bluuebunny/crossref_metadata_2025 huggingface dataset:
Mi Conexión Cultural al Ambiente Educativo: Cultural Congruity as a Mediator within a Psychosociocultural Examination of Californian Latinx High School Students’ Coping
Authors: Herrera Nancy , Castellanos Jeanett , Gloria Alberta M.
Published: July 2021

As California is one of the primary states with the highest influx of Latinxs, the rise of Latinx enrollment in California high schools calls to the importance of understanding methods to increase academic and overall wellness. Cultural congruity (i.e., match of one’s cultural values with those of the educational setting) is hypothesized to influence positive academic and psychological outcomes for Latinx students. However, no study to date has examined the role cultural congruity in further explaining psychological outcomes for high schoolers. Using the psychosociocultural framework, the study’s purpose was to examine if cultural congruity further explains the relationships between academic self-efficacy, family support, and ethnic identity with coping, respectively. For a sample of 104 Latinx Californian high school students, results revealed that cultural congruity partially explained the relationships of academic self-efficacy and ethnic identity with coping, respectively. Educators and mental health practitioners may benefit from implementing a curriculum that is culturally validating, as it may support positive psychological functioning and coping strategies.
Investigation into four-roller compact spinning with air damper for improving yarn performance
Authors: Yang Yanan , Sun Xiaoxia , Li Zhimin , Wang Xinhou
Published: July 2021

Compact spinning, as a new kind of spinning technology, has gained wide attention because of its great reduction in spinning triangle and yarn hairiness. In order to meet the demand of high-grade clothing, research on further improving the performance of compact spun yarn is the emphasis. Of all the existing compact spinning systems, the four-roller compact spinning with lattice apron is most widely used at present because of its low cost. Therefore, this paper aims to put forward a new kind of device to improve yarn performance for four-roller compact spinning systems. Related experiments have been done to verify the efficiency of the device, and the mechanism is analyzed by computational fluid dynamics. The numerical simulation shows that the device can change the direction of airflow and increase the velocity in the directions of transverse condensing and thickness. It is shown that the air damper is convenient to use and has potential applications in spinning compact yarns with better performance.
Massive parietal defect with multiple enteroatmospheric fistulae after thermal injury abdomen in a metal industry accident: Case report of a rare survivor
Authors: Kaur Supreet , Joshi Mohit , Agarwal Harshit , Bagaria Dinesh
Published: July 2021

In industrial foundries, raw metal is heated almost up to its melting point and then passed through the rolling mill to mould it into a desired shape. Contact with hot machinery or the hot metal can cause severe deep burns. When such thermal injury involves the abdominal wall, complex bowel injury can occur, leading to life-threatening abdominal sepsis. We report successful management of a patient with abdominal wall defect and multiple open fistulae. Severe thermal injury of the anterior abdominal wall may be associated with latent bowel injuries and abdominal compartment syndrome. A low threshold for surgery and re-look surgery may prevent complications.
Working Toward Network Governance: Local Actors’ Strategies for Navigating Tensions in Localized Health Care Governance
Authors: van Duijn Sarah , Bannink Duco , Ybema Sierk
Published: July 2021

Although network governance has become increasingly popular in both research and practice, its anticipated benefits do not always materialize. Although literature on network governance acknowledges the challenges that result from its introduction, scholars tend to assume these challenges can be managed and rarely analyze how the different participating actors (strategically) react to the tensions surrounding its establishment. As such, the process of how “networking” actors establish, maintain, and negotiate a network remains understudied. In light of these shortcomings, this article zooms in on how actors, in their collaboration efforts with network partners, navigate the tensions between (a) their discretionary space and the parameters set by a central policymaker, and (b) their pursuit of both integration and differentiation. This ethnographic case analysis contributes by, first, revealing how local actors demonstrate agency in maneuvering between these tensions in everyday practice by adopting three strategies—that is, overwhelmed deflection, situational segmentation, and strategic reappropriation—and, second, by revealing how these tensions interact and subsequently affect the implementation of policies in networks.
Characteristics of dissolved pores and dissolution mechanism of zeolite-rich reservoirs in the Wuerhe Formation in Mahu area, Junggar Basin
Authors: Li Ji , Zhang Wenjie , Xiang Baoli , He Dan , Yang Shengchao , Wang Jian , Li Erting , Zhou Ni , Sun Funing , Hu Wenxuan
Published: July 2021

