bluuebunny/crossref_metadata_2025 huggingface dataset:
Challenging leisure activities and mental health: are they more beneficial for some people than for others?
Authors: Santini Ziggi Ivan , Koushede Vibeke , Hinrichsen Carsten , Nelausen Malene Kubstrup , Madsen Katrine Rich , Meilstrup Charlotte , Koyanagi Ai , Nielsen Line
Published: August 2021

Purpose

Previous studies have shown a positive association between being engaged or challenged through a leisure activity and good mental health; however, this relationship may vary by the extent to which individuals feel challenged at work or school. This study aims to examine whether a challenging work/study (or the lack of it) moderates the relationship between engaging in challenging leisure activity and mental health.

Design/methodology/approach

Data from 2,406 adults 16–64 years old from The Danish Mental Health and Well-Being Survey 2016 were linked to Danish national register-based data. Mental well-being (outcome) was assessed using the Warwick-Edinburgh Mental Well-being Scale and depression/anxiety symptoms (outcome) were assessed using the Patient Health Questionnaire-4. Multivariable linear regressions were performed to estimate the association between challenging leisure activity (predictor) and challenging work/study (potential moderator).

Findings

Overall, engaging in a challenging leisure activity was positively associated with mental well-being and negatively associated with anxiety symptoms. For these two, a challenging work/study significantly moderated the relationships. The positive association between a challenging activity and mental well-being was strongest among individuals not employed or studying as well as individuals feeling less challenged at work/school. Similarly, the negative association between a challenging activity and anxiety symptoms was strongest among individuals not employed or studying as well as individuals feeling less challenged at work/school. Among individuals with a very challenging work/study, challenging leisure activity was not associated with anxiety symptoms. Finally, engaging in a challenging leisure activity did not significantly predict depression symptoms.

Originality/value

Mental health promotion strategies may focus on promoting challenging leisure activities especially among groups not employed or enrolled in education or among individuals that do not feel challenged through their work or studies. The results may further have implications for efforts to address and protect employee/student mental health at workplaces or schools.
Cross-sectional associations of dietary patterns with health status and smoking-related knowledge, attitudes and practices (KAP) among Bangladeshi adolescent smokers
Authors: Shuvo Suvasish Das , Ali Md. Eunus , Rahman Md. Masudur , Taher Abu , Asaduzzaman Md , Elahi Md. Toufiq , Zahid Md. Ashrafuzzaman , Paul Dipak Kumar , Roy Deepa
Published: August 2021

Purpose

This study aims to evaluate the association between dietary patterns with health status and smoking-related knowledge, attitudes and practices (s-KAP) among Bangladeshi adolescent smokers.

Design/methodology/approach

An analytical cross-sectional study was conducted among 205 randomly selected adolescents. Socio-demographic, health status, s-KAP related data were collected in face-to-face interviews. Dietary intake data were calculated using the food frequency questionnaire.

Findings

The practices score (44.8%) was comparatively poor among adolescent smokers. Among the respondents, around 56.1%, 38.1% and 49.3% were suffering from gastric problems, nausea and the loss of appetite, respectively, because of smoking. There was a significant relationship between dietary diversity and the occurrence of several diseases such as gastric problems, nausea and loss of appetite. The respondents who consumed fresh fruits and vegetables regularly might reduce gastric problems (OR: 0.53, 95% CI: 0.27–1.04 and OR: 0.64, 95% CI: 0.25–1.65), nausea (OR: 0.72, 95% CI: 0.38–1.37 and OR: 0.28, 95% CI: 0.13–0.84) and loss of appetite (OR: 0.52, 95% CI: 0.32–1.21 and OR: 0.16 95% CI: 0.27–0.68).

Originality/value

In conclusion, smoking has been associated with multiple health problems because of poor practices score. Consumption of a balanced diet, better smoking-related knowledge, attitudes and practices needs to be improved among adolescents.
The pathway to marketplace insight: structuring the analysis context
Authors: Fahey Liam
Published: August 2021

Purpose

By clearly mapping the pathway for managing the early stages of any marketplace analysis project, its definition, scope, framing, focus, perspective, context, imagination and data choices – the odds of generating important strategic insight can be greatly increased for executives as well as analysis teams.

Design/methodology/approach

A marketing analysis team should pay specific attention to how it organizes the analysis context’a process called “Structuring”.

Findings

A working definition of insight: new marketplace understanding that makes a difference to the organization’s thinking, decision making and action.

Practical/implications

10; Nothing constricts the insight structuring process as much as lack of imagination!

Originality/value

The choice of analysis scope, framing, focus, perspective or methods is a critical part of the marketplace analysis structuring process that increases the possibility of distinctly different strategic inferences emerging. The article is a much needed guide to mastering strategic insight for executives and marketplace analysts.
A five-step experience design ideation lesson for corporate leaders
Authors: Dulle Kevin M.
Published: August 2021

Purpose

The author offers a five-step “ERY method’ that expands the thinking around the core idea of a business” basic function and ideally translates it into an experience that is new and unique in the world.

