bluuebunny/crossref_metadata_2025 huggingface dataset:
Exploring the Beliefs, Values, and Understanding of Quality End-of-Life Care in the Latino Community: A Spanish-Language Qualitative Study
Authors: Gallo Marin Benjamin , Oliva Rocío , Anandarajah Gowri
Published: July 2023

Context: Hospice services are underutilized by the Latino community in the United States. Previous research has identified that language is a key barrier contributing to disparities. However, very few studies have been conducted in Spanish to specifically explore other barriers to hospice enrollment or values related to end-of-life (EOL) care in this community. Here, we remove the language barrier in order to gain an in-depth understanding of what members of the diverse Latino community in one state in the USA considers high quality EOL and barriers to hospice. Methods: This exploratory semi-structured individual interview study of Latino community members was conducted in Spanish. Interviews were audio-recorded, transcribed verbatim and translated to English. Transcripts were analyzed by three researchers, using a grounded-theory approach to identify themes and sub-themes. Main Findings: Six major themes emerged: (1) concept of “a good death”—spiritual peace, family/community connection, no burdens left behind; (2) centrality of family; (3) lack of knowledge about hospice/palliative care; (4) Spanish language as critical; (5) communication style differences; and (6) necessity for cultural understanding. The central theme of “a good death” was closely linked to having the entire family physically and emotionally present. The four other themes represent interrelated, compounding barriers to achieving this “good death.” Principal Conclusions: Healthcare providers and the Latino community can work together to decrease hospice utilization disparities by: actively involving family at every step; addressing misconceptions regarding hospice; conducting important conversations in Spanish; and improving provider skills in culturally sensitive care, including communication style.
Virtual Reality Headset Simulating a Nature Environment to Improve Health Outcomes in Pregnant Women: A Randomized-Controlled Trial
Authors: Kılıç Süreyya , Dereli Yılmaz Sema
Published: July 2023

The single-blind randomized-controlled experimental study aimed to determine the effects of watching nature images through virtual reality (VR) headset on stress, anxiety, and attachment levels of pregnant women with preterm birth threats (PBTs). The participants were 131 primiparous pregnant women admitted to the perinatology clinic due to PBT between April 5, 2022 and July 20, 2022. The intervention group watched videos containing nature images accompanied by nature sounds in six sessions through VR headset three times daily for 2 days. Each session lasted for 5 min. The data were accumulated with the Information Form, Stress Subscale of Depression Anxiety Stress Scale-21, State Anxiety Inventory, Prenatal Attachment Inventory, and Information Form of Satisfaction Level of VR Headset. State anxiety and stress levels of pregnant women in intervention group were statistically significantly lower than those in controls. There was no difference in prenatal attachment levels concerning intragroup comparisons of intervention group.
The efficacy of different anti-vascular endothelial growth factor agents, and dexamethasone implant therapy in patients with serous retinal detachment caused by Irvine-Gass syndrome
Authors: Karasu Buğra , Kesim Enes , Celebi Ali Rıza Cenk
Published: July 2023

Purpose

The aim of this study is to compare the efficacy of intravitreal aflibercept (IVA), bevacizumab (IVB), ranibizumab (IVR), and dexamethasone implant (IVDI) in the treatment of serous retinal detachment (SRD) caused by Irvine-Gass syndrome (IGS).

Design

Retrospective cohort, comparative study.

Methods and Materials

The medical records of 128 eyes with no previous history of intravitreal agents in 128 IGS patients with SRD that received IVA, IVB, IVR, and IVDI monotherapy were retrospectively reviewed. The patients were divided into 4 groups, according to treatment. Patients with recurrence and/or were unresponsive following a course of topical steroids and non-steroidal anti-inflammatory drugs (NSAIDs) were included in the study. Best corrected visual acuity (BCVA), central macular thickness (CMT), subfoveal choroidal thickness (SFCT), and SRD were compared between the 4 treatment groups at baseline, at follow-up months 1, 3, 6, and 12, and at the final follow-up visit.

Results

Serous retinal detachment completely resolved in 74%, 45.7%, 66.4%, and 40.8% of the eyes at month 1 (P = 0.042), 87%, 50.9%, 75.8%, and 80.9% at month 3 (p = 0.031), 88.9%, 50.4%, 75.7%, 80.2% at month 6 (p = 0.028), 81.7%, 72.8%, 68.7%, 80.1% at month 12 (p = 0.580), and 100%, 66.4%, 87.9%, 93.2% (p = 0.478) at final follow-up visit in the IVA, IVB, IVR, and IVDI groups, respectively. BCVA was significantly better in the IVA group at all follow-up time points (month 1: p < 0.001; month 3: p < 0.001; month 6: p = 0.002; month 12: p = 0.009, final follow-up visit: p < 0.001). CMT was significantly lower in the IVA group at months 3 (p = 0.008), 6 (p = 0.011), and 12 (p = 0.010), and at the final follow-up visit (p < 0.001). Recurrence was observed after a longer period of time and fewer injections were needed in the IVDI and IVA groups (p < 0.05). Resolution of CME was most rapid in the IVA group (p = 0.032).

