bluuebunny/crossref_metadata_2025 huggingface dataset:
THE EFFECT OF SUSTAINABLE PACKAGING ON QUALITY PERCEPTION AND PURCHASE INTENTION: THE MODERATOR ROLE OF ENVIRONMENTAL CONSCIOUSNESS AND HEALTH CONSCIOUSNESS
Authors: ECEVİT Mehmet Zahid
Published: October 2023

It is an undeniable fact that the source of problems such as global warming, climate change and environmental pollution is human beings. Increasing concern about the environment has forced people to be more conscious about the environment. The fact that the carbon footprint of all activities can be tracked has made consumers more environmentally conscious. Since most consumer products are packaged, their carbon footprint is not only dependent on the product itself, but also on its packaging. In order to reduce the environmental footprint of a product, it is necessary to change both the internal and external characteristics of the product (such as packaging) (Magnier et al., 2016). When the environmental activities of the companies are combined with the environmental attitudes of the consumers, more environmental products and initiatives have emerged. It is known that the marketing activities carried out by the companies affect the perception and behavior of the consumers. When the literature is examined, it is seen that the clues used about sustainability affect the perception of quality (Lee et al., 2013) and the items used in the packaging design affect the product perception (Becker et al., 2011; Gordon et al., 1994; Mugge et al., 2014). For these reasons, when environmentally friendly packaging is considered as a packaging feature, it is important to examine its effect on product quality perception. In this context, the effect of sustainable packaging on product quality perception and purchase intention will be examined within the scope of the research. In addition, environmental awareness and health awareness, which are consumer characteristics, will be tested as regulatory variables in the model. In this study, which is a quantitative research, experimental method will be used. The fact that similar studies have been carried out mostly in developed countries and that this study will be conducted in Turkey, which is a developing country, will provide the opportunity to make comparisons in terms of countries.
Subgeneric placement of Otiorhynchus tomentifer Boheman, 1842 (Coleoptera: Curculionidae: Entiminae), a new senior synonym of Otiorhynchus semitarius Reitter, 1913
Authors: YUNAKOV NIKOLAI , KHRAPOV DENYS
Published: October 2023

Otiorhynchus tomentifer Boheman, 1842 is redescribed, and its new placement in the subgenus Pseudocryphiphorus Magnano, 1998 is proposed. The placement of O. tomentifer in the subgenus Postaremus Reitter, 1912 is rejected. Otiorhynchus semitarius Reitter, 1913 is a new junior synonym of O. tomentifer Boheman, 1842. Comprehensive morphological data on female and male genitalia, including the endophallic structures of O. tomentifer and O. nodosus (Müller, 1764), the type species of the subgenus Postaremus, are given.
Experiences of middle-class fathers of children with autism spectrum disorders in the context of hegemonic masculinity: The case of Turkey
Authors: Akoğlu Gizem , Cankurtaran Özlem
Published: October 2023

This study aims to reveal the paternal perception and experiences of middle-class fathers of children with autism spectrum disorder (ASD) in the context of hegemonic masculinity and gender. The research design is based on a phenomenological approach with a qualitative research pattern; thus, the participants, comprising 18 fathers of children with ASD, were reached through the purposive sampling method. Analysis results pointed to the following themes: ‘Fathers’ feelings on the basis of masculinity’, ‘Imagined–actual fatherhood’, and ‘Work–family–life balance’. The findings indicated that fathers of children with ASD had their fatherhood patterns changed toward nurturant fatherhood. Being an educated and professional member of the middle class, being dual-earner parents, and having a child with autism are effective in this transformation. Suggestions are made as to social policy and feminist social work practices for the development of nurturant fatherhood and egalitarian gender relations.
Fatigue performance evaluation of bistable composites at different combinations of loading and environmental conditions
Authors: Chowdhury Shoab Ahmed , Li Suyi , Myers Oliver J
Published: October 2023

Bistable composite laminates have large-scale applications in morphing and energy-harvesting structures, but their fatigue performance remains largely unexplored. This study investigates the stiffness and damage progression and evaluates bistable performance to develop protocols for long-term applications. We analyze the effects of displacement-controlled fully reversible high cycle fatigue-loading on stiffness, damage, curvature, and snap-through load in the out-of-plane loading direction at eight different combinations of parameters with frequency from 1 to 10 Hz, two boundary conditions, and temperature from 22°C to 150°C up to 3 to 10 million cycles. Stiffness and damage evolution analysis demonstrate the first two stages in out-of-plane fatigue loading. The study proposes a damage definition in terms of load adapting with two fatigue damage models: (1) Shiri Model and (2) Wu Model, while both models exhibit reasonable accuracy in predicting damage for the first two stages despite deviating at the final cycle due to assuming this cycle as the final failure cycle. Of the two models, the Shiri model provided a smaller range of model parameter values, 0.22 and 0.43, for parameters p and q, respectively, which reflects adjustability to different test conditions by maintaining a moderate range. Specimens encountered no final failure by fiber breakage and did not lose bistability for any combination. Curvature and snap-through load measurements have not substantially changed due to fatigue loading. These findings confirm application protocols with a broad range of parameters for which the laminates can operate without significant fatigue damage and maintain their bistable performance for an infinite lifetime.
Small-scale, Community-Embedded Youth Justice Facilities: Lessons from Dutch Reforms and Recommendations for Cross-Jurisdictional Implementation
Authors: Souverein Fleur , Oostermeijer Sanne , Johns Diana , Ross Stuart , van Domburgh Lieke , Popma Arne , Mulder Eva
Published: October 2023

