bluuebunny/crossref_metadata_2025 huggingface dataset:
Speaking Pragmatically: Religious Discourse and Counseling Discourse in the Lives and Work of Counselors
Authors: Pearson Lisa , Bradley Loretta , Southern Stephen
Published: August 2023

Grounded theory analysis of data obtained in 10 interviews with Roman Catholic Christian professional counselors identified six themes. Three themes were common to all interviews: the value and beauty of faith; autonomy and obedience; and healing, renewal, and the call. Three other themes, appearing in topics of both religion and counseling within individual interviews, were the integrated whole, relational concerns, and the meshing of theories. Results established that participants’ faith and religious practices influenced their counseling careers and clinical choices, and vice versa. Pragmatic philosophy, foundational to grounded theory, parallels existential/humanistic thought in insisting on the importance of the human agent, such as the counselor, in meaning and decision making. It thus provides a critical framework for considering the significance of the findings for the counseling profession.
Investigation of sound transmission through a finite length cylindrical shell in the presence of an exterior turbulent boundary layer
Authors: Daneshjou K , Kornokar M , Saebi V
Published: August 2023

This paper studies sound transmission through a thin cylindrical shell of finite length. The structure is subjected to an exterior turbulent boundary layer (TBL) excitation and the boundary conditions of its two ends are considered as simply-supported. The classical shell theory (CST) is employed to derive wave propagation in the cylindrical shell, and the Corcos model is applied to describe pressure fluctuation due to TBL. According to the existence of two axial and radial modes, a complete convergence study is presented. To examine sound transmission through the structure, a comprehensive parameters study is provided on the resulting power spectral density (PSD) of the kinetic energy. To validate the results of the present method, the statistical energy analysis (SEA) method is used. For this purpose, modeling is performed by SEA in VA One software, which shows the high accuracy of the results of the present method. The analytical predictions suggest that the sound insulation performance of such a finite length structure is enhanced considerably by increasing the thickness of the shell in a broad-band frequency range. Similar effects on sound transmission are observed for Young’s modulus and density of the shell particularly in the low and high-frequency ranges, respectively. Whereas, enhancing the turbulent pressure and freestream velocity adversely affects sound radiation into the structure.
Fixed-point excitation prediction method for environmental vibration of urban rail transit
Authors: He Zhenxing , Bai Yanbo , Xin Xiantao , Su Cheng , Yu Ziyang
Published: August 2023

In urban rail transit construction, the empirical prediction equation is generally used to predict the environmental vibration along the line after its operation. It is used as the basis for whether to adopt a vibration-damping track or which vibration-damping track to use. Due to the superposition of complex factors such as geological conditions, differences in vehicles, and their running foundations on the prediction results, the track implementation should be considered at least with a design margin of 3 dB. However, there are still a large number of environmental vibration complaints. Therefore, an ecological vibration prediction method with higher prediction accuracy is proposed. The construction of the track-foundations, such as tunnel, bridge, and roadbed is completed. Before the track system is constructed, a fixed-point excitation load simulating the passage of trains is applied on the track-foundation, and the vibration-sensitive points around the line are directly measured by the actual measurement—environmental vibration prediction evaluation. The fixed-point vibration source function model for simulating train passing is deduced as the excitation load applied to the track-foundation; the fixed-point vibration source foundation finite element model and vehicle-track-foundation coupled dynamic model with the same track-foundation and foundation model have been established. The vibration response of the track-foundation and foundation surface when the train passes through is calculated separately. The results corresponding to different prediction methods of environmental vibration are compared and analyzed. The comparison between the theoretical prediction value of vibration response, the prediction value of the empirical equation, and the measured value shows that the vibration response waveform of the foundation surface is the same as that of the actual train passing under the action of the fixed-point vibration excitation source function. The vibration prediction error is much smaller than the empirical equation predicts the result. It shows that the prediction accuracy of the fixed-point excitation prediction method for environmental vibration is higher than that of the existing practical equation method. Because the fixed-point vibration source device is simple to implement and the ecological vibration field testing method is mature, it is beneficial to the field application of the fixed-point vibration excitation prediction method for urban rail transit environmental vibration.
Safety outcomes of rapid- versus standard-infusion rate oxaliplatin
Authors: Huynh Thao , Crozier Nick , Anselmo Lisa
Published: August 2023

Purpose

The National Comprehensive Cancer Network guidelines state that the oxaliplatin dose of 85 mg/m2 used in various gastrointestinal cancer regimens may be infused over a rapid rate of 85 min instead of the standard time of 120 min. We evaluated the safety outcomes of rapid administration of oxaliplatin compared to standard infusion.

Methods

We performed a retrospective, cohort study by chart review. Adult patients who received oxaliplatin as part of a FOLFOX, FOLFOXIRI, or FOLRINOX chemotherapy regimen from January 1, 2018, through June 30, 2021, were included. Primary outcomes were the incidence of hypersensitivity reaction (HSR) and treatment modification of oxaliplatin due to adverse drug events. Secondary outcomes included peripheral neuropathy (PN), myelosuppressive signs, and oxaliplatin-related emergency department visit and/or hospital admission.