Conclusion

All intravitreal agents were effective in terms of visual results in the SRD patients; however, eyes treated with IVA and IVDI required fewer injections, as compared to the eyes treated with IVB and IVR. Furthermore, SRD entirely resolved in all eyes in the IVA group at the final follow-up visit.
Relationship Between Serum Vitamin D Level and Disease Severity in Rheumatoid Arthritis
Authors: Soltani Bajestani Farhang , Khajavian Nasim , Salarbashi Davoud , Kafili Mojtaba , Ashori Fatemeh , Hajavi Jafar
Published: July 2023

Background and Objective:

Rheumatoid arthritis is an autoimmune disease that causes joint pain and reduces daily activities. The aim of this study was to evaluate the serum of vitamin D and its relationship with the severity of the disease in patients with rheumatoid arthritis referred to Allameh Hehlool hospital in Gonabad.

Design and Methods:

This cross-sectional-analytical study was performed on 92 patients referred to the rheumatology clinic of Allameh Behlool Gonabad Hospital in 2021. After obtaining the permission of the ethics committee, the samples were selected based on the desired criteria. Serum vitamin D levels in patients were measured, and data were collected using a patient information checklist and DAS28-CRP activity questionnaire. Data were analyzed using SPSS software version 16 and using statistically appropriate tests at a significance level less than 5%.

Results:

The mean age of the patients was 53.05 ± 12.33 years and most of them (58.7%) were women. Serum vitamin D level was sufficient in 65.2% of patients and the severity of the disease was in the remission in 48.9% of them. The results of chi-square test showed a significant relationship between serum vitamin D levels and disease severity in patients ( P < .001).

Conclusions:

Serum vitamin D levels were inversely related to disease severity and in most patients with severe disease severity, serum vitamin D levels were inadequate. vitamin D supplementation is recommended in patients with rheumatoid arthritis.
Anlotinib as Monotherapy or Combination Therapy for Recurrent High-Grade Glioma: A Retrospective Study
Authors: Yin Jun , Yin Wenya , Zheng Linlin , Li Yimin , Luo Cheng , Zhang Shuo , Duan Lei , Zhou Hang , Cheng Kai , Lang Jinyi , Xu Ke
Published: July 2023

Background:

Anlotinib is a multi-target anti-angiogenic agent. The retrospective study was conducted to evaluate the safety and effectiveness of anlotinib as monotherapy or combination therapy for the treatment of recurrent high-grade gliomas.

Methods:

In this retrospective study, patients with recurrent high-grade glioma (according to the 2021 World Health Organization classification as levels III-IV) at Sichuan Cancer Hospital from June 2019 to June 2022 were included. The patients were divided into an anlotinib-monotherapy group and an anlotinib-combination group, and received oral anlotinib 8 to 12 mg once a day, with 2 weeks on/1 week off. The primary endpoint was progression-free survival (PFS). The Secondary endpoints included overall survival (OS), 6-month PFS rate, objective response rate (ORR), and disease control rate (DCR). Also, adverse events were evaluated using the National Cancer Institute’s Common Terminology Criteria for Adverse Events (CTCAE version 5.0).

Results:

A total of 29 patients (including 20 glioblastomas, 1 diffuse midline glioma, 5 anaplastic astrocytoma, and 3 anaplastic oligodendroglioma) were included in this study. Of these, 34.48% of the patients were treated with anlotinib alone and 65.52% with anlotinib combination therapy. The median follow-up time was 11.6 months (95% confidence interval [CI]: 9.4-15.7). The median PFS was 9.4 months (95% CI: 6.5-12.3), and the 6-month PFS rate was 62.1%. The median OS was 12.7 months (95% CI: 9.7-15.7), and the 12-month OS rate was 48.3%. Evaluation of treatment response was performed according to RANO (response assessment in neuro-oncology, RANO) criteria, including 21 partial response, 6 stable disease, and 2 PFS events. The ORR and DCR were 72.4%, and 93.1%, respectively. Grade III AEs occurred in 2 patients, and the others were less than grade III. The most common AE was thrombocytopenia, with an incidence rate of 31.0%. All AEs were alleviated and controlled by symptomatic treatment. No treatment-related deaths occurred.

Conclusion:

Anlotinib had a low incidence of AEs and good safety in the treatment of recurrent high-grade glioma. Moreover, it showed good short-term effectiveness and significantly prolonged the PFS of patients, which may become a promising therapeutic option for recurrent high-grade glioma and lay a foundation for further clinical studies.
Lipset and Rokkan’s missing case: Introducing the Habsburg Manifesto Dataset
Authors: Szöcsik Edina , Zuber Christina Isabel , Howe Philip J
Published: July 2023

