bluuebunny/crossref_metadata_2025 huggingface dataset:
Exploring the Facets of Emotional Episodic Memory: Remembering “What,” “When,” and “Which”
Authors: Palombo Daniela J. , Te Alessandra A. , Checknita Katherine J. , Madan Christopher R.
Published: June 2021

Our memories can differ in quality from one event to the next, and emotion is one important explanatory factor. Still, the manner in which emotion impacts episodic memory is complex: Whereas emotion enhances some aspects of episodic memory—particularly central aspects—it dampens memory for peripheral/contextual information. Extending previous work, we examined the effects of emotion on one often overlooked aspect of memory, namely, temporal context. We tested whether emotion would impair memory for when an event occurred. Participants ( N = 116 adults) watched videos wherein negative and neutral images were inserted. Consistent with prior work, results showed that emotion enhanced and impaired memory, respectively, for “what” and “which.” Unexpectedly, emotion was associated with enhanced accuracy for “when”: We found that participants estimated that neutral images occurred relatively later, but there was no such bias for negative images. By examining multiple features of episodic memory, we provide a holistic characterization of the myriad effects of emotion.
A modelling approach to the investigation of the effects of the Minoan supervolcanic eruption on Aegean sand fly diversity
Authors: Trájer Attila J
Published: June 2021

The late Bronze Age eruption of the Thera volcano was among the largest eruptions of the Holocene era. This catastrophic event might perish all organisms from the ancient Santorini and could seriously impact the sand fly fauna of the Aegean islands. To investigate these effects, the survival possibility of the sand fly fauna in the Santorini islands and the biogeographic investigation of the sand fly fauna of eleven Aegean islands were conducted. It was found that only the south and east slopes of the massifs of Thira could provide refuge for sand fly populations. The expression-based heat map of the Jaccard coefficient matrix data showed that the Santorini islands and their neighbouring Anafi, Folegandros had clearly different z-score patterns compared to the other islands. It could be a late sign of the devastating effect of the Minoan eruption and/or the consequence of the distance of these islands from the mainland. Neither the glacial seashore patterns nor the geographic-climatic conditions can explain the present sand fly fauna of the Aegean Archipelago. If the sand fly populations of ancient Santorini survived the Minoan cataclysm, it could indicate that the environmental tolerance and the resilience of the sand fly populations can be high, and local geological and geomorphological conditions can play a greater role in the survival of sand fly species than previously assumed.
Analytical categories to describe deficit attributions in deep disagreements between citizens and experts
Authors: Fuentes Claudio , “Iñaki” Goñi Julian , Miranda Constanza
Published: June 2021

Disagreements often arise from citizen–expert collaboration, as both agents share a different epistemic worldview. Fogelin, following Wittgenstein, proposed that some disagreements (i.e. deep disagreements) cannot be rationally solved when participants share different forms of life. Citizen–expert is an exemplar of this sort of disagreement. Moreover, deep disagreements are often followed by deficit attributions from one of the agents to the other, regarding their epistemic understanding, credibility, and motives. Articulating the notions of deep disagreements and deficit attributions, as well as reviewing the complementary concept of epistemic injustice, we have constructed analytical categories that allow us to understand two things: (1) how deficit attributions operate in dialogical contexts of deep disagreements and (2) what types of deficit attributions we can find. We expect that this characterization can serve to analyze citizen–expert dialogues and the pursuit of more modest and inclusive forms of conversation.
Effect of fiber hybridization on mechanical, thermal, and water absorption behavior of HF/CF/HDPE composites
Authors: Srivastava Prashant , Sinha Shishir
Published: June 2021

The composite materials are present in nature since the prehistoric era. Applications of fiber-based composite materials are increasing day by day in our society to overcome the raised environmental and economic concerns. Hence, waste fiber can be utilized as the best resource to develop composites.

The present study deals with the impact of hybridization on the mechanical, thermal, and water absorption behavior of hair and coir fiber-based hybrid composites. The compression molding technique was used to develop the hybrid composites with fixed fiber content (15 wt.%) and was also varied the relative weight percentage of hair and coir fibers [(100% HF), (75% HF/25% CF), (50% HF/50% CF), (25% HF/75% CF) and (100% CF)] in reinforcing phase with HDPE composites S1, S2, S3, S4, and S5, respectively. The composite S2 was achieved superior mechanical attributes as compared to other hybrid/non-hybrid composites. The composite S2 was improved the tensile strength 5% and 35.2% more in comparison to composites S1 and S5, respectively. The thermal behavior (TGA, DTG, and DTA) was also influenced by the blending ratio of fibers of composites. The 5% and 50% weight losses of composite S2 were observed at higher temperature 343.8°C and 465.8°C as compare to other composites, which showed the thermal stability of composites S2. SEM analysis was used to investigate the strength of the fiber-matrix interface, which was shown a significant connection between mechanical and thermal behaviors. The crystallinity of hybrid and non-hybrid composites was examined by using the X-ray diffraction (XRD) analyzer and composite S2 was achieved 326 × 10−9 m crystal size at 21.053° peak position with wavelength 1.5406 × 10−10 m for Cu. The water absorption test was used to examine the moisture resistivity of composite materials, which was helpful to increase the applications of materials in humid areas.
Correlation of minimum inhibitory concentrations between human and animal antimicrobials against Escherichia coli isolated from livestock
Authors: Ozawa Manao , Kawanishi Michiko , Uchiyama Mariko , Mitsuya Daisuke , Abo Hitoshi , Koike Ryoji , Kijima Mayumi
Published: June 2021

