasoning, though their use in Doctor of Physical Therapy (DPT) entry-level education has not been investigated. The purpose of this study was to develop and explore the reliability and validity of a SCT for first year DPT students.

Methods

The SCT was developed and implemented over four phases. During phases one and two, DPT program faculty consulted on course content from the first-year curriculum. Thirty clinical vignettes with three follow-up questions each were constructed. The SCT was pilot tested with five clinicians in phase three to assess question clarity. During phase four, the SCT was administered to students and a reference panel via Qualtrics. First year DPT students (n = 44) and reference panel physical therapists with at least two years of experience and advanced certification (n = 15) completed the SCT. Internal consistency was analyzed using Cronbach’s Alpha. Differences between student and reference panel percent-correct scores were analyzed with a t-test. Relationships between student SCT scores and academic records were explored with Spearman’s Rho.

Results

The SCT had an internal consistency of 0.74. A significant difference in scores was found between the students [mean 58.5 (+/-5.31)] and reference panel [65.8 (+/-4.88),p < .01]. No significant correlations between student SCT scores and academic records were found.

Conclusions

The developed SCT was reliable and demonstrated satisfactory internal consistency among test items. The SCT successfully differentiated between groups, with the reference panel demonstrating statistically significant higher percent-correct scores compared to students. SCTs may provide means to measure clinical reasoning in DPT students and lead to novel pedagogical approaches to enhance clinical reasoning.
Mapping student engagement in health professions education policy and decision-making: a scoping review
Authors: Neshastesaz Kashi Hanieh , Goharinezhad Salime , Soleimanpour Samira , Mohammadi Ali Haji
Published: March 2024

Background

“Student engagement” (SE) is gaining momentum as an approach to improve the performance of health professions education (HPE). Nevertheless, despite the broad studies about the role of students in various areas, little is known about the role of SE in policy and decision-making activities. This study aimed to map SE in policy and decision-making regarding terms and definitions, engagement models, influencing factors, outcomes and achievements, and the interconnection between the influencing factors.

Method

Five databases (PubMed, Scopus, ProQuest, Web of Science, and ERIC) were systematically searched from Jan 1, 1990, to Nov 12, 2022. The review was followed according to the Arksey and O’Malley framework for scoping reviews and reported according to the PRISMA-ScR guidelines. We included articles published in English focusing on HPE policy and decision-making. The authors summarized and synthesized the findings into themes, subthemes, tables, and models.

Results

Of the 22 articles included in the full-text review, terms and definitions were tabled, and three themes were extracted: 1. models of SE, in which 10 studies (45.5%) presented the highly structured formal models as Organizations, 5 studies (22.7%) reported less-structured community and group as Programs, and 7 studies (31.8%) engaged students only in surveys or interviews as Perspective; 2. Factors influencing SE, that were categorized into 7 subthemes: structural, environmental, and motivational factors, member characteristics, training and mentoring, member relationships, valuing and recognizing. 3. Outcomes and achievements of SE related to systems and members. The interconnection between influencing factors is also demonstrated as a conceptual model.

Discussion

There are various SE models in HPE policy and decision-making, which are mapped and categorized depending on the degree of formality, structuredness, and level of engagement. In our study, three more common SE models in HPE policy and decision-making were investigated. Additionally, these collaborative methods emphasized curriculum development and quality assurance and employed students in these activities. It is worth mentioning that to make SE models more efficient and sustainable, several influencing factors and their interconnections should be considered.