Results

A total of 178 patients were included (90 and 88 in the rapid-rate and standard-rate groups, respectively). Rapid-rate oxaliplatin was not associated with increased HSR or difference in toxicity requiring dose reduction, delayed dose, or slowed infusion rate, but was associated with increased rate of permanent discontinuation of oxaliplatin, 7.8% and 1.1% in the rapid-rate group and standard-rate groups, respectively ( p = 0.032). Peripheral neuropathy occurred in 72.2% and 42% of patients in the rapid-rate group and standard-rate groups, respectively (relative risk for PN, 2.09; 95%, CI: 1.43–3.04; p < .001). There were no differences in any other adverse drug event measured.

Conclusion

Rapid-rate oxaliplatin was associated with minimal treatment modifications; however, there was an increase in PN incidence. A faster rate of oxaliplatin administration may not be worth the increased risk of PN.
Considering Communication Theory in Health Education and Behavior: Applying the Integrated Model of Advice-Giving in Friendship Sex Talks
Authors: Fedd Andre , Samp Jennifer A.
Published: August 2023

Background

Individuals may find it challenging and discomforting to communicate about sex because they may lack the skills and efficacy necessary to communicate their sexual desires. When individuals do have opportunities to have such discussions about sex in open and comfortable settings, they may seek informational support (i.e., advice) from a close friend because of knowledge sharing and past experiences navigating sex-related concerns.

Aims

This research study used a communication theory-based quantitative analysis to examine how advice givers’ prosocial behaviors influence their advice outcome messages during conversations about sex.

Methods

A total of 264 participants completed a survey developed based on the Integrated Model of Advice-Giving (IMA). Data were analyzed using structural equation modeling.

Results

Advice givers reported that their emotional supportive messages elicited better quality advice. Additionally, advice givers indicated that being attentive and understanding to others’ feelings elicited better disclosures about their own sexual experiences. Structural equation modeling results suggested a good model fit for the theoretical model (comparative fit index [CFI] = .939, tucker-lewis fit index [TLI] = .931, root mean square error of approximation [RMSEA] = .056, 90% confidence interval: [.049, .063], and standardized root mean square residual [SRMR] = .082).

Conclusions

This study highlights the theoretical and pragmatic implications of communication theory in sexual health education interventions.
Anti-COVID = Anti-science? How protesters against COVID-19 measures appropriate science to navigate the information environment
Authors: Berg Anna
Published: August 2023

Opponents of COVID-19 measures invoke science in curious ways: they collect data, cite scientific studies, and even conduct their own research projects. Previous research has explained these scientific appropriations as the product of motivated reasoning, the result of widespread disinformation, or a populist strategy. This study provides a further explanation by focusing on these scientific projects. Drawing from repeated interviews with a select group of 36 anti-lockdown protesters in Germany, I find that my interviewees draw on scientific repertoires in order to overcome information insecurities triggered by their discovery of online countermedia. Although the results of their scientific efforts often remain inconclusive, through the process of doing research, protesters achieve a reorientation in the information environment and begin to rely on countermedia as a source of information and political opinion. Based on these findings, I argue that protesters refer to the sciences as a conversion technique.
Doing rural community-based action research (CBAR): Community perceptions and methodological impacts
Authors: Magnus Amy M. , Rai Kristen
Published: August 2023

Researchers conducting community-based action research (CBAR) become immersed in their field site, developing close relationships and enabling members of the community to pursue social action. We contribute a nuanced analysis of the impact of CBAR on those who participate in the method, particularly participants who live rurally. Situating this work in the history and prior methodological examinations of CBAR, we demonstrate the critical relationship between this research approach and the rural landscape. Our findings speak to two research questions: how do participatory- and otherwise community-based, action-oriented research methods impact those who participate in research? And, how do researchers and research participants make sense of this impact? Using interview, observation, and photographic data, our analysis indicates that community members’ perceptions of CBAR exist on a spectrum situated around two key, but fluid, positions: the ‘trusted outsider’ and the ‘affective collaborator.’ Our findings provide researchers with a stronger methodological foundation to approach community-based, action-oriented research with an ethic of care. Further, our findings provide methodologists with a better understanding of the multi-directional impact of doing CBAR and the ways we can use this information to do CBAR ethically and effectively. In this way, our paper contributes to a growing body of scholarship regarding the practice and impact of collaborative, community-based research approaches.
Creating with ‘voice without subject’: An aesthetic reconceptualization of voice
Authors: Broeckmeyer Mariske , Van Goidsenhoven Leni
Published: August 2023