As Europe’s parties realign around a new, transnational cleavage, this article turns back to a historical case in which national identity conflicts also coincided with profound economic transformation: multinational and industrializing Imperial Austria. While Austria is an important case for Lipset and Rokkan’s classic cleavage theory, they overlooked the long evolution of its party system pre-WWI. This paper introduces the Habsburg Manifesto Dataset (HMD), demonstrating its usefulness by tracking the formation of Imperial Austrian party system cleavages under universal manhood suffrage. Based on the qualitative content analysis of historical electoral manifestos, HMD measures the policy offers and group appeals made by Imperial Austria’s German and Czech parties. This allows testing Lipset and Rokkan’s claims by applying contemporary methodologies to a case that was effectively excluded from their original analysis. Doing so reveals a surprising degree of structure: parties consistently combined issue and group claims around center-periphery, class, and state-church cleavages.
The new ethical thinking in CGI immersive journalism
Authors: Lin Chao-Chen , Hsu Ying-Chia
Published: July 2023

Virtual reality (VR) journalism has become one of the popular formats of journalism, where people experience presence, empathy, and immersion through VR technology in digital environments. Although the term ‘virtual’ may appear to be the opposite of ‘real,’ the boundary between virtuality and reality has become blurred due to the virtual embodiment being part of reality for participants. As VR and real virtuality converge, little is known about the ethical issues in producing computer-generated imagery (CGI) immersive journalism and the viewers’ responses to CGI VR news reporting. Our study applied a concurrent mixed-method approach, including in-depth interviews with eight CGI professionals from the U.K. and a quantitative survey in Taiwan, to understand the production issues, ethical concerns, and audience perceptions toward CGI immersive journalism. Results from the interviews suggested that digital journalists need to rethink their ethical codes, particularly the representation of truth while producing news stories using CGI images and VR. Findings from the post-test survey showed that both immersive presence and interactivity in VR news resulted in a greater formation of believing and motivations to take action regarding the topic presented in the VR news.
AI and the social construction of creativity
Authors: Atkinson Dr Paul , Barker Dr Richie
Published: July 2023

Artificial Intelligence (AI) encroaches on new terrains of human activity by dint of its efficacy and an expanding ability to autonomously incorporate information from many disciplines and sources. In this paper, we focus specifically on how AI affects the communicative practices associated with creativity. AI has the capacity to reshape discipline and taste communities by providing new content that competes with human production and by mediating between human activity and information sources. To frame these issues, we turn to the influential systems model of creativity devised by Mihaly Csikszentmihalyi (1996) , which Csikszentmihalyi and Daniel Gruner (2018) recently extended to incorporate AI, redubbing it Creativity 4.0. The model assesses how AI affects the social structure of creative practice without overly accentuating the similarity between humans and AI, or questioning whether computational devices will replace creative jobs. The paper examines Gruner and Csikszentmihalyi’s revised systems model, arguing that it does not sufficiently take into account the variety of ways that AI can be incorporated into creative practice. Prompted by a theoretical reflection on the nature of the model and the emerging features of AI, we propose a new version of the model that highlights how embedded AIs play a key role in filtering and gatekeeping, as well as the importance of generative systems in informing creative practice. We propose that any discussion of AI and the future of creative practice should look at where and how AI supported technologies are used. We examine how AI can reduce and shape the qualitative diversity of sources of inspiration drawn into the creative process, with the associated technological biases, as well as provide an emergent platform for the development of novel ideas.
How workplaces produce or reduce disability along the career paths of young people with cystic fibrosis
Authors: Silvestri Laura , Issanchou Damien , Schuft Laura , Ferez Sylvain
Published: July 2023

Using the theoretical perspective of “social participation” as considered in the Human Development—Disability Creation Process, this article examines certain obstacles and facilitators to sustainable access to work among young French adults with cystic fibrosis. Drawing from the analyses of 29 qualitative interviews, the results show how such obstacles do not depend solely on their health status or on the medical management of the illness, but also on the work environments that these young professionals have recently entered or are trying to access. In these contexts, managing information about the illness can represent a means of obtaining cooperation from colleagues and superiors to reduce material or organizational obstacles (e.g. adapted work schedules), as well as a means of preventing socially uncomfortable or disabling situations. In this light, the social participation model can complement Corbin and Strauss’ illness trajectory model, by setting the multi-factorial disabling or participatory situations along illness or medical trajectories. This enables dynamic consideration of how workplaces contribute to producing or reducing disability, in interaction with the actions taken by young people with cystic fibrosis to manage their career paths but also the evolution of illness, symptoms, or medical requirements.
Handle transmitted vibration of electrical demolition hammers: Frequency and magnitude investigation in field measurements from different bits
Authors: Monazzam Mohammad Reza , Khavanin Ali , Sarrafzadeh Omid , Parsaeian Mahbobeh , Azrah Keykāvus
Published: July 2023