The reservoir in the Wuerhe Formation in the Mahu Sag, northwestern Junggar Basin, China, exhibits complex dissolution and cementation related to zeolite. The source and mechanism of diagenetic fluids are crucial in studying the reservoir genesis. Thus we investigated the key reservoirs fluids related to the zeolite and discussed their significance in the zeolite-rich reservoir of the Permian Wuerhe Formation in the Mahu Sag. Based on thin sections and electron microscope observations of rock samples and analyses of physical properties, C-O isotopes, and major elements, it is found that the reservoir underwent mainly two stages of fluid-related dissolution and cementation processes, in which the hydrocarbon-bearing fluid played the primary role in forming the high-quality reservoir. Dissolution pores are the most important storage space, and zeolite cement is the most important dissolution mineral. The geochemical characteristics of zeolite and calcite cement indicate the presence of two diagenetic fluids. The iron-rich calcite and orange-red heulandite is related to early diagenetic fluids with high iron content and higher carbon isotope values, whereas the calcites, with high manganese content and lower carbon isotope values, are formed by late acidic organic diagenetic fluids related to oil and gas activities. The hydrocarbon-bearing fluids form different spatial diagenetic zones, including the dissolution zone, buffer zone, and cementation zone, and the dissolution zone near the oil source fault is the main site of zeolite dissolution. The late fluid has the characteristics of multi-stage activity, which makes the spatial zoning expand gradually, resulting in multiple superpositions of dissolution and cementation and increasing the complexity and heterogeneity of the reservoir diagenesis. This study expands the understandings of the dissolution activities of different fluids in zeolite-rich reservoirs and also has reference significance for dissolution activity of hydrocarbon fluid in other types of reservoirs.
What Do We Hear in the Voice? An Open-Ended Judgment Study of Emotional Speech Prosody
Authors: Elfenbein Hillary Anger , Laukka Petri , Althoff Jean , Chui Wanda , Iraki Frederick K. , Rockstuhl Thomas , Thingujam Nutankumar S.
Published: July 2021

The current study investigated what can be understood from another person’s tone of voice. Participants from five English-speaking nations (Australia, India, Kenya, Singapore, and the United States) listened to vocal expressions of nine positive and nine negative affective states recorded by actors from their own nation. In response, they wrote open-ended judgments of what they believed the actor was trying to express. Responses cut across the chronological emotion process and included descriptions of situations, cognitive appraisals, feeling states, physiological arousal, expressive behaviors, emotion regulation, and attempts at social influence. Accuracy in terms of emotion categories was overall modest, whereas accuracy in terms of valence and arousal was more substantial. Coding participants’ 57,380 responses yielded a taxonomy of 56 categories, which included affective states as well as person descriptors, communication behaviors, and abnormal states. Open-ended responses thus reveal a wide range of ways in which people spontaneously perceive the intent behind emotional speech prosody.
Co-Teaching in Uncertain Times: Using Technology to Improve Student Learning and Manage Today’s Complex Educational Landscape
Authors: Barron Tammy , Friend Marilyn , Dieker Lisa , Kohnke Shalece
Published: July 2021

As co-teachers tackle the unique challenges of instructing in remote, hybrid, and socially distanced brick-and-mortar settings they can increase their success by incorporating technology solutions into their shared classrooms. Technology can facilitate co-teachers’ implementation of small-group instruction, increase options for student engagement and participation, and establish instructional consistency through clear communication. The result can be enhanced student learning and more efficient and effective delivery of the specially designed instruction that students with disabilities must receive.
Globalisation and local economic development: Place-based and bottom-up public policies in Switzerland and Mexico
Authors: Palavicini Corona Eduardo I
Published: July 2021

The XXI century has reached the end of its first 20 years. Along the years, it has posed complex challenges to economists and economic geographers. For example, the results of elections and consultations in different countries have shown a strong sympathy with political positions that question the benefits of free international flows of goods, services, labour and capital. By the same token, some academics argue that despite international economics theory clearly acknowledges that free trade causes winners and losers, the expected higher gains have not been effectively used to compensate the losers. This article explores the main challenges of international economic integration in sub-national territories in Switzerland and Mexico to better understand the importance of delivering relevant and competent public policies based on territorial specificity.
Viral mimetic triggers cerebral arteriopathy in juvenile brain via neutrophil elastase and NETosis
Authors: Rayasam Aditya , Jullienne Amandine , Chumak Tetyana , Faustino Joel , Szu Jenny , Hamer Mary , Ek C Joakim , Mallard Carina , Obenaus Andre , Vexler Zinaida S
Published: July 2021

Stroke is among the top ten causes of death in children but has received disproportionally little attention. Cerebral arteriopathies account for up to 80% of childhood arterial ischemic stroke (CAIS) cases and are strongly predictive of CAIS recurrence and poorer outcomes. The underlying mechanisms of sensitization of neurovasculature by viral infection are undefined. In the first age-appropriate model for childhood arteriopathy—by administration of viral mimetic TLR3-agonist Polyinosinic:polycytidylic acid (Poly-IC) in juvenile mice—we identified a key role of the TLR3-neutrophil axis in disrupting the structural-functional integrity of the blood-brain barrier (BBB) and distorting the developing neurovascular architecture and vascular networks. First, using an array of in-vivo/post-vivo vascular imaging, genetic, enzymatic and pharmacological approaches, we report marked Poly-IC-mediated extravascular leakage of albumin (66kDa) and of a small molecule DiI (∼934Da) and disrupted tight junctions. Poly-IC also enhanced the neuroinflammatory milieu, promoted neutrophil recruitment, profoundly upregulated neutrophil elastase (NE), and induced neutrophil extracellular trap formation (NETosis). Finally, we show that functional BBB disturbances, NETosis and neuroinflammation are markedly attenuated by pharmacological inhibition of NE (Sivelestat). Altogether, these data reveal NE/NETosis as a novel therapeutic target for viral-induced cerebral arteriopathies in children.
Efficacy of lenvatinib plus pembrolizumab in hepatocellular carcinoma with metachronous lung metastasis: a report of two cases
Authors: Li JieLang , Chen Ting , Bi Feng , Yang Yu
Published: July 2021