Youth justice settings should provide safe, therapeutic environments, tailored to young people's needs. Current custodial models rarely meet these aims, mainly because a focus on security tends to outweigh an emphasis on care, diminishing rather than encouraging young people's positive development. This article reports on a three-year evaluation of youth justice reforms in the Netherlands, including small-scale, community-embedded facilities with an emphasis on relational security. We outline key operational elements and conditions for implementation of these facilities to provide guidance for youth justice professionals, and for managers and policymakers seeking to promote political and financial investments in effective youth justice strategies.
Analysing the New Educational Policy in the Context of Higher Education: Where is Gender?
Authors: John Mary E.
Published: October 2023

This article offers a preliminary analysis of the New Education Policy document 2020 (NEP 2020) that was released by the government after considerable delay. Since 2016, the government has been trying to bring out a policy document on education, and NEP 2020 is at the end of several attempts that fell by the wayside. The context for the present discussion is that of the unprecedented expansion in higher education among students in recent decades. Within the emergence of a heterogeneous student body, the presence of women students—which has even reached parity in mainstream disciplines at the undergraduate and postgraduate levels—has somehow escaped public attention. The NEP document, especially the section concerning higher education, has to be read with care in order to go beyond its welcome aspects, such as those of multi-disciplinarity and holism. What is disturbing is evidence of a tiered differential structure that is likely to have negative effects on the kind of access that women have achieved. The hard question before us is whether the unprecedented entry of women across social groups that recent decades have witnessed, however poorly recognised or understood, will see a reversal in the wake of the lack of interest in questions of equity that the NEP vision document demonstrates. With the important exception of issues of sexual harassment on campuses, the overall neglect of the meanings and purpose of women’s increased claims on higher education bodes ill for the future.
Gender, Religion and Higher Education: Strategies of Muslim Women Students in India
Authors: Rahiman Ramshin
Published: October 2023

Social scientists critically examine the role of higher education in women’s empowerment. In the Indian context, gender, religion, caste, class and region are crucial in determining access to education. The gender gap has been a significant obstacle in India’s pursuit of educational goals. The status of Muslim women’s education has been a contested policy from state and community vantage. Prominent scholarly writings argue that Muslim women were even more isolated from the social and cultural changes than their men were and even more invisible in the public arena of society. Their condition is more pathetic in educational and cultural realms. The primary objective of this paper is to empirically outline the negotiation and strategies employed by Muslim women students in negotiating with their families, religion, communities and careers. The study followed qualitative methodology to understand Muslim women’s educational choices, the rationale behind their educational decisions, and their agency in negotiating with their families and the career prospects of young Muslim women. The current paper argues that there is a remarkable growth in the history of women’s education in India, especially after the 90s, which could not change the social structure and social status of women in society in general and Muslim women in particular. Still, the gender differences remained stable in the educational practices, in the families, and even in the equity-minded educational committees. According to various government reports and studies, despite the improvement in the educational enrolment rate of Muslims, the representations of the Muslim community in general and Muslim women, in particular, are minimal in higher education. More than looking at the representation of Muslim women in education institutions, the current paper will analyse the challenges and experiences of Muslim women to reach the secondary and higher secondary levels of education.
Segregating the Suburbs in Postwar California: A History of Ladera Housing Cooperative, 1944-1950
Authors: Tierney T. F.
Published: October 2023

Ladera, a postwar interracial housing cooperative, provides a compelling look at 1940s housing policies, exposing cultural norms of race in state lending structures. In contrast with most midcentury suburban developments, Ladera was architecturally progressive in design and egalitarian in scope, open to all regardless of race, class, or creed. The research examines the innovative planning and fiscal features of the community, followed by an explication of the 1940s lending landscape and state-sponsored financing process that ultimately reshaped Ladera’s development. As a necessary corrective to established narratives of California’s housing policies, this study reveals the influential intersection of racial and class dynamics prior to Palo Alto’s eventual transformation into the nexus of Silicon Valley, exposing the critical preconditions that produced the sprawling, segregated technopolis of today. The cooperative’s history is analyzed through archival materials, including the cooperative’s records, personal journals, architectural drawings, and the FHA’s internal memos and correspondence.
Do chronic total occlusive lesions affect patency of coronary bypass grafts to the right coronary artery?
Authors: Nishigawa Kosaku , Horibe Tatsuya , Hidaka Hideaki , Numaguchi Ryosuke , Takaki Jun , Yoshinaga Takashi , Fukui Toshihiro
Published: October 2023

Objectives

To evaluate the impact of chronic total occlusion (CTO) lesions on the patency of bypass grafts to the right coronary artery territory.