We analyzed the correlation between minimum inhibitory concentrations (MICs) of antimicrobials used in humans and those used in animals to enable comparison of antimicrobial susceptibility between Escherichia coli isolated from humans and those from animals. We compared the following pairs of MIC data: piperacillin (PIPC) to ampicillin (ABPC), amikacin (AMK) to kanamycin (KM), minocycline (MINO) to oxytetracycline (OTC), and levofloxacin (LVFX) to enrofloxacin (ERFX) using 103 isolates of E. coli from healthy livestock (cattle, pigs, broiler chickens, and layer chickens). Kappa analysis of the agreement for resistance and susceptibility between PIPC and ABPC, AMK and KM, MINO and OTC, and LVFX and ERFX showed almost perfect (κ = 0.81), slight (κ = 0.12), fair (κ = 0.37), and moderate (κ = 0.46) agreement, respectively. Within the antimicrobial pairs, all isolates resistant to the human antimicrobial were also resistant to the veterinary antimicrobial. However, there was less agreement within the pairs for those isolates that were sensitive to the human antimicrobial. The percentage agreement for susceptibility, defined as the percentage of isolates sensitive to both antimicrobials compared with isolates sensitive to both antimicrobials, as well as those sensitive only to the human antimicrobial, was 89.9%, 87.3%, 64.0%, and 89.9% for PIPC and ABPC, AMK and KM, MINO and OTC, and LVFX and ERFX, respectively. Our results suggest that the possibility of missing the resistance for antimicrobials used in human medicine by examining MICs for the equivalent antimicrobials used in veterinary medicine is low.
Osteomalacia as a result of phosphorus deficiency in beef cattle grazing subtropical native pastures in Uruguay
Authors: Schild Carlos O. , Boabaid Fabiana M. , Olivera Luiz G.S. , Machado Mizael , Vildoza Ana , Saravia Anderson , Custodio Alejandra , Command Carolina , Martinez Agustín , Jaurena Martín , Dixon Rob , Riet-Correa Franklin
Published: June 2021

We investigated 2 outbreaks of osteomalacia as a result of phosphorus (P) deficiency in herds of lactating beef cows grazing subtropical native pastures in Uruguay. Cows exhibited pica, difficulty to stand and walk, rib fractures, and body weight loss even with adequate forage availability. Osteopenia and severe osteomalacia were observed on gross and histologic examination. The concentrations of bicarbonate-extractable P in soil (4.0, 4.1 mg P/kg), total P in pasture (0.9, 1.1 g P/kg), inorganic P in serum (1.0, 0.71 mmol P/L), and P in bone (73 mg P/mL) were all low. Although injectable and mineral salt supplements provided additional P in both outbreaks, these supplementary amounts were insufficient to prevent P deficiency. The P ingested by the cows from the pasture and supplements would have provided 20–55% of their daily P requirements of ~21 g P/d. Osteomalacia occurred in cattle at the 2 ranches as a result of severe P deficiency in the soil and forage, and inadequate P supplementation. Following diagnosis, control of P deficiency in beef cattle requires estimation of the amount of pasture P ingested and provision of sufficient additional supplementary P to meet the animals’ requirements.
Transition Experiences of Indian Nurses Into Australian Mental Health System
Authors: Joseph Bindu , Olasoji Michael , Moss Cheryl , Cross Wendy
Published: June 2021

Introduction:

In the past decade, there has been an influx of migrant nurses from India to Australia. Migrant professionals have specific transition needs associated with working in Mental Health (MH). This study aimed to explore the transition experience of overseas trained nurses from India working in Australian MH settings.

Method:

Hermeneutic phenomenology was the methodological approach used in the study. The participants ( N = 16) were overseas trained nurses from India. Data were collected through in-depth interview and analysed using thematic analysis.

Results:

The findings resulted in the identification of the following themes: (1) Living in dual culture, (2) Loneliness, (3) Discrimination, and (4) Feeling incomplete.

Discussion:

It is evident that the transition to work in MH in Australia was a journey of mixed experiences. While certain findings of this study are comparable with experiences of migrant nurses in other settings, it provides insight into those that are working in MH.
Zooming in on Life Politics: Identity and Reflexivity in a University for the Third Age
Authors: Hachem Hany
Published: June 2021

A late modern rationale for the education of older people has not yet been sufficiently explored. In this action research, I explore Giddens’s life politics as a framework for a late modern rationale for older adult education. Eleven older learners were recruited voluntarily to an online study group conducted via Zoom at a University for the Third Age. Over six sessions, learners attended mini lectures, completed self-reflexive assignments, and engaged in lively classroom discussions. I report and evaluate the study group, with special focus on outcomes such as personal growth and self- and social questioning. I conclude that life politics is a viable framework for the education of older people and state implications for theory and practice.
Enabling Players to Develop Theories of Change for Sustainable Development: A Serious Game
Authors: Tribaldos Theresa , Schneider Flurina
Published: June 2021

Introduction

Sustainable development and sustainability transformations have reached high urgency on national and international agendas and involve new knowledge and learning processes. Transdisciplinary co-production of knowledge as a research approach in combination with the methodological elaboration of theories of change have potential to support transformative learning processes. Both approaches engage with questions about the actors involved, impact pathways, or the role of power and agency in a given context.