Introduction:

Immune checkpoint inhibitors (ICIs) and a combination of ICIs with targeted antiangiogenic agents are effective in treatment of advanced hepatocellular carcinoma (HCC). Studies have not explored effective biomarkers for prediction of HCC sensitivity to immunotherapy.

Case description:

The current study explored two consecutive patients with HCC with metachronous lung metastasis who were treated with lenvatinib and pembrolizumab as first-line treatment and third-line treatment, respectively. The two cases showed significant tumor shrinkage and long progression-free survival (>19 months and 12 months, respectively).

Conclusions:

The findings of the current study and recently published data indicate lung metastasis as a potential clinical therapeutic indicator for efficacy of immunotherapy against HCC.
Geographies of infrastructure III: Infrastructure with Chinese characteristics
Authors: Furlong Kathryn
Published: July 2021

For 25 years, China has staked its development on domestic and global infrastructure expansion. This third progress report on geographies of infrastructure explores what China’s far-reaching infrastructure venture means for critical infrastructure studies. Reviewing China’s infrastructure-driven urban growth, the Belt and Road Initiative and their links, three recommendations are advanced: (1) a reengagement with the state that takes its geographical and temporal diversity seriously, (2) an approach to infrastructure as part of a complex network of state projects with long-term ends, and (3) a concern with infrastructures of repression and confinement in wider processes of making things ‘flow’.
Analyzing the Effect of Autonomous Ridehailing on Transit Ridership: Competitor or Desirable First-/Last-Mile Connection?
Authors: Khaloei Moein , Ranjbari Andisheh , Laberteaux Ken , MacKenzie Don
Published: July 2021

Ridehailing services (e.g., Uber or Lyft) may serve as a substitute or a complement—or some combination thereof—to transit. Automation as an emerging technology is expected to further complicate the current complex relationship between transit and ridehailing. This paper aims to explore how US commuters’ stated willingness to ride transit is influenced by the price of ridehailing services and whether the service is provided by an autonomous vehicle. To that end, a stated preference survey was launched around the US to ask 1,500 commuters how they would choose their commute mode from among choices including their current mode and other conventional modes as well as asking them to choose between their current mode and an autonomous mode. Using a joint stated and revealed preference dataset, a mixed logit model was developed and analyzed. The results show that ridehailing per se might not be a significant competitor to transit, especially if it is integrated with transit as a first-/last-mile service. The total share of transit (transit-only riders plus those who use transit in connection with first-/last-mile ridehailing) remains substantially flat as set against conventional ridehailing services, even if ridehailing fares decrease. On the other hand, when the ridehailing price is significantly reduced by automation, our analysis suggests a decline in total transit ridership and an increase in ridehailing, especially for solo ridehailing. Also, it was found that autonomous pooled ridehailing might not be as appealing to commuters as autonomous solo ridehailing.
Mobility as a Service Operating Model to Enable Public Policy
Authors: Ditmore Christina Joy , Miller Angela K.
Published: July 2021

Mobility as a Service (MaaS) is the concept through which travelers plan, book, and pay for public or private transport on a single platform using either a service or subscription-based model. Observations of current projects identified two distinct approaches to enabling MaaS: the private-sector approach defined as a “business model,” and the public sector approach that manifests as an “operating model.” The distinction between these models is significant. MaaS provides a unique opportunity for the public sector to set and achieve public policy goals by leveraging emerging technologies in favor of the public good. Common policy goals that relate to transportation include equity and access considerations, environmental impact, congestion mitigation, and so forth. Strategies to address these policy goals include behavioral incentivization and infrastructure reallocation. This study substantiates two models for implementing MaaS and expanding on the public sector approach, to enable policy in favor of the public good.
Mental and Physical Health of Older Incarcerated Persons Who Have Aged in Place in Prison
Authors: Li Amanda , Williams Brie , Barry Lisa C.
Published: July 2021

This study describes physical and mental health of incarcerated males aged ≥50 years who spent at least 20 consecutive years in prison, comparing those with life sentences (“lifers”) with those expected to be released/paroled. Data included demographics, chronic medical conditions, self-reported and objective disabilities, depressive symptoms, suicidal ideation (SI), and social support. The 65 participants ( Mage = 56.9, SD = 6.6) were racially diverse (40% White, 51% Black, 9% Hispanic/Other), incarcerated for M = 26.6 ( SD = 4.5) years, and 34 (52%) were lifers. Among the 39 (60%) of participants with visitors, lifers had lower social support scores ( p = .005). After controlling for age, race, and chronic conditions, lifers reported disability in a higher number of activities ( p < .001), and had higher depressive symptoms ( p = .08) and SI scores ( p = .04). Health-related differences between lifers and those expected to be released have implications for prison systems including staff training, advance care planning, and need for expanding prison-based hospice programs.
Algorithmic Integration and Precarious (Dis)Obedience: On the Co-Constitution of Migration Regime and Workplace Regime in Digitalised Manufacturing and Logistics
Authors: Schaupp Simon
Published: July 2021