Methods

Two hundred patients undergoing primary isolated coronary artery bypass grafting with revascularization to the right coronary artery territory between April 2015 and July 2022 were retrospectively analyzed. Study patients were divided into two groups according to their right coronary artery lesion: patients with CTO lesions ( n  =  76) and those without CTO lesions ( n  =  124). Graft flow of the right coronary artery territory was evaluated by intraoperative transit time flow measurement and patency of the bypass graft was evaluated by multidetector row computed tomography.

Results

A total of 200 patients (76 patients with CTO and 124 patients without CTO) were included in this study. Intraoperative transit time flow measurement demonstrated that there was no significant difference in the median mean graft flow (30 ml/min vs. 25 ml/min; p  =  0.114), pulsatility index (2.1 vs. 2.4; p  =  0.079), and diastolic filling rate (65% vs. 64%; p  =  0.844) between patients with CTO and those without CTO. Postoperative multidetector row computed tomography demonstrated that the patency of bypass grafts to the right coronary artery territory was similar between the groups (94.7% in patients with CTO vs. 96.0% in those without CTO; p  =  0.733). In patients with CTO, the patency of bypass graft tended to be worse in subgroup with rich collateral blood flow (Rentrop grade 3).

Conclusions

Chronic total occlusion lesions do not affect the patency of bypass grafts to the right coronary artery territory.
Religious pluralism, public religion, and principled pluralism in Indonesia
Authors: Intan Benyamin F.
Published: October 2023

Acts of intolerance in Indonesia are usually carried out against non-Muslim groups and Christians who are targeted, especially in cases related to the destruction of places of worship. Secularism has offered a solution to religious radicalism by drawing an absolute separation between religion and the state. However, viewed from a post-secularism perspective, secularism cannot be the right solution to religious radicalism. Post-secularism has played an essential role as a way for religion to enter into public life, but it has not comprehensively discussed how religion should function within it. It is hoped that religious freedom can be fully implemented in Indonesia, because Pancasila guarantees it so that confessional pluralism can be realized in the context of sphere sovereignty. The study's findings offer principled pluralism to provide an understanding of the place of religion in a post-secular society and how it should function within it to resolve religious intolerance.
Adult perioperative cardiac arrest: An overview of 684 cases reported to webAIRS
Authors: Bright Matthew R , Endlich Yasmin , King Zachary DJ , White Leigh D , Concha Blamey Sandra I , Culwick Martin D
Published: October 2023

There were 684 perioperative cardiac arrests reported to webAIRS between September 2009 and March 2022. The majority involved patients older than 60 years, classified as American Society of Anesthesiologists Physical Status 3 to 5, undergoing an emergency or major procedure. The most common precipitants included airway events, cardiovascular events, massive blood loss. medication issues, and sepsis. The highest mortality rate was 54% of the 46 cases in the miscellaneous category (this included 34 cases of severe sepsis, which had a mortality of 65%). This was followed by cardiovascular precipitants ( n = 424) in which there were 147 deaths (35% mortality): these precipitants included blood loss (53%), embolism (61%) and myocardial infarction (70%). Airway and breathing events accounted for 25% and anaphylaxis 8%. A specialist anaesthetist attended the majority of these cardiac arrests. As webAIRS is a voluntary database, it is not possible to determine the incidence of perioperative cardiac arrest and only descriptive information on factors associated with cardiac arrest can be obtained. Nevertheless, the large number of reports includes a wide range of cases, precipitants, demographics and outcomes, providing ample opportunity to learn from these events. The data also provide rich scope for further research into further initiatives to prevent cardiac arrest in the perioperative period, and to improve outcomes, should a cardiac arrest occur.
Investigation on the microstructure and mechanical property of friction stir lap welded acrylonitrile butadiene styrene/polycarbonate produced by double-pin tool
Authors: Yan Yinfei , Fang Kun , Ruan Hao , Liang Ning , Shen Yifu
Published: October 2023

Friction stir lap welding (FSLW) of dissimilar acrylonitrile butadiene styrene (ABS) and polycarbonate (PC) was conducted using a double-pin tool. The formation process of the weld and the influences of rotational speed on the microstructure and mechanical property were investigated. It was found that the weld was generated accompanying with the closure of old cavities in the front of the pins and the simultaneous regeneration of new cavities in the rear of the pins. Annular material flow on the vertical and horizontal directions occurred during FSLW. With the increase of the rotational speed, the PC anchors resulted from the upflow of plasticized PC layer and the shoulder affected zone both enlarged. Microstructure analysis of the weld nugget showed that PC was fragmented into lamellar, columnar, and spherical particles and their dimensions decreased when rotational speed increased. Lap-shear tensile tests showed that the weld strength increased with higher rotational speed and the maximum strength of the weld produced under 800 r/min reached 19.38 MPa, which was comparable to the ABS/PC welds produced by a tapered pin under the optimal parameters. Through the further optimization of such FSLW process, it was potential to join dissimilar polymeric components in future industrial manufacturing field.
Mental Health of Older Adults by Sexual Minority Status: Evidence From the 2021 National Health Interview Survey
Authors: Masa Rainier , Inoue Megumi , Prieto Lucas , Baruah Dicky , Nosrat Sarah , Mehak Samreen , Operario Don
Published: October 2023