Using a demolition hammer among the power tools is one of the most challenging job tasks for the operators of these tools, which exposes users to high levels of hand-transmitted vibrations. The focus of this study was for finding the vibration levels transmitted to the handles, the frequency content transmitted by the tool, and the effect of using insert bits with different tip shapes and lengths using conventional demolition hammers under controlled operating conditions on typical concrete slabs in the field. Three demolition hammers (weighing between 14 and 27 kg) with two handles installed were subjected to simultaneous measurements based on ISO 5349 as the field measurement technique. The findings demonstrated that even while the vertical axis dominated, several samples also produced equivalent x-axis results. The impact energy of the tools employed and the transmitted vibration to the tool handles are not significantly correlated with each other. All mean values were higher in the slabs with a thickness of 15 than those with 10 cm. The mean values of the total results for the two forms of flat and point tip inserted bits were 16.85 and 15.86 m/s2, respectively, and in the samples with the same operating factors, this difference was more than 3 m/s2 ( p < .03). The a wrms ( frequency-weighted root mean square acceleration) produced at tools using 60 cm bits were more than those with a length of 40 cm, both for the average of the total results and the average of the results of each hammer. The difference between the average bit length groups over samples with the same factors reached 4.65 m/s2 ( p = .02). Frequency analysis for the flat and point insert bits with 60 cm length in the concrete slabs with a thickness of 15 cm showed that the dominant frequencies detected at lower frequencies for point bits. This difference is almost two frequency parts of 1/3 octave band.
In praise of awkwardness in the field: Increasing our understanding of relational concepts by reflecting on researchers’ emotion work
Authors: Schmidt Jante , van der Weele Simon , Sebrechts Melissa
Published: July 2023

In this article, we develop a new avenue for understanding the informative value of researchers’ emotions for qualitative research by deepening our understanding of awkwardness in the field. With this, we aim to develop Arlie Hochschild's notion of ‘emotion work’ further as a methodological tool. Awkwardness concerns discrepancies in researchers’ emotions that require and reveal emotion work. The argument is that reflecting on emotion work performed by the researcher in awkward situations is a way to gain insight into what we call ‘relational concepts’: concepts designating phenomena that reside and/or emerge in relationships between at least two persons. We show what this looks like in practice by presenting cases of awkwardness from three qualitative research projects revolving around such relational concepts, namely, recognition, dependency and dignity.
Hammett correlation in competition experiments in dissociation of ionised substituted benzophenones and dibenzylideneacetones
Authors: Fenwick Nathan W , Telford Richard , Martin William H C , Bowen Richard D
Published: July 2023

A convenient method of applying competition experiments to devise a Hammett correlation in the dissociation by α-cleavage of 17 ionised 3- and 4-substituted benzophenones, YC6H4COC6H5[Y=F, Cl, Br, CH3, CH3O, NH2, CF3, OH, NO2, CN and N(CH3)2] is reported and discussed. The results given by this approach, which rely on the relative abundance of [M-C6H5]+and [M-C6H4Y]+ions in the electron ionisation spectra of the substituted benzophenones, are compared with those obtained by previous methods. Various refinements of the method are considered, including reducing the ionising electron energy, making allowance for the relative abundance of ions such as C6H5+and C6H4Y+, which may be formed to some extent by secondary fragmentation, and using substituent constants other than the standard σ constants. The reaction constant, ρ, of 1.08, which is in good agreement with that deduced previously, is consistent with a considerable reduction in electron density (corresponding to an increase in positive charge) at the carbon of the carbonyl group during fragmentation. This method has been successfully extended to the corresponding cleavage of 12 ionised substituted dibenzylideneacetones, YC6H4CH=CHCOCH=CHC6H5(Y=F, Cl, CH3, OCH3, CF3, and NO2), which may fragment to form either a substituted cinnamoyl cation, [YC6H4CH=CHCO]+, or the cinnamoyl cation, [C6H5CH=CHCO]+. The derived ρ value of 0.76 indicates that the substituent, Y, influences the stability of the cinnamoyl cation somewhat less strongly than it does the analogous benzoyl cation.
Mountains of waste and wasted mountains: clothes, sheep and people in modernising Iceland
Authors: Edwald Maxwell Ágústa
Published: July 2023

This paper takes as its starting point two landscapes of waste and connects them through an account of the intensification of production and consumption of textiles in modernising Iceland. Archaeological waste assemblages and historical resources are used to illustrate the consumption and disposal of clothing throughout the 19th century, which is juxtaposed with archaeological and historical studies into sheep rearing, grazing pressures and wool production. The paper argues that the economic notion of waste and the capitalist system from which it originates create landscapes of waste. It stipulates that many solutions which have been forwarded to the waste crisis are still conceived of within this socio-economic system. Historicizing waste creation demonstrates the urgency for alternative answers and the need to resist the movement of materials through the cycle of resource extraction, production, consumption and recycling, and further away from sites of use.
My Body, Your Body, Our Bodies
Authors: Gubrium Mar
Published: July 2023

This poem was written by a high school student in the 9th grade and read aloud at an abortion speak out after the U.S. Supreme Court decision to overrule Roe v. Wade. The poem showcases the ways one young person has experienced the intersection of mental health, reproductive and sexual rights, and sense of wellbeing. To view the original version of this poem, see the supplemental material section of this article online.
Pandemic Impacts on Communication and Social Well-Being: Considerations for Individuals Who Are D/HH
Authors: Wood Carla , Guynes Kristen , Lugo Victor , Baker Lindsey , Snowden Selena
Published: July 2023