This article analyses the interaction of the algorithmic workplace regime and the migration regime in manual work in platform logistics and manufacturing in Germany. Based on ethnographic case studies, the article reconstructs how companies integrate migrant workers by using systems of algorithmic work control. These simplify the labour process and direct workers without relying on a certain language. Algorithmic work control, however, does not realise its intended disciplining effects on its own but is dependent on external factors. A precarious residence status is such an external disciplining factor as it can create an implicit alliance of migrant workers with their employers in the hope for permanent residence. Nonetheless, the interaction of the two regimes also produced new forms of solidarity between the workers, which in some cases led to new forms of self-organisation. Thus, workplace regime and migration regime co-constitute each other.
Direct oral anticoagulants versus warfarin in people living with human immunodeficiency virus
Authors: Seo Hangil , Jen Shin P , Green David , Papadopoulos John , Ahuja Tania
Published: July 2021

Human immunodeficiency virus (HIV) is associated with increased rates of cardiovascular disease and vascular events, and people living with HIV (PLWH) may often have indications for therapeutic anticoagulation. However, the ideal anticoagulant in PLWH remains unknown. This retrospective cohort evaluated the tolerability and effectiveness of oral anticoagulants in PLWH. The primary outcome was tolerability, defined as a composite of bleeding and/or discontinuation rates. The secondary outcomes included recurrent thromboembolism, bleeding, and discontinuations, independently. There were 92 patients included for analysis, 48 in the direct oral anticoagulant (DOAC) arm and 44 in the warfarin arm. There were 35 (38%) PLWH that did not tolerate oral anticoagulation therapy in the total cohort. Among these, 19 received a DOAC and 16 received warfarin. There were 16 (17%) PLWH that experienced a bleeding event: six in the DOAC arm and 10 in the warfarin arm. There were 15 (16%) PLWH that experienced recurrent thromboembolism, with similar rates between DOAC versus warfarin (10, 21% vs 5, 11%, respectively; p = 0.11). The most commonly prescribed HIV regimens were protease inhibitor and integrase inhibitor-based regimens. Overall, anticoagulation-related outcomes with either a DOAC or warfarin were poor in our cohort of PLWH, with high rates of bleeding, discontinuations, and recurrent thromboembolism. Further studies are necessary to validate and assess reasons for poor tolerability.
The Cost of Being ‘Backward’ in India: Socio-religious Discrimination in the Labour Market
Authors: Chakraborty Soumyajit , Bohara Alok K.
Published: July 2021

Being from backward castes, classes and Muslims in India has an economic cost associated with the nature of institutional discrimination. Using the 2011–2012 National Sample Survey data, this study identifies that caste and religion still rule the modern Indian labour market. We find that discrimination is evident in the socio-religious earnings gaps. While the parametric decompositions suggest that most of these gaps are due to differential human capital endowment, the nonparametric method almost evenly attributes inequality to discrimination and endowment. The results presented in this study suggest that discrimination against Scheduled Castes and Scheduled Tribes, Muslims and Other Backward Classes should be included in policy designs to promote equity in the Indian labour market.
Emotional and Behavioral Problems in Children With a Cleft Lip With or Without Palate or an Infantile Hemangioma
Authors: van Dalen Marije , Hermans Mireille M. , Leemreis Willem H. , Kraaij Vivian , De Laat Peter C. J. , Pasmans Suzanne G. M. A. , Versnel Sarah L. , Koudstaal Maarten J. , Hillegers Manon H. J. , Utens Elisabeth M. W. J. , Okkerse Jolanda M. E.
Published: July 2021

Objective:

Life can be challenging for children with a visible difference due to a medical condition, and they might be at risk for emotional and behavioral problems. This study examines emotional and behavioral problems in children with a cleft lip with or without palate (CL ± P) or an infantile hemangioma (IH) in relation to the visibility of the condition, the presence of additional condition-related problems, and parental affect.

Setting:

This cross-sectional study took place in an academic medical hospital in the Erasmus MC Sophia Children’s Hospital, the Netherlands.

Participants:

A total of 309 parents (mean age = 40.34, 44.00% male) of 182 children with CL ± P and 48 parents (mean age = 39.21, 37.50% male) of 33 children with an IH completed questionnaires. Children were 1.5 to 12 years old.

Results:

Parents reported fewer child emotional and behavioral problems compared to normative data. Problems reported were mainly related to learning difficulties and parent gender, while visibility of the condition had no significant influence. Parental negative affect was related to child internalizing problems. Parental positive affect was not related to any of the outcome measures.