This methodological paper connects posthuman conceptualizations of voice with artistic research and examines whether it opens toward different registers and levels of embodied and aesthetic forms of knowing that cut across normative accounts of what it means to know. We start from what Patti Lather calls ‘a praxis of stuck places’ and ask how to give voice to experiences such as chronic illness and pain, while at the same time disrupting representational forms of illness and pain. To investigate this, we first critically engage with the popular genre of the health diary and its representational form. Secondly, we explore how Lisa A. Mazzei concept of ‘voice without subject’ can support us in disrupting the normative and representational production of voice, while working with a failing voice. Finally, we analyze the sound installation, A Borrowed Diary—made by M. Broeckmeyer, and explore how it opens up alternative approaches to voice and chronic pain. We will argue that making ‘voice without subject’ work, touch, and resonate can impact the lives of people who often remain unheard, in that it acknowledges experiences and expressions that are mostly not validated. Creating with ‘voice without subject’ makes tangible how personal experiences, however, temporarily, contribute to the bigger picture of how we look at and listen to people with illnesses and/or disabilities.
Operationalizing the Centers for Disease Control and Prevention’s Vaccinate With Confidence Framework During the COVID-19 Emergency Response in the United States
Authors: Holmes Kathleen , Gutierrez-Nkomo Margaret , Donovan John , Manns Brian J. , Griswold Stephanie , Edwards Regina , Flores Stephen A. , Parker Fiebelkorn Amy
Published: August 2023

In December 2020, 11 months after identifying the first laboratory-confirmed case of COVID-19 in the United States, the U.S. Food and Drug Administration authorized emergency use of two COVID-19 vaccines. To prepare the public for a large-scale vaccination campaign and build confidence in COVID-19 vaccines, the U.S. Centers for Disease Control and Prevention (CDC) funded more than 200 partners and developed a national Vaccinate with Confidence (VwC) COVID-19 framework to support Americans in their decision to get vaccinated. The evolving nature of the pandemic and highly variable confidence in vaccines across populations has resulted in many unique complexities and challenges to reaching universally high vaccination coverage. Here, we describe how 23 professional health associations and national partner organizations, focused solely on building vaccine confidence, operationalized CDC’s VwC COVID-19 framework from February 2021 to March 2022. Capturing how partners deployed and adapted their activities to meet a shifting pandemic landscape, which began with high demand for vaccines that waned over time, is an important first step to understanding how this new strategy was utilized and could be implemented for future surges in COVID-19 cases and other routine immunization efforts. Going forward, evaluation of partner activities should be prioritized to capture learnings and assess VwC program effectiveness.
Mönckeberg's Medial Calcific Sclerosis Makes Traditional Arterial Doppler's Unreliable in High-Risk Patients with Diabetes
Authors: Suludere Mehmet A. , Danesh Sahab K. , Killeen Amanda L. , Crisologo Peter A. , Malone Matthew , Siah Michael C. , Lavery Lawrence A.
Published: August 2023

Objective

To assess Mönckeberg's medial calcific sclerosis (MMCS) severity in patients with a diabetic foot infection.

Methods

This was an analysis of 2 randomized clinical trials in which we evaluated the treatment of 233 patients admitted to the hospital for moderate and severe foot infections. Arterial calcification was defined as visible radiopaque arteries on foot and ankle radiographs, recorded as the most distal visible artery involved (toes, metatarsals, and ankle/hindfoot).

Results

Most subjects (57.1%, n = 133) had MMCS, with extension to toes in 79 (59.4%), to metatarsals in 32 (24.1%), and to ankle/hindfoot in 22 patients (16.5%). In 7 patients (5.2%) MMCS was solely seen in dorsalis pedis (DP) artery, in 13 patients (9.8%) in posterior tibialis (PT) artery, and in 113 patients (85.0%) MMCS was seen in both arteries. Only 29.2% ( n = 68) of DP arteries and 34.8% (n = 81) of PT arteries were not compressible by Doppler. DP and PT arteries were not compressible more often in MMCS (DP 34.3% vs 20.4%, P = .02 and PT 43.1% vs 21.4%, P < .01), toe-brachial indices of ≥0.7 were significantly more common in people without MMCS (46.0% vs 67.4%, P < .01). In contrast, there were no differences in skin perfusion pressure measurements (>50 mmHg; 67.7% vs 68.0%, P = .96), waveforms (biphasic/triphasic 83.5% vs 77.0%, P = .22), and pulse volume recording (9.6 ± 3.3 vs 13.7 ± 36.0) between patients with and without MMCS.

Conclusion

MMCS is common in patients with diabetic foot infections. MMCS is associated with noncompressible arterial Doppler studies and likely interferes with the accuracy of arterial Doppler studies.
MiRNA-470-5p suppresses epithelial-mesenchymal transition of embryonic palatal shelf epithelial cells by targeting Fgfr1 during palatogenesis
Authors: Zhou Jieyan , Zhang Ming , Zhang Mingjun , Tan Mengxia , Ji Yingwen , Shu Shenyou , Liang Yan
Published: August 2023