The purpose of the current study was to investigate the impact of COVID-19 pandemic restrictions (e.g., face mask wearing and social distancing) on individuals who are Deaf or Hard of Hearing (D/HH). The study aimed to describe perceptions of challenges and valued resources to inform efforts to mitigate negative consequences of the pandemic. A survey was used to solicit information about the pandemic-related experiences of 108 individuals who are D/HH and/or parents or service providers of children who are D/HH. Questions elicited perceptions of pandemic related challenges, resources, and supports. Results demonstrated high percentages of respondents reported experiencing substantial impacts of face mask wearing on communication. Additionally, respondents reported negative consequences of social distancing on the way they connected with others. Findings point to the need for increased awareness of risks for impacts on communication and social well-being and consideration of additional supports.
Optimization of parameters in rotary friction welding process of dissimilar austenitic and ferritic stainless steel using finite element analysis
Authors: Mattie Anas Abid , Ezdeen Safeen Yaseen , Khidhir Gawhar Ibraheem
Published: July 2023

Solid state joining techniques are increasingly used in joining different types of materials, in this work TP347HFG austenitic stainless steel will be welded with HiPerFer ferritic stainless-steel alloy due to their similarity in their properties to some extent after making heat treatment to ferritic alloy in addition to difference in their cost which save for economic reasons. In this work, a three-dimensional finite element model was developed. The thermal analysis and profiles between process parameters were predicted by using an ANSYS software tool. Design of experiments by Anova was used to examinate the simulation results and to evaluate contribution ratio of each parameter on responses, while grey relational analysis was used to specify the optimum trial. It was observed that trial 11 give best results (A4B2C1D1) which got higher grey relational grade. It was concluded that the friction pressure and friction time have more impact on interface temperature, whereas forging pressure and friction time affect the equivalent Von-Mises stress directly. The speed and forging pressure have a more influence on total deformation. It was also concluded that the temperature was fade out by diverging toward the end of specimen and the amount of decrease in temperature is less in ferritic side. The amount of flash extruded from both steels are approximately similar due to similarity in properties as heat treatment of ferritic alloy had been achieved. The investigation results show that trial 8 achieved highest Von-Mises stress (300 MPa) while trial 7 induced lower stress (255 MPa), maximum deformation was found equivalent to 0.012 mm with trial 16 whereas, it was found (0.008 mm) with trial 11 which were both less than the allowable deformation in end application. Tensile strength of weld joint was found equivalent to 80% of softer base metal. The hardness of optimum trial was equivalent to 156 HB.
#Azovsteel: Comparing qualitative and quantitative approaches for studying framing of the siege of Mariupol on Twitter
Authors: Tschirky Michael , Makhortykh Mykola
Published: July 2023

Social media platforms play a major role in shaping how the public around the world perceives contemporary wars, including the ongoing Russian invasion of Ukraine. However, there are multiple challenges in studying how exactly these platforms represent violence and what aspects of it are made more salient by their users. One of these challenges concerns the broad range of qualitative and quantitative approaches used to study platform-based war framing and their different capabilities in tackling the large volume of available data. To address this challenge, the authors compare the performance of qualitative and quantitative approaches – i.e. qualitative content analysis and topic modelling – for studying how one of the key episodes of the Russian–Ukrainian war, the siege of Mariupol in 2022 was framed on Twitter over time. Their findings demonstrate that both approaches show the prevalence of human interest and conflict frames that aligns with earlier research on war framing in journalistic media. At the same time, they observe differences in the estimated visibility of less common frames, such as morality and responsibility frames, depending on what method is used.
The View From Beijing on Black Lives Matter: Why do Black Lives Matter for Beijing?
Authors: Burcu Oana , Wang Weixiang
Published: July 2023

Why and how has China covered the Black Lives Matter (BLM), a movement with emerging themes closely related to its domestic issues? To what extent does the Chinese media build a unified discourse on sensitive themes that underpin the BLM? These are important questions given China's complicated history with ethnicity, race, and protests. This article argues that Chinese media uses BLM as a multi-faceted propaganda tool to foster cohesion at ideological level. NVivo-powered coding and thematic media analysis show that mainstream media, including official, semi-official and commercial media, and we-media do not present a uniform discourse on BLM. While they generally converge on criticism towards “protests” and “police” action, they display a nuanced “anti-US” and “Greater China” discourse. Moreover, the BLM coverage is used to undermine the US and strengthen by comparison the party-state's legitimacy. In the absence of a reflective discussion on race, racist undertones emerge in Chinese we-media.
Sino-orbital aspergillosis with obstructive cervical lymphadenopathy in a cat caused by Aspergillus viridinutans complex
Authors: Wang Zhe , Daniels Joshua B , Lappin Michael , Aboellail Tawfik , Shropshire Sarah
Published: July 2023

Case summary

This report describes an indoor-only cat with a rare form of sino-orbital aspergillosis (SOA) with cervical lymphadenopathy causing local obstruction. Extensive work-up on initial presentation failed to identify the underlying etiology and the diagnosis was not determined until the disease progressed during a prolonged course of glucocorticoid therapy.