Conclusions:

Parents reported fewer problems for their children compared to normative data. This is inconsistent with previous research, showing similar or worse scores for these children compared to peers. Our findings may be explained by a protective parenting style, a response shift in parents, or problems developing at a later point in life.
Resilience, Insight, Self-Compassion, and Empowerment (RISE): A Randomized Controlled Trial of a Psychoeducational Group Program for Nurses
Authors: Sawyer Amanda T. , Bailey Amanda K. , Green Jeanette F. , Sun Jingwei , Robinson Patricia Stearnes
Published: July 2021

Background:

Nurses tend to be vulnerable to burnout and compassion fatigue due to constant workplace stressors. There is a need to provide advocacy, education, programming, and resources in the areas of positive coping and self-care to reduce burnout symptoms and promote well-being. RISE is an 8-week psychoeducational group intervention for nurses with four themes: resilience, insight, self-compassion, and empowerment.

Aims:

This randomized controlled trial examined the effects of RISE on mental well-being.

Methods:

The sample included 75 registered nurses who work in a hospital-based setting. Outcomes included resilience, insight, self-compassion, empowerment, stress mind-set, perceived stress, and burnout. Independent-samples t tests were conducted to compare outcomes between intervention and wait-list control groups at baseline and 1-month follow-up, as well as at 3-month follow-up. Supplemental analyses included paired-samples t tests and linear mixed models to compare the outcomes of the intervention group participants at baseline to 1-month follow-up, as well as at 3-month and 6-month follow-ups.

Results:

Participants in the intervention group showed improved levels of insight (i.e., engagement in self-reflection), perceived stress, and burnout (i.e., emotional exhaustion) when compared with the control group and improved levels of resilience, self-compassion, stress mind-set, and perceived stress when compared with their baseline.

Conclusions:

This study informs how RISE affects nurse well-being and may be an effective intervention for reducing burnout and stress. This type of whole-person intervention can support nurses to improve their well-being and ability to cope amid the complex interplay of factors at the individual, unit, and organizational levels.
Sex Roles and the Erasure of Women from Conversations About Gender Oppression: The Case of #BoysDanceToo
Authors: Winer Canton
Published: July 2021

In 2019, the #BoysDanceToo movement reacted in anger to controversial, misogynistic remarks made on the television program, Good Morning America. These reactions highlighted the challenges faced by men and boys in dance. Yet, previous studies have documented significant advantages for men in dance. In an analysis of the discourse used in online posts related to the #BoysDanceToo movement, I find that these broader structural gender inequalities are generally not examined. Responses also do not interrogate the antifemininity that fuels the stigma against boys and men who dance. Analysis suggests that this is due to an overreliance on the language of sex roles—which can mask the oppression of women (as a group) by men (as a group)—and the neglect of a relational understanding of gender. As a result, women are largely erased from a conversation about gender oppression.
Effects of indwelling centrally inserted central catheter on tip location of peripherally inserted central catheter with intracavitary electrocardiogram guidance: A retrospective case-control study
Authors: Sun Wenyan , Li Jiaqian , Liu Bing , Liu Yue , Ge Ruibin , Wang Kai , Zhang Jingyan , Wu Xinjuan
Published: July 2021

Background:

Intracavity electrocardiogram (IC-ECG) guidance is an effective technology for monitoring the tip locations of centrally inserted central catheters (CICCs) and peripherally inserted central catheters (PICCs). However, for patients with an indwelling CICC, there has been no study on whether the CICC affects PICC tip positioning with IC-ECG guidance.

Methods:

Thirty people with a CICC requiring PICC insertion, matched with age to controls without a CICC. The stability of IC-ECG waveforms, the amplitude of P-waves, and the accuracy of PICC tip location were compared.

Results:

There was no significant difference in the stability of the IC-ECG waveforms (χ2 = 0.22, p = 0.64). The amplitudes of baseline P-waves and ideal P-waves also showed no significant difference ( t1 = 0.06, p1 = 0.96, t2 = 0.80, p2 = 0.43). Neither the accuracy of tip location (χ2 = 1.40, p = 0.50) nor the distance of PICC tip ( t = −0.03, p = 0.98) were significantly different.

Conclusion:

For patients with an indwelling CICC, the position of PICC tip can be accurately determined by the dynamic changes in the P-wave amplitude.
Transmediating difference: Fictional filter bubbles and transmedia storytelling
Authors: Kustritz Anne
Published: July 2021

Transmedia storyworlds often stem from a blockbuster “anchor property” that connects numerous extensions in multiple media forms. Consequently, transmedia can potentially diversify the media industry’s narratives since each medium may follow a different character whose perspective reinterprets the storyworld’s central themes and events. However, this article argues that a narrative strategy has emerged for “transmediating difference,” wherein politically contested storylines, LGBTQ characters, and the perspectives of women and people of color are sectioned off in low-budget transmedia extensions while blockbuster narratives remain primarily the domain of straight, able-bodied, white male protagonists. This story structure reveals the resiliency of industry assumptions about marketability while also isolating the experience of transmedia audiences, allowing companies to profit from inclusive and sanitized versions of the same narrative world. Like algorithmic “filter bubbles,” transmediating difference undermines cultural pluralism, and ushers in a paradoxical new form of invisibility despite increasingly diverse representation.
Digital hostility, internet pile-ons and shaming: A case study
Authors: Thompson Jay Daniel , Cover Rob
Published: July 2021