This study explored differences among older adults in mental health by sexual minority status. Data came from the 2021 U.S. National Health Interview Survey. The study sample included older adults (or those aged ≥50 years, N = 15,559), and of those, two percent ( n = 380) self-identified as lesbian, gay, or bisexual (LGB). Older LGB adults had significantly higher odds of reporting a diagnosis of depression and anxiety and experiencing serious psychological distress than older non-LGB adults. Additionally, older LGB adults reported higher odds of experiencing depression and anxiety more frequently than older non-LGB adults. Significant covariates included age, sex, housing, food security, and social support. Increased risk for mental illness may be long-term consequences of stigma and discrimination that this population has experienced over the life course. The combination of structural interventions and affirming mental healthcare that recognizes the cumulative negative experience among older LGB adults is necessary to achieve mental health equity.
Maritime passage, the Montreux Convention (1936) and the conflict between Russia and Ukraine
Authors: Segell Glen
Published: October 2023

This article examines the Montreux Convention (1936), governing the straits connecting the Black Sea to the Mediterranean Sea. It is a focus of the conflict between Russia and Ukraine, given the Russian naval blockade of Ukrainian ports. The Convention prevented countries from sending ships into the Black Sea to break the 2022 blockade. In July 2022, an agreement was brokered between Turkey and United Nations for limited exports, especially grain, as without it there would be millions of starving people worldwide. Russia agreed, provided that imports to Ukraine would not be permitted. The period from February to July 2022 was tense, questioning if the North Atlantic Treaty Organization would contravene the Montreux Convention to break the export blockade. Since then, concerns remain around the import blockade. Unless other agreements can be reached, the Montreux Convention and other similar international conventions may be put to the test.
Maritime heritage and modern national identities in Scandinavia, circa 1900–2020
Authors: Müller Leos
Published: October 2023

The Scandinavian nations are maritime nations but this does not mean that ‘maritime’ is a natural and conscious component of modern national identities in Scandinavia. National identities are shaped by diverse historical narratives and experiences, and they fluctuate in time and space. The contributions to this forum attempt to answer the question of to what extent modern national identities in Scandinavia incorporate such a maritime component. They study this question from the perspectives of Swedish naval officers and popular music culture, Danish maritime heritage culture and maritime labour, and Finland's naval diplomacy.
Paradoxical Rhythms in Teaching-Learning: Glimpsing the Utterable-Unutterable
Authors: Yancey Nan Russell
Published: October 2023

In this column, the utterable-unutterable in teaching-learning is explored. Through the lens of the paradoxical rhythms of the humanbecoming teaching-learning model, insights are gleaned from a story shared of an experience in the teaching-learning of nursing. Further understandings emerge from reflecting on the thoughts of others in the literature. From this consideration, suggestions are offered to guide nurse faculty in honoring the richness of the utterable-unutterable in teaching-learning.
Bioinformatics analysis of potential common pathogenic mechanisms for systemic lupus erythematosus and acute myocardial infarction
Authors: Gao Yang , Wang Yunxia , Li Muwei , Gao Chuanyu
Published: October 2023

Background

Systemic lupus erythematosus (SLE) patients have a higher risk of acute myocardial infarction (AMI) compared to the general population. However, the underlying common mechanism of this association is not fully understood. This study aims to investigate the molecular mechanism of this complication.

Methods

Gene expression profiles of SLE (GSE50772) and AMI (GSE66360) were obtained from the Gene Expression Omnibus (GEO) database. Common differentially expressed genes (DEGs) in SLE and AMI were identified, and functional annotation, protein-protein interaction (PPI) network analysis, module construction, and hub gene identification were performed. Additionally, transcription factor (TF)-gene regulatory network and TF-miRNA regulatory network were constructed for the hub genes.

Results

70 common DEGs (7 downregulated genes and 63 upregulated genes) were identified and were mostly enriched in signaling pathways such as the IL-17 signaling pathway, TNF signaling pathway, lipid metabolism, and atherosclerosis. Using cytoHubba, 12 significant hub genes were identified, including IL1B, TNF, FOS, CXCL8, JUN, PTGS2, FN1, EGR1, CXCL1, DUSP1, MMP9, and ZFP36.