Relevance and novel information

SOA caused by Aspergillus viridinutans complex is increasingly recognized as a significant cause of mortality in cats in recent years, with most cases reported in Australia, Europe and Asia. Feline SOA carries a poor prognosis owing to its invasive nature and resistance to antifungal therapy. This case demonstrates the importance of clinical awareness of SOA as a differential for cats with chronic nasal signs and exophthalmos in the USA. Moreover, it demonstrates a rare form of presentation and potential difficulty in achieving a correct diagnosis.
Wearable technology in the sports medicine clinic to guide the return-to-play and performance protocols of athletes following a COVID-19 diagnosis
Authors: Seshadri Dhruv R , Harlow Ethan R , Thom Mitchell L , Emery Michael S , Phelan Dermot M , Hsu Jeffrey J , Düking Peter , De Mey Kristof , Sheehan Joseph , Geletka Benjamin , Flannery Robert , Calcei Jacob G , Karns Michael , Salata Michael J , Gabbett Tim J , Voos James E
Published: July 2023

The coronavirus disease 2019 (COVID-19) pandemic has enabled the adoption of digital health platforms for self-monitoring and diagnosis. Notably, the pandemic has had profound effects on athletes and their ability to train and compete. Sporting organizations worldwide have reported a significant increase in injuries manifesting from changes in training regimens and match schedules resulting from extended quarantines. While current literature focuses on the use of wearable technology to monitor athlete workloads to guide training, there is a lack of literature suggesting how such technology can mediate the return to sport processes of athletes infected with COVID-19. This paper bridges this gap by providing recommendations to guide team physicians and athletic trainers on the utility of wearable technology for improving the well-being of athletes who may be asymptomatic, symptomatic, or tested negative but have had to quarantine due to a close exposure. We start by describing the physiologic changes that occur in athletes infected with COVID-19 with extended deconditioning from a musculoskeletal, psychological, cardiopulmonary, and thermoregulatory standpoint and review the evidence on how these athletes may safely return to play. We highlight opportunities for wearable technology to aid in the return-to-play process by offering a list of key parameters pertinent to the athlete affected by COVID-19. This paper provides the athletic community with a greater understanding of how wearable technology can be implemented in the rehabilitation process of these athletes and spurs opportunities for further innovations in wearables, digital health, and sports medicine to reduce injury burden in athletes of all ages.
‘My words become my hands’: Yoga instructors’ experiences of adapting teleyoga in the SAGE fall prevention trial—A qualitative analysis
Authors: Gilchrist Heidi , Haynes Abby , Oliveira Juliana S , Sherrington Catherine , Clementson Lana , Glenn Janetta , Jones June , Sesto Romina , Tiedemann Anne
Published: July 2023

Objective

This research identifies practical lessons regarding the delivery of teleyoga. Our objectives are to (1) describe challenges and opportunities experienced by yoga instructors when moving the Successful AGEing (SAGE) yoga programme online, and (2) describe how yoga instructors adapted to manage the challenges and leverage opportunities presented by teleyoga.

Methods

This study is a secondary analysis of the data from a previous realist process evaluation of the SAGE yoga trial. The SAGE yoga trial is testing the effect of a yoga-based exercise programme on falls among 700 community-dwelling people aged 60+ years. We draw on focus groups and interviews with four SAGE yoga instructors which we analysed using previously developed programme theories combined with inductive coding and an analytical workshop.

Results

The concerns of the yoga instructors about teleyoga can be characterised into four broad issues: threats to safety, altered interpersonal dynamics, facilitating mind–body connection and difficulties with technology. The SAGE instructors identified eight modifications they used to manage these challenges: a 1:1 participant interview prior to programme commencement, more descriptive verbal instructions, increased focus on interoception, increased attention and support, slower more structured class flow, simplifying poses, adapting the studio environment and IT support.

Conclusions

We have created a typology of strategies for addressing challenges in the delivery of teleyoga for older people. As well as maximising engagement with teleyoga, these manageable strategies could be applied by other instructors to a wide range of telehealth classes, improving the uptake and adherence of beneficial online programmes and services.
The relationship between media use and sports participation behavior: A meta-analysis
Authors: Tian Yu , Yang Pengfei , Zhang Desheng
Published: July 2023

Objective

The use of media profoundly affects people's sports participation behavior. Past research has presented mixed results on the relationship between media use and sports participation behaviors. Therefore, the relationship between media use and sports participation behavior should be revisited.

Methods

A meta-analysis of 17 independent studies from 12 literature was conducted to determine whether (a) media use positively influences sports participation behaviors, and (b) form of media, media measurement methods, study subjects, and culture moderated these relationships. Pearson's correlation was used to conduct a random-effects meta-analysis and examine the moderating effects.

Results

The results showed a positive correlation between media use and sports participation behaviors ( r  =  0.193, 95% CI  =  [0.047,0.329]). Traditional media showed stronger correlations and moderating effects than new media; however, the time variable (in media measurement methods) and primary and secondary school students (in study subjects) showed negative correlations between media use and sports participation behavior. The positive and moderating effects on this relationship were higher in Eastern cultures than in Western cultures. These results suggest that media use and sports participation behavior were positively correlated, moderated by the form of media, media measurement methods, study subjects, and culture within studies.