Digital hostility poses a grave risk to the health and wellbeing of its targets. This study addresses digital hostility levelled at public figures, and does so through the case study of Wilson Gavin. Gavin had cultivated a minor public profile in Australia through his conservative activism. In January 2020, after protesting at a drag storytelling event in Brisbane, Gavin was subject to significant online abuse; a day after the protest, he died by suicide. This study examines the forms, themes and frameworks of that abuse as it played out across a small sample of publicly available Twitter posts. The study also addresses Twitter responses to the death. These responses are significant in that they individualise Gavin’s suicide and portray him as unable to protect himself and thus inherently vulnerable to taking his own life. Conversely, the study suggests that Gavin’s death points to the need for an understanding of how digital hostility harms those who are subject to it and how public figures can become resilient to that hostility.
Locking down behavioural compliance: The role of emotion and emotion regulation in breaches of COVID-19 mitigation measures in Aotearoa New Zealand
Authors: Broodryk Terise , Robinson Kealagh
Published: July 2021

Although anxiety and worry can motivate engagement with COVID-19 preventative behaviours, people may cognitively reframe these unpleasant emotions, restoring wellbeing at the cost of public health behaviours. New Zealand young adults ( n = 278) experiencing nationwide COVID-19 lockdown reported their worry, anxiety, reappraisal and lockdown compliance. Despite high knowledge of lockdown policies, 92.5% of participants reported one or more policy breaches ( M  = 2.74, SD = 1.86). Counter to predictions, no relationships were found between anxiety or worry with reappraisal or lockdown breaches. Findings highlight the importance of targeting young adults in promoting lockdown compliance and offer further insight into the role of emotion during a pandemic.
The power of primary definers: How journalists assess the pluralism of economic journalism
Authors: Harjuniemi Timo
Published: July 2021

After the financial crisis, journalism scholarship has extensively pointed out how the journalistic debate on economic policy has been dominated by a strong emphasis on austerity and a limited range of elite sources. Building on 19 semi-structured interviews with Finnish political and economic journalists, this article examines how journalists themselves evaluate the pluralism of the economic policy debate. This article shows how journalists covering economic policy are critical when evaluating the level of pluralism in economic journalism, referring to a narrow range of expert sources and a widely shared economic policy consensus. These findings testify to the ability of ‘primary definers’ to set the boundaries of ‘legitimate controversy’ in economic journalism. Also, the interviews show how ruptures in economic policy, such as the COVID-19 pandemic and the resulting vast amount of monetary and fiscal stimulus, create space for more pluralism in economic journalism.
Comparison of ethical decision-making and interpersonal communication skills training effects on nurses’ ethical climate
Authors: Maghsoudi Shahrokh , Mohsenpour Mohaddeseh , Nazif Hamed
Published: July 2021

Introduction

Ethical climate in medical contexts is referred to the organizational environment consisting of medical staff interpersonal relationships regarding patient care. This element affects staff behavior in an organization. The investigation and comparison of the effects of the interventions promoting ethical climate are among important nursing challenges that should be considered by researchers. The present study was conducted to compare the effect of nurses’ ethical decision-making skills and interpersonal communication training on their ethical climate.

Materials and methods

This experimental study was performed on 90 nurses working in the general teaching hospitals of Mashhad, Iran. The sampling process was conducted in two stages. Nurses were divided into three groups: intervention 1 (ethical decision-making skills group), intervention 2 (interpersonal communication skills group) and control group. The intervention was separate 12-h workshops for each of the intervention groups. The ethical climate questionnaire by Victor and Cullen was used to assess the score of ethical climate in the three groups both at the beginning and 4 weeks after the workshop. The data were analyzed in Statistical Package for Social Sciences software (version 16) using descriptive statistics, analysis of variance, Kruskal–Wallis, paired sample t-test, Wilcoxon test, and post hoc Tukey’s test. Ethical considerations were as follows: The study design was approved by the Research Ethics Committee of Mashhad University of Medical Sciences. Informed consent was obtained from all subjects, and they were ensured about the confidentiality terms.

Results

The mean scores of the ethical climate test at the first stage were obtained as 66.0 ± 5.5, 67.8 ± 6.9, and 67.7 ± 7.2 in the ethical decision-making, interpersonal communication, and control groups, respectively. Accordingly, the three groups were not significantly different in terms of this variable (df = 87, f = 0.70, P = 0.005). However, after the intervention (i.e. second stage), a significant difference was observed among the three groups regarding the mean scores of the ethical climate test In this regard, the calculated mean scores in the ethical decision-making, interpersonal communication, and control groups were 99.3 ± 6.3, 90.4 ± 7.7, and 67.4 ± 7.9, respectively (df = 87, f = 152.00, P < 0.001).