Intervention

We introduce the THEORY OF CHANGE GAME, which applies theory of change thinking to transdisciplinary projects aiming for sustainable development. A combination of board and card game, it evolves around collaborative discussions.

Method

We explain the iterative development rounds of the game through several game sessions in different settings and analyse whether and how the game supports social learning for sustainable development. To assess social learning, we draw on the typology developed by Baird et al. (2014) , which includes cognitive, relational, and normative learning.

Results

The iterative development rounds took place first in academic settings and then in a non-academic event. Our observations during the game and the debriefing rounds after the game demonstrate that social learning takes place in the form of cognitive and relational learning. Verified findings on normative learning would need other assessment approaches.

Discussion and conclusion

Several development rounds supported the design of a game that is suitable to support social learning for sustainable development. We see the potential of the game mainly in cognitive and relational learning. Further work on gamification elements could help to enhance the entertainment component of the game.
Sharing COMFORT Communication Training With Healthcare Professionals in Nairobi, Kenya: A Pilot Webinar Series
Authors: Wittenberg Elaine , Alabere Regina Ogechi , Beltran Emeline , Goldsmith Joy V. , Moledina Shabnam
Published: June 2021

Background:

Communication training for healthcare providers is evident in the context of the COVID-19 global pandemic, however training opportunities are not available in countries with limited resources.

Objectives:

To investigate perceived comfort in communication about end-of-life and palliative care among healthcare providers in Nairobi, Kenya and to evaluate a pilot webinar-based communication training series.

Methods:

Through a partnership with a research hospital in Nairobi, healthcare providers engaged an online survey to assess perceived comfort in communication and prior educational training in communication. The COMFORT communication model was used to develop and pilot a webinar-based communication training series to meet training needs. Pre-post measures of comfort in communication and post-curriculum evaluation were used to evaluate the webinars.

Results:

Survey findings from 94 healthcare providers demonstrated that communication training is most needed when patient/family culture is different from provider. Physicians reported less comfort in communication than nurses and other professionals, especially in communication with family about spiritual or religious concerns. Nurses reported more overall training in palliative care communication topics than physicians and other disciplines. The 3-part webinar series increased communication comfort for physicians and nurses, was highly rated, and participants reported that they would recommend COMFORT webinar training to colleagues.

Conclusion:

Webinar-based platforms for communication training show promise for meeting communication training needs of healthcare providers.
What’s Your Excuse? Sensemaking About Chronic Absenteeism in a Rural, Latinx High School
Authors: Grooms Ain A. , Bohorquez Diana Galvez
Published: June 2021

Nationwide, over seven million students are chronically absent from school each year, impacting academic success and future job earnings. Latinx high school students have among the highest absentee rates across all racial groups. Using critical sensemaking theory, this qualitative case study examines how school, district, and community leaders make sense of chronic absenteeism in their diversifying local high school. This study is situated in Hensonville Secondary School (a pseudonym), a small, rural high school in Iowa serving a predominantly Latinx student body. Findings reveal that persistent deficit narratives placed upon Latinx and/or low-income students drive the perception of absentee students as “others” that do not fit the expectations of the educational leaders or of the broader community. Power and privilege in the district were evident as white educational leaders blamed Latinx students and those from low-income backgrounds for chronic absenteeism while minimizing the institutional and contextual factors that may be contributing to low student attendance. Collaborative partnerships are increasingly being used to address chronic absenteeism, and we also investigate these efforts in Hensonville. white educational leaders in diversifying rural communities, and the leadership preparation programs educating these future leaders, must rely on culturally relevant/responsive strategies in order to best support their students and reduce chronic absenteeism.
Interventions in an Ambulatory Setting to Prevent Progression to Severe Disease in Patients With COVID-19: A Systematic Review
Authors: O Murchu Eamon , Spillane Susan , Byrne Paula , O’Neill Michelle , Harrington Patricia , Ryan Máirín
Published: June 2021

Objective:

To conduct a systematic review on the effectiveness and safety of pharmacological and nonpharmacological interventions, in the ambulatory setting, aimed at preventing severe disease in patients with COVID-19.

Data Sources:

Electronic databases (PubMed, EMBASE, and EuropePMC) were searched on January 6, 2021.

Study Selection and Data Extraction:

A systematic review was conducted, adhering to PRISMA guidelines. The quality of individual trials was assessed using the Cochrane Risk-of-Bias Tool 2, and the certainty of evidence was assessed using GRADE.