Conclusions

This study reveals a common pathogenesis of SLE and AMI and provides new perspectives for further mechanism research. The identified common pathways and hub genes may have important clinical implications for the prevention and treatment of AMI in SLE patients.
1,25-Dihydroxyvitamin D3: A Positive Factor for the Osteogenic Differentiation of hPDLSCs and for the Tissue Regenerative Activity of Cell Sheets
Authors: Wang Jingjiao , Guo Songlin , Xu Xiaobo , Zhang Chenglei
Published: October 2023

This study aims to investigate the effects of 1,25-dihydroxyvitamin D3 (1,25(OH)2VitD3) on osteogenic differentiation of human periodontal ligament stem cells (hPDLSCs) and the activity of hPDLSC sheets and the differences in the tissue regeneration activity of hPDLSC sheets on tooth root fragment treated by different methods. Healthy caries-free premolars were collected. The hPDLSCs were obtained by enzymatic digestion. Surface markers of stem cells were analyzed by flow cytometry and the multidirectional differentiation ability of hPDLSCs was detected. During the osteogenic differentiation of hPDLSCs, 1,25(OH)2VitD3 was added and the effect of 1,25(OH)2VitD3 on osteogenic differentiation of hPDLSCs was assessed using Western blotting, quantitative reverse transcription–polymerase chain reaction (qRT-PCR), enzyme-linked immunosorbent assay, cell staining, and immunofluorescence. After hPDLSC sheets were prepared, histology and immunofluorescence analysis of the effect of 1,25(OH)2VitD3 on sheet activity were performed. In addition, root fragments were prepared and treated with scaling, 24% EDTA (ethylenediamide tetraacetic acid), and Er,Cr:YSGG lasers, respectively, and the tissue regeneration activity of hPDLSC sheets on different root fragments were observed. 1,25(OH)2VitD3 promoted the high gene and protein expressions of osteogenic markers ALP (alkaline phosphatase), Runx2, and OPN (osteopontin antibody) in hPDLSCs, along with enhanced ALP activity and staining, alizarin red staining, and immunofluorescence staining, indicating that the osteogenic differentiation ability of hPDLSCs was improved. Extracellular matrix secretion was increased in hPDLSC sheets, along with the positive expressions of the protein markers fibronectin and collagen I, suggesting that 1,25(OH)2VitD3 could enhance these effects. In addition, the root fragments treated by Er,Cr:YSGG laser were more suitable for the attachment and regeneration of hPDLSC sheets, demonstrating that 1,25(OH)2VitD3 could improve the tissue regeneration performance of these sheets. 1,25(OH)2VitD3 can promote osteogenic differentiation of hPDLSCs and thus plays an active role in hPDLSC sheet formation and tissue regeneration. In addition, the Er,Cr:YSGG laser can be used as the recommended treatment method for the root surface regenerated by hPDLSCs.
Truth and the Science of Management: Does the “Emperor” Still Have Any Clothes?
Authors: Wright Thomas A.
Published: October 2023

Scholars have increasingly argued for the merits of advocacy-based research versus research considered from the pursuit of objective truth. In this essay, I seek to extend Tsang's Journal of Management Inquiry essay (2022) and suggest that political advocacy has replaced the pursuit of objective truth in management research. Through the use of example, I suggest that this focus on politically based advocacy will be detrimental to the continued professional development of the management discipline.
Minoritized Scientists in the United States: An Identity Perspective to Science Communication
Authors: Rodrigues Leilane , Takahashi Bruno , Tiffany Leigh Anne , Menezes Sunshine , Valdéz-Ward Evelyn
Published: October 2023

This study investigates how tenure-track faculty from historically marginalized groups in the environmental sciences approach science communication based on their self-identities. A thematic analysis of 28 in-depth interviews with U.S.-based participants using the Communication Theory of Identity and Border-Crossing Theory was conducted to explore the interrelation of layers of identity, the identity gaps participants experience, and their communication practices. The results show that communication merges fragments of identity not to form a fixed identity, but to create an evolving consciousness about who you are and how you communicate. Implications for science communication training are discussed.
How Value is Determined in Health Care
Authors: Solid Craig
Published: October 2023

The ability to assess the value of various health-care activities, processes, and outcomes is critical for decision making and essential to maintain the fidelity of value-based payment mechanisms. However, value is subjective and differs by perspective, context, and situation. Furthermore, the complex nature of health-care delivery and payment complicates efforts to determine the value of individual components or interventions. While a variety of methods exist to quantify and compare value, none have been able to fully capture value for all stakeholders. As an alternative, a general framework that guides how one should define, measure, and interpret value would provide some needed consistency for those looking to assess value while allowing for enough flexibility to address different perspectives, situations, and evaluation goals.
Ethical Considerations of Replacing Clinical Hours With Simulation in Undergraduate Nursing Education: Means to an End, or an End in Itself?
Authors: Sadd Roseanne
Published: October 2023