MicroRNAs (miRNAs) have been identified as crucial modulators of gene expression and to play a role in palatogenesis. The aim of this study was to explore the potential role and regulatory mechanisms of miRNAs during palatogenesis. RNA-sequencing was performed to compare the RNA expression profiles of mouse embryonic palatal shelf (MEPS) tissue between an all-trans retinoic acid (ATRA)-induced group and control group, followed by reverse transcription–quantitative polymerase chain reaction for validation, demonstrating upregulated expression of miRNA-470-5p and downregulated expression of Fgfr1 in the ATRA-induced group. The specific binding sites of miRNA-470-5p that potentially govern Fgfr1 expression were predicted by miRanda and TargetScan. The relationship between miRNA-470-5p and Fgfr1 was validated in HEK293T cells by luciferase reporter assays, confirming that miR-470-5p acts directly on the Fgfr1 3′-untranslated region. Fgfr1 mRNA and FGFR1 protein levels were markedly downregulated in MEPS epithelial cells over-expressing miRNA-470-5p. Functional experiments in vitro with CCK-8, cell colony formation, and 5-ethynyl-2′-deoxyuridine (EdU) staining assays revealed that upregulated miRNA-470-5p expression could inhibit the epithelial-mesenchymal transition (EMT) of MEPS epithelial cells by targeting Fgfr1. These findings provide a new molecular mechanism of cleft palate formation, which can inform the development of new treatment and/or prevention targets.
Brass Bands: The Foundation of Music Education in Australian Schools
Authors: Boulton Veronica
Published: August 2023

There are currently very few brass bands in schools in Australia, however they were the predominant music ensemble in Australian schools up to the 1970s. The aim of this article is to document the popularity of British-style brass bands in Australia, and the corresponding development of brass bands in schools during the 20th century. The history of the brass band in Australia and its decline is explored, drawing significantly on the historical research of Dr Duncan Bythell, Dr Thomas Fraschillo, Dr Dave Russell, and Dr John Whiteoak. In addition, various primary sources are examined, such as newspaper articles and photographs. British immigration to Australia played a significant role in shaping the brass band movement, which was distinctly male-dominated and had strong links to the military culture of the first half of the 20th century. These societal trends followed into the school brass band setting. The article concludes with an overview of the factors that influenced the shift away from the all-brass ensemble in schools. This research provides a better understanding of the brass band tradition within the context of the school environment in Australia and calls for further research and scholarly inclusion in the literature of music education.
Concussion knowledge, attitudes and reporting intention amongst UK university student-athletes: Implications for institutions, coaches and future research
Authors: Malcolm Dominic , Hardwicke Jack , Kenyon James Andrew
Published: August 2023

This article reports on a survey of concussion knowledge (CK), attitudes (CA) and reporting intention (CRI) amongst a multisport cohort of UK university student-athletes. A cross-sectional study design was used, with 217 student-athletes completing the Rosenbaum Concussion Knowledge and Attitudes Survey – Student Version. The findings show that CK is broadly aligned with previous study cohorts including research in North America, and that sport type had no effect on CK, CA and CRI. Whilst gender did not affect CA or CRI, males returned higher CK scores than females. The respondents’ concussion history did not affect CA. Paradoxically, respondents with a history of concussion had significantly greater CK scores yet were more likely to report an intention to continue playing with SRC symptoms. There are three key implications of these findings. The comparison of findings between males and females highlights the need for a more nuanced conceptualisation of safety and risk in relation to SRC. Second, the evidence suggests a strong need for UK universities to introduce bespoke education programmes and policies formalising the healthcare support and return to learn of students post-SRC. Third, awareness of the complex interplay between SRC knowledge, experience and behaviour will enable coaches across all sports to exercise caution when managing SRC amongst students. The article concludes by arguing that there is a need for further qualitative research to understand how concussion is experienced by UK university students and provided for and accommodated within UK universities.
The key role of context in team sports training: The value of played-form activities in practice designs for soccer
Authors: Petiot Grégory Hallé , Vitulano Mike , Davids Keith
Published: August 2023

Played-form activities in soccer are customized variants of the original game, configured to emphasize important informational and task constraints in the way players perform in practice. Parameters of play such as the shape and dimensions of the playing area, number of participants involved, and conditions of play are key properties that activities are designed from. These properties impact on the specific practice contexts in which players are challenged to perceive information, make decisions and perform actions, during competitive performance preparation and player development. There are countless possible configurations of played-form activities that can provide development or training opportunities for players to improve performance. Although there are no standard guidelines for designing such practice tasks, here we propose how a theoretical rationale like ecological dynamics can frame the configuration of activities, modelled on typical formats, specific task constraints and key developmental needs. In this article, these formats are depicted with reference to common coaching licence curriculum needs and scientific literature. This insight paper presents a continuum of played-form activities, exemplifying characteristics of different practice designs in soccer. This integration of knowledge provides a valid continuum of play practice designs, based on an extent of specific opportunities for actions in different phases of play. Our insights suggest how coaches and trainers in team sports could gain a deep understanding of how specific played-form activity configurations impact on skill adaptation in players, providing opportunities for coaches to function as learning facilitators.
BESS patient care pathway: Tennis elbow
Authors: Singh Harvinder Pal , Watts Adam C , Bateman Marcus , Batten Timothy , Bhabra Gev , Chatterji Somashree , Chin Kuen , Chong Han Hong , Dott Cameron , Elgebaly Ahmed , Emin Atilla , Evans Jonathan , Field David , Fisher Rachael , Hamoodi Zaid , Hughes Ben , Imam Mo , Jones Val , Jubber Ameen , Mitchell Ralph , Patel Veena , Phadnis Joideep , Pitt Lisa , Rajesparan Kannan , Rashid Abbas , Robinson Paul , Robinson Simon , Shields David , Stephens Alastair , Steveney Jojo , Stone Andrew , Syed Habib , Tse Shannon , Wright Andrew
Published: August 2023

