bluuebunny/crossref_metadata_2025 huggingface dataset:
Partisan Asymmetries in Earmark Representation
Authors: Cassella Chris , Fagan EJ , Theriault Sean M.
Published: May 2023

This paper examines how Republicans and Democrats in the U.S. House of Representatives vary in their earmarking behavior. After a 10-year moratorium, Congress enabling members to request small grants for community programs in their districts in the 2021 appropriations process. As part of a reform designed to limit corruption and wasteful spending, members had to submit written justifications for the grants, which provides insight into how members of Congress view their role as representatives. In performing a content analysis on 3007 earmark justifications, we find that Democrats are more likely to name the specific social groups comprising their party coalition in their justifications; Republicans rarely do so. Democrats are also more likely to request grants on their core partisan priorities, while Republicans tend to focus on large local infrastructure projects that are seemingly unrelated to their national priorities. Finally, we find some, but limited, evidence that earmark requests are a result of the different kinds of districts that members represent.
The Chinese Parenting Stress Scale for Preschoolers’ Parents: Development and Initial Validation
Authors: Zhao Jinghui , Xie Min , He Jingyi , Wang Meng-Cheng
Published: May 2023

Parenting stress is the experience of discomfort or distress that results from the demands associated with the role of parenting. Although there are numerous parenting stress scales, relatively few scales have been developed with consideration of the Chinese cultural context. This study aimed to develop and validate the Chinese Parenting Stress Scale (CPSS) with a multidimensional and hierarchical structure for Mainland Chinese preschoolers’ parents ( N = 1,427, Mage = 35.63 years, SD = 4.69). In Study 1, a theoretical model and an initial 118 items were developed, drawing on prior research and existing measures of parenting stress. Exploratory factor analysis yielded 15 first-order factors with 60 items. In Study 2, confirmatory factor analyses supported a higher order solution consisting of 15 first-order factors covering four domains: Child Development (12 items), Difficult Child (16 items), Parent–Child Interaction (12 items), and Parent’s Readjustment to Life (20 items). Measurement invariance indicated no gender differences between parents for the scale scores. The convergent, discriminant, and criteria validity of the CPSS scores was supported by its association with related variables in the expected directions. Moreover, the CPSS scores added significant incremental variance in predicting somatization, anxiety, and child’s emotional symptoms more so than the Parenting Stress Index–Short Form-15. The CPSS total and subscale scores all had acceptable Cronbach’s αs in both samples. The overall findings support the CPSS as a psychometrically sound tool.
Evidence-Based Assessment of Personality Disorder
Authors: Widiger Thomas A. , Hines Alexandra , Crego Cristina
Published: May 2023

The purpose of this article is to provide a description and discussion of the evidence-based assessment of personality disorder. Considered herein is the assessment of the Section II personality disorders included within the fifth edition of the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.; DSM-5-TR), within Section III of DSM-5-TR, and within the 11th edition of the World Health Organization’s International Classification of Diseases (WHO). The recommendation for an evidence-based assessment is for a multimethod approach: first administer a self-report inventory to alert the clinician to maladaptive personality functioning that might not have otherwise been anticipated, followed by a semi-structured interview to verify the personality disorder’s presence. The validity of this multimethod strategy can be improved further by considering the impact of other disorders on the assessment, documenting temporal stability, and establishing a compelling, empirical basis for cutoff points.
Integration on the Frontlines of Medicaid Accountable Care Organizations and Associations With Perceived Care Quality, Health Equity, and Satisfaction
Authors: Kerrissey Michaela , Jamakandi Shriya , Alcusky Matthew , Himmelstein Jay , Rosenthal Meredith
Published: May 2023

Amid enthusiasm about accountable care organizations (ACOs) in Medicaid, little is known about the primary care practices engaging in them. We leverage a survey of administrators within a random sample (stratified by ACO) of 225 practices joining Massachusetts Medicaid ACOs (64% response rate; 225 responses). We measure the integration of processes with distinct entities: consulting clinicians, eye specialists for diabetes care, mental/behavioral care providers, and long-term and social services agencies. Using multivariable regression, we examine organizational correlates of integration and assess integration’s relationships with care quality improvement, health equity, and satisfaction with the ACO. Integration varied across practices. Clinical integration was positively associated with perceived care quality improvement; social service integration was positively associated with addressing equity; and mental/behavioral and long-term service integration were positively associated with ACO satisfaction (all p < .05). Understanding differences in integration at the practice level is vital for sharpening policy, setting expectations, and supporting improvement in Medicaid ACOs.
Online Interviews as New Methodological Normalcy and a Space of Ethics: An Autoethnographic Investigation into Covid-19 Educational Research
Authors: Fan Hongming , Li Bingqing , Pasaribu Truly , Chowdhury Raqib
Published: May 2023