Data Synthesis:

The collective search retrieved 3818 citations. Eight trials relating to 9 pharmacological interventions were identified. No evidence for nonpharmacological interventions was identified. Low certainty evidence of effectiveness in preventing severe disease was found for fluvoxamine (absolute difference: −8.7%; 95% CI: −1.8% to −16.4%) and bamlanivimab plus etesevimab (absolute difference: −4.9%; 95% CI: −0.8% to −8.9%). Both trials were limited by small sample sizes and short durations of follow-up. In addition, very low certainty evidence of effect was found for ivermectin plus doxycycline and sulodexide. Based on published data, insufficient evidence of effect was found for bamlanivimab (monotherapy), casirivimab plus imdevimab, ivermectin (monotherapy), nitazoxanide, and peginterferon lambda.

Relevance to Patient Care and Clinical Practice:

This review assessed all ambulatory treatments for COVID-19 that may improve patient outcomes and reduce hospitalizations.

Conclusion:

Recent trials have shown promising results for a number of pharmacological agents to treat COVID-19 in the ambulatory setting. However, larger, more robust trials are needed to support the routine use of these agents outside of monitored clinical trials.
T Cells: A Growing Universe of Roles in Neurodegenerative Diseases
Authors: Dressman Dallin , Elyaman Wassim
Published: June 2021

T cells play a central role in homeostasis and host defense against infectious diseases. T cell dysregulation can lead to recognizing self-antigens as foreign antigens, causing a detrimental autoimmune response. T cell involvement in multiple sclerosis (MS), long understood to be an autoimmune-mediated neurodegenerative disease, is well characterized. More recently, a role for T cells has also been identified for the neurodegenerative diseases Alzheimer’s disease (AD), Parkinson’s disease (PD), and amyotrophic lateral sclerosis (ALS). Interestingly, several alleles and variants of human leukocyte antigen (HLA) genes have been classified as AD and PD risk genes. HLA codes for components of major histocompatibility complex (MHC) class I or class II, both of which are expressed by microglia, the innate immune cells of the central nervous system (CNS). Thus, both microglia and T cells may potentially interact in an antigen-dependent or independent fashion to shape the inflammatory cascade occurring in neurodegenerative diseases. Dissecting the antigen specificity of T cells may lead to new options for disease-modifying treatments in neurodegenerative diseases. Here, we review the current understanding of T cells in neurodegenerative diseases. We summarize the subsets of T cells, their phenotype and potential functions in animal models and in human studies of neurodegenerative diseases.
Gendered Responses to Gendered Harms: Sexual Violence and Bystander Intervention at Australian Music Festivals
Authors: Baillie Greta , Fileborn Bianca , Wadds Phillip
Published: June 2021

Bystander intervention has shown promise in preventing sexual violence in certain social contexts. Despite emerging evidence of pervasive sexual violence at music festivals, no research has considered bystander intervention in this setting. Drawing on an online survey conducted with 371 Australian festival attendees, we explore the role of gender on bystander intervention at music festivals. Findings point to significant gender differences, with women more willing and likely to intervene in a broader range of scenarios. We argue that responses to sexual violence are a collective responsibility shared by both women and men, as well as festival organizers and industry bodies.
Asking the Hard Questions: Psychologists’ Discomfort With Inquiring About Sexual Abuse Histories
Authors: Nixon Belinda , Quinlan Elly
Published: June 2021

The literature on sexual abuse indicates low rates of inquiry by mental health professionals. This study explores early career psychologists’ experiences of inquiry into their clients’ sexual abuse histories. Twelve Australian psychologists participated in semi-structured interviews with transcripts analyzed using thematic analysis. The vast majority of participants reported that they did not routinely inquire about sexual abuse with barriers including not knowing what to do, discomfort, stigma, and fear of negative outcomes. Participants asserted that their university training in sexual abuse inquiry was inadequate. Findings emphasize the need for the development of an evidence-based framework for sexual abuse training.
Adding Insult to Injury: The Effects of Intimate Partner Violence Spillover on the Victim’s Reputation
Authors: Pagliaro Stefano , Cavazza Nicoletta , Paolini Daniele , Teresi Manuel , Johnson James D. , Pacilli Maria Giuseppina
Published: June 2021

This article examined indirect consequences for the victims of intimate partner violence (IPV) in terms of ostracism and reputational threats. Through an experimental vignette survey, we compared bystanders’ reactions to either an intimate partner violence episode or a generic violence episode. A victim of IPV (vs. generic violence) received a more negative moral evaluation and was considered as more responsible for the violence perpetrated on her. This made participants not only anticipate a less positive reputation attributed to the victim but also report less willingness to approach and defend the victim and include her in relevant ingroups 1 year after the episode.
Correlates of Safety Strategy Use Among South African Women Living With HIV and at Risk of Intimate Partner Violence
Authors: Brown Leslie Lauren , Perkins Jessica Mayson , Hargrove Jami Lynn , Pahl Kathryn Elenor , Mogoba Phepo , van Zyl Michiel Adriaan
Published: June 2021