This article provides a guidance summary for the management of lateral elbow tendinopathy (LET) using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system of the rating quality of the literature and grading the strength of available evidence. The process began by assembling a guideline development group of volunteers including orthopaedic surgeons, trainees, physiotherapists, rheumatologists, radiologists and patients. Virtual meetings were organised to set out explicit PICO questions, including specification of all important outcomes (including patient reported tennis elbow evaluation (PRTEE) as an important primary outcome) to determine the clinical effectiveness of common treatment options for LET compared with no treatment or placebo. Clinical librarian searched (date 31 April 2022) for available systematic reviews and randomised controlled trials reviewing the management of the LET January 2011 onwards and evidence was collected and summarized using explicit GRADE criteria for rating the quality of evidence that include study design, risk of bias, imprecision, inconsistency, indirectness, and magnitude of effect. Recommendations were characterized as strong or weak (alternative terms conditional or discretionary) according to the quality of the supporting evidence and the balance between desirable and undesirable consequences of alternative management options. This informative summary provides the quality of available evidence for the management of LET.
Effect of Neurokinin-1 Receptor Knockdown on the Expression of RANTES in Allergic Rhinitis
Authors: Wang Hong , Wu Jing , Zhang Ruxin
Published: August 2023

Background

Neurokinin-1 receptor (NK-1R) and normal T cell expressed and secreted (RANTES) have been shown to play important roles in allergic rhinitis (AR). However, whether the regulating effect of NK-1R in AR is achieved via RANTES remains unknown.

Methods

In the present study, Sprague-Dawley rats were sensitized and challenged with ovalbumin to make AR models. During the challenge period, the rats were treated intranasally with NK-1R-specific small interfering RNA (siRNA) for NKR group, negative siRNA for NCS group, rats in NSAR group and NS group were given saline. The amount of nasal secretion and the numbers of nose rubs and sneezes were measured in each rat. The levels of NK-1R and RANTES in the nasal mucosal tissues were determined through real-time fluorescence quantitative RT-PCR and immunohistochemical staining. The numbers of eosinophils in the collected nasal lavage fluid (NLF) were counted, and the concentration of RANTES in NLF was determined by enzyme-linked immunosorbent assay.

Results

Compared with that in the NS group, the expression of NK-1R and RANTES was significantly higher in the nasal mucosa of NSAR and NCS group rats. The sneezing and nose rubbing counts and the amount of nasal secretions were increased significantly in the NSAR and NCS groups. Rats in the NKR group experienced greater relief from AR symptoms than rats in the NSAR and NCS groups. Furthermore, knockdown of NK-1R expression also significantly eliminated RANTES expression and eosinophil infiltration in the nasal mucosa of NKR group rats.

Conculsion

For the first time, we show that intranasal treatment with NK-1R-specific siRNA can significantly decrease RANTES expression, AR-related symptoms, and eosinophil inflammation, suggesting that the regulating effect of NK-1R in the development of AR occurs via alteration of RANTES expression.
Numerical modelling of blast mitigation of pre-fractal obstacles
Authors: Alshammari Omar Ghareeb , Isaac Obed Samuelraj , Clarke Samuel David , Rigby Samuel Edward
Published: August 2023

The mechanics of downstream blast wave attenuation caused by interaction with obstacles arranged into a pre-fractal shape based on the Sierpinski carpet was numerically investigated using a high-fidelity CFD solver. The blast mitigation was qualitatively and quantitatively assessed for four pre-fractal iterations at three different scaled distances ( Z = 1.87, 2.24, 2.99 m/kg1/3). Mitigation was seen to occur in zones associated with the location of destructive wave interference patterns in the downstream region. Crucially, these zones were found to widen spatially with increasing pre-fractal iteration, and strong shock-shock interactions that result in load amplification, commonly encountered in downstream regions of a solitary block-like obstacle, were not observed for the more fractal-like obstacles. The mechanisms of attenuation are explored in terms of wave impedance. It is found that pre-fractals reduce wave transmission in the downstream, increase reflection of the blast wave, and enhance trapping within the confines of the pre-fractal obstacle, dramatically changing the directionality and hence the strength of the transmitted wave. Reductions in peak pressure of up to 60% and peak specific impulse of up to 40% were recorded for the highest iteration pre-fractal, that is, obstacles that most closely represent a true fractal, thereby highlighting the effectiveness of such shapes for protective structure design for improved blast mitigation.
A phenomenological analysis of Fellini's films to understand the effect of LSD therapy on his creativity
Authors: Metastasio Antonio , Mignogna Silvio , Paci Riccardo , Mancini Milena , Melelli Fabio , Lando Enrico , Corazza Ornella , Stanghellini Giovanni
Published: August 2023