Design/methodology/approach

Illustrates how experience designers use creative ideation as an effective method to help understand how to elevate an offering transaction to memorable customer experience.

Findings

The challenge for business is to avoid commoditization by producing engaging experiences that differentiate their offerings of services and goods.

Originality/value

Experience design has become a key skill for executives now that the competitive advantage and the economic value experiences create has become a critical success factor for corporations in many markets. This approach to ideation of experience design is unique.
Comparative analysis of customers’ awareness toward CSR practices of Islamic banks: Bahrain vs Saudi Arabia
Authors: Hidayat Sutan Emir , Rafiki Ahmad
Published: August 2021

Purpose

This study aims to analyze the level of customer awareness of Islamic Banks’ activities toward corporate social responsibility (CSR) in the Kingdoms of Bahrain and Saudi Arabia and test whether both groups have similarities or not. The outcome of this study determines the extent to which customer awareness regarding Islamic banking activities furthering the betterment of society and achieving socioeconomic goals beyond their financial objectives.

Design/methodology/approach

Quantitative methods are used in this study covering Islamic Banks in both the Kingdoms of Bahrain and Saudi Arabia; using a survey questionnaire distributed to a total of 150 customers in the Kingdom of Bahrain and 100 customers in the Kingdom of Saudi Arabia. The weighted means are calculated, and statistical tests are used, such as, Kruskal–Wallis H and independent sample tests, in analyzing the data.

Findings

The results of the survey reveal that the level of customer awareness is generally low in terms of the pursuit of corporate social responsibilities by the Islamic Banks. The significant statistical difference in the data gathered from the sample is highlighted when they are grouped according to their respective banks. It proves that the level of customer awareness varies considerably among the Islamic banks in the survey. It was also found that there is no significant difference between the two groups of Islamic banks’ customers in the two countries in terms of their awareness toward the CSR practices of the Islamic banks.

Originality/value

The findings of this study could be used to aid policymakers in the field of CSR of Islamic banks to formulate a more efficient set of CSR activities that are better aligned with the ultimate goal of achieving society’s betterment. This study may also facilitate Islamic banks in the region to set up strategies that highlight their CSR efforts and raise the awareness levels of their customers.
Evaluating ERP systems success: evidence from Jordanian firms in the age of the digital business
Authors: Al-Okaily Aws , Al-Okaily Manaf , Teoh Ai Ping
Published: August 2021

Purpose

This paper aims to propose a theoretical extension of the information system success model (ISSM) to evaluate enterprise resource planning (ERP) success at an organizational level in Jordan. It explores whether information quality, system quality and service quality have a positive impact on both perceived usefulness and user satisfaction as antecedents of organizational impact.

Design/methodology/approach

A questionnaire was undertaken to gather data from chief information officers among Jordanian firms, with a total of 134 valid returns tested via partial least squares structural equation modeling.

Findings

The results showed that most of the research hypotheses proposed are empirically supported, with the exception of the influence of service quality on user satisfaction which was extremely low.

Originality/value

To the best of the authors’ knowledge, this is the first empirical work that measured ERP success from an organizational perspective in Jordan. It also provides insight into how the factor of perceived usefulness is incorporated into ISSM in the mandatory system case and its influences on organizational benefits.
Gender Culture or Gender System? Family Gender Arrangements and Stay‐At‐Home Fathers in Late‐Twentieth‐Century Australia
Authors: Thomson Alistair
Published: August 2021

This article asks: what are the factors that encourage and enable, or require and force, some fathers to reduce employment and stay home with children? It draws upon a conceptual model which examines how ‘gender cultures’ and ‘gender systems’ shape ‘gender arrangements’ of work and family life. The article uses evidence from oral history interviews conducted with men who were stay‐at‐home fathers in late‐twentieth‐century Australia. It concludes that when Australian families negotiated decisions about who would stay home with young children, economic forces were usually more influential than gender ideals. Yet the oral history accounts also show what fathers, and their families, could gain when men took on a shared and central role in the care of their children.
The effect of data aggregation on estimations of nurse staffing and patient outcomes
Authors: Winter Shira G. , Bartel Ann P. , de Cordova Pamela B. , Needleman Jack , Schmitt Susan K. , Stone Patricia W. , Phibbs Ciaran S.
Published: August 2021

Objective

To examine how estimates of the association between nurse staffing and patient length of stay (LOS) change with data aggregation over varying time periods and settings, and statistical controls for unobserved heterogeneity.

Data Sources/Study Setting

Longitudinal secondary data from October 2002 to September 2006 for 215 intensive care units and 438 general acute care units at 143 facilities in the Veterans Affairs (VA) health care system.

Research Design

This retrospective observational study used unit‐level panel data to analyze the association between nurse staffing and LOS. This association was measured over both a month‐long and a year‐long period, with and without fixed effects.

Data Collection

We used VA administrative data to obtain patient data on the severity of illness and LOS, as well as labor hours and wages for each unit by month.