Intimate partner violence (IPV) and HIV are correlated and endemic in South Africa. However, safety strategy use to prevent IPV among HIV-positive women is understudied. This study assesses correlates of specific safety strategy use among 166 Black South African women recently experiencing IPV and testing positive for HIV. Associations were observed between consultation with formal (i.e., counselors, clergy, IPV specialists) and informal networks (i.e.﻿, friends/family) and participant language ( isiZulu, isiXhosa, Sesotho, and English), past year IPV, and engaging in HIV care. Future HIV-IPV programs should consider how characteristics of different IPV safety strategies may influence strategy uptake and ultimately HIV care.
A Multidimensional Practice-Based Framework of Interactive Value Formation
Authors: Luyen Thuy , Shabbir Haseeb , Dean Dianne
Published: June 2021

This study seeks to deconstruct the multidimensionality of the Interactive Value Formation (IVF) process within complex and prolonged Technology-Based Self-Services (TBSSs). Building on practice theory and Service Dominant logic, this framework sheds light on the complexity of practice-based resource integration processes within the IVF process. The findings demonstrate firstly, how IVF can result in both value co-creation and co-destruction and secondly, how these outcomes are influenced by the enactment of practices within the service experience. Finally, this study demonstrates the mediating role of consumer intensity as a function of consumer effort and time during this enactment. The suggested framework emphasizes the role of engagement, as intersecting between resource-based practices and outcomes, and the nested nature of the IVF process. In doing so, the relationship between the multiple outcomes of engagement and variations in loyalty are revealed. The study has implications for service managers responsible for user experience of complex and prolonged TBSSs. Directions for future research can focus on further deconstructing the multi-dimensionality of the IVF process.
Involvements of choroidal vascular structures with local treatments in patients with diabetic macular edema
Authors: Kase Satoru , Endo Hiroaki , Takahashi Mitsuo , Yokoi Masahiko , Ito Yuki , Katsuta Satoshi , Sonoda Shozo , Sakamoto Taiji , Ishida Susumu , Kase Manabu
Published: June 2021

Purpose:

To examine changes of the choroidal morphology in patients with diabetic macular edema (DME) before and after local treatments.

Methods:

This study was on 20 eyes with DME, observed for more than 24 months. All patients underwent laser photocoagulation (Laser), sub-tenon triamcinolone acetonide injection (TA), or intravitreal aflibercept injection (IVA). Central macular and choroidal thicknesses (CMT/CCT), and choroidal vascular structures consisting of the total choroidal area (TCA), luminal area (LA), and stromal area (SA) were measured by a binarization method. The ratios of LA in TCA were eventually determined as the L/C ratio in each case.

Results:

The L/C ratio significantly decreased for 24 months in patients with DME ( p = 0.01), whereas no significant differences were noted in other parameters including TCA, LA, SA, or CCT. Among patients treated with Laser ± TA ± IVA, a significant correlation was found between a high L/C ratio at pretreatment and a lower cumulative number of injections (1–2 times/24 months) ( p = 0.04). The L/C ratio in pretreatment showed a significantly inverse correlation with CMT (−0.60, p = 0.02) and subsequent BCVA (logMAR) (−0.59, p = 0.03).

Conclusion:

This study highlighted that the L/C ratio in pretreatment might predict a change of the visual acuity in DME.
Breast Cancer Awareness and Associated Factors Amongst Women in Peshawar, Pakistan: A Cross-Sectional Study
Authors: Ullah Zia , Khan Muhammad Naseem , Din Zia Ud , Afaq Saima
Published: June 2021

Background:

Breast cancer is the most common cancer in women, and the second overall, following lung cancer. Breast cancer can occur at any age, with an increased incidence in women 40 years and above. Worldwide the incidence is around 1 million cases per year, 60% of the cases reported from low- and middle-income countries. The current study was conducted to determine knowledge, attitude, and practices related to breast cancer, the associated risk factors, and screening methods in women presenting to a health care facility from resource-poor settings in Pakistan.

Methods:

A cross-sectional study design was used, and participants were recruited phase-wise from three major outpatient departments (OPDs) (Gynecology and Obstetrics OPD, Medical OPD, and Surgical OPD). Data were collected through the validated “Breast Cancer Awareness Measure” developed by Cancer Research UK, King’s College London, and University College London in 2009. Data were analyzed through Statistical Package for Social Sciences software (SPSS) version 23.0. Students’s T-Test, ANOVA, and linear regression analysis were conducted.

Results:

A total of 430 women were invited for participation in the study from the 3 main OPDs, and 400 took part in the study (response rate = 93.02%). The mean age of the women was 33.62 years ± 12.3 years, and the mean years of formal education were 5.05 ± 6.3 years. Less than a quarter of the participants were aware of the breast cancer warning signs, and 23.3% recognized the pain in the armpit or one of the breasts as a sign of breast cancer. The proportion of women aware of age-related and lifetime risk of getting breast cancer was 15.0%. Furthermore, only 2.5% performed breast self-examination at least once a month. Women identified many barriers like embarrassment, transport, and confidentiality issues in seeking medical help.