Worldwide travel restrictions during the Covid-19 pandemic abruptly changed the norms of conducting qualitative research. Online interviews, long regarded as a second choice to their offline counterparts, are no longer seen as supplementary since they emerged as the dominant mode of data collection during the pandemic. This study employs an autoethnographic approach to investigate the authors’ experiences of adjusting to alternative methodological approaches. The investigation critically reflects on how the author’s agencies in allocating and gathering instructional, social, and economic resources led to a researcher identity reconfigured by choices in making ethical commitment in data collection. This article also sheds light on how the authors, constrained by limited resources, gained better understanding of ethics in practice through negotiation with participants and obtained rich data by exercising their agencies. The article argues that researchers need to place both online and offline methods on equal footing to facilitate a more ethically sensitive approach to data collection.
How Display Rules Influence Turnover in Healthcare Teams and the Moderating Role of Team Negative Affective Tone
Authors: Nguyen Helena , Groth Markus , Johnson Anya
Published: May 2023

Team display rules are expressive norms shared by team members about how to positively impact a customer's perception of service quality and satisfaction. For frontline employees' working in teams, however, the costs and benefits of team display rules are less clear as empirical links to objective, behavioral outcomes, such as turnover, are rare. In a study of 442 healthcare professionals, working within 72 teams in a large children’s hospital, we investigate the effects of positive team display rules (i.e., shared expectations among team members to express positive emotions) and negative team display rules (i.e., shared expectations among team members to suppress negative emotions) on time-lagged objective voluntary turnover. We found that positive team display rules prompted retention, while negative team display rules reduced psychological attachment (i.e., affective commitment) and increased voluntary turnover 12 months later. Team negative affective tone (i.e., negative emotions associated with different healthcare team contexts) amplified the detrimental effects of negative team display rules. Overall, this study highlights the important and nuanced effects of the socioemotional context of service teams, in particular, the consequential influence of team display rules on FLEs turnover behavior in a critical service context, that is, healthcare.
Value Co-Destruction: A Conceptual Review and Future Research Agenda
Authors: Lumivalo Juuli , Tuunanen Tuure , Salo Markus
Published: May 2023

The service-dominant (S-D) logic lens for understanding value co-creation and customers’ interactive roles in the service exchange has emerged as a focal theme of interest among service academics and practitioners. While recent investigations have also focused on the process of value co-destruction—that is, how potential negative outcomes occur—the concept and its distinction from value co-creation remain unclear. This conceptual review synthesizes the concept of value co-destruction and proposes a framework consisting of two interrelated dimensions—actor–actor interaction and individual actor —and their components at three temporal points of the service encounter. We distinguish value co-destruction from other closely related concepts and take steps to integrate the value co-destruction concept into the S-D logic framework and the concept of value co-creation. The proposed integrative framework can help researchers and service practitioners alike to identify, analyze, and rectify the value co-destruction components in the service exchange and, thereby, avoid potential negative outcomes of service interactions. A threefold research agenda is proposed to obtain a more balanced understanding of the two dynamically interrelated concepts of value co-creation and value co-destruction and their application in practice.
Progressive Memory Decline in a Patient With Atrial Septal Defect: Case Report and Literature Review
Authors: Wiafe Yaw Amo , Amponsah Gordon Manu , Asafu Adjaye Frimpong George , Owusu Isaac Kofi
Published: May 2023

Atrial septal defect (ASD) is a common congenital anomaly that increases the risk of heart failure as well as strokes which can lead to cognitive impairment. The risk of stroke is higher when pulmonary hypertension develops and there is reversal of shunt. Stroke in ASD may be due to paradoxical emboli from the right heart or a left ventricular thrombus which develops as a result of atrial fibrillation, a common arrhythmia in ASD. We present a case of a 32-year-old Ghanaian man with history of ASD who presented with progressive memory loss with magnetic resonance imaging scan of the brain showing multiple infarcts, microvascular disease, and cerebral atrophy.
Immunopathogenic Insights on Preferential Human Herpesvirus-6 Reactivation in Drug Rash With Eosinophilia and Systemic Symptoms: A Scoping Review
Authors: Zhu Harrison , Ren Vicky
Published: May 2023

Introduction

Human herpesvirus-6 (HHV-6) is a ubiquitous lymphotropic betaherpesvirus that can reactivate in drug rash with eosinophilia and systemic symptoms (DRESS). Despite recent publications advancing our understanding of HHV-6 in DRESS, the exact role of HHV-6 in disease pathogenesis remains unclear.

Methods

A scoping review with the PubMed query “(HHV 6 AND (drug OR DRESS OR DIHS)) OR (HHV6 AND (drug OR DRESS OR DIHS))” was conducted in accordance with PRISMA guidelines. Articles containing original data on at least one DRESS patient with HHV-6 testing were included.

Results

Our search returned a total of 373 publications, of which 89 met eligibility criteria. HHV-6 reactivation occurred in 63% of DRESS patients (n = 748), which was significantly more often than other herpesviruses. HHV-6 reactivation was associated with worse outcomes and greater severity in controlled studies. Case reports have demonstrated sometimes fatal HHV-6-related multi-organ involvement. Temporally, HHV-6 reactivation typically occurs 2 to 4 weeks after DRESS onset and has been linked to markers of immunologic signaling, such as OX40 (CD134), an HHV-6 entry receptor. Efficacy of antiviral or immunoglobulin treatment has only been demonstrated anecdotally, and steroid use may affect HHV-6 reactivation.

Conclusion

HHV-6 is implicated in DRESS more than in any other dermatologic condition. It is still unclear whether HHV-6 reactivation is cause or consequence of DRESS dysregulation. Similar pathogenic mechanisms precipitated by HHV-6 in other contexts may be relevant in DRESS. Future randomized controlled studies to assess effects of viral suppression on clinical outcomes is needed.
International tourism and income inequality: The role of economic and financial development
Authors: Wang Yuan , Tziamalis Alexander
Published: May 2023

The effect of tourism growth on tourism destinations’ income inequality is an important question for policymakers. In this study, we explore if this relationship is affected by economic and financial development and their interactions. We find that tourism growth affects a country’s income inequality differently. Post-redistribution, tourism growth eases income inequality in the lower economic development regime but may worsen income inequality in the upper economic development regime. However, tourism growth helps to alleviate income inequality in the lower financial development regime but may also lessen income inequality in the upper financial development regime. We also find some evidence that improving opportunities to access finance does a better job of helping to utilise the effect of tourism growth on easing income inequality in more developed nations rather than their counterparts. In line with these, our results also indicate that inflation tends to have different effects on income inequality, subject to the selection of thresholds. Our results are drawn from a dynamic panel threshold approach across 71 developed and developing countries during 1996–2016.
Why do children cooperate with police? The nexus of the authority relations and cognitive developmental perspectives
Authors: Fine Adam D. , Tom Kelsey E.
Published: May 2023

Police must rely on the public’s cooperation; however, youths’ views of police are historically low. To understand the dynamics of these intergroup relations, this study integrates two theoretical perspectives: the cognitive developmental perspective, which posits that age-graded cognitive enhancements enable children to begin critically evaluating police; and the group engagement model, which suggests that views of police impact law-related behavior. Utilizing a sample of 424 community youth (37.97% Hispanic/Latinx, 19.81% Native American), this study tested four novel hypotheses: H1: Age is negatively associated with youths’ willingness to cooperate (WTC) with police; H2: Age is negatively associated with normative alignment with police; H3: Normative alignment is positively associated with WTC; and H4: Normative alignment is more strongly associated with older youths’ WTC. All four hypotheses were supported. The article discusses the implications of both the integration of these theoretical perspectives and the findings for understanding the effects of these intergroup dynamics.
Two-Year Outcomes With Bentley BeGraft as Bridging Stent-Grafts for Reno-Visceral Target Vessels During Fenestrated Endovascular Aortic Repair
Authors: D’Oria Mario , Mezzetto Luca , Silingardi Roberto , Freyrie Antonio , Galeazzi Edoardo , Frigatti Paolo , Milite Domenico , Veraldi Gian Franco , Lepidi Sandro , Cabrini Elisa , di Pinto Luca Calia , Calvagna Cristiano , D’Andrea Alessia , Farneti Fabrizio , Furlan Federico , Gennai Stefano , Isler Thomas , Leone Nicola , Mastrorilli Davide , Migliari Mattia , Perini Paolo , Pilon Fabio , Scrivere Paola , Xodo Andrea
Published: May 2023

Introduction:

The aim of this study was to present the short-term and 2-year outcomes after use of the Bentley BeGraft as bridging stent-graft (BSG) for reno-visceral target vessel (TV) during fenestrated endovascular aortic repair (FEVAR) from a contemporary multicentric experience.

Methods:

A retrospective review of all consecutive patients who underwent elective FEVAR at 7 institutions located in Italy from 2015 to 2021 was performed. The main outcomes of interest for this study were technical success and TV instability, defined in accordance with current reporting standards. Patients’ survival was also assessed.

Results:

Overall, 81 patients received elective FEVAR during the study period. Mean age of patients was 78 years, and 89% were men. Most patients were treated for a juxta-pararenal abdominal aortic aneurysm (AAA) (68%), and 23% had already received an infrarenal aortic reconstruction. Most endografts had 3-vessel or 4-vessel design (27% and 55%, respectively), and a Cook endograft was used in 73% of cases. Overall, 266 Bentley BeGraft were implanted, of which 44 (16.5%) in the celiac trunk, 69 (26%) in the superior mesenteric artery, 79 (29.5%) in the right renal artery, and 74 (28%) in the left renal artery. Technical success was 94%, with 5 instances of technical failure that were recorded and required an additional intraoperative procedure. The early mortality rate was 4%, and acute kidney injury occurred in 14 cases with 1 requiring definitive hemodialysis. Survival at 6, 12, and 24 months in the overall cohort was 98.8%, 95.3%, and 83.4%, respectively. Freedom from TV instability at 6, 12, and 24 months in the overall cohort was 98.4%, 97.9%, and 97.2%, respectively. Events of TV instability included 3 cases of type 1C endoleak and 3 cases of type 3C endoleak, while no events of BSG fracture or thrombosis were noted. Five out of 6 cases of TV instability occurred in renal arteries, and they were all successfully treated by endovascular means.

Conclusions:

The data from this multicentric study show favorable short-term and 2-year outcomes of the Bentley BeGraft as BSG for reno-visceral TV during FEVAR, with low rates of TV-related endoleak and no stent occlusion up to 2 years.

Clinical Impact

The data from this multicentric study show satsfactory outcomes up to two years of follow-up for the Bentley BeGraft when used for brdiging reno-visceral vessels during fenestrated endovascular aortic repair. Further research will be needed to identify predictors of stent-related reinterventions and ascertain the long-term durability.
Analysis of stentering and heat-setting on the structure and compression behavior of 3D mesh fabric using X-ray micro-computed tomography and microscopic modeling
Authors: Zheng Fei , Liu Yanping
Published: May 2023

Three-dimensional (3D) mesh fabric is a key component in ventilated car seats for its excellent cushioning and ventilating performance. It is produced by stretching an as-knitted spacer fabric with closed surfaces via stentering and fixing the mesh form via heat-setting. This paper analyzes the effect of stentering and heat-setting processes on the structures and compression properties of a typical and commercial 3D mesh fabric by using X-ray micro-computed tomography (μCT) and finite element (FE) models. The monofilament architectures of the fabric after knitting, stentering, and heat-setting are reconstructed from μCT scanning, and the structural evolution is quantitatively investigated in terms of global dimension change, curvature, and torsion. The results from μCT reconstructions demonstrate that stentering shortens, widens, and thins the fabric due to yarn transfer to shorten monofilament loops and lengthen spacer monofilaments, which are then dispersed, bent, and twisted to increase the curvatures and torsions. The FE simulations indicate that the global and local monofilament architecture deformation shifts the fabric compression mode from constrained post-buckling to concurrent tilting and post-buckling of spacer monofilaments, expanding the plateau stage and decreasing plateau stress. Heat-setting shrinks monofilament and therefore deteriorates its mechanical performance. The fabric is further thinned during the heat-setting process, which also further bends and twists spacer monofilaments to slightly decrease the plateau stress. The structures and cushioning performance of 3D mesh fabrics can be engineered by employing a proper stentering ratio followed by a heat-setting process.
Preliminary debris risk assessment for mega-constellations in low and medium earth orbit due to satellite breakup
Authors: Canoy Joseph , Bettinger Robert
Published: May 2023

This paper presents a theoretical analysis of the potential risk posed by artificial debris clouds in low Earth orbit (LEO) from mega-constellations, modeled after current communication constellations such as Starlink and OneWeb with 750 satellites each. The analysis examines three different constellation designs: a low-altitude LEO, a high-altitude LEO, and a medium Earth orbit (MEO) constellation, which will be positioned using the Walker-Delta design. The study is based on physics-based digital mission engineering and a Monte Carlo simulation framework. The simulation involves debris generated from a single breakup of one randomly selected satellite per run, but does not consider cascading debris events. This debris cloud is propagated for 1 week and how it interacts with the mega-constellation is recorded. The results show an average of 705.65 potential conjunctions within the LEO constellation, with 14.40% of those being considered catastrophic, and an average of 165.5 conjunctions in the MEO constellation, with 0.72% considered catastrophic.
Transthoracic Aortic Clamp Technique for Port-Only Endoscopic Robotic Mitral Surgery
Authors: Murphy Douglas A. , Arrington Ryon L. , Jonsson Amalia A. , Halkos Michael E.
Published: May 2023

Objective:

Many robotic mitral surgeons utilize right thoracotomy with transthoracic clamping of the aorta, while a smaller number employ a port-only endoscopic approach with endoaortic balloon occlusion of the aorta. We present our technique for a port-only endoscopic robotic approach with transthoracic clamping.

Methods:

From July 2019 through December 2022, 133 patients underwent port-only endoscopic robotic mitral surgery with transthoracic clamp aortic occlusion and antegrade cardioplegia. Perfusion was through the femoral artery in 101 patients (76%) and axillary in 32 patients (24%). Clamp technique involved placing the clamp at the mid-ascending aorta, dynamic valve testing to 90 mm aortic root pressure, and closure of the cardioplegia cannula site prior to clamp removal. Indications for clamp utilization over balloon occlusion included both balloon supply issues and aortoiliac anatomy.

Results:

Mitral repair was performed in 122 patients (92.7%) and mitral valve replacement in 11 patients (8.3%). Mean aortic occlusion time was 92 ± 21.4 min. Mean time from left atrial closure to clamp removal was 8.7 (7.2 to 12.8) min. There were no injuries to the aorta or surrounding structures, mortality, strokes, or renal failure.

Conclusions:

For robotic teams with endoaortic balloon capability, this technique may be useful in certain patients with aorto-iliac pathology or limited femoral artery access. Alternatively, robotic teams who employ transthoracic aortic clamping through a thoracotomy may find this technique useful to transition to a port-only endoscopic approach.
Intra-Articular Antegrade Intramedullary Screw Fixation for Proximal Phalanx Fractures: Impact of Articular Surface Defects on Joint Contact Pressures
Authors: Boe Chelsea C. , Telfer Scott , Kennedy Stephen
Published: May 2023

Background:

Intramedullary headless screw fixation is increasingly used for fixation of proximal phalanx fractures. However, the impact of screw entry defects on joint contact pressures is not well defined and may have implications for arthrosis. The objective of this cadaveric biomechanical study was to assess joint contact pressures at the metacarpophalangeal (MCP) joint before and after passage of 2 sizes of antegrade intramedullary fixation.

Methods:

Seven fresh frozen cadaver specimens without arthritis or deformity were included in this study. Antegrade intramedullary screw fixation of proximal phalanx fracture was simulated using an intra-articular technique. Flexible pressure sensors were inserted into the MCP joints and cyclic loading was performed. Peak contact pressures were determined and averaged across loading cycles for each finger in the native state, with 2.4- and 3.5-mm drill defects in line with the medullary canal.

Results:

Peak pressure increased with the size of the drill hole defect. Contact pressure increases were greater in extension, with peak contact pressures increased by 24% for the 2.4-mm defect and 52% for the 3.5-mm defect. Increase in peak contact pressure was statistically significant with a 3.5-mm articular defect. Contact pressures were not consistently increased for the 2.4-mm defect. Testing in flexion of 45° resulted in reduced contact pressure for these defects.

Conclusions:

Our study demonstrates that antegrade intramedullary fixation of proximal phalanx fractures can increase MCP joint peak contact pressures, particularly in an extended joint position. Effect increases with defect size. This has implications for the management of proximal phalanx fractures using this technique.
Use of Gamification for Adult Physical Rehabilitation in Occupational Therapy; A Novel Concept?
Authors: Zlotnik Sharon , Weiss Patrice L. (Tamar) , Raban Daphne Ruth , Houldin-Sade Adina
Published: May 2023

Aim: This commentary discusses the concept of ‘gamification’ as referred to implicitly or explicitly in the occupational therapy literature. Although occasionally noted to be a new frontier for occupational therapy, our analysis suggests that game mechanics and gamification elements are, in fact, a ‘road long traveled’ by occupational therapists and that gamification evokes the core aims and vision of occupational therapy. Gamification has been implicitly incorporated into the occupational therapy literature for years, and its benefit of enhancing therapeutic outcomes is evident in many instances. We contend that a more explicit use of the term gamification within the occupational therapy literature will lead to a framework in which both practitioners and researchers can structure and evaluate therapeutic outcomes.
Incidence of mechanical thrombectomy among stroke patients brought directly to a comprehensive stroke center versus transfer from a primary stroke center in upstate New York
Authors: Khazen Olga , Bao Jonathan , Gajjar Avi A , Entezami Pouya , Dalfino John C , Feustel Paul J , Paul Alexandra R
Published: May 2023

Background

Faster time to treatment for stroke is associated with improved outcomes. In cases of large vessel occlusion (LVO), standard of care treatment with thrombectomy can only be provided at a comprehensive stroke center (CSC). We examine the outcomes of patients who are directly brought to our center, a CSC, compared to those seen at a primary stroke center (PSC) and then transferred.

Methods

Patients with LVO presenting to our center from 1/1/2019 to 12/31/2019 were included. Cohorts of patients presenting first to a PSC and presenting first to a CSC were compared. Demographics and outcome metrics (Discharge Modified Rankin Scale (mRS) and National Institute of Health Stroke Severity Scale (NIHSS) scores) were obtained for all LVO patients. Imaging was also assessed.

Results

Of 864 stroke admissions, 346 had LVO (40%) with 183 (53%) transferring from a PSC and 163 (47%) presenting directly. Similar percentages of each cohort were taken for thrombectomy (25.1% transfer and 31.3% direct). However, as distance between PSC and CSC increased, likelihood of thrombectomy decreased. Transfer patients were more likely to be excluded from thrombectomy secondary to a large volume of complete stroke (p  =  0.0001). Direct presenters had lower discharge mRS scores than transfer patients (p < 0.01), however, severity of stroke upon admission was similar in the two groups.

Conclusion

Patients transferred from a PSC were more likely to have a worse outcome at time of discharge than those presenting directly to our center. Large volume of completed stroke was a frequent reason for exclusion from thrombectomy. Optimizing stroke protocols to CSC in cases of LVOs may result in better outcomes.
Service users’ and parents/carers’ experiences of a paediatric chronic fatigue service: A service evaluation
Authors: Hartley Gemma , Purrington Jack
Published: May 2023

Objectives

This service evaluation explored the experiences of families receiving care in a paediatric chronic fatigue service. The evaluation aimed to improve service provision across paediatric chronic fatigue services more widely.

Methods

Children and young people aged 7–18 years ( n  =  25) and parents/carers ( n  =  25) completed a postal survey exploring experiences of a paediatric chronic fatigue service. Quantitative data were analysed descriptively, and qualitative data were analysed using thematic analysis.

Results

Most service usersand parents/carers (88%) agreed that the service met their needs, that they felt supported by staff, and most notably, a large portion (74%) reported the team increased their activity levels. A small number disagreed (7%) with statements relating to positive links with other services, ease of talking to staff and suitability of appointment type. The thematic analysis revealed three themes: help managing chronic fatigue syndrome, experience of professional support and accessibility of service. Families reported benefiting from increased understanding of chronic fatigue syndrome, learning new strategies, the team linking with schools, feeling validated and mental health support. Accessibility was a particular problem including the service location, setup of appointments and difficulty contacting the team.

Discussion

The evaluation presents recommendations for paediatric Chronic Fatigue services to improve service user experiences.
Modality-dependent distortion effects of temporal frequency on time perception
Authors: Li You , Xia Jing , Zhan Yang , Yang Juanhua , Naman Abuzha , Mo Lei , Zhou Huihui , Zhang Jinqiao , Xu Guiping
Published: May 2023

Time perception has been known to depend on the temporal frequency of the stimulus. Previously, the effect of temporal frequency modulation was assumed to be monotonically lengthening or shortening. However, this study shows that temporal frequency affects time perception in a non-monotonic and modality-dependent manner. Four experiments investigated the time distortion effects induced by modulation of temporal frequency across auditory and visual modalities. Critically, the temporal frequency was parametrically manipulated across four levels (steady stimulus, 10-, 20-, and 30/40-Hz intermittent auditory/visual stimulus). Experiment 1, 2, and 3 consistently showed that a 10-Hz auditory stimulus was perceived as shorter than a steady auditory stimulus. Meanwhile, as the temporal frequency increased, the perceived duration of the intermittent auditory stimulus was lengthened. A 40-Hz auditory stimulus was perceived as longer than a 10- Hz auditory stimulus, but did not differ significantly from a steady one. Experiment 4 showed that, for the visual modality, a 10-Hz visual stimulus was perceived as longer than a steady stimulus, and the perceived duration was lengthened as temporal frequency increased. This study demonstrated that within the scope of the temporal frequencies examined in this study, there were differential distortion effects observed across sensory modalities.
Remembering the victims of COVID-19: From personal to civic to reparative memory
Authors: Young James E
Published: May 2023

In March 2020, the Covid-19 pandemic had exploded in New York City, across the country, and around the world. At its height, thousands of people were dying every day in quarantined intensive care units and Covid wards, their families forbidden from attending their loved ones’ last living moments, even to say good-bye. The victims were dying in isolation, consigned to make-shift morgues, and buried or cremated—without ceremony, without grieving loved ones present. To commemorate the victims of Covid communally in real time would also be to turn the mourners themselves into new Covid victims. Commemorative and collective grieving processes would have to be deferred until it was safe to gather together again. But memory deferred is also memory transformed with new and devastating meaning. In this short reflection on how the meanings engendered by memory of those lost to Covid-19 morph over time, I explore the differences between the memory of personal loss, civic memory, and reparative memory.
Service user perspectives on social prescribing services for mental health in the UK: a systematic review
Authors: Cooper M , Flynn D , Avery L , Ashley K , Jordan C , Errington L , Scott J
Published: May 2023

Aim:

To thematically synthesise adult service users’ perspectives on how UK-based social prescribing services support them with their mental health management.

Methods:

Nine databases were systematically searched up to March 2022. Eligible studies were qualitative or mixed methods studies involving participants aged ⩾ 18 years accessing social prescribing services primarily for mental health reasons. Thematic synthesis was applied to qualitative data to create descriptive and analytical themes.

Results:

51,965 articles were identified from electronic searches. Six studies were included in the review ( n = 220 participants) with good methodological quality. Five studies utilised a link worker referral model, and one study a direct referral model. Modal reasons for referral were social isolation and/or loneliness ( n = 4 studies). Two analytical themes were formulated from seven descriptive themes: (1) person-centred care was key to delivery and (2) creating an environment for personal change and development.

Conclusions:

This review provides a synthesis of the qualitative evidence on service users’ experiences of accessing and using social prescribing services to support their mental health management. Adherence to principles of person-centred care and addressing the holistic needs of service users (including devoting attention to the quality of the therapeutic environment) are important for design and delivery of social prescribing services. This will optimise service user satisfaction and other outcomes that matter to them.
Associations of increasing breast cancer incidence with the current drinking habits and the past smoking habits among Japanese women
Authors: Aoki Yuji , Niitsu Amane , Baba Hitomi , Nishizawa Yui
Published: May 2023

Background

We have reported that age-specific incidence rates of breast cancer among Japanese women increased from 2005 to 2015 in a bimodal distribution pattern, with two peaks in the pre- and postmenopausal age groups.

Objectives

The present study aimed to assess the associations of the increasing age-specific breast cancer incidence or mortality with the prevalence of obesity and drinking and smoking habits, compared with those in uterine body, female and male colon and lung cancers.

Methods

Linear correlations of annual rates from 2005 to 2015 of the 10-year age-specific cancer incidence and mortality with the prevalence of obesity (body mass index, 25 and over) and drinking (alcohol, 20 g and over 3 times or more a week) and smoking habits were assessed by Pearson’s correlation coefficients during the same 10-year period (from 2005 to 2015) or the 10-year period 10 years before the cancer incidence and mortality were noted (from 1995 to 2005).

Results

Positive correlations (r>0.640) were found between the increasing breast cancer incidence and the drinking habit during the same period or the smoking habit during the period 10 years before. Similar but weaker correlations were found for the breast cancer mortality rate increasing with age. Positive correlations were found between the decreasing male lung cancer mortality rate and the smoking habit rate during the period 10 years before.

Conclusions

The present ecological study indicated that the breast cancer incidence was associated with the current drinking habits and the past smoking habits among Japanese women.
Should brands foster their Instagram account followers’ fear of missing out by posting ephemeral content?
Authors: Maar Daniel , Kefi Hajer , Orhan Mehmet A.
Published: May 2023

Several blogs and websites with a focus on social media marketing suggest that brands can benefit from fostering their Instagram account followers’ fear of missing out (FoMO) by posting ephemeral content. Relying on an online survey with 550 followers of Instagram brand accounts and a scenario-based experiment with 535 participants, this article shows that content ephemerality triggers followers’ FoMO, which increases brand account engagement and brand account fatigue. Brand account engagement (fatigue), in turn, positively (negatively) relates to brand attitude and brand attachment. Further analyses reveal that the total effect of followers’ FoMO on brand attachment is positive and significant, while the total effect of FoMO on brand attitude is not significant. Moreover, content ephemerality has a negative and significant total effect on brand attitude. A key implication of these findings is that it is not beneficial for brands to foster their Instagram account followers’ FoMO by posting ephemeral content.
Flash pulmonary oedema associated with paroxysmal supraventricular tachycardia: report of two cases
Authors: Seddon Kathleen , Cerrada Serra Inmaculada , Seo Joonbum
Published: May 2023

Case summary

We describe two cats that had episodic tachypnoea and increased respiratory effort during periods of paroxysmal supraventricular tachycardia (SVT). Thoracic radiographs at the time of clinical signs were consistent with cardiogenic pulmonary oedema. Echocardiography following stabilisation revealed a hypertrophic cardiomyopathy phenotype with normal left atrial size in both cats. The first cat was initially treated with diltiazem, but this did not reduce the frequency of the clinical episodes. Diltiazem was switched to atenolol and the cat remained well without further recurrence. At the time of writing, the cat was reported to be well, 3 years after the initial diagnosis of SVT. The second cat was first managed with diltiazem and was then transitioned to atenolol due to recurrent clinical episodes. The episodes were less frequent with atenolol but still present. Therefore, atenolol was changed to sotalol. The cat remained well on sotalol for 2 years with only one recurrent episode during a painful event. The patient then suffered a sudden cardiac death, 5 years after the initial diagnosis of SVT.

Relevance and novel information

To our knowledge, this is the first report that describes flash pulmonary oedema developing secondary to episodic paroxysmal SVT in cats. Despite the severity and speed of respiratory compromise, prognosis may be good with an adequate arrhythmia control.
The BEM Program: An innovative online parenting program for socioeconomically disadvantaged caregiver–child dyads in Brazil
Authors: Solís-Cordero Katherine , Marinho Patricia , Camargo Patricia , Takey Silvia , Lerner Rogério , Fujimori Elizabeth
Published: May 2023

Objective

To describe the BEM Program, an innovative online parenting program for socioeconomically disadvantaged caregiver–child dyads in Brazil.

Methods

The Template for Intervention Description and Replication checklist was used to describe the BEM Program in detail.

Results

The BEM Program (an acronym for Brincar Ensina Mudar in Portuguese, “Play Teaches Change” in English) refers to the change in adult, child, and dyad outcomes that can be observed through incorporating playful interactions between the caregiver and their child into their daily household chores. Content consisting of 8 videos and 40 text and audio messages was sent entirely online through WhatsApp®. Thus, the Program could be accessed wherever caregivers wanted, if they had their smartphone and Internet access.

Conclusions

The detailed description of an innovative online parenting program focused on caregiver–child interaction and child development contributes to the scarce evidence on this type of programs. Adherence to the program continues to represent one of the main challenges to overcome.
Biomechanical Evaluation of TensionLoc Versus the Double Spike Plate for ACL Graft Tibial Fixation
Authors: Jernick Michael , Borden Peter S. , Seager Andorra , McGarry Michelle H. , Adamson Gregory J. , Lee Thay Q.
Published: May 2023

Background:

The optimal tibial fixation of anterior cruciate ligament (ACL) reconstruction (ACLR) grafts remains controversial.

Purpose/Hypothesis:

The purpose of this study was to compare the biomechanical characteristics of the TensionLoc (TL) cortical fixation device with the Double Spike Plate (DSP) fixation device for ACL tibial fixation using both bone–patellar tendon–bone (BTB) and quadriceps grafts. It was hypothesized that there would be no differences in biomechanical characteristics between the fixation devices regardless of graft type.

Study Design:

Controlled laboratory study.

Methods:

ACLR was performed on 14 matched-pair cadaveric knee specimens—7 pairs using quadriceps grafts (n = 3 male cadaveric knee specimens; n = 4 female cadaveric knee specimens; age, 51 ± 8 years) and 7 pairs using BTB grafts (n = 3 male cadaveric knee specimens; n = 4 female cadaveric knee specimens; age, 50 ± 7 years). One side of each pair was randomized to receive DSP fixation, and the contralateral side received TL fixation. Specimens underwent cyclic ramp loading (10 cycles each at 50-100 N, 50-250 N, and 50-400 N), followed by load-to-failure testing, with the tensile force in line with the tibial tunnel. Results between the 2 fixation types were compared with a paired t test.

Results:

For the quadriceps graft, there were no significant differences in cyclic loading or load-to-failure characteristics between fixation types ( P≥ .092 for all parameters). For the BTB graft, TL fixation resulted in higher stiffness than DSP at all cyclic testing cycles except for cycle 1 during 100-N loading and had lower displacement at 250-N loading (3.4 ± 0.1 vs 5.4 ± 0.3 mm; P = .045). For load to failure, TL fixation resulted in higher stiffness than DSP fixation (232 ± 3.1 vs 188.4 ± 6.4 N/mm; P = .046); however, all other load-to-failure parameters were not statistically different ( P≥ .135 for all parameters).

Conclusion:

With the quadriceps tendon graft, there were no significant differences in biomechanical characteristics between TL and DSP ACL tibial fixations; however, with BTB grafts, the TL tibial fixation demonstrated greater biomechanical integrity than the DSP tibial fixation.

Clinical Relevance:

The TL fixation device may provide an alternative ACL tibial fixation option for BTB and soft tissue grafts.
The Effects of School Finance Reforms on Teacher Salary and Turnover: Evidence from National Data
Authors: Nguyen Tuan D. , Anglum J. Cameron , Crouch Michael
Published: May 2023

In recent decades, parallel literature has documented the magnitudes and effects of teacher turnover and the impact of state school finance reforms (SFRs). In this paper, we examine SFRs as possible mechanisms to improve teacher salary, turnover, and job satisfaction by using nationally representative data from 2000 to 2016 and leveraging variation in SFR timing. We find that SFRs increased teacher salaries by approximately $4,000 and reduced teacher turnover by three percentage points, on average, though gains in both outcome measures took up to a decade to emerge. We observe larger salary gains among teachers in high-poverty and high-minority school contexts, though declines in their corresponding turnover behaviors were similar to average findings. As policymakers seek to address heightened concerns regarding teacher retention and shortages, our findings suggest targeted salary policies may improve rates of teacher attrition.
Comparision of efficacy and safety of 0.03% and 0.1% tacrolimus ointment in children with vernal keratoconjunctivitis
Authors: Saha Bhawesh Chandra , Kumari Rashmi , Ambasta Anita
Published: May 2023

Background:

Topical immunosuppressants such as tacrolimus in different concentrations are a breakthrough in the management of recalcitrant vernal keratoconjunctivitis (VKC); however, there is a lacks of comparative studies to guide their use in VKC management.

Objective:

To compare the efficacy and safety of tacrolimus 0.03% and 0.1% eye ointment in the treatment of recalcitrant VKC.

Design:

A retrospective comparative single-centre observational study.

Method:

We reviewed records of a total of 48 recalcitrant VKC patients treated with two different strengths of tacrolimus ointment between April 2016 and March 2017. Of these, 39 fulfilled the inclusion criteria and were categorized into two groups, A and B, depending on the use of strength of tacrolimus (0.03% and 0.1%) used, respectively. Group A had 18 patients, while group B had 21 patients. Thirty-six patients, 18 from each group, were finally analysed and compared. Records of patients were explored for the subjective symptoms and objective sign score of the patient at baseline and at each time point. The main outcome measures were composite scoring and comparison of total subjective symptom scores (TSSSs) and total objective sign scores (TOSSs) within and between the groups at each follow-up. Percentage of patient with significant reduction in symptom and sign scores as compared with baseline was considered success of treatment. Chi-square and t-tests were used for comparison of outcomes between both groups

Results:

Mixed variety was most commonly encountered type of VKC. The signs and symptoms were significantly reduced in patients with treatment in both groups ( p = 0.001) in all types of VKC. However, in group B, there was significant improvement in the size of papillae ( p = 0.04) as compared baseline in contrast to group A. Side effects like burning and stinging in group B were significantly higher as compared with group A.

Conclusions:

Both strengths of tacrolimus (0.03% and 0.1%) are effective in all forms of recalcitrant VKC. Papillary component of VKC responds better with higher strength (0.1%) but is associated with more significant side effects. Different strengths of tacrolimus can be used strategically depending upon the severity and clinical type of VKC to intensify outcome and minimize side effects.
Implementing TMLE in the presence of a continuous outcome
Authors: Frank Hanna A , Karim Mohammad Ehsanul
Published: May 2023

In a real-world observational data analysis setting, guessing the true model specification can be difficult for an analyst. Unfortunately, correct model specification is a core assumption for treatment effect estimation methods such as propensity score methods, G-computation, and regression techniques. Targeted maximum likelihood estimation (TMLE) is an alternative method that allows the use of data-adaptive and machine learning algorithms for model fitting. TMLE therefore does not require strict assumptions about the model specification but preserves the validity of the inference. Multiple studies have shown that TMLE outperforms other methods in certain real-world settings, making it a useful and potentially superior algorithm for causal inference. However, there is a lack of accessible resources for practitioners to understand the implementation. Hence the TMLE framework is the least-used method by practitioners in epidemiology literature. Recently a few accessible articles have been published, but they focus only on binary outcomes and demonstrations are done mainly with simulated data. This paper aims to fill the gap in the literature by providing a step-by-step TMLE implementation guide for a continuous outcome, using an openly accessible clinical dataset.