Conclusion

Training workshops about ethical decision-making skills and interpersonal communication on the ethical professional climate of nurses was effective. Nonetheless, the effect of ethical decision-making skill training was found to be higher than interpersonal communication skill training. Therefore, it is recommended that nursing managers hold training workshops to improve the ethical climate for nurses.
Measuring Epistemic Deliberation on Polarized Issues: The Case of Abortion Provision in Ireland
Authors: Suiter Jane , M Farrell David , Harris Clodagh , Murphy Philip
Published: July 2021

This paper compares the debate quality in the plenary sessions of an Irish Citizens’ Assembly and an Irish parliamentary committee to assess the epistemic effects of public deliberation on a contentious subject: abortion. The unusual occurrence of a similar process of detailed discussion on the same topic in different institutions at around the same time (in 2016–2017) allows us to compare the deliberative capacities of these institutions and thus contribute to discussions on the appropriateness of an increasingly debated democratic reform: assigning political offices by lot. We suggest that the epistemic effect of deliberation on abortion should facilitate nuanced multi-layered discussion that is both ‘deeper’ in being based on multi-faceted arguments and ‘wider’ in terms of a more accommodative view. We anticipate that these effects should be more pronounced in the more deliberative, less polarized, environment of a citizens’ assembly rather than in a parliamentary committee. The analysis deploys the psychological concept of ‘cognitive complexity’. We find that members of the Citizens’ Assembly demonstrate a deeper cognitively complex grasp of the subject matter. In contrast, experts and parliamentarians tend to adjust their mode of delivery at a parliamentary committee reflecting the conflictual and strategic aspects of political debates in such a forum.
Optimization of the Navy’s three-dimensional mine impact burial prediction simulation model, Impact35, using high-order numerical methods
Authors: Donas Athanasios , Famelis Ioannis , Chu Peter C , Galanis George
Published: July 2021

The aim of this paper is to present an application of high-order numerical analysis methods to a simulation system that models the movement of a cylindrical-shaped object (mine, projectile, etc.) in a marine environment and in general in fluids with important applications in Naval operations. More specifically, an alternative methodology is proposed for the dynamics of the Navy’s three-dimensional mine impact burial prediction model, Impact35/vortex, based on the Dormand–Prince Runge–Kutta fifth-order and the singly diagonally implicit Runge–Kutta fifth-order methods. The main aim is to improve the time efficiency of the system, while keeping the deviation levels of the final results, derived from the standard and the proposed methodology, low.
Utilization, Complications, and Costs of Inpatient versus Outpatient Total Elbow Arthroplasty
Authors: Baxter Natalie B. , Davis Elissa S. , Chen Jung-Sheng , Lawton Jeffrey N. , Chung Kevin C.
Published: July 2021

Background

Although total hip and knee arthroplasty have largely moved to the outpatient setting, total elbow arthroplasty (TEA) remains a predominantly inpatient procedure. Currently, evidence on the safety and potential cost savings of outpatient TEA is limited. Therefore, we aimed to compare the costs and complications associated with performing TEA in the inpatient versus outpatient setting.

Methods

We identified patients who received elective TEA using the Truven Health MarketScan database. Outcomes of interest were 90-day complication rate, readmission rate, and procedure costs in the inpatient and outpatient settings. We used propensity score matching and logistic regression analysis to assess how patient comorbidities and surgical setting influenced complications and readmission rates. The median cost per patient was compared using the Mann-Whitney U test.

Results

We identified 307 outpatient and 414 inpatient TEA procedures over a 9-year period. Elixhauser comorbidity scores were higher for the inpatient cohort. The incidence of surgical complications was significantly higher in the inpatient than the outpatient cohort (27% vs 9%). The odds of 90-day readmissions were similar in the 2 groups (37% vs 25%). In terms of cost, the median inpatient TEA was more expensive than outpatient TEA ($26 817 vs $18 412). However, the median cost for occupational therapy within 90 days of surgery was higher for outpatient TEA patients ($687 vs $571).

Conclusions

The results of this study demonstrate that surgeons can consider a transition toward outpatient TEA for patients without significant comorbidities, as this will substantially reduce health care costs.
Curiosity-driven learning in adults with and without dyslexia
Authors: Garvin Bethany , Krishnan Saloni
Published: July 2021

People are willing to spend time and money to receive information and content they are curious about, such as answers to trivia questions, suggesting they find information rewarding. In neurotypical adults, states of high curiosity satisfaction are also known to enhance the learning and memory of information encountered in that state. Here, we investigated whether the relationship between curiosity, satisfaction, and learning was altered in a group with specific learning difficulty (dyslexia). Using a willingness-to-wait paradigm, we observed that adults with and without dyslexia are willing to spend time waiting for verbal and visual information. This indicates that the same “wanting” mechanisms are seen in individuals with dyslexia for information. We then examined whether information that was desirable was also associated with enhanced memory. Our findings indicate that information does function like a reward, with the gap between expected and received information driving memory. However, this memory effect was attenuated in individuals with dyslexia. These findings point to the need to understand how reward drives learning and why this relationship might differ in dyslexia.
Early cholangioscopy-assisted electrohydraulic lithotripsy in difficult biliary stones is cost-effective
Authors: Alrajhi Saad , Barkun Alan , Adam Viviane , Callichurn Kashi , Martel Myriam , Brewer Olaya , Khashab Mouen A. , Forbes Nauzer , Almadi Majid A. , Chen Yen-I
Published: July 2021