Conclusion:

Overall, women had poor knowledge of breast cancer, related warning signs, breast self-examination, risk factors, and screening methods.
A relational perspective on students' experiences of participation in an ‘Interest-based physical education’ programme
Authors: Erdvik Irina Burchard , Moen Kjersti Mordal , Säfvenbom Reidar
Published: June 2021

While many students participate autonomously in physical education (PE), research shows that students who do not participate in leisure sport are less likely to perceive PE positively. Attempting to optimise the reciprocal student (↔) PE relationship and secure equal opportunities for learning in PE, schools in a Norwegian county developed an ‘Interest-based PE’ programme offering students a choice of two PE approaches: a sports approach (SA), focused on sports activities, and an explorative approach (EA), focused on alternative movement activities. Based on a process-relational understanding of adolescent development and learning, this study seeks a deeper understanding of changes in the PE experiences of students in the programme. Sixteen students (ages 17–18 years) who had participated in Interest-based PE for 18 months participated in qualitative semi-structured one-on-one interviews where they reflected on their relationship with PE prior to and during the programme. Data were subject to inductive interpretive thematic analysis showing that ‘the role of sports in PE’ framed student ↔ PE relations and that this sports discourse regulated the relations, also within the Interest-based PE programme. The separation of students into an EA and a SA accentuated the sports discourse and students’ sports competencies, contributing to segregation on the basis of students' confidence, competence and ability in sports. Based on this study, we question the assumption that differentiation programmes, such as Interest-based PE, will optimise student ↔ subject relations if these relations remain governed by the sports discourse, rather than the PE curriculum.
Demographics associated with US healthcare disparities are exacerbated by the telemedicine surge during the COVID-19 pandemic
Authors: Gmunder Kristin N , Ruiz Jose W , Franceschi Dido , Suarez Maritza M
Published: June 2021

Introduction

As coronavirus disease 2019 (COVID-19) hit the US, there was widespread and urgent implementation of telemedicine programs nationwide without much focus on the impact on patient populations with known existing healthcare disparities. To better understand which populations cannot access telemedicine during the coronavirus disease 2019 pandemic, this study aims to demographically describe and identify the most important demographic predictors of telemedicine visit completion in an urban health system.

Methods

Patient de-identified demographics and telemedicine visit data ( N = 362,764) between March 1, 2020 and October 31, 2020 were combined with Internal Revenue Service 2018 individual income tax data by postal code. Descriptive statistics and mixed effects logistic regression were used to determine impactful patient predictors of telemedicine completion, while adjusting for clustering at the clinical site level.

Results

Many patient-specific demographics were found to be significant. Descriptive statistics showed older patients had lower rates of completion ( p < 0.001). Also, Hispanic patients had statistically significant lower rates ( p < 0.001). Overall, minorities (racial, ethnic, and language) had decreased odds ratios of successful telemedicine completion compared to the reference.

Discussion

While telemedicine use continues to be critical during the coronavirus disease 2019 pandemic, entire populations struggle with access—possibly widening existing disparities. These results contribute large datasets with significant findings to the limited research on telemedicine access and can help guide us in improving telemedicine disparities across our health systems and on a wider scale.
Smartphone oral self-photography in teledentistry: Recommendations for the patient
Authors: Maret Delphine , Peters Ove A , Auria Jean-Pierre , Savall Frédéric , Vigarios Emmanuelle
Published: June 2021

In the current context of the coronavirus disease 2019 pandemic, the deployment of telemedicine has accelerated considerably. Like telemedicine, teledentistry involves the use of telecommunication technologies to provide medical information and services. Teledentistry can contribute to remote assessment (teletriage) and continuity of care (telemonitoring). This evaluation at a distance can be done by sending photos taken by the patient with a smartphone. Providing patients with a simple and reproducible protocol and explaining how to take a photo is important for sufficient image quality. The aim of this technical note is to help clinicians advise their patients on how to take photographs of their oral cavity simply and with sufficient quality to be reproducible.
Comparing sources of stress for state and private school teachers in England
Authors: Brady Jude , Wilson Elaine
Published: June 2021

Teaching is understood to be a highly stressful profession. In England, workload, high-stakes accountability policies and pupil behaviour are often cited as stressors that contribute to teachers’ decisions to leave posts in the state-funded sector. Many of these teachers leave state teaching to take jobs in private schools, but very little is known about the nature of teachers’ work in the private sector. This research addresses this gap in knowledge and compares the sources of stress experienced by 20 teachers in the state sector to those of 20 teachers in the private sector. The paper is based on qualitative data from a larger study. It analyses data collected in interviews and focus groups with classroom teachers and middle leaders working in mainstream primary and secondary phase education in England. The results emphasise state school teachers’ acute distress in relation to workloads driven by accountability cultures. In comparison, private school teachers report less intense experiences of work-related stress, but some identify demanding parents as a concern. The research’s novelty lies in this comparison between sectors and these sector specific insights may help to focus school leaders’ efforts to improve teaching conditions in both sectors.
Hybrid emergency ventilation system for controlling inhaled contaminant dose in the case of chemical leakage
Authors: Ichimiya Shun , Murga Alicia , Yoo Sung-Jun , Sumiyoshi Eisaku , Harashima Hiroshi , Long Zhengwei , Ito Kazuhide
Published: June 2021