Since its discovery in 1943, LSD has been used by artists, scientists, and intellectuals, amongst others, to stimulate their creative insights. Federico Fellini, one of the most important film directors in the XX century, used LSD when it was still legal under the guidance of his psychoanalyst during a phase of personal and creative crisis. This article proposes a phenomenological analysis of how his filmmaking and his creativity was enhanced after using LSD in such controlled therapeutic settings, according to four main domains: (a) time, (b) space, (c) body and others and (d) perception of the self. In particular, time flows irregularly and is punctuated by disorienting flashbacks, colours become supernaturally brilliant and detached from objects, sounds pop up independently from any visible source, and human bodies become often deformed, grotesque and caricatural. The boundaries between dream- and reality-worlds also collapses. His films became so distinctive and original that an adjective was coined felliniesque.
The challenges of telephone consultation program during severe acute respiratory syndrome-coronavirus-2 epidemic in Iran: A qualitative study
Authors: Moghri Javad , Kokabisaghi Fatemeh , Tabatabaee Seyed Saeid , Niroumand Sadabad Hasan
Published: August 2023

Introduction

With the spread of severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) disease and its potential risks for vulnerable groups such as the elderly with chronic diseases, telehealth appointments gained more attention around the world. However, using such a system brought about challenges to patients and service providers that need to be addressed by policymakers for system improvement.

Purpose

The present study was conducted with the aim of investigating the challenges of the telephone consultation program, which was run by the Social Security Insurance Organization of Iran during the epidemic of SARS-CoV-2.

Methods

This qualitative study was conducted through semi-structured interviews with physicians who participated in the program, using a purposive sampling approach. The interviews were recorded, transcribed verbatim, and analyzed through conventional content analysis by ATLAS.ti9 software.

Findings

Based on the results of the qualitative content analysis, the challenges in three categories, including program development, implementation, and evaluation and monitoring, and with 10 themes (planning challenges, infrastructure provision, education and culture building, legal issues, motivational mechanisms, effective communication, efficiency, and effectiveness of care, organization, monitoring, and evaluation) and 26 sub-themes were extracted.

Conclusion

Telephone appointments allow medical centers to serve some patients better. However, properly implementing the telephone consultation program requires better planning, training, appropriate infrastructure, and continuous evaluation and improvement of processes.
Stratified Citizens: Conceptualizing Civic Capital in Mediatized Societies
Authors: Sivertsen Morten Fischer , Hartley Jannie Møller
Published: August 2023

While there are many ways to understand citizenship in terms of what constituents (should) do, think, feel, and say, there is a felt absence of a perspective that factors in the social reasons for how people enact citizenship and the role of media in enacting such forms of citizenship. Based on a review of key studies of citizenship in audience research and political science, this study introduces a Bourdieusian perspective to examine citizenship in mediatized societies. We argue for two main advantages to this approach. First, it cuts across scholarly silos and scrutinizes the civic habitus of people as it unfolds across both mediated and non-mediated life. Citizenship is thus seen as a complex interplay of online and offline practices that vary for agents across the social space. Second, this approach is attentive to dimensions of social inequality and power, emphasizing how the many citizenship practices in the modern era are situated in a vertically stratified social world with a distinct symbolic order. Linking this to the concepts of symbolic power and dominance, we develop the notion of civic capital to illuminate how certain forms of citizenship practices, mostly those available to the affluent strata, are elevated as correct expressions of legitimate citizenship, whereas others are frowned upon.
Sling Versus Abduction Brace Shoulder Immobilization After Arthroscopic Rotator Cuff Repair: A Systematic Review and Meta-analysis
Authors: Gao Jing-Hui , Zhou Jing-Yi , Li Hong , Li Hong-Yun
Published: August 2023

Background:

The optimal immobilization position of the shoulder after rotator cuff repair is controversial.

Purpose:

To compare the clinical outcomes and incidence of retears after arthroscopic rotator cuff repair between patients who used an abduction brace versus a sling for postoperative shoulder immobilization.

Study Design:

Systematic review; Level of evidence, 1.

Methods:

This systematic review and meta-analysis was conducted using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. We searched the PubMed, MEDLINE, and Embase electronic databases for randomized controlled trials (RCTs) that compared abduction brace and sling immobilization after arthroscopic rotator cuff repair using single-row, double-row, or suture-bridge fixation. Clinical scores, pain severity, and retear rates were compared between patients with abduction brace versus sling immobilization.

Results:

Of 1572 retrieved studies, 4 RCTs with a total of 224 patients (112 patients with abduction brace and 112 patients with sling) were included in the qualitative analysis, and 3 of the RCTs were included in the quantitative analysis (meta-analysis). There were no significant differences between the abduction brace and sling immobilization groups in the Constant-Murley score at 3 months (weighted mean difference [WMD], 0.26 [95% CI, –1.30 to 1.83]; P = .74; I 2 = 84%), 6 months (WMD, 1.91 [95% CI, –0.17 to 4.00]; P = .07; I 2 = 85%), and 12 months (WMD, 0.55 [95% CI, –1.37 to 2.47]; P = .57; I 2 = 0%); the visual analog scale score for pain at 1 week (WMD, 0.10 [95% CI, –0.20 to 0.41]; P = .51; I 2 = 0%), 3 weeks (WMD, –0.12 [95% CI, –0.34 to 1.00]; P = .29; I 2 = 0%), 6 weeks (WMD, –0.12 [95% CI, –0.30 to 0.06]; P = .20; I 2 = 0%), and 12 weeks (WMD, –0.13 [95% CI, –0.27 to 0.02]; P = .09; I 2 = 18%); or the retear rate at 3 months (risk ratio, 0.63 [95% CI, 0.09 to 4.23]; P = .64; Z = 0.47%) postoperatively.