Conclusions

From the effect test results, a significant positive relationship was found between media use and sports participation behavior (both physical participation behavior and consumption behavior). The two were influenced by several moderating variables including the form of media, media measurement methods, study subjects, and culture, and the influence of media measurement methods was the greatest.
Technologies of migration and citizenship: Life and work at the base of Shanghai’s digital infrastructure stack
Authors: Johnson Leif
Published: July 2023

Although material components of digital infrastructure stacks are often understood as operating through platforms or protocols in a smoothly interconnected way, their expansion, repair, and continued functionality nevertheless require significant interventions in the material world. These include the installation, repair, and maintenance of fiber-optic backbones, as well as the disruption of everyday residential life for the purpose of “last mile” fiber installations. Based on participant observation conducted with construction teams engaged in rebuilding the base level of Shanghai’s digital infrastructure stack, this article questions “plug-and-play” views of Chinese digital infrastructure, instead refocusing analysis on the legal and sociocultural technologies that facilitate material infrastructural construction. In the case of Shanghai’s Overhead-Underground project, legal and social mechanisms that facilitate migration have themselves become crucial to the physical aspects of digital infrastructure, which is built through subcontracted low-waged labor systems that rely on assumedly temporary rural-to-urban migrant labor. The resulting systems of labor provision both reflect and maintain the structure of a politically divided public: High-quality “smart city” infrastructure is built for the service of an avowedly urban public, but only through a reliance on “low-skilled” rural migrant construction workers, who are formally and informally excluded from the city their infrastructural interventions are designed to serve.
Validating the Educational Leaders’ Knowledge of School Counseling Inventory
Authors: Sabella Russell A. , Bixler Krista M. , Ungarean Maureen , Koklu Onder , Tilman Ann L.
Published: July 2023

Some evidence shows that educational leaders have become more aware and knowledgeable of school counseling programs since the ASCA National Model was released more than 20 years ago. However, such research is based on self-reported perceptions and experiences. This study aimed to develop an inventory to objectively assess the level of knowledge about comprehensive school counseling programs among educational leaders. After developing the Educational Leaders’ Knowledge of School Counseling Inventory (ELKSCI), we collected validity and reliability data among school counseling experts and leaders.
Outcomes After Superior Capsular Reconstruction With an Achilles Tendon–Bone Allograft Using the Modified Keyhole Technique: A 2-Year Follow-up of a Novel Technique for Irreparable Rotator Cuff Tears
Authors: Joo Min-Su , Lee Sung-Hyun , Kim Do-Kyun , Cho Yang-Hun , Kim Jeong-Woo
Published: July 2023

Background:

Despite improved outcomes, failure or nonhealing of graft materials has been reported after superior capsular reconstruction (SCR) for massive irreparable rotator cuff tears.

Purpose:

To evaluate the short-term clinical and radiological outcomes of a novel technique for SCR using an Achilles tendon–bone allograft.

Study Design:

Case series; Level of evidence, 4.

Methods:

We performed a retrospective review of patients who underwent SCR using an Achilles tendon–bone allograft with the modified keyhole technique and who had a minimum follow-up of 2 years. The visual analog scale score for pain, American Shoulder and Elbow Surgeons score, and Constant score were evaluated as subjective outcomes, while range of motion of the shoulder joint and isokinetic strength were evaluated as objective outcomes. The acromiohumeral interval (AHI), bone-to-bone healing of the allograft and humeral head on computed tomography, and graft integrity on magnetic resonance imaging were evaluated as radiological outcomes.

Results:

This study included 32 patients with a mean age of 56.8 ± 4.2 years and a mean follow-up of 28.4 ± 6.2 months. A significant improvement from preoperatively to the last follow-up was seen in the mean visual analog scale score for pain (from 6.7 to 1.8), American Shoulder and Elbow Surgeons score (from 42.7 to 83.8), Constant score (from 47.2 to 78.5), and AHI (from 4.8 to 8.2 mm) ( P < .001 for all) as well as range of motion in forward elevation and internal rotation ( P < .001 for both). Medial-to-lateral graft integrity was good in all patients. Nonunion at the fitting zone of the keyhole on the greater tuberosity was diagnosed in 1 case (3.1%), and failure of incorporation between the allograft and remnant tendon at the site of posterior margin convergence was observed in 4 cases (12.5%).

Conclusion:

The outcomes after SCR using an Achilles tendon–bone allograft and the keyhole technique improved, with an increased AHI and excellent integrity in the medial and lateral directions compared with preoperatively. This technique is a reasonable option for the surgical treatment of irreparable rotator cuff tears.
Psychometric Validation and Setting Cutoff Point for Persian Version of World Health Organization Quality of Life-Old Questionnaire
Authors: Ghahremani Leila , Nazari Mahin , Bahadori Farzane , Yarelahi Mahsa , Abbasi Firoozeh , Karimi Masoud
Published: July 2023