In the current health-care environment, undergraduate nursing programs are expected to provide high-quality clinical experiences for students despite increasing difficulty accessing clinical placements. Expectations for newly graduated nurses have increased in the last few years, with an emphasis on “work-ready” graduates. At the same time, the availability of a variety of clinical practicum placements has decreased in some areas, increasing the difficulty of meeting the increasing numbers of nursing students required for future workforce planning, a situation exacerbated by the ongoing COVID-19 global pandemic. Nursing educators are caught between industry requirements for clinically prepared students and the regulatory requirements of their educational institutions. One solution being espoused internationally is substituting simulation for clinical practicum hours. Simulation offers many advantages, especially for patient safety, providing students with opportunities to link theory to practice in a controlled environment. This article discusses the ethical considerations of substituting simulation for clinical hours in undergraduate nursing education. Is this substitution justified as a means to an end or an end in itself?
Towards Decolonizing the Self: Nurse Educators’ Engagement in Personal Mastery
Authors: Matahela Vhothusa Edward , van Rensburg Gisela Hildegard
Published: October 2023

Background: Nursing education in South Africa is undergoing reforms to respond to changes brought about by a new higher education qualifications framework. These reforms are happening in an era when leaders, educators, and students in higher education institutions are engaged in dialogs about decolonizing institutions, curricula, and pedagogy. Of the numerous calls for this decolonization, few have given attention to decolonizing the self. Confronting coloniality in educational institutions may elicit resistance to change and feelings of discomfort, anxiety, and fear. Engagement in personal mastery practices could be useful for nurse educators engaged in efforts to confront and deal with their own discourses that may embody and promote coloniality. Aim: This article explores how nurse educators can utilize personal mastery in dealing with their own perceived coloniality, focusing on taking ownership of self-leadership during a reflection on one's own behavior as a nurse educator. Methods: Drawn from the findings of a mixed-methods study, the integrated data prompted three themes addressing self-leadership: Taking ownership, motivational factors, and facilitating self-leadership in nurse educators. Conclusion: Engagement in personal mastery could assist nurse educators in bringing about decoloniality in nursing education institutions. Implications for Practice: Institutions should provide nurse educators with environments that support continuous professional development.
Effectiveness of a Supportive Program on Caregiver Burden of Families Caring for Patients on Invasive Mechanical Ventilation at Home: An Experimental Study
Authors: Esmaeili Maryam , Dehghan Nayeri Nahid , Bahramnezhad Fatemeh , Fattah Ghazi Samrand , Asgari Parvaneh
Published: October 2023

The prevalence of patients on mechanical ventilation who are being supported at home is increasing. Due to these patients’ complex and chronic conditions, the subjective burden on their family caregivers increases after discharge. The aim of this study was to evaluate the effectiveness of a supportive home care program on the caregiver burden of families caring for patients on invasive mechanical ventilation at home. Sixty patients hospitalized in three university-affiliated hospitals in Tehran, Iran between 7/2020 and 8/2021 were randomly assigned to one of two groups: A supportive home care program, and routine hospital education. The supportive home care program included six educational sessions delivered in the hospital before discharge, and home visits and continued education after discharge. Caregiver burden was measured using the Zarit Burden Interview. Results showed that caregiver burden increased significantly ( p ≥ .001) after discharge without the supportive home care program intervention. Follow-up by nurses after discharge is essential to reduce the psychological burden of caring for patients on invasive mechanical ventilation at home.
The Contribution of Family-Centered Services to Enhanced Quality of Life and Reduced Distress in Families of Children With Disabilities During the COVID-19 Pandemic
Authors: Gur Ayelet , Hindi Tali-Noy , Krisi-Kadosh Lilach
Published: October 2023

This study examines family distress and quality of life among families of children with disabilities during the first wave of the COVID-19 pandemic in Israel. It considers the role of family resources, a sense of community, and the services provided by the Israeli family-centered program (IFCP). One hundred eighty-two parents of children with disabilities participated in this study through an online survey. Structural equation modeling showed that extensive family resources, better operation of the IFCP, and a sense of community were associated with a better quality of life. Lack of family resources was associated with family distress. A regression-based path analysis indicated that this association was moderated by components of the IFCP. Family-centered services were associated with a family’s quality of life and experience of distress in times of national crisis. The results highlight the importance of the partnership between parents of children with disabilities and service providers.
Clinical and Histological Associations of Chronic Inflammatory Lesions in Preterm Placentas: Uncovering the Hidden Dangers
Authors: Ravikumar Gayatri , Liza Victoria
Published: October 2023

Background:

Chronic placental inflammatory lesions (CPIL) include chronic deciduitis (CD), villitis of unknown etiology (VUE), and chronic chorioamnionitis (CCA). The frequency of these lesions and their relationship with various clinicopathological parameters in preterm birth (PTB) is presented.

Material and Methods:

Preterm placentas from April 2018 to December 2020 were reviewed for presence of CPIL. PTB was classified as spontaneous, indicated, or mixed phenotype. The association of CPIL with clinical parameters like gestational age, birth weight, obstetric complications, and placental parameters like placental dimensions, weight, vascular malperfusion, acute inflammatory lesions, and basal plate myometrial fibers were analyzed.