In factories where high-risk chemical pollutants are treated, it is essential to anticipate response measures in the event of chemical pollutant leakage to minimize adverse health effects on workers. When high-risk liquid chemical pollutants are assumed to be leaked inside enclosed spaces, it becomes crucial to predict the non-uniform concentration distributions in enclosed spaces and evaluate the health impacts and risks of short-time exposure to prevent large-scale accidents. Therefore, we have developed an emergency ventilation system for controlling the inhaled contaminant dose of factory workers. In this study, assuming a worst-case scenario liquid chemical pollutant leak in an enclosed factory space, the advantages and performance of a hybrid ventilation system that combines displacement and push–pull type ventilation systems were numerically investigated. Installation of wall materials that facilitate photocatalytic oxidation (PCO) reactions for background passive concentration control was also discussed. Based on the demonstrative numerical analyses for a realistic factory space, push–pull type ventilation system was confirmed to effectively suppress chemical pollutant diffusion in enclosed spaces with a low ventilation rate. Wall materials with the PCO mechanism had a certain contribution to the control of peak concentration.
Evaluation of a guidelines website capitalizing on Finnish content and Belgium interface: A pilot study in French general practice
Authors: Rambaud Claire , Fauquert Benjamin , Charbonnel Pascal , Falcoff Hector , Letrilliart Laurent
Published: June 2021

No reference point-of-care, web-based medical compendium is available in general practice in France. We have then conducted the experimentation of EBMPracticeNet, a Belgian website of guidelines translated and adapted from the Finnish EBM Guidelines. We collected data from three sources: (i) the website logbook; (ii) a search-specific assessment questionnaire; (iii) a global assessment questionnaire. A cumulative number of 262 (62.8%) physicians performed at least one search on the website and clicked on average 5.9 times per month. Physicians globally got an accurate answer (74.2%). They found the information provided by the website reliable (92.2%) and useful for practice (78.6%). They perceived the website ergonomics as good. The main reported barriers were the time and effort required to find an accurate answer and the uneven relevance of the information retrieved. Improvements should focus on guidelines indexing and their adaptation to the French context, and training physicians to search medical databases.
On affiliation and alignment: Non-cooperative uses of anticipatory completions in the context of tellings
Authors: Etelämäki Marja , Heinemann Trine , Vatanen Anna
Published: June 2021

In this paper, we address the larger notion of cooperation in interaction and its underlying dimensions as defined in Conversation Analysis: alignment and affiliation. Focusing on three cases from three different languages (Danish, Estonian and Finnish) we investigate a specific practice, that of anticipatory completions, in a particular context, that of storytelling, and show that the practice of completing another speaker’s turn in an anticipatory manner is not de facto definable as either an aligning or non-aligning action, nor can it be said to be either affiliating or non-affiliating. Through our analyses, we aim to distinguish and illustrate the manifold layers of and perspectives to alignment and affiliation and argue for their relevance for studies of interactional phenomena. We conclude that the notion of cooperation and its implementation through affiliating and/or aligning actions is a multi-layered and complex issue, the intricacies of which are best understood and captured through detailed sequential analyses.
Sociology’s inescapable past
Authors: Lukes Steven
Published: June 2021

Why does sociology teaching uniquely require study of its classics? The answer, it is suggested, lies in the indeterminacy of the idea of what is social—what constitutes and exemplifies it, at different levels of abstraction, about which the classical sociologists diverge, as do their continuing legacies. Synthesis aiming at disciplinary-wide consensus is not, therefore, a promising path. Selective perception, it is further suggested, deepens insight.
Emotional intelligence as a part of critical reflection in social work practice and research
Authors: Herland Mari D
Published: June 2021

Social workers often experience higher levels of burnout compared with other healthcare professionals. The capacity to manage one’s own emotional reactions efficiently, frequently in complex care settings, is central to the role of social workers. This article highlights the complexity of emotions in social work research and practice by exploring the perspective of emotional intelligence. The article is both theoretical and empirical, based on reflections from a qualitative longitudinal study interviewing fathers with behavioural and criminal backgrounds, all in their 40 s. The analysis contains an exploration of the researcher position that illuminates the reflective, emotional aspects that took place within this interview process. Three overall themes emerged – first: Recognising emotional complexity; second: Reflecting on emotional themes; and third: Exploring my own prejudices and preconceptions. The findings apply to both theoretical and practical social work, addressing the need to understand emotions as a central part of critical reflection and reflexivity. The argument is that emotions have the potential to expand awareness of one’s own preconceptions, related to normative societal views. This form of analytical awareness entails identifying and paying attention to one’s own, sometimes embodied, emotional triggers.
An innovative deep neural network–based approach for internal cavity detection of timber columns using percussion sound
Authors: Chen Lin , Xiong Haibei , Sang Xiaohan , Yuan Cheng , Li Xiuquan , Kong Qingzhao
Published: June 2021