Principal Findings

Overall, shorter LOS was associated with higher nurse staffing hours and lower proportions of hours provided by licensed professional nurses (LPNs), unlicensed personnel, and contract staff. Estimates of the association between nurse staffing and LOS changed in magnitude when aggregating data over years instead of months, in different settings, and when controlling for unobserved heterogeneity.

Conclusions

Estimating the association between nurse staffing and LOS is contingent on the time period of analysis and specific methodology. In future studies, researchers should be aware of these differences when exploring nurse staffing and patient outcomes.
The influence of incidental detection of thyroid nodule on thyroid cancer risk and prognosis—A systematic review
Authors: Chooi Je Ern , Ravindiran Abiramie , Balasubramanian Saba P.
Published: August 2021

Background

Clinically inapparent thyroid nodules discovered serendipitously on imaging for nonthyroid indications are termed as thyroid incidentalomas. It is unclear whether these incidentalomas have a lower prevalence of malignancy or slower tumour progression compared to symptomatic nodules. The aims of this systematic review were to determine the impact of incidental detection of thyroid nodules on both the risk of malignancy and on prognosis in patients with thyroid cancer.

Method

PubMed and MEDLINE® on Web of Science databases were searched from inception to March 2020 for English language articles reporting on human studies of thyroid cancer risk and/or prognosis in incidental and nonincidental nodules.

Results

Eighteen observational studies published between 1998 and 2020 were eligible for analysis; four studies reported on risk, nine on prognosis and five studies reported on both risk and prognosis. When comparing the incidental and nonincidental groups in the risk study, the odds of incidental detection in the cancer and benign groups ranged from 0.16 to 0.5 and 0.06 to 0.38, respectively (odds ratio [OR] = 0.64–2.86) in case‐control studies (n = 6); the risk of malignancy for thyroid nodules ranged from 4% to 23.5% in the incidental and 3.8% to 28.7% in the nonincidental groups (relative risk = 0.13–6.27) in the cohort studies (n = 3). A meta‐analysis of the eligible case‐control studies (n = 3) showed a nonsignificant summated OR of 1.04 (95% confidence interval = 0.63–1.70; p = .88). In the prognosis study, five direct and thirteen indirect markers of prognosis were compared between the incidental and nonincidental groups. A meta‐analysis was not possible but incidentally detected thyroid cancer had better progression‐free and overall survival.

Conclusion

Current evidence suggests that investigation and management of thyroid nodules should not be influenced by the mode of detection.
Productivity dynamics in Japan and the negative exit effect
Authors: Ikeuchi Kenta , Kim YoungGak , Kwon Hyeog Ug , Fukao Kyoji
Published: August 2021

Previous studies on productivity dynamics in Japan have suggested that one of the reasons for sluggish productivity growth in the economy was that highly productive firms exit the market, giving rise to a negative exit effect. This study is the first using census data and a large‐scale micro data set to verify the negative exit effect in Japan. We conduct analyses of productivity dynamics using the micro data. The results show that there is indeed a negative exit effect in Japan and that this is driven mainly by the exit of a small number of highly productive firms.
Modeling Misretrieval and Feature Substitution in Agreement Attraction: A Computational Evaluation
Authors: Paape Dario , Avetisyan Serine , Lago Sol , Vasishth Shravan
Published: August 2021

We present computational modeling results based on a self‐paced reading study investigating number attraction effects in Eastern Armenian. We implement three novel computational models of agreement attraction in a Bayesian framework and compare their predictive fit to the data using k‐fold cross‐validation. We find that our data are better accounted for by an encoding‐based model of agreement attraction, compared to a retrieval‐based model. A novel methodological contribution of our study is the use of comprehension questions with open‐ended responses, so that both misinterpretation of the number feature of the subject phrase and misassignment of the thematic subject role of the verb can be investigated at the same time. We find evidence for both types of misinterpretation in our study, sometimes in the same trial. However, the specific error patterns in our data are not fully consistent with any previously proposed model.
988. NICOTIANA TRUNCATA
Authors: Chase Mark W. , Conran John G. , Christenhusz Maarten J. M.
Published: August 2021

Nicotiana truncata is illustrated from plants collected between Coober Pedy and Oodnadatta in South Australia and cultivated at the Royal Botanic Gardens, Kew. Its taxonomic history, ecology, cytology and cultivation are discussed.
993. NICOTIANA NOTHA
Authors: Chase Mark W. , Fay Michael F. , Nollet Felipe , Christenhusz Maarten J. M.
Published: August 2021

Plants collected in Towarri National Park in New South Wales were cultivated at the Royal Botanic Gardens, Kew. It is illustrated here and described as the new species, Nicotiana notha. Its origin, cytology, taxonomic history, ecology and cultivation are discussed.
Safety and efficacy of the endoscopic delivery of capsule endoscopes in adult and pediatric patients: Multicenter Japanese study (AdvanCE‐J study)
Authors: Ohmiya Naoki , Oka Shiro , Nakayama Yoshiko , Iwama Itaru , Nakamura Masanao , Shimizu Hirotaka , Sumioka Akihiko , Abe Naoki , Kudo Takahiro , Osawa Satoshi , Honma Hitoshi , Okuhira Takeru , Mtsufuji Shoji , Imaeda Hiroyuki , Ota Kazuhiro , Matsuoka Ryo , Hotta Naoki , Inoue Mikihiro , Nakaji Konosuke , Takamaru Hiroyuki , Ozeki Keiji , Kobayashi Taku , Hosoe Naoki , Tajiri Hisao , Tanaka Shinji
Published: August 2021

Background and Aim

We retrospectively determined the safety and efficacy of the endoscopic delivery (ED) of capsule endoscopes.