Results:

The study included 538 preterm placentas with 54.3% from indicated PTB. CD was more common (28.4%) than VUE (17.8%) and CCA (12.6%). CD showed significant association with VUE and CCA (both P = .0001) and VUE with CCA ( P = .0001). CD was more common in indicated PTB (33.8%, P = .002) and associated with lower birth weight (1591 g vs 1705 g, P = .003), lower placental weight (270.7 g vs 296.9 g, P = .004), length (14.2 cm vs 14.8 cm, P = .006), breadth (11.7 cm vs 12.2 cm, P = .007), maternal vascular malperfusion ( P = .004), and basal plate myometrial fibers ( P = .02). High-grade and multifocal low-grade VUE was associated with reduced placental length (13.9 cm vs 14.6 cm, P = .02)and breadth (11.5 cm vs 12.1 cm, P = .01). CCA did not show any other association.

Conclusion:

CPIL are common in PTB and their coexistence suggested a common pathogenic mechanism. Placental examination is the only definite way to identify as they lack clinical signs and symptoms. The smaller placental size associated with these lesions may suggest alter mechanisms for adverse pregnancy outcomes
Atypical presentation of bilateral iridoschisis with abnormal visibility of iris vessels: Role of anterior segment optical coherence tomography
Authors: Ben Aoun Safa , Hachicha Ines , Bouraoui Rim , Matri Khaled El , Limaiem Rim , Matri Leila El
Published: October 2023

Purpose

To describe clinical and anterior segment optical coherence tomography (AS-OCT) findings in a patient with bilateral iridoschisis and unilateral angle closure glaucoma (ACG) associated with abnormal visibility of iris vessels.

Case presentation

A 67-year-old male patient with a history of red and painful left eye (LE) one year earlier, presented to our ophthalmology department for a routine examination. Ophthalmic examination of the right eye revealed narrow anterior chamber with sectorial iris atrophy associated to abnormal visibility of an iris vessel. Intraocular pressure (IOP) was 12 mmHg with normal optic disc appearance. LE anterior chamber was narrow with diffuse iris atrophy and abnormal vessels visibility. IOP was 28 mmHg with an important optic disc excavation. On gonioscopy, angle was narrow without neovessels nor synechiae. AS-OCT of both eyes revealed shallow angles, iris splitting with material release in the anterior chamber, while pigmented epithelium was preserved Anti-glaucoma eye drops were prescribed and peripheral laser iridotomy was performed in both eyes with decreased IOP at 14 mmHg in the LE.

Conclusion

Iridoschisis is a rare ocular condition characterized by a separation between the anterior and posterior layers of iris stroma with several clinical presentations, and may be associated with abnormal visibility of iris vessels in some cases. The diagnosis of iridoschisis may be challenging and AS-OCT can be a very useful tool to confirm the diagnosis in atypical presentations and to detect associated angle closure.
Leucocytoclastic Vasculitis Presenting as Bilateral Ulcerative Keratitis: A Case Report
Authors: Feng Hui , Li Shang , Jie Ying
Published: October 2023

Introduction:

Small artery disease caused by neutrophils and immune-mediated is known as leucocytoclastic vasculitis (LCV). Clinically, it manifests as palpable, asymptomatic purpuric papules on the limbs. Ocular manifestation is rare. Here, we describe a case of peripheral ulcerative keratitis (PUK) associated with LCV.

Case presentation:

A 59-year-old man was referred to the hospital with blurred vision due to corneal perforation in his left eye. He complained of itchy nodules on his hands and lower legs for 15 years and the skin biopsy of the back of his hand revealed LCV 6 years ago, which suggested erythema elevatum diutinum. The patient was under treatment with anti-inflammatory and immunosuppressive drugs and physical features of LCV seen in him included erythema on his hands and legs. After receiving conjunctival flap covering surgery, the corneal perforation was resolved. Conjunctival flaps covered cornea that limited his vision to hand motion. Six months later, he was referred to our clinic again because of pain, redness, photophobia, and tearing in the right eye, presenting with PUK. Necrotic tissue was removed during surgery, which also included a conjunctival flap covering procedure. Following surgery, the symptoms were reduced, and the postoperative eye condition remained stable.

Conclusion:

To our knowledge, it is the first case of PUK secondary to LCV which was diagnosed 6 years ago. This case demonstrates that PUK associated with LCV can be successfully treated by surgical interventions.
Generative artificial intelligence and academia: Implication for research, teaching and service
Authors: Barros Amon , Prasad Ajnesh , Śliwa Martyna
Published: October 2023

In this editorial, we identify some of the opportunities and the consequences of generative artificial intelligence for academia. We discuss how generative artificial intelligence will affect the three main areas of an academic’s job responsibilities: research, teaching and service. To animate our ideas, we offer illustrative examples of how generative artificial intelligence will impact each of these areas. Further recognizing that generative artificial intelligence poses both opportunities and consequences for academia from a management learning perspective, we use examples that represent a positive and a negative outcome resultant of generative artificial intelligence to each of the three areas of academic responsibility.
After the epistemological turn: A framework for studying populism as a knowledge phenomenon
Authors: Nawrocki Michał
Published: October 2023