Background and Aims:

Single-operator cholangioscopy-assisted electrohydraulic lithotripsy (SOC-EHL) is effective and safe in difficult choledocholithiasis. The optimal timing of SOC-EHL use, however, in refractory stones has not been elucidated. The following aims to determine the most cost-effective timing of SOC-EHL introduction in the management of choledocholithiasis.

Methods:

A cost-effectiveness model was developed assessing three strategies with a progressively delayed introduction of SOC-EHL. Probability estimates of patient pathways were obtained from a systematic review. The unit of effectiveness is complete ductal clearance without need for surgery. Cost is expressed in 2018 US dollars and stem from outpatient US databases.

Results:

The three strategies achieved comparable ductal clearance rates ranging from 97.3% to 99.7%. The least expensive strategy is to perform SOC-EHL during the first endoscopic retrograde cholangiography pancreatography (ERCP) (SOC-1: 18,506$). The strategy of postponing the use of SOC-EHL to the third ERCP (SOC-3) is more expensive (US$18,895) but is 2% more effective. (0.9967). SOC-EHL during the second ERCP in the model (SOC-2) is the least cost-effective. Sensitivity analyses show altered conclusions according to the cost of SOC-EHL, effectiveness of conventional ERCP, and altered willingness-to-pay (WTP) thresholds with early SOC-1 being the most optimal approach below a WTP cut-off of US$20,295.

Conclusions:

Early utilization of SOC-EHL (SOC-1) in difficult choledocholithiasis may be the least costly strategy with an effectiveness approximating those achieved with a delayed approach where one or more conventional ERCP(s) are reattempted prior to SOC-EHL introduction.
A case of parasympathetic hyperactivity and associated Parry–Romberg syndrome
Authors: Clapp Andrea N , DePold Hohler Anna
Published: July 2021

This case report describes a 46-year-old female with a history of multiple endocrine neoplasia type 1 syndrome status post-parathyroidectomy, thymectomy via robotic video-assisted thoracoscopic surgery, and pituitary adenoma resection presenting with parasympathetic hyperactivity and Parry–Romberg syndrome. Parry–Romberg syndrome is a rare disorder that manifests as facial hemiatrophy. Reported symptoms include cognitive dysfunction, olfactory hallucinations, and parasympathetic hyperactivity: miosis of the right eye, anhidrosis, diarrhea, urinary incontinence, bowel incontinence, and orthostatic hypotension. Previous reports have noted associations between Parry–Romberg syndrome and sympathetic hyperactivity and dysregulation. This case report focuses on an association between Parry–Romberg syndrome and unopposed parasympathetic activity.
Inexperienced or anti-establishment? Voter preferences for outsider congressional candidates
Authors: Hansen Eric R. , Treul Sarah A.
Published: July 2021

Do US voters prefer inexperienced candidates? Candidates who have never held elected office before have had greater success in recent presidential and congressional elections. However, it could be that voters prefer the type of anti-establishment rhetoric that such candidates use more than the lack of experience itself. We conduct a 2x2 factorial experiment that manipulates a fictitious congressional candidate’s experience and rhetoric toward the political system. Results from a nationally representative Qualtrics sample and two follow-up studies from Mechanical Turk show that respondents evaluate the candidate more positively when he uses anti-establishment rhetoric instead of pro-establishment rhetoric. Though the findings are mixed, we find weak and inconsistent evidence that respondent prefer inexperienced candidates to experienced ones. The results suggest that outsider candidates receive an electoral boost by using anti-establishment messaging, but that candidates’ political résumés matter less to potential voters.
Couples talk about breastfeeding: Interviews with parents about decision-making, challenges, and the role of fathers and professional support
Authors: Henshaw Erin J , Mayer Maria , Balraj Sarina , Parmar Elsie , Durkin Kristine , Snell Rita
Published: July 2021

Despite health benefits, sustained breastfeeding rates remain low in the United States, and the role of partners in breastfeeding is not well understood. Using a grounded theory approach, the current qualitative study explored how couples communicate regarding breastfeeding decisions and challenges. Mother-father dyads ( n = 16) completed individual semi-structured interviews 1 year after the birth of their first child. Following iterative qualitative analysis, three phases of breastfeeding communication emerged: Should we try this? ( Mother’s opinion counts) How do we make this work? (adjusting and problem-solving) and How do we settle into a routine? (gaining confidence, resolving issues) Findings underscore the complexity of defining the partner role in breastfeeding.