Timber structures have been a dominant form of construction throughout most of history and continued to serve as a widely used staple of civil infrastructure in the modern era. As a natural material, wood is prone to termite damages, which often cause internal cavities for timber structures. Since internal cavities are invisible and greatly weaken structural load-bearing capacity, an effective method to timber internal cavity detection is of great importance to ensure structural safety. This article proposes an innovative deep neural network (DNN)–based approach for internal cavity detection of timber columns using percussion sound. The influence mechanism of percussion sound with the volume change of internal cavity was studied through theoretical and numerical analysis. A series of percussion tests on timber column specimens with different cavity volumes and environmental variations were conducted to validate the feasibility of the proposed DNN-based approach. Experimental results show high accuracy and generality for cavity severity identification regardless of percussion location, column section shape, and environmental effects, implying great potentials of the proposed approach as a fast tool for determining internal cavity of timber structures in field applications.
The Early Outcomes of BeGraft Peripheral Plus in Branched Endovascular Repair of Thoracoabdominal Aneurysms
Authors: Abisi Said , Gkoutzios Panos , Carmichael Michelle , Patel Sanjay , Sallam Morad , Donati Tommaso , Zayed Hany
Published: June 2021

Objective

No bridging stent-graft (BSG) has been specifically designed for branched endovascular aortic repair (BEVAR) and therefore different “off-label” stent-grafts have been used. Recently, a third generation of balloon-expandable stent-graft has become available. Here we evaluate the outcomes of the BeGraft Peripheral Plus (B+) used as a BSG for internal/externalor inner branches during BEVAR.

Materials and Methods

Consecutive patients undergoing BEVAR using B+ as a BSG since its release in 2017 were included into the study. The primary endpoints were technical success and target vessel patency during follow-up. Secondary endpoints included the need for adjunct extension and relining of the BSG, branch instability rate, including occlusion, reinterventions for restonosis, kink, fracture, or endoleak (types 1 and 3).

Results

A total of 163 visceral branches in 46 patients were included with a median follow-up 15 months (4–36 months). Primary technical success was achieved in all visceral branches (69 inner branches and 94 internal/external branches) with the exception of 1 BSG that required serial dilatation until full expansion was achieved with overall branch patency was 98% at 2 years. An additional stent-graft was necessary in 35 branches (21%) following deployment of a B+ BSG to cover a longer bridging distance and optimize the distal and proximal sealing. Relining of B+ BSG was not routinely carried out during the index procedure and a self-expanding uncovered nitinol stent was necessary in only 3% of branches to smooth the distal transition zone between the BSG and target vessel. There were 4 events (2.4%) of branch related instability, including 2 occlusions and 2 late reinterventions for a partial in-stent-graft thrombosis.

Conclusion

Our study findings show satisfactory early outcomes of B+ as a BSG in BEVAR with low occlusion and reintervention rates. Extensions of BSG might be required to achieve adequate seal in the target vessels but routine relining BSG in branches was not required.
Treatment of Aortoiliac Occlusive Disease With the Covered Endovascular Reconstruction of the Aortic Bifurcation (CERAB) Technique: Results of a UK Multicenter Study
Authors: Saratzis Athanasios , Salem Murtaza , Sabbagh Cezar , Abisi Said , Huasen Bella , Egun Ansy , Nash Jennifer , Lau Pui Fong , Chaudhuri Arindam , Dey Ramita , Patrone Lorenzo , Malina Martin , Davies Robert , Zayed Hany
Published: June 2021

Objective

This UK multicenter study aims to report early- and medium-term results following covered endovascular reconstruction of aortic bifurcation (CERAB) for the treatment of aortoiliac occlusive disease (AIOD) in patients with chronic limb threatening ischemia (CLTI) or intermittent claudication (IC).

Materials and Methods

Retrospective case analysis was performed of patients who underwent CERAB between November 1, 2012 and March 31, 2020 in 6 centers across the United Kingdom. Anatomical data, including degree of plaque calcification, were assessed using preoperative imaging. Outcome measures included mortality, perioperative complications, target lesion reintervention (TLR), and major limb amputation. Primary, assisted primary, and secondary patencies were calculated at set intervals.

Results

A total of 116 patients underwent CERAB over the study period for the following reasons [48% presenting with CLTI (Rutherford 4–6) and 52% with IC (Rutherford 1–3)]; 82% presented had Trans-Atlantic Inter-Society Consensus (TASC) D AIOD disease. Median age was 65 years (range 42–90 years); 76% of the cohort were male. Severely calcified aortic and iliac lesions were noted in 90% and 80% of patients, respectively. Over a median follow-up of 18 months (range 1–91 months), 2 (1.7%) patients were lost to follow up. In total 5, (4.3%) patients died and 2 (1.7%) had a major amputation. Endovascular TLR was required in 14 (12.1%) patients at last follow up. Surgical TLR was performed in 4 (3.4%) patients at last follow-up. Seven (6%) patients developed an aortic/iliac stent occlusion at last follow-up. The Kaplan-Meier (KM) freedom from TLR at 1 year was 94% and KM 1-year primary patency, assisted primary patency, and secondary patency were 88%, 94%, and 98% respectively. Subanalysis found the following features were associated with need for TLR; TASC D disease (OR = 2.45, 95% CI 1.44 to 3.71), severe aortic calcification (OR = 2.01, 95% CI 1.03 to 2.20), and presence of tissue loss at baseline (OR = 1.43, 95% CI 1.01 to 4.63).

Conclusion

Perioperative (<30 days) and medium-term morbidity, mortality, and patency rates in this pragmatic cohort of patients with severe AIOD lesions show that CERAB is a valid revascularization option. A direct comparison with surgical treatments for AIOD in a randomized controlled trial is justified.