Health professionals assume the quality of life (QOL) as a main outcome of health care activities, especially in the elderly. Thus, they need valid tools for evaluating the effectiveness of their interventions. This study aimed to investigate the psychometric properties of the Persian version of the World Health Organization quality of life-old questionnaire (WHOQOL-OLD). The questionnaire was translated into Persian by standard translate/back-translate procedure. The Cronbach’s alpha and intra-class correlation (ICC) coefficients were estimated to assess the internal validity and reliability. Confirmatory factor analyses (CFA) in a sample of 300 Persian-speaking elderly in Shiraz, Iran, were used for construct validity assessment. ROC curve analysis was used to determine the cutoff point for poor or good QOL. All the analyses were conducted using SPSS 24 and IBM AMOS 24. The internal consistency and reliability indices of the Persian version of WHOQOL-OLD were acceptable (Cronbach’s alpha: 0.66–0.95; ICC: 0.71–0.91). CFA confirmed the WHOQOL-OLD six-domain structure (CMIN/ df = 3.12, p < .001; CFI = 0.93; NFI = 0.89; RMSEA = 0.08). The ROC curve indicated 71.5 as the best cutoff point, with a sensitivity of 82.3% and specificity of 61.8%. The Persian version of the WHOQOL-OLD is valid and can be used for investigating the QOL in Persian-speaking elderly.
Prediction of Foot Ulcers Using Artificial Intelligence for Diabetic Patients at Cairo University Hospital, Egypt
Authors: Mousa Khadraa Mohamed , Mousa Farid Ali , Mohamed Helalia Shalabi , Elsawy Manal Mohamed
Published: July 2023

Introduction

In Egypt, diabetic foot ulcers markedly contribute to the morbidity and mortality of diabetic patients. Accurately predicting the risk of diabetic foot ulcers could dramatically reduce the enormous burden of amputation.

Objective

The aim of this study is to design an artificial intelligence-based artificial neural network and decision tree algorithms for the prediction of diabetic foot ulcers.

Methods

A case–control study design was utilized to fulfill the aim of this study. The study was conducted at the National Institute of Diabetes and Endocrine Glands, Cairo University Hospital, Egypt. A purposive sample of 200 patients was included. The tool developed and used by the researchers was a structured interview questionnaire including three parts: Part I: demographic characteristics; Part II: medical data; and Part III: in vivo measurements. Artificial intelligence methods were used to achieve the aim of this study.

Results

The researchers used 19 significant attributes based on medical history and foot images that affect diabetic foot ulcers and then proposed two classifiers to predict the foot ulcer: a feedforward neural network and a decision tree. Finally, the researchers compared the results between the two classifiers, and the experimental results showed that the proposed artificial neural network outperformed a decision tree, achieving an accuracy of 97% in the automated prediction of diabetic foot ulcers.

Conclusion

Artificial intelligence methods can be used to predict diabetic foot ulcers with high accuracy. The proposed technique utilizes two methods to predict the foot ulcer; after evaluating the two methods, the artificial neural network showed a higher improvement in performance than the decision tree algorithm. It is recommended that diabetic outpatient clinics develop health education and follow-up programs to prevent complications from diabetes.
Knowledge and Associated Factors of Nursing Professionals Toward Colostomy Care at Borumeda and Dessie Comprehensive Specialized Hospital, South Wollo Zone, Northeast, Ethiopia, 2022
Authors: Belay Mulusew Zeleke , Negash Abrham , Yirdaw Lehulu Tilahun , Tefera Birhanu Desu , Wondyifraw Endalk Birrie
Published: July 2023

Introduction

A colostomy is a surgical procedure that brings one end of the large intestine out through the abdominal wall. Approximately 100,000 people in incidence in the United States undergo operations that result in a colostomy or ileostomy each year.

Objective

To assess knowledge and associated factors toward colostomy care among staff Nurses working at Dessie Town governmental hospitals, Ethiopia 2022.

Methods

Institutional-based cross-sectional study design was conducted at governmental hospitals in Dessie Town from August 1, 2022 to August 25, 2022. A simple random sampling technique was deployed using a self-administered questionnaire. Descriptive statistics analyses such as frequencies, percentage, and mean were used to summarize the results. Both bivariable and multivariable logistic regressions were employed to identify factors associated with participants’ knowledge of colostomy care. A p-value of <.05 and 95% confidence interval (CI) was used to declare statistical significance.

Results

A total of 265 nurses participated making a response rate of 98.1%. About 57.6% (157) of the participants had good knowledge of providing colostomy care. Having a clinical experience of 4–6 years (adjusted odds ratio [AOR] = 2.4 95% CI: 1.186, 5.513), 6–8 years (AOR = 2.5, 95% CI: 1.981, 6.177), and >8 years (AOR = 3.3, 95% CI: 1.481, 7.394), providing colostomy care for 6–10 patients (AOR = 2.6, 95% CI: 1.186, 5.512) and 10 or more patients (AOR = 3.3, 95% CI: 1.480, 7.394), and routine reading of professional (AOR = 1.83, 95% CI: 1.062, 3.153) were significantly associated with good knowledge of colostomy care.

Conclusion and recommendation

Knowledge of colostomy care was not satisfactory among nurse professionals working in governmental hospitals in Dessie town. Participation in the training of colostomy care, having more than eight years of experience, providing colostomy care for more than seven patients, attending scientific colostomy meetings, and reading professional literature were significant factors associated with good knowledge of providing colostomy care. Thus, capacity-building in-service training is required to enhance the knowledge of colostomy care.