Methods

We enrolled 10,156 patients who underwent small bowel capsule endoscopy (SBCE), 3182 who underwent patency capsule (PC), and 1367 who underwent colon capsule endoscopy (CCE), at 11 gastroenterological and nine pediatric centers.

Results

Small bowel capsule endoscopies, PCs, and CCEs were endoscopically delivered to 546 (5.4%), 214 (6.7%), and 14 (1.0%) patients, respectively. Only mild complications occurred for 21.6% (167/774), including uneventful mucosal damage, bleeding, and abdominal pain. Successful ED of SBCE to the duodenum or jejunum occurred in 91.8% and 90.7% of patients aged <16 years and ≥16 years, respectively (P = 0.6661), but the total enteroscopy rate was higher in the first group (91.7%) than in the second (76.2%, P < 0.0001), for whom impossible ingestion (87.3%) was significantly more common than prolonged lodging in the stomach (64.2%, P = 0.0010). Successful PC and CCE delivery to the duodenum occurred in 84.1% and 28.6%, thereafter the patency confirmation rate and total colonoscopy rate was 100% and 61.5%, respectively. The height, weight, and age cutoff points in predicting spontaneous ingestion were 132 cm, 24.8 kg, and 9 years 2 months, respectively, in patients aged <16 years. Patients aged ≥16 years could not swallow the SBCEs mainly due to dysphagia (75.0%); those who retained it in the esophagus due to cardiac disease (28.6%), etc. and in the stomach due to diabetes mellitus (15.7%), etc.

Conclusions

This large‐scale study supports the safety and efficacy of ED in adult and pediatric patients. UMIN000042020.
Endoscopic submucosal dissection versus surgery in elderly patients with early gastric cancer of relative indication for endoscopic resection
Authors: Kishida Yoshihiro , Takizawa Kohei , Kakushima Naomi , Kawata Noboru , Yoshida Masao , Yabuuchi Yohei , Yamamoto Yoichi , Ito Sayo , Imai Kenichiro , Hotta Kinichi , Ishiwatari Hirotoshi , Matsubayashi Hiroyuki , Bando Etsuro , Terashima Masanori , Ono Hiroyuki
Published: August 2021

Objectives

Surgery is recommended for early gastric cancer (EGC) beyond the endoscopic resection (ER)‐indication for the risk of lymph node metastasis; however, ER may be chosen as a “relative ER‐indication” considering age and comorbidities. This study aimed to compare outcomes of endoscopic submucosal dissection (ESD) only and surgery (primary surgery and additional surgery after non‐curative ESD) among elderly patients with relative ER‐indication EGC and to further assess prognostic factors.

Methods

Outcomes of ESD and surgery (417 cases; 114 ESD, 303 surgery) in elderly patients (≥75 years) with relative ER‐indication EGC were retrospectively analyzed. Prognostic factors were also examined.

Results

During the observation period (median; ESD, 34 months; surgery, 61 months), 29% of ESD and 35% of surgery patients died, including 4% and 5% from gastric cancer (GC), respectively. ESD showed lower overall survival (OS) than surgery (P = 0.027) but comparable disease‐free survival (P = 0.916). OS‐associated factors were age and prognostic nutritional index (PNI) in males (age ≥79, hazard ratio [HR] 2.21, P = 0.001; PNI <45, HR 2.06, P = 0.031) and age in females (age ≥82, HR 4.06, P = 0.004). Treatment was not a prognostic factor in either subgroup. Pathological category ≥pT1b2 (submucosal invasion ≥500 µm) and lymphovascular invasion (LVI) were significantly associated with GC death (mortality: ≥pT1b2, 7.7%, P = 0.002; LVI, 10.1%, P < 0.001).

Conclusions

In elderly patients with relative ER‐indication EGC, ESD may have comparable long‐term efficacy to surgery, and treatment selection had a minor contribution to OS. For patients with poor preoperative prognostic factors, diagnostic ESD may be performed first, followed by additional surgery based on pathological results.
Fibroblast growth factor 23 is associated with risk of intracerebral hemorrhage
Authors: Svensson Edith H. , Söderholm Martin
Published: August 2021

Background and purpose

Fibroblast growth factor 23 (FGF23) is an osteogenic hormone associated with chronic kidney disease and is an emerging risk factor for several cardiovascular diseases. The association of FGF23 with stroke is unclear. The aim of this study was to investigate the association of FGF23 with incident intracerebral hemorrhage (ICH).

Methods

This was a nested case–control study of 220 ICH cases and 244 age‐ and sex‐matched controls from the population‐based Malmö Diet and Cancer Study (n = 28,449). Incident ICH cases were ascertained using national registers and classified by bleeding location. Logistic regression was used to study the association of plasma levels of FGF23 with incident ICH, adjusting for potential ICH risk factors. Subgroup analyses were performed for lobar and non‐lobar ICH, fatal ICH, ICH with large volume and ICH with poor functional outcome, respectively.

Results

Higher FGF23 levels at baseline were significantly associated with incident ICH. After multivariable adjustment, the odds ratio for the association with all ICH was 1.84 (95% confidence interval [CI] 1.25–2.71, p = 0.002) per doubling of FGF23 concentration. For lobar and non‐lobar ICH, odds ratios were 1.73 (95% CI 1.04–2.87, p = 0.035) and 2.13 (95% CI 1.32–3.45, p = 0.002), respectively. FGF23 was also significantly associated with fatal ICH, ICH with large volume and ICH with poor functional outcome.

Conclusions

Higher FGF23 was associated with incident ICH in this nested case–control study. Further studies are required to explore whether the association is causal.
Closed reduction and surgical fixation of elbow joint luxation in an adult mare and in a 3‐month‐old foal using knotless bone anchors and FiberTape
Authors: Fridel G. , Fürst A. E. , Pozzi A. , Del Chicca F. , Jackson M. A.
Published: August 2021

This report describes the successful surgical stabilisation of elbow joint luxation using knotless bone anchors and FiberTape to repair the medial collateral ligament in an 11‐year‐old mare (Case 1) and both medial and lateral collateral ligaments in a 3‐month‐old foal (Case 2). Radiography (both cases) and computed tomography (Case 2) were used to diagnose subluxation (Case 1) and complete luxation (Case 2) with suspected rupture of both collateral ligaments. Case 1 was supported in a rescue sling for 7 weeks postoperatively to prevent recumbency. Recovery was good, and the mare was sound at the walk at the time of discharge 8 weeks after surgery and 1 year later at the follow‐up visit. Case 2 was discharged 3 weeks after surgery and was sound at the trot when re‐evaluated 2 and 6 months postoperatively. Although elbow luxation accompanied by torn collateral ligaments is rare in horses, successful outcomes have been described. In the present case report, joint stabilisation and a successful outcome were achieved, for the first time, with closed reduction and an open approach for placement of knotless bone anchors and FiberTape. Limitations of our study included inability to directly assess the integrity of the implants during healing and relying mainly on clinical signs to assess healing.
Image super resolution model enabled by wavelet lifting with optimized deep convolutional neural network
Authors: Valli Bhasha Achukatla , Venkatramana Reddy Balam Diguvathattu
Published: August 2021

This paper plans to develop an intelligent super resolution model with the linkage of Wavelet lifting scheme and Deep learning algorithm. Before initiating the resolution procedure, the entire HR images are converted into Low Resolution (LR) images using bicubic interpolation‐based downsampling and upsampling. Further, the Wavelet lifting scheme helps to generate the four subbands of each image like LR wavelet Sub‐Bands for LR images, and High Resolution (HR) wavelet Sub‐Bands for HR images. The residual image is generated by taking the difference between the LR wavelet Sub‐Bands and HR wavelet Sub‐Bands images. The proposed model involves two main phases: Training phase and Testing. The training phase trains the residual image of all images by Deep Convolutional Neural Network with LR wavelet Sub‐Bands as input and residual image as target. On the other hand, in testing phase, the LR wavelet Sub‐Bands query image is subjected to Deep Convolutional Neural Network, which outputs the concerned residual image. This generated residual image is summed with LR wavelet Sub‐Bands image, followed by inverse wavelet lifting scheme to obtain the final super resolution image. The main contribution of this paper is to improve the conventional Deep Convolutional Neural Network by optimizing the number of hidden layer, and hidden neurons using modified Whale Optimization Algorithm called Average Fitness Enabled Whale Optimization Algorithm by considering the objective of maximizing the Peak Signal‐to‐Noise Ratio. Finally, the proposed method achieves an improved quality of the results which is comparable the existing models.
Access and communication for deaf individuals in Australian primary care
Authors: Lee Phoebe H. , Spooner Catherine , Harris Mark F.
Published: August 2021

Background and Aims

The Australian Deaf Community face barriers that impede their access to, and communication within, primary health care settings. This study aimed to identify barriers and facilitators to access and communication for deaf individuals and Auslan interpreters in Australian general practice settings.

Methods

Semi‐structured interviews were conducted with eight Auslan interpreters and four deaf participants recruited from interpreter organisations and social media. Transcripts of interviews were coded inductively and deductively based on a model of access to health care.

Results

Patient, provider and contextual factors were reported. Patient barriers included English and Auslan fluency levels within the Australian Deaf Community. GP clinics varied in the degree of accommodation to the needs of deaf people. There were barriers related to the communication methods used by health care providers and their use of interpreters. Visual aids and flexibility in terms of the GP clinics' appointment systems facilitated access. Contextual barriers included the shortage of Auslan interpreters and the complexity of the National Disability Insurance Scheme.

Conclusion

The main barriers identified concerned the availability of interpreters, accommodation by health providers, cultural sensitivity and the adequacy of communication methods. Research is needed to explore the limitations of the National Disability Insurance Scheme and interventions to improve GPs' skills in communicating with Deaf individuals.

Patient or Public Contribution

A researcher with a hearing impairment and experience in working with people with hearing impairments was consulted on study design and interview questions. Recruitment was assisted by Auslan interpreter agencies and a Deaf Community Facebook group.
Dataset for the reporting of carcinoma of the exocrine pancreas: recommendations from the International Collaboration on Cancer Reporting (ICCR)
Authors: Verbeke Caroline , Webster Fleur , Brosens Lodewijk , Campbell Fiona , Del Chiaro Marco , Esposito Irene , Feakins Roger M , Fukushima Noriyoshi , Gill Anthony J , Kakar Sanjay , Kench James G , Krasinskas Alyssa M , van Laethem Jean‐Luc , Schaeffer David F , Washington Kay
Published: August 2021

Aims

Current guidelines for pathology reporting on pancreatic cancer differ in certain aspects, resulting in divergent reporting practices and a lack of comparability of data. Here, we report on a new international dataset for pathology reporting on resection specimens with cancer of the exocrine pancreas (ductal adenocarcinoma and acinar cell carcinoma). The dataset was produced under the auspices of the International Collaboration on Cancer Reporting (ICCR), which is a global alliance of major (inter)national pathology and cancer organisations.

Methods and results

According to the ICCR’s rigorous process for dataset development, an international expert panel consisting of pancreatic pathologists, a pancreatic surgeon and an oncologist produced a set of core and non‐core data items based on a critical review and discussion of current evidence. Commentary was provided for each data item to explain the rationale for selecting it as a core or non‐core element and its clinical relevance, and to highlight potential areas of disagreement or lack of evidence, in which case a consensus position was formulated. Following international public consultation, the document was finalised and ratified, and the dataset, which includes a synoptic reporting guide, was published on the ICCR website.

Conclusions

This first international dataset for cancer of the exocrine pancreas is intended to promote high‐quality, standardised pathology reporting. Its widespread adoption will improve the consistency of reporting, facilitate multidisciplinary communication, and enhance the comparability of data, all of which will help to improve the management of pancreatic cancer patients.
Effectiveness of simulation in psychiatry for nursing students, nurses and nurse practitioners: A systematic review and meta‐analysis
Authors: Piot Marie‐Aude , Dechartres Agnès , Attoe Chris , Romeo Marie , Jollant Fabrice , Billon Grégoire , Cross Sean , Lemogne Cédric , Layat Burn Carine , Michelet Daphné , Guerrier Gilles , Tesniere Antoine , Rethans Jan‐Joost , Falissard Bruno
Published: August 2021

Aims

Mental disorders constitute one of the main causes of disease and disability worldwide. While nurses are often at the frontline of mental health care, they have limited access to dedicated psychiatric training opportunities. Simulation training may foster the development of the appropriate competencies required when supporting people with mental disorders. To evaluate the effectiveness of simulation training in psychiatry for nursing students, nurses and nurse practitioners.

Design

Systematic review and meta‐analysis.

Data sources

Eight electronic databases, trial registries, key journals and reference lists of selected studies were searched from inception to August 20, 2020 without language restriction.

Review Methods

We included randomized and non‐randomized controlled studies and single group pre/post studies. Cochrane Risk of Bias tool 2.0 was used for randomized controlled study appraisal, and the Medical Education Research Study Quality instrument was completed for all other studies. Meta‐analysis was restricted to randomized controlled studies. The other studies were synthesized narratively. The main outcomes were based on Kirkpatrick levels.

Results

A total of 118 studies (6738 participants) were found. Interventions included simulated patients (n = 55), role‐plays (n = 40), virtual reality (n = 12), manikins (n = 9) and voice simulations (n = 9). Meta‐analyses based on 11 randomized controlled studies found a significant large effect size on skills at immediate post‐test for simulation compared with active control; and a small and medium effect size on learners’ attitudes for simulation compared with inactive control, at immediate post‐test and at three‐month follow‐up respectively. Three quarters of non‐randomized controlled studies and pre/post‐tests assessing attitudes and skills showed significant differences, and three quarters of participants in randomized controlled studies and pre/post‐tests showed significant differences in behaviours. Among the few studies assessing people with mental health outcomes, almost all reported significant differences.

Conclusion

These findings support the effectiveness of simulation training in psychiatric nursing throughout professional development grades, despite heterogeneity in methods and simulation interventions.
Could endocrine disruptors be a new player for acne pathogenesis? The effect of bisphenol A on the formation and severity of acne vulgaris: A prospective, case‐controlled study
Authors: Kaya Ozden Hatice , Karadag Ayse Serap
Published: August 2021

Background

Acne is one of the most common skin diseases in the adolescent period. Bisphenol A (BPA) is the most frequently observed endocrine‐disrupting chemicals that we are exposed to in daily life. BPA can affect acne pathogenesis with similar biological activity on androgenic receptors.

Aims

To investigate whether BPA levels play a role in the development and severity of acne in adults.

Methods

Fifty‐one adults with acne and 50 healthy controls, whose ages varied between 18 and 25 years and applied to our dermatology outpatient clinic, were evaluated. A questionnaire containing dietary and lifestyle habits for BPA exposure was filled. BPA and BPA glucuronides were analyzed in the LC‐MS/MS system in the first‐morning urine samples of the patients. Statistical significance was set at p < 0.05.

Results

The median levels of total BPA were significantly higher in the acne group compared with the control group (7.94 (4.69–20.32) vs. 5.62 (1.52–21.05) µg/g creatinine, respectively; p = 0.04)). The acne severity was positively associated with the BPA values (p = 0.00 rs = 0.534). Higher BPA level was noticed in younger acne onset age (p = 0.012 r = −0.349) When the inquiry questions were evaluated, no difference was found between the study groups regarding BPA exposure risk (p > 0.05).

Conclusion

BPA could be a factor in acne development and its severity. Therefore, it may be beneficial to prevent BPA exposure and raise awareness in the adolescence and post‐adolescence period, in which industrial products such as junk food and plastic bottled water are used more frequently.
Clinical pathological characteristics and survival of high‐grade endometrioid carcinoma
Authors: Liang Shuang , Zhang Ying
Published: August 2021

Objective

The molecular features of high‐grade endometrioid carcinoma (HGEC) are more akin to nonendometrioid high‐grade carcinoma (NEHC). This study aims to explore whether HGEC also has similar clinical pathology and prognosis similar to NEHC.

Methods

Using the SEER database (Surveillance, Epidemiology, and End Results), a retrospective study of the clinical‐pathological data and prognosis was carried out.

Result

(1) Compared with LGEC (low‐grade endometrioid carcinoma), HGEC patients were older with larger tumor size and a higher proportion of stage III–IV disease. However, the young had a lower proportion of stage III–IV disease than NEHC. (2) Postoperative pathological examination revealed that the positive rate of peritoneal cytology, pelvic lymph nodes and para‐aortic lymph nodes in HGEC were significantly higher than LGEC, but lower than NEHC. LGEC, HGEC, and NEHC, all showed distant organ metastases such as brain metastases, bone metastases, liver metastases, and lung metastases. Notably, the metastasis rates between HGEC and NEHC were not significantly different but were higher than LGEC. (3) The five‐overall survival rates of LGEC, HGEC, and NEHC were 95.1%, 73.2%, and 54.8%, respectively. Notably, the survival rates decreased significantly in stage IV. There were no significant differences between HGEC and NEHC in stage IV (p = 0.665) and both were associated with worsened survival. Also, HGEC survival prognosis was similar to NEHC.

Conclusion

HGEC presents mixed or overlapping clinical–pathological features of NEHC. Therefore, based on the unique pathological and prognostic features, HGEC could be classified as an intermediate between LGEC and NEHC.
Risk analysis of poor wound healing in forceps delivery
Authors: Feng Yi , Zhou Li
Published: August 2021

Aim

This study aims to explore the risk factors leading to poor wound healing after forceps delivery.

Method

In this retrospective study, 74 patients undergoing forceps delivery with poor wound healing were compared with contemporary randomly selected 74 patients undergoing forceps delivery but with normal wound healing.

Results

Compared to the normal healing group, the poor healing group had larger birthweight (p = 0.01), longer labor length (805.9 ± 356.4 min vs. 572.9 ± 306.3 min, p < 0.001), more virginal checks (4.0 ± 1.5 vs. 3.4 ± 1.7, p = 0.029), and more contaminated amniotic fluid (p = 0.043). More patients in poor healing group suffered from postpartum fever (52.7% vs. 21.6%, p < 0.001), postpartum hemorrhage (p < 0.001), and anemia after delivery (p < 0.001). Labor length (odds ratio (OR) 1.125, 95% confidence interval [CI] = 1.033–1.226), anemia after delivery (OR 3.621, 95% CI = 2.077–6.314), postpartum fever (OR 7.100, 95% CI = 2.505–20.124), and degree of laceration (OR 3.067, 95% CI = 1.258–7.479) were the risk factors of poor healing of perineal wound after forceps delivery, while postpartum antibiotics (OR 0.303, 95% CI = 0.098–0.937) and suture removal days (OR 0.272, 95% CI = 0.133–0.556) were the protective factors.

Conclusion

To promote the wound healing from the forceps delivery, obstetricians may consider to control the patient's labor length and degree of laceration, increase patient's nutrition, apply prophylactic antibiotics, and prolong the suture removal days.
Trends of fetal chromosome analysis by amniocentesis before and after beginning of noninvasive prenatal testing: A single‐center experience in Japan
Authors: Goto Shinobu , Suzumori Nobuhiro , Kumagai Kyoko , Otani Ayano , Ogawa Shino , Sawada Yuki , Inuzuka Saki , Sugiura‐Ogasawara Mayumi
Published: August 2021

Aim

This study is to investigate the role of amniocentesis for prenatal diagnosis before and after the beginning of noninvasive prenatal testing (NIPT) in Japan.

Methods

We performed a retrospective analysis of genetic amniocentesis at mid‐trimester (15–20 gestational weeks) for fetal karyotype analysis at Nagoya City University between April 2006 and March 2020. The indications, test results, and the detection rate of fetal abnormal karyotype were compared before (phase 1, P1) and after (phase 2, P2) beginning of NIPT at April 2013.

Results

A total of 2458 (P1: 1132, P2: 1326) amniocentesis were enrolled in this study. The most frequent indication was advanced maternal age in both phases (P1: 78.2% %, P2: 81.1%). In P2, 110 patients (8.3%) received amniocentesis after positive or nonreportable NIPT results. Other indications were fetal abnormal findings by ultrasounds (P1: 15.4%, P2: 17.7%), abnormal maternal serum screening results (P1: 8.0%, P2: 10%), previous child with fetal chromosome aberration (P1: 6.5%, P2: 3.5%), and translocation of either partner (P1:1.5%, P2: 2.1%). The detection rate for fetal chromosomal aberrations including all indications was significantly increased in P2 (15.9%, 95% CI 14.0–18.0) as compared to P1 (9.0%, 7.4–10.8). However, if the indication was only advanced maternal age, the positive detection rate kept low in both phases (P1: 5.2%, 3.7–7.1, P2: 4.2%, 2.9–5.9).

Conclusion

Since the initiation of NIPT, the detection rate of fetal chromosomal abnormalities was higher in this study, suggesting that amniocentesis cannot be strongly recommended for advanced maternal age alone.
A multicentric clinical and epidemiological study of chronic and recurrent dermatophytosis in India
Authors: Shenoy Manjunath M. , Rengasamy Madhu , Dogra Sunil , Kaur Tejinder , Asokan Neelakandhan , Sarveswari K. N. , Poojary Shital , Arora Divya , Patil Sharmila , Das Anupam , Srivastava Ankita , Katakam Bhumesh Kumar , Mahajan Vikram
Published: August 2021

Background

There has been an alarming increase in the prevalence of chronic, recurrent and steroid modified dermatophytosis of the glabrous skin in the recent years in India. There is paucity of literature on the magnitude of this major public health problem.

Objective

To estimate the prevalence of dermatophytosis and clinico‐epidemiological features of chronic and recurrent dermatophytosis (CRD) across India and to evaluate the associated risk factors.

Methods

This is a multicentric descriptive cross‐sectional study conducted in 13 centres situated across India in two phases during dry and rainy seasons. All consecutive patients presenting with dermatophytosis were screened during the study period of 14 consecutive working days. Patients with CRD of the glabrous skin as per the case definition were included after exclusion of isolated hair and nail infections. Demography, clinical findings and results of potassium hydroxide wet mount were recorded.

Results and conclusion

A total of 41,421 patients were screened, out of which 7174 (17.31%) patients had glabrous dermatophytosis. CRD was observed in 1999 (27.86%) patients with 78.08% and 21.95% of chronic and recurrent dermatophytosis, respectively. Family history was present in 50.03% of patients. History of sharing of fomites was present in 50.37% of them. Synthetic tight clothes were worn by 43.47%, while 50.9% gave history of misuse of topical corticosteroid creams. Multiple site involvement was common (69.58%) with tinea cruris (79.99%) and tinea corporis (75.69%) being the most common clinical types. CRD is associated with sharing of fomites, topical corticosteroid misuse and involvement of multiple sites.
Metabolic syndrome is associated with higher rate of gastroesophageal reflux disease: a meta‐analysis
Authors: Fu Shifeng , Xu Mengmeng , Zhou Hejun , Wang Yongjun , Tan Yuyong , Liu Deliang
Published: August 2021

Background and Aim

Gastroesophageal reflux disease (GERD) seriously lowers the quality of life of patients, and its prevalence has gradually increased in recent years. Some studies have showed that metabolic syndrome (MetS) is related to GERD, but the results remain controversial. This study explored the relationship between MetS and GERD through systematic retrieval and analysis of published studies.

Methods

Retrieve related research from PubMed, Web of Science, and Cochrane Library. Including cohort studies that compare the prevalence of GERD between patients with MetS and patients without, and case‐control studies or cross‐sectional studies that compare the prevalence of MetS between patients with GERD and patients without. In addition to analyzing the relationship between MetS and GERD, individual metabolic components are also analyzed. Use a random effects model (DerSimmonian and Laird) to merge the odd ