bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of Modified Lemaire Anterolateral Extra-articular Tenodesis on the Magnetic Resonance Imaging Maturity Signal of Anterior Cruciate Ligament Hamstring Graft
Authors: Rojas Gonzalo , Perelli Simone , Ibanez Maximiliano , Formagnana Mario , Ormazabal Inmaculada , Monllau Juan Carlos
Published: June 2021

Background:

Lateral extra-articular tenodesis (LET) is one of the most widely used procedures to restore anterolateral stability. Clinical outcomes after the addition of LET to anterior cruciate ligament (ACL) reconstruction (ACLR) have been widely investigated; however, the potential influence of LET on the ACL ligamentization process has not been examined.

Purpose/Hypothesis:

The purpose was to use 10-month postoperative magnetic resonance imaging (MRI) scans to determine whether the maturity of grafts after hamstring autograft ACLR was affected by concomitant LET. The hypothesis was that when modified Lemaire lateral extra-articular tenodesis (MLLET) was performed, the MRI parameters of ACL graft maturity would be modified.

Study Design:

Cohort study; Level of evidence, 3.

Methods:

The study included patients treated between December 2017 and December 2018 who had undergone anatomic 3-strand hamstring tendon autograft ACLR, with or without concomitant MLLET, and had undergone MRI 10 months postoperatively. Thus, the study included 30 patients who had isolated ACLR and 22 patients who had ACLR plus MLLET. The 2 groups were comparable based on all criteria analyzed. To evaluate graft maturity, the signal-to-noise quotient (SNQ) was measured in 3 regions of interest of the proximal, midsubstance, and distal ACL graft. Lower SNQ ratios indicate less water content and, theoretically, better maturity and healing of the graft.

Results:

The mean ± SD for SNQ was 4.62 ± 4.29 (range, 3.12-6.19) in the isolated ACLR group and 7.59 ± 4.68 (range, 4.38-8.04) in the ACLR plus MLLET group ( P = .012). Upon comparing the mean values of the 3 portions between the 2 groups, we found a significant difference between the 2 groups for the proximal and middle portions ( P = .007 and P = .049, respectively) but no difference in the distal portion ( P = .369).

Conclusion:

At the 10-month follow-up, hamstring tendon autografts for anatomic ACLR with MLLET did not show the same MRI signal intensity compared with isolated hamstring anatomic ACLR.
Book review: Alexandra de Heering, Speak, Memory: Oral Histories of Kodaikanal Dalits
Authors: Issac C. I.
Published: June 2021

Alexandra de Heering, Speak, Memory: Oral Histories of Kodaikanal Dalits. Puducherry: Institut Français de Pondichéry, 2018, xxi + 401 pp., ₹1200, ISBN: 9788184702200.
Book review: Abhijit Basu, Perpetual India: Tale of a Timeless People
Authors: Krishna Nanditha
Published: June 2021

Abhijit Basu, Perpetual India: Tale of a Timeless People. New Delhi: Munshiram Manoharlal Publishers Pvt. Ltd, 2020, 187 pp., ₹450, ISBN: 9788121513326.
Book review: Jaswandi Wamburkar (ed.), Indian Modernity: Challenges and Responses
Authors: Gadgil Gaurav
Published: June 2021

Jaswandi Wamburkar (ed.), Indian Modernity: Challenges and Responses. Pune: The Unique Foundation, 2020, 350 pp., ₹350, ISBN: 9788194532811.
Criminal Protection Orders Among Women Victims of Intimate Partner Violence: Women’s Experiences of Court Decisions, Processes, and Their Willingness to Engage With the System in the Future
Authors: Holmes Samantha C. , Maxwell Christopher D. , Cattaneo Lauren B. , Bellucci Barbara A. , Sullivan Tami P.
Published: June 2021

Consistent with a therapeutic jurisprudence framework, court decisions and processes can have a therapeutic or antitherapeutic effect on intimate partner violence (IPV) victims. To maximize therapeutic effects, IPV scholars have advocated for survivor-defined practices that emphasize the importance of engaging with victims in a collaborative manner that promotes autonomy, choice, and control. However, limited research exists in the context of criminal protection orders (POs). The current study addressed this gap by assessing whether criminal PO match (whether victims received the level PO they requested [i.e., PO match] or not [i.e., PO mismatch]) and victims’ subjective experiences of the court process were associated with their willingness to use the system in the future to address IPV. In a sample of 187 women whose partners were arrested for IPV, experiencing the court processes as positive (β = .36, p = .001) and court-related fear (β = .41, p < .001) were positively associated with willingness to use the system in the future. Additionally, PO match moderated the association between subjective court experiences and willingness to use the system in the future. Experiencing the court processes as negative ( b = .33, p = .005) and validating ( b = –.36, p = .001) was associated with willingness to use the system in the future only for participants who did not receive the PO level they requested. While experiencing the court as positive ( b = –.40, p ≤ .001) was associated with willingness to use the system regardless of PO match, it was most strongly associated for participants who did not receive the PO level they requested. Results suggest the importance of ascertaining strategies to improve victims’ experiences with the court, especially when victims’ requests are not met, to increase future engagement with the system.
“God, why?”: The Experience of Mothers from the Israeli Ultra-Orthodox Sector after their Child’s Disclosure of Sexual Abuse
Authors: Lipinsky Aiala Szyfer , Goldner Limor
Published: June 2021

Studies dealing with the experiences of non-offending mothers from the general population and minority groups after their child’s disclosure of sexual abuse are scarce, and studies on mothers from the Jewish ultra-Orthodox community are non-existent. This study takes an initial step in filling this gap by exploring how the normalization of sexual abuse shapes these mothers’ experiences. A qualitative phenomenological study was conducted on a sample of 21 mothers from the ultra-Orthodox sector whose children had been sexually abused. It consisted of in-depth, semi-structured interviews of the mothers followed by a drawing task on their experience. The analysis of the interviews yielded four central themes: the role of social stigmatization and religion on the mother’s ability to share her child’s abuse; the effect of the disclosure on the mothers’ mental state and maternal competency; the mothers’ ongoing experience in the shadow of this unprocessed/unresolved trauma; and the mothers’ coping strategies, including acceptance, faith, and meaning making. The findings highlight the influence of the tension between the need to adhere to religious norms and preserve the social fabric and the need to enhance mothers’ and children’s well-being.
Evaluation and Enhancement of a Comprehensive Controlled Substances Management Process at an Academic Medical Center
Authors: Eason Bailey E , Vest Tyler A , Mieure Katherine D. , Neal Danielle , Tryon Jennifer
Published: June 2021

Purpose:

Controlled substances management is highly regulated, and requires institutions to have processes in place to maintain a closed-loop. This study was conducted to comprehensively evaluate the current state of controlled substances management, propose optimization opportunities, and implement steps to align the medication use process (MUP) to a defined desired state.

Methods:

This evaluation was conducted in 2 phases. In phase 1, the current state of controlled substances management was assessed in order to develop a gap analysis tool and failure mode and effects analysis (FMEA). In phase 2, a work group was assembled to address opportunities within the FMEA. The work group prioritized opportunities using the risk priority number (RPN), and formulated action steps to align processes with the defined desired state.

Results:

Through the literature evaluation, a desired state, consisting of 86 segments, was defined and compared with a gap analysis tool. Direct observation of the MUP allowed for development of 13 process maps depicting current state. Of the 86 segments, it was determined the study institution had a compliance rate of 62%. The remaining 38% correlated with 55 actionable process opportunities that were included in the FMEA. To date, 31 of the 55 (56%) opportunities have been successfully addressed by the work group.

Conclusion:

Use of direct observation to formulate a gap analysis tool and FMEA is an effective modality to evaluate controlled substances processes. These tools allow for pharmacy departments to identify and prioritize opportunities to optimize controlled substances management within an academic medication center
Gender Attitudes and Occupational Aspirations in Germany: Are Young Men Prepared for the Jobs of the Future?
Authors: Chesters Jenny
Published: June 2021

The increasing rate of post-industrialisation in advanced economies has dramatically impacted on the availability of jobs in male-dominated occupations. Consequently, men with traditional gender attitudes may experience difficulties in finding employment that aligns with their conception of masculinity. Attitudes to gender roles develop during childhood as part of the process of socialisation; thus, family background, and in particular parental education and occupation, may influence the occupational aspirations of young people. To examine the associations between family background, a child’s attitudes to gender roles and a child’s occupational aspirations, analysis of the German National Education Panel Study (NEPS) Starting Cohort 4 data was conducted. The findings suggest that family background continues to be associated with attitudes to gender roles and occupational aspirations.
Cultivating trust, producing knowledge: The management of archaeological labour and the making of a discipline
Authors: Mickel Allison , Byrd Nylah
Published: June 2021

Like any science, archaeology relies on trust between actors involved in the production of knowledge. In the early history of archaeology, this epistemic trust was complicated by histories of Orientalism in the Middle East and colonialism more broadly. The racial and power dynamics underpinning 19th- and early 20th-century archaeology precluded the possibility of interpersonal moral trust between foreign archaeologists and locally hired labourers. In light of this, archaeologists created systems of reward, punishment, and surveillance to ensure the honest behaviour of site workers. They thus invented a set of structural conditions that produced sufficient epistemic trust for archaeological research to proceed—a system that continues to shape archaeology to the present day.
Impact of Green Supply Chain Management Practices on Employee Engagement and Organizational Commitment: Mediating Role of Firm Performance
Authors: Visamitanan Krisana , Assarut Nuttapol
Published: June 2021

This study extends the knowledge in green supply chain research by investigating the impacts of green supply chain management (GSCM) practices on employee engagement and organizational commitment through firm performance. The 268 respondents included in this study were employees of firms that implemented GSCM in Thailand. Our structural model was analysed using partial least squares structural equation model (PLS-SEM). The results revealed that only social and operating performance mediated the impact of four different GSCM practices on employee engagement and organizational commitment, including environmental education, green marketing and green warehousing and distribution which have positive effects, and green manufacturing which has a negative effect on firm performance. Though these four GSCM practices are reported to have a significant influence on environmental and marketing performance, these two aspects of performance failed to mediate the relationship of these practices with employee engagement and organizational commitment. The results suggest that in order to enhance employee engagement and organizational commitment, firms should invest more in GSCM practice drivers of social and operating performance. These include environmental education, green marketing and green warehousing and distribution. Thus, we explained more clearly the mechanisms under which GSCM practices influence employee engagement and organizational commitment.
Assembling sustainability reporting in Singapore
Authors: Tan Gordon Kuo Siong
Published: June 2021

Sustainability reporting has seen increased adoption as more businesses are recognizing wider societal and environmental obligations outside of traditional shareholder commitments. Several jurisdictions such as Malaysia and Hong Kong have passed regulations to encourage or mandate sustainability reporting. Likewise, Singapore has instituted mandatory sustainability reporting for all listed companies since 2016. The development of sustainability reporting in Singapore is explored using material from government agencies, company sustainability reports, conference speeches and newspaper articles. Viewing sustainability reporting as a socio-material assemblage of heterogeneous actors, discursive practices and other policy artefacts, local corporate sustainability initiatives are framed heavily in business logics such as the ‘triple bottom line’, while being anchored to broader national sustainability campaigns and commitments under international agreements. Such an economistic framing may limit the effectiveness of efforts to drive genuine changes in corporate sustainability, as companies may merely engage in a ‘checkbox ticking’ exercise to fulfil regulatory obligations. This paper highlights the multisited nature of policymaking and the tensions that may arise in a top-down approach to implementation.
Employment Patterns of SSI-First Awardees Who Enter SSDI After Achieving Disability-Insured Status
Authors: Laird Jessica , Ben-Shalom Yonatan , Anand Priyanka
Published: June 2021

This article uses administrative data from the Social Security Administration to explore the employment patterns and characteristics of individuals awarded Supplemental Security Income (SSI) benefits between 2001 and 2009 who later became disability insured and qualified for Social Security Disability Insurance (SSDI). While these individuals are a small portion of all SSI and SSDI beneficiaries, they are particularly interesting because they demonstrate a desire and ability to work despite the health conditions that make them eligible for disability benefits. On average, 2.3% of SSI-first awardees enter SSDI after they become disability insured within 5 years of their SSI award. These SSI awardees are younger than other SSI awardees and are more likely to achieve work-related milestones during the 5 years after SSI award. Although awardees in this group show signs of an ability to work, they gradually start dropping out of the labor force starting 5 months before SSDI benefits begin and drop out in greater numbers through the first year of SSDI benefits. This suggests that some of them may work enough to achieve disability-insured status but stop when they enter SSDI.
Photometric Evaluation of Adult Patients With Bilateral Cleft Lip and Palate Treated With Nasoalveolar Molding and Primary Columella Lengthening
Authors: Meazzini Maria Costanza , Parravicini Francesca , Donati Vera , Brusati Roberto , Biglioli Federico , Autelitano Luca
Published: June 2021

A short columella and a flattened nasal tip are the characteristic stigmata of patients with complete bilateral cleft lip and palate (BCLP).

Objective:

The aim of this study was to assess the nasal shape of young adults with BCLP treated with primary surgical columella lengthening and nasoalveolar molding (NAM).

Setting and Patients:

A group of 28 young adult patients with BCLP (mean age: 19.1±1.4 years) was compared through normalized photogrammetry to a control of 28 age- and sex-matched noncleft young adults.

Results:

Nasal protrusion and length of the columella were not different from noncleft young adults. On the other hand, nasolabial angle, columellar width, interalar, and nasal tip width were significantly wider than the noncleft controls. Thus, 27% of the patients have requested at this time secondary correction of the excessive nasal width.

Conclusions:

Both NAM and primary rhinoplasty in patients with BCLP resulted in a near normal length of the columella and nasal projection until young adulthood. Nevertheless, width of all nasal features was significantly wider than the noncleft population and required secondary nasal correction in one-third of the sample.
Determination of Ethnic Variation in Infant Nasolabial Anthropometry Using 3D Photographs: Implications for Bilateral Cleft Lip Nasal Correction
Authors: Jodeh Diana S. , Ross Jacqueline M. , Leszczynska Maria , Qamar Fatima , Dawkins Rachel L. , Cray James J. , Rottgers S. Alex
Published: June 2021

Objective:

We aimed to assess significant ethnic variabilities in infants’ nasolabial anthropometry to motivate variations in surgical correction of a synchronous bilateral cleft lip/nasal anomaly, specifically whether a long columella is a European feature, therefore accepting a short columella and/or delayed columellar lengthening suitable for reconstruction in ethnic patients.

Methods:

Thirty-three infants without craniofacial pathology (10 African American [AA], 7 Hispanic [H], and 16 of European descent [C]), ages 3 to 8 months, presenting to the Johns Hopkins All Children’s general pediatric clinic were recruited. Four separate 3D photographs (2 submental and frontal views each) were taken using the Vectra H1 handheld camera (Canfield Imaging). Eighteen linear facial distances were measured using Mirror 3D analysis (Canfield Imaging Systems). Difference between ethnicities was measured using analysis of variance with the Bonferroni/Dunn post hoc comparisons. Pearson correlation was employed for interrater reliability. All statistical analyses were carried out using SPSS version 21.0 (IBM Corp), with statistical significance set at P < .05.

Results:

Nasal projection (sn-prn) and columella length (sn-c) did not differ significantly between groups ( P = .9). Significant differences were seen between ethnic groups in nasal width (sbal-sbal [C-AA; P = .02]; ac-ac [C-AA; P = .00; H-AA; P = .04]; al-al [C-AA; P = .00; H-AA; P = .001]) and labial length (sn-ls [C-AA; P = .041]; sn-sto [C-AA; P = .005]; Cphs-Cphi L [C-AA; P = .013]; Cphs-Cphi R [C-AA; P = .015]). Interrater reliability was good to excellent and significantly correlated for all measures.

Conclusions:

African American infants exhibited wider noses and longer lips. No difference was noted in nasal projection or columella length, indicating that these structures should be corrected during the primary cleft lip and nasal repair for all patients and should not be deferred to secondary correction.
Seeing Red and Blue: Political Discrimination at Work
Authors: Thompson Lemaro R.
Published: June 2021

Workplace political discrimination is a problem that warrants scholarly attention. Recent scholarship has shown that partisans are willing to discriminate against opposing partisans in apolitical settings such as the workplace. Moreover, many countries have no legal protection against political discrimination and social norms often exacerbate it. Like other forms of discrimination, political discrimination in the workplace furthers inequality and likely results in similar negative outcomes: health problems, violence, turnover, and reduced productivity. This article calls for scholars to explore and investigate this phenomenon in the workplace.
Impact of Weight-Band Dosing of Tinzaparin for Venous Thromboembolism Prophylaxis on Persistent Wound Drainage in Adult Patients Undergoing Hip and Knee Arthroplasty
Authors: Cooper Cassandra , Antle Ouida , Lowerison Jennifer , Dersch-Mills Deonne , Kenny Ashley
Published: June 2021

Background:

Persistent wound drainage and venous thromboembolism (VTE) are potential complications of total joint arthroplasty, and these risks can be challenging to balance in clinical practice. Anecdotal observation has suggested that following joint arthroplasty, persistent wound drainage occurs more frequently with higher body weight and higher doses of tinzaparin when compared with lower body weight and lower doses of tinzaparin.

Objective:

The overall purpose of this study was to describe the impact of a tinzaparin weight-band dosing table for VTE prophylaxis on wound healing, thrombosis, and bleeding outcomes in patients undergoing total joint arthroplasty.

Methods:

This retrospective chart review included patients who underwent total hip or knee arthroplasty and received tinzaparin for thromboprophylaxis per their weight-banding category. The primary outcome was the incidence of persistent wound drainage. Secondary outcomes include the occurrence of VTE and clinically important bleeding during hospital admission.

Results:

A total of 231 patients were included in the analysis. There was no significant difference in persistent wound drainage between the 3 weight categories, and there were no differences in rates of VTE or clinically important bleeding. Concurrent use of low-dose acetylsalicylic acid was associated with a 3-fold increased risk of persistent wound drainage (risk ratio = 3.35; 95% CI = 2.14-5.24; P = 0.00003).

Conclusion and Relevance:

In joint arthroplasty patients, we observed no significant difference in rates of persistent wound drainage between various weight categories receiving different weight-banded doses of tinzaparin. Our results do not suggest that the current weight-band dosing table for tinzaparin needs to be adjusted to optimize patient outcomes.
What Are Friends for in Russia Versus Canada?: An Approach for Documenting Cross-Cultural Differences
Authors: Doucerain Marina M. , Ryder Andrew G. , Amiot Catherine E.
Published: June 2021

Most research on friendship has been grounded in Western cultural worlds, a bias that needs to be addressed. To that end, we propose a methodological roadmap to translate linguistic/anthropological work into quantitative psychological cross-cultural investigations of friendship, and showcase its implementation in Russia and Canada. Adopting an intersubjective perspective on culture, we assessed cultural models of friendship in three inter-related ways: by (1) deriving people’s mental maps of close interpersonal relationships; (2) examining the factor structure of friendship; and (3) predicting cultural group membership from a given person’s friendship model. Two studies of Russians (Study 1, n = 89; Study 2a, n = 195; Study 2b, n = 232) and Canadians (Study 1, n = 89; Study 2a, n = 164; Study 2b, n = 199) implemented this approach. The notions of trust and help in adversity emerged as defining features of friendship in Russia but were less clearly present in Canada. Different friendship models seem to be prevalent in these two cultural worlds. The roadmap described in the current research documents these varying intersubjective representations, showcasing an approach that is portable across contexts (rather than limited to a specific cross-cultural contrast) and relies on well-established methods (i.e., easily accessible in many research contexts).
Staged Management of Severely Displaced Calcaneal Fractures With Transarticular Pinning: A Damage Control Strategy
Authors: Park Kyeong-Hyeon , Oh Chang-Wug , Kim Joon-Woo , Kim Hee-June , Kim Dong-Hyun , Kim Tae-Seong
Published: June 2021

Background:

Severely displaced calcaneal fractures can result in considerable morphology derangement and may be accompanied by soft tissue compromise. Delayed operative restoration of the calcaneal morphology may result in acute retensioning of the damaged soft tissue with associated wound-related complications. In this study, we describe a staged treatment of displaced intra-articular calcaneal fractures that uses temporary transarticular Kirschner wire (K-wire) fixation and staged conversion to definite fixation.

Methods:

We identified all of the patients who were treated at our institution for calcaneal fractures between 2015 and 2019. A total of 17 patients with 20 calcaneal fractures were selectively treated with 2-stage management. Temporary transarticular K-wire fixation was performed 24 hours after the injury to restore calcaneal morphology and the surrounding soft tissue. After the soft tissue was considered safe, delayed open reduction and internal fixation was performed. The time to definite surgery, radiographic alignment, wound complications, time to radiographic union, and hindfoot American Orthopaedic Foot & Ankle Society (AOFAS) scores were recorded.

Results:

The average follow-up period was 17 months (range, 12-43). The average Böhler angle increased from a mean of −22 degrees (range, −109 to 25) to 25 degrees (range, 0 to 47) after temporary transarticular K-wire fixation. The mean time from temporary pinning to conversion to definite internal fixation was 20 (range, 10-32) days. There were no immediate postoperative complications. The average time to radiographic union was 13.7 (range, 10-16) weeks. The mean AOFAS score was 87 (range, 55-100). No infections or wound complications were reported during the follow-up period.

Conclusion:

Temporary transarticular pinning for staged calcaneal fracture treatment is safe and effective in restoring the calcaneal morphology. This novel and relatively simple method may facilitate delayed operation and decrease wound-related complications.

Level of Evidence:

Level IV, retrospective case series.
A semi-active shunted piezoelectric tuned mass damper for robust vibration control
Authors: Chatziathanasiou Grigorios M , Chrysochoidis Nikolaos A , Saravanos Dimitris A
Published: June 2021

Tuned mass dampers are well-known devices for efficient reduction of structural vibrations; however, they can only control the vibration of a single mode in a narrow frequency range and are not easily retunable. This article presents a semi-active tuned mass damper, consisting of a piezoelectric device connected to an external resistive–inductive electric circuit, which enables multi-modal vibration control, is highly tunable, and introduces high damping. The dynamics of the coupled electromechanical system, which includes the primary and auxiliary masses, the piezoelectric device, and the shunt circuit, are analyzed and the effect of the resistance and inductance is investigated. An experimental prototype using a specialty piezoelectric device is fabricated and tested. The experimental measurements greatly agree with the analytical results, validating the strong electromechanical coupling and the enhanced vibration suppression capabilities of the proposed damper. Moreover, the variation of inductive impedance demonstrates substantial semi-active broadband multi-modal vibration control potential, by introducing an additional highly tunable electromechanical resonant oscillator in the system dynamics, and also by enabling the enhancement of coupling and energy dissipation on targeted modal frequencies.
Portrayal of Domestic Violence Trajectories During the Perinatal Period
Authors: Lévesque Sylvie , Boulebsol Carole , Lessard Geneviève , Bigaouette Mylene , Fernet Mylene , Valderrama Alena
Published: June 2021

Domestic violence during the perinatal period (DVPP) refers to the various ways that women’s partners or ex-partners control and coerce them during pregnancy and the 2 years postpartum. From the descriptions of 17 women with firsthand experience of DVPP, this article reports on its manifestations and the associated contexts. The results reveal escalating violence, diverse forms of violence, and exacerbated consequences over the perinatal period. The contexts that pose additional challenges for the women include financial precariousness and the partner’s substance abuse, and to a lesser extent the residential situation.
Protecting Manhood: Race, Class, and Masculinity in Men’s Attraction to Guns and Aggression
Authors: Scaptura Maria N. , Boyle Kaitlin M.
Published: June 2021

Using an original self-report survey of 18- to 30-year-old men, this study aims to understand gendered processes underlying men’s attitudes toward guns and aggressive behavior through two types of threats. We find that acceptance threat, a threat to an individual man’s sense of masculinity, and status threat, the belief that societal changes disadvantage men as a group, are positively associated with both men’s attraction to guns and their aggressive reactions to perceived disrespect. The effect of acceptance threat is amplified when a strong sense of status threat is also present, including attraction to guns and aggressive reaction to disrespect. These patterns are more pronounced among economically advantaged white men due to their precarious position in the race, class, and gender hierarchies. The racial and classed intersections amplify beliefs of status and acceptance threat for white men, channeling these threats into aggression and attraction to guns. We discuss how men’s economic and racial locations shape their responses to threats, and ultimately the consequences for men’s violence.
Evaluation of Inpatient Experience at Some Clinical Departments of Kien Giang General Hospital, Kien Giang Province, Vietnam, 2020: An Analytical Cross-Sectional Study
Authors: Vo Phuoc Thao Nguyen , Tran Anh Tuan , Nguyen Hoat Van , Hoang Minh Van
Published: June 2021

Patient experience is being widely considered in evaluating the quality of health care services. This is a cross-sectional study with 860 inpatients hospitalized in 4 clinical departments (General Internal Medicine; Cardiology; General Surgery; Surgery, and Orthopedic Trauma) of the Kien Giang General Hospital, from April to June 2020. Data was collected through a two-part questionnaire used to evaluate the inpatient experience during hospital treatment, using the Likert scale 5 points. The patient’s experience is classified into 3 aspects (environment—facilities, healthcare staff's care, treatment information). In total, 815 participants responded to the interview (94.8%). The rates of patients having a positive experience on the environment and facilities, the care of health workers, and treatment information are 31.7%, 85.9%, and 74.2%, respectively. The patient’s positive overall experience rate is 65.5%. Factors related to the patient's overall experience are the department of treatment, residential area, age, and employment status ( P < .05). Overall, the positive experience of inpatients at some clinical departments of Kien Giang General Hospital was a relatively low rate (65.5%). Specifically, healthcare staff's care is experienced at a high rate, this factor should be continuously promoted. Improving and upgrading factors in the aspects of the environment—facilities and the treatment information should be implemented if the hospital wants to improve its quality of healthcare services.
Factors that Determine Comprehensive Categorical Classification of EHR Implementation Levels
Authors: Upadhyay Soumya , Opoku-Agyeman William
Published: June 2021

Electronic Health Records (EHRs) have the potential to alleviate patient safety mistakes. Of the various levels of EHR, advanced or higher-level functionalities of EHR are designed to improve patient safety. Certain organizational and environmental factors may pose as barriers toward implementing all of the functionalities, leaving certain hospitals intermediate between basic and comprehensive levels of implementation. This study identifies a comprehensive categorical classification that includes hospitals that have functionalities between basic and comprehensive levels of EHR and determines the organizational and environmental factors that may influence hospitals to implement one or more combinations of these categories. A longitudinal panel design was used. Ordinal logistic regression with random effects model was fitted with robust cluster standard errors. Our sample consisted of non-federal general acute care hospitals utilizing a panel design from 2010 to 2016 with 17 586 hospital-year observations (or an average of 2600 hospitals per year). Larger size hospitals, ones with higher total margin, metropolitan and urban hospitals, system affiliated hospitals, and those in higher managed care penetration areas have higher odds of belonging in one of the higher categories of EHR implementation. Hospitals that can access a greater amount of human resources and financial assets from their environments, may implement higher levels of EHR. Initial and maintenance costs of EHR, interoperability issues, and inability to distribute high costs of training across facilities may stymie implementation of higher EHR functionalities. Policymaking to encourage competition among vendors may possibly lower the implementation price for hospitals with limited resources.
Characterization of multiple sclerosis neuroinflammation and neurodegeneration with relaxation and diffusion basis spectrum imaging
Authors: Vavasour Irene M , Sun Peng , Graf Carina , Yik Jackie T , Kolind Shannon H , Li David KB , Tam Roger , Sayao Ana-Luiza , Schabas Alice , Devonshire Virginia , Carruthers Robert , Traboulsee Anthony , Moore GR Wayne , Song Sheng-Kwei , Laule Cornelia
Published: June 2021

Background:

Advanced magnetic resonance imaging (MRI) methods can provide more specific information about various microstructural tissue changes in multiple sclerosis (MS) brain. Quantitative measurement of T1 and T2 relaxation, and diffusion basis spectrum imaging (DBSI) yield metrics related to the pathology of neuroinflammation and neurodegeneration that occurs across the spectrum of MS.

Objective:

To use relaxation and DBSI MRI metrics to describe measures of neuroinflammation, myelin and axons in different MS subtypes.

Methods:

103 participants (20 clinically isolated syndrome (CIS), 33 relapsing-remitting MS (RRMS), 30 secondary progressive MS and 20 primary progressive MS) underwent quantitative T1, T2, DBSI and conventional 3T MRI. Whole brain, normal-appearing white matter, lesion and corpus callosum MRI metrics were compared across MS subtypes.

Results:

A gradation of MRI metric values was seen from CIS to RRMS to progressive MS. RRMS demonstrated large oedema-related differences, while progressive MS had the most extensive abnormalities in myelin and axonal measures.

Conclusion:

Relaxation and DBSI-derived MRI measures show differences between MS subtypes related to the severity and composition of underlying tissue damage. RRMS showed oedema, demyelination and axonal loss compared with CIS. Progressive MS had even more evidence of increased oedema, demyelination and axonal loss compared with CIS and RRMS.
Pregnancy in multiple sclerosis women with relapses in the year before conception increases the risk of long-term disability worsening
Authors: Portaccio Emilio , Tudisco Laura , Pastò Luisa , Razzolini Lorenzo , Fonderico Mattia , Bellinvia Angelo , Ghezzi Angelo , Annovazzi Pietro , Zaffaroni Mauro , Moiola Lucia , Martinelli Vittorio , Chisari Clara Grazia , Patti Francesco , Mancardi Gianluigi , Pozzilli Carlo , De Giglio Laura , Totaro Rocco , Lugaresi Alessandra , Di Tommaso Valeria , Paolicelli Damiano , Cocco Eleonora , Marrosu Maria Giovanna , Comi Giancarlo , Filippi Massimo , Trojano Maria , Amato Maria Pia , Guaschino Clara , Protti Alessandra , Spreafico Chiara , Marazzi Raffaella , Cavalla Paola , Bergamaschi Roberto , Solaro Claudio , Caniatti Luisa Maria , Tola Maria Rosaria , Granella Franco , Immovilli Paolo , Annunziata Pasquale , Plewnia Katrin , Bartolozzi Maria Letizia , Guidi Leonello , Mazzoni Monica , De Luca Giovanna , Musu Luigina , Fermo Salvatore Lo
Published: June 2021

Background:

The influence of pregnancy on long-term disability in multiple sclerosis (MS) is still controversial.

Objective:

To assess the risk of long-term disability worsening after pregnancy in MS women as compared with a propensity-score (PS) matched group of MS women without pregnancy.

Methods:

In the setting of the Italian Pregnancy Dataset, MS patients with (pregnancy group (PG)) and without pregnancy (control group (CG)) were recruited. Time to disability worsening on the Expanded Disability Status Scale (EDSS) was assessed through a multivariable Cox regression model.

Results:

The PS-matching retained 230 PG and 102 CG patients. After a follow-up of 6.5 +/- 3.1 years, disability worsening occurred in 87 (26.2%) women. In the multivariable analysis, disability worsening was associated with pregnancy in women with relapses in the year before conception (adjusted hazard ratio (aHR) = 1.74; 95% confidence interval (CI) 1.06–2.84; p = 0.027), higher EDSS (aHR = 1.39; 95% CI 1.12–1.74; p = 0.003), younger age (aHR = 0.95; 95% CI 0.91–0.99; p = 0.022) and shorter DMD exposure over the follow-up ( p < 0.008).

Conclusion:

Pregnancy in MS women with relapses in the year before conception increases the risk of long-term disability worsening. Our findings underscore the importance of counselling in MS women facing a pregnancy that should be planned after a period of clinical stability, favouring treatment optimization in patients with recent disease activity.
Populist party’s challenge to democracy: Institutional capture, performance and religion
Authors: Tepe Sultan
Published: June 2021

Studies of populist parties typically focus either on discourse, policies, or institutional captures (e.g., constitutional reforms). Yet the analysis of each in isolation risks thwarting our understanding of populists’ electoral success. Discursive practices and institutional captures of populist parties are not separate processes but their successes depend on each other. The resiliency of populist parties relies not only on overt but also insidious captures. Silent, gradual captures become effective through populist performances, deployment of excluded discourses and the extension of benefits to marginalized groups. Analysis of the recent transformation of Turkey’s oldest locally elected representative institution, mukhtars, illustrates how populist policies turn nonpartisan institutions into partisan ones through insidious captures and deployment of religious discourse. While empowering some groups, expanding political discourse and access to the state, such practices also limit nonpartisan representation, and turn political questions into normative issues, exacerbating the ongoing polarization and authoritarian control of ruling parties.
Businessperson Deputies and Party Cohesion: Evidence from the Russian State Duma
Authors: Dasanaike Noah
Published: June 2021

Previous explorations of Russia’s mixed electoral system uncovered conflicting results on party discipline in legislative voting. The effect in recent convocations is modest, with single-member district deputies expressing slightly less factional loyalty than those elected under proportional representation. However, factors other than electoral mandate may also affect party cohesion. In particular, a definitive connection exists between holding public office in Russia and the opportunity to maximize personal profit-seeking. Using individual-level reading voting data on budgetary bills from the 7th State Duma, I examine how the profit-seeking behavior of deputies who previously held business positions at the executive level influences party cohesion. I find significant evidence that deputies with previous executive business positions defect from their party more frequently than those without. The effect is marginally greater for deputies elected from single-member districts rather than the party-list. These findings have greater implications for party cohesion and the involvement of businesspeople in national legislatures.
Death and the form of life
Authors: Bowring Finn
Published: June 2021

This article explores the relevance of death to the value of life. After a preliminary discussion of the human experience of mortality, I consider Heidegger’s argument that death is a condition of authenticity, Sartre’s claim that death is an externality that is irrelevant because it cannot be lived and Simmel’s theory that death is a boundary that is transcended by life. While all theories have their merits, I suggest that Simmel’s approach, which articulates well with Levinas’s ethical critique of Heidegger, offers important insight into our responsibility for other people and for the survival of other forms of life.
Response modification factors for dual moment-resisting frames with vertical links: Multilevel approach
Authors: Mohsenian Vahid , Gharaei-Moghaddam Nima , Hajirasouliha Iman
Published: June 2021

Despite the growing applications of the performance-based design concepts for seismic design of structures, the response modification factors for structural systems proposed by the current design codes and standards do not generally consider different hazard and performance levels. Therefore, these factors are not directly applicable for performance-based design purposes. As a step to address this shortcoming, the present study aims to propose multilevel response modification factors for multistory dual moment-resisting frames equipped with eccentric braces and vertical links corresponding to different seismicity levels and performance targets. The concept of demand and capacity response modification factors is introduced, and these parameters are calculated for moment-resisting frame structures with 3-, 5-, and 7-stories before and after the addition of vertical steel shear links. It is shown that the calculated capacity response modification factors for the dual frames equipped with vertical links are generally higher than the demand response modification factors proposed by the design code for such systems under the design basis earthquake hazard level. This indicates the efficiency of the eccentric braces with the vertical links in improving the seismic reliability and performance of the moment-resisting steel frames. Based on the results of this study, the demand response modification factor for the studied dual lateral load-resisting system is calculated to be in the range of 7–10.
Experimental and analytical investigations on flexural behavior of bamboo beams strengthened with steel bars
Authors: Zhao Kang , Wei Yang , Yan Shaocong , Chen Si , Dong Fenghui
Published: June 2021

The embedding of steel bars is proposed to enhance the load-bearing performance of bamboo beams. Based on laboratory tests, the bending behavior of bamboo beams reinforced with steel bars or prestressed steel bars was analyzed using finite element software. Comparing the finite element simulation results with those measured in tests, it can be found that the load–displacement curves coincide with each other, and the strain development processes in the mid-span are basically the same. The prediction by the finite element simulation has good accuracy. The embedding of steel bars and prestressed steel bars can effectively improve the ultimate bearing capacity (up to 27.0%), bending stiffness at the serviceability limit state (up to 42.61%), ductility (up to 22.9%), and material utilization efficiency (up to 34.1%) for the bamboo beams. The embedding of steel bars makes the bamboo in the compression zone of the beams develop with higher efficiency, and applying the prestress for steel bars can produce reverse bending deformation and reduce the actual deflection for the reinforced bamboo beam under service load. Under the same reinforcement ratio, the prestress level has a relatively small influence on the ultimate bearing capacity (up to 4.5%) and stiffness (up to 4.5%) of the reinforced beam.
Student voices that resonate – Constructing composite narratives that represent students’ classroom experiences
Authors: Johnston Olivia , Wildy Helen , Shand Jennifer
Published: June 2021

Words and stories have the power to resonate with people. Composite narratives can be constructed using multiple participant accounts, representing their experiences while also capturing the properties and categories of qualitative research findings. The ability of composite narratives to represent the multiple facets of theory construction through a singular narrative point-of-view is unique and provides a concise and credible method to present research findings. This paper explains how composite narratives can be constructed to present the research data that findings are built upon through an illustrative example of the process. The example of a composite narrative presented in this article is one of a larger set from a grounded theory study about a substantive group of Australian students’ experiences of their interactions in the classroom that communicate their teachers’ expectations of them. Narratives have the power to affect change in society by enhancing the transferability of research findings, presenting research findings with impact because they are engaging and memorable for readers. Qualitative researchers who are interested in composing composite narratives to reflect multiple participants’ different experiences, through interview data, will benefit from the justification and example of the technique, which provides a model for future research.
Nurse Practitioner Students’ Perceptions on Delivering Culturally Congruent Care to Vulnerable Mexican Immigrants: A Qualitative Study
Authors: Eanes Linda S. , Huerta Carolina , Fuentes Lilia Azeneth , Bautista Beatriz
Published: June 2021

Increasingly, nurse practitioners serve as vanguards in providing primary health care to vulnerable Mexican immigrants. The aims of this study were to explore the lived experiences of nurse practitioner students in caring for Mexican immigrant patients and to capture their meaning of cultural influences deemed essential to the delivery of culturally congruent care. An exploratory descriptive design was employed. Purposive sampling was used to select 17 nurse practitioner students who volunteered to complete a semistructured face-to-face audio-taped interview and follow-up focus group discussion. Constant comparison was utilized to analyze data. From this process, four distinct themes emerged: Culturally congruent care extends beyond race and ethnicity, understands the importance of therapeutic communication, accepts complementary and alternative medical modalities, and recognizes the importance of eating patterns, food choices, and perceptions of ideal weight and health. These findings build on our understanding of key evidence–based cultural beliefs and practices that are important in delivering culturally congruent care to this subgroup.
Critical Evolutions in the Peacebuilding-Development Praxis Nexus: Crisis and Complexity, Synergy and Transformation
Authors: McCandless Erin
Published: June 2021

Over the last 2 decades, the peacebuilding and development nexus has grown as a critical area of scholarship and practise. At the same time, the conflict landscape has evolved in complexity, incorporating fragility, violence, and humanitarian crisis, presenting ever greater challenges for analysis, framing, and effective policy and practise responses. This article reflects on the paradigmatic shifts in this nexus as introduced by scholar Peter Uvin in 2002. It explores the ways in which they are still in play, adaptations in response to contextual developments, and new paradigms that are rising as they more meaningfully diagnose and offer responses to our complex, inter-related crises. The article argues that the complexity facing our fields demands inter-paradigm learning, pluralism, and synergy, and the political will to adapt and act in accordance with the transformative measures required to tackle the structural and systemic nature of these crises.