Conclusion:

Our systematic review demonstrated a lack of significant differences between the abduction brace and sling immobilization groups regarding postoperative clinical scores, pain severity, and tendon healing.
Outcomes After Revision Posterior Shoulder Capsulolabral Repair in Adolescent Athletes
Authors: Whicker Emily A. , Arner Justin W. , Edwards Callee , Bradley James P.
Published: August 2023

Background:

Few studies have evaluated the outcomes of posterior arthroscopic capsulolabral repair in adolescents, especially with regard to outcomes after revision repair.

Hypothesis:

Adolescent athletes who undergo revision arthroscopic posterior unidirectional capsulolabral repair will have similar outcomes and return to play when compared with adolescent athletes who underwent primary arthroscopic posterior unidirectional capsulolabral repair.

Study Design:

Cohort study; Level of evidence, 3.

Methods:

Data were reviewed from patients who underwent posterior shoulder stabilization between 2000 and 2019 and had a minimum follow-up of 2 years. Patients <11 and >19 years of age and those with multidirectional instability were excluded. Revision surgery was defined as repeat arthroscopic posterior capsular repair. The ability to return to sport (and level of sport), clinical outcomes scores (American Shoulder and Elbow Surgeons [ASES] and visual analog scale for pain), and patient-reported perception of range of motion, strength, and satisfaction were recorded. Comparisons between the primary and revision cohorts were made using the chi-square or the Mann-Whitney U test.

Results:

Included were 180 adolescent patients (182 shoulders) who underwent a primary unidirectional posterior stabilization, with an average follow-up of 6.1 years. Of these patients, 17 patients required revision surgery (9.3% revision rate). At the final follow-up, patients who underwent revision surgery returned to sport at similar rates to those who did not (70.6% vs 85.9%; P = .095) and were similarly likely to return to their presurgery level of play (41.1% vs 23.7%; P = .10). The no-revision patients had higher ASES scores (76.1 vs 87.1; P = .007) as well as less pain and improved subjective range of motion scores. However, both groups had similar subjective strength scores, and both reported that surgical repair was satisfactory (no revision, 93.2% vs revision, 88.2%; P = .45).

Conclusion:

Adolescent athletes had a low risk of revision surgery and frequently returned to play after arthroscopic posterior capsulolabral repair, often at a lower level of play. Those who required revision surgery had poorer outcome scores but still reported a high rate of satisfaction.
Paper 04: Acromial Morphology Differences in Primary versus Revision Posterior Shoulder Instability Patients
Authors: Freedman Benjamin , Mescher Patrick , Bedrin Michael , Dekker Travis , Kilcoyne Kelly , Dickens Jonathan , McCarthy Conor
Published: August 2023

Objectives:

Predisposing factors for failure of shoulder posterior stabilization surgery are not well defined. Characterization of revision posterior instability patients allows for insight into potentially identifiable risk factors for failure.

Methods:

A series of patients who underwent stabilization surgery for posterior shoulder instability as well as revision posterior instability cases performed between 2005-2019 were identified. Patient demographics were collected and glenoid morphology was quantified by measuring posterior bone loss, acromial tilt, and posterior acromial height on shoulder MRIs. Continuous variables were compared with Student’s t-test.

Results:

42 active duty servicemembers who underwent successful primary posterior stabilization (primaries, P) and 41 who underwent revision posterior stabilization (revisions, R) and were identified. Mean ages of the primaries and revisions at time of primary surgery were 28.7 (±6.0; 18-39) and 23.0 (±5.2; 18-41) years respectively (p < 0.005). Males made up 92.9% (P) and 92.7% (R) of each group. Mean posterior glenoid bone loss at index MRI was 4.5% (±7.2; P) and 6.3% (±7.8; R) (p = 0.316). Mean index acromial tilt (from horizontal) was 40.9 degrees (±10.2; P) and 28.8 degrees (±10.6; R) (p < 0.005). Index posterior acromial height was 14.2 mm (±7.4; P) and 19.8 mm (±7.6; R) (p = 0.001). In the revision group, the progression of bone loss from index MRI to pre-revision MRI was 6.3% (±7.8) to 6.6% (±6.2) (p = 0.456). Index bone loss greater than 15% was present in 5/41 revision patients; when excluding these, mean index bone loss was 3.4% (±3.3), significantly less than that at pre-revision MRI (p = 0.038). Additional surgery occurred in 9.8% (4/41) of the revision group, and 2/4 separated from the military. In the revision group, 17.1% (7/41) separated, while an additional 7.3% (3/41) remained on active duty with upper extremity activity limitations.

Conclusions:

Index acromial tilt and posterior acromial height were respectively lower and higher in a population of revision posterior stabilization than in a cohort of patients who underwent successful posterior stabilization. A “high and flat” acromial morphology may predispose patients to failure of standard posterior stabilization procedures, potentially justifying further study into supplemental techniques to decrease failure risk.
Paper 14: Is the Use of a Postoperative Hip Orthosis Beneficial Following Routine Arthroscopy of the Hip? A Retrospective Cohort Study
Authors: Enos Jake , Mullen Scott , Schroeppel John , Mar Damon , Smoak Jason , Goodman Ian , Wentzel Dylan
Published: August 2023

Objectives:

Treatment of intra- and extra-articular pathologies of the hip via arthroscopy continues to gain popularity. To date, the impact of routinely bracing patients postoperatively on patient reported outcome measures (PROMs) and re-operation rate has not been elucidated. The purpose of this study is to determine if there is a difference in PROMs and re-operation rate for patients who were braced versus those who were not braced following routine hip arthroscopy.

Methods:

This was a retrospective review of 193 patients who underwent hip arthroscopy from 2018 to 2021 by two orthopedic surgeons at a single institution. 101 patients prior to July 1, 2019 were immobilized in a hip orthosis following hip arthroscopy whereas 92 patients after July 1, 2019 were not. Baseline patient reported outcomes in the form of visual analog pain scale (VAS), modified Harris Hip Score (M-HHS), single assessment numeric evaluation (SANE) hip scores, VR-12 physical score, VR-12 mental score were obtained for all patients in both cohorts and postoperatively repeated at two weeks, four weeks, three months, six months, one year, and two years. Additionally, results were stratified by gender to assess gender-based difference. The groups were then compared to evaluate for a difference in PROMs over time. T-tests or Wilcoxon ranked-sum were utilized to compare these groups depending on normality of the data. Comparisons of categorical demographics such as age and gender between bracing groups were assessed using chi-squared tests. Re-operation rate was compared between the two groups using the Fischer Exact Test. Statistical significance was set at p<0.05 for all analyses.

Results:

After analyzing a cohort of patients who were braced and a cohort who were not braced postoperatively, no significant difference (p>.05) in PROMs at two weeks, four weeks, three months, one year or two years was detected for VAS, mHHS, SANE, VR-12 Physical and VR-12 Mental. No significant difference in reoperation rate was detected for the braced vs the non-braced cohort (p=.105). Demographics were not significantly different regarding gender distribution (p=0.418) and age (p=0.087) between groups.

Conclusions:

The findings above suggest the use of an orthosis after routine hip arthroscopy does not improve patient reported outcomes or alter the reoperation rate. Postoperative bracing increases perioperative cost and by foregoing routine bracing, patients may avoid associated morbidity that can come with wearing a brace for a prolonged period of time. The results of this project will help to guide clinical decision making as it pertains to whether to use a postoperative hip orthosis following routine hip arthroscopy.
Paper 16: What Happens to Youth Baseball Players Diagnosed with Little League Shoulder and Little League Elbow?
Authors: Bastrom Tracey , Paranjape Chinmay , Tadlock Josh , Pennock Andrew , Jensen Evan
Published: August 2023

Objectives:

Little League elbow (LLE) and Little League shoulder (LLS) are frequent diagnoses encountered in youth baseball players. To date, limited data exists as to how these athletes fare as they progress in their baseball careers. The purpose of the current study was to evaluate the career progression and patient reported outcomes in a series of youth baseball players 5 years after being diagnosed with LLE and LLS.

Methods:

The electronic medical record from a single pediatric hospital was searched for all patients receiving a diagnosis of LLE or LLS sustained from playing baseball between 2014 and 2018. Baseline data at the time of diagnosis was documented including age, primary position, months played per year, duration of symptoms, and treatment. Patients were then interviewed with a standardized questionnaire including several validated outcomes tools and baseball specific questions at a minimum of 3 years post-diagnosis. Suboptimal outcome was defined as symptom recurrence or a SANE score less than previously published patient acceptable symptom state (PASS) of 75.5. Statistical analysis was then performed to compare outcome groups.

Results:

In total, 61 athletes were contacted (17 LLS, 44 LLE). All patients were male and the mean age at diagnosis was 13±2 years. While 95% returned to baseball post-diagnosis, at 4.8±1.5 years follow-up, 48% of the cohort was still playing with 18% attributing persistent arm pain as a reason for quitting. Symptom recurrence was present in 25% occurring at an average of 9 months post-diagnosis. Players changing position was not uncommon (26%). In the elbow group, no patient went on to require a UCL reconstruction, whereas one patient in the shoulder group ultimately underwent surgery. The mean QuickDASH, ASES, and Kerlan Jobe scores were 2±5, 96±10, and 90±11, respectively. There were no differences between LLE and LLS groups with respect to these scores (p>0.05). No differences were observed between groups in terms of demographics or play characteristics, however those with recurrence were less likely to be still playing ball and had lower outcome scores (<0.05).

Conclusions:

While arm pain is frequently encountered in youth baseball players, receiving a diagnosis of LLE or LLS appears to have a good prognosis for these athletes with many patients continuing to remain active in competitive baseball even up to 5 years post-diagnosis. Rates of future arm pain requiring surgical intervention were negligible. This data is important for counseling patients about the long-term prognosis of their arm injuries.