The recent epistemological turn in populism studies has produced many valuable insights pertaining to populist knowledge practices, conspiracy theories, information bubbles, and cognitive biases. However, various elements of populist epistemology are still studied separately, and there are no common theoretical assumptions that would arrange them into a comprehensive epistemic theory of populism. Thus, apart from presenting a preliminary mapping of recent changes in the field, the article proposes a basic theoretical framework for an epistemic approach to studying populism by conceptualising populism as a set of epistemic interventions: discursive and non-discursive practices that construe the people as a political subject and result in the emergence of a populist epistemic community. The article discusses how the latter concept may help to link discursive, performative, communicative, and cognitive elements of populism, along with describing key features of populist epistemic communities and indicating possible directions for future research on populist epistemology.
Influence of impact medium particle size on mechanical deposition layer formation process based on discrete element method
Authors: Gao Kai , Wang Shengmin , Zhao Xiaojun , Wang Chengyu , Hao Chaoyang
Published: October 2023

Based on the discrete element method, this study has simulated the movement of materials in the plated barrel using EDEM software to investigate the effect of the impact medium with different particle sizes on the mechanical deposition plating. The simulation analyzed the interaction between five impact mediums with different particle sizes (2, 3, 4, 5, and 6 mm) and the base body while determining the particle size ratio of the impact medium. The rationality of the particle size ratio was verified by the simulation analysis of the interreaction of two groups of mixed particle size impact medium and the base body. The samples of mechanically deposited zinc coating were prepared. The average thickness, relative density, and average deviation of the coating were measured. The results show that When the particle size is 2 and 3 mm, the effective collision frequency of the materials is higher. When it is 3, 4, and 5 mm, the kinetic energy of collision between materials fluctuates evenly. When it is 4 and 5 mm, the collision contact force of the materials changes regularly. Consequently, the obtained particle size ratio (second group) is 2 mm 23%; 3 mm 23%; 4 mm 23%; 5 mm 27%; and 6 mm 4%. Compared with mixed impact media with 20% of each of the five particle sizes (first group), in the second group of assorted particle size simulation test, the collision frequency between materials is high. The contact force changes more regularly between materials. The average thickness, relative density, and average deviation of the mechanically deposited galvanized layer are consistent with the simulation results of the two groups of mixed particle sizes. The average thickness and relative density of the galvanized layer in the second group are higher, the average deviation is smaller, and the compactness and uniformity are the best.
Injection strategy of methanol for high loads and low NOx emissions in a neat methanol LTC engine
Authors: Panda Kasinath , Ramesh A
Published: October 2023

Methanol is a low carbon and clean burning renewable fuel. Though low temperature combustion (LTC) of neat methanol results in almost no smoke with ultra-low NOx, the extremely low cetane number poses challenges. This experimental study demonstrates LTC of neat methanol at full load by combining direct and port injection of this fuel with controlled intake air temperature (IAT). The effects of important variables including IAT and port (premixed) and direct-injected methanol shares on combustion, performance, regulated and unregulated emissions were investigated. The timing of the direct-injected methanol had to be retarded with an increase in the premixed methanol share and IAT in order to limit the pressure rise rate without affecting the ITE. At high IATs, the premixed methanol burned first, followed by the directly injected methanol, at low IATs, these phases merged, resulting in a high rate of heat release. Employing the lowest possible IAT and the highest possible premixed methanol share led to high ITE. Increase in the MDIP to 450 bar was advantageous due to better fuel evaporation and enhanced combustion. Negligible smoke, very low NOx of 2.7 g/kWh, high ITE of 45% and unburned HC and methanol emissions lesser than 3 g/kWh could be achieved.
How can the findings of the EMAX trial on long-acting bronchodilation in chronic obstructive pulmonary disease be applied in the primary care setting?
Authors: Kerwin Edward M , Jones Paul W , Bjermer Leif H , Maltais François , Boucot Isabelle H , Naya Ian P , Lipson David A , Compton Chris , Tombs Lee , Vogelmeier Claus F
Published: October 2023

This review addresses outstanding questions regarding initial pharmacological management of chronic obstructive pulmonary disease (COPD). Optimizing initial treatment improves clinical outcomes in symptomatic patients, including those with low exacerbation risk. Long-acting muscarinic antagonist/long-acting β2-agonist (LAMA/LABA) dual therapy improves lung function versus LAMA or LABA monotherapy, although other treatment benefits have been less consistently observed. The benefits of dual bronchodilation in symptomatic patients with COPD at low exacerbation risk, and its duration of efficacy and cost effectiveness in this population, are not yet fully established. Questions remain on the impact of baseline symptom severity, prior treatment, degree of reversibility to bronchodilators, and smoking status on responses to dual bronchodilator treatment. Using evidence from EMAX (NCT03034915), a 6-month trial comparing the LAMA/LABA combination umeclidinium/vilanterol with umeclidinium and salmeterol monotherapy in symptomatic patients with COPD at low exacerbation risk who were inhaled corticosteroid-naïve, we describe how these findings can be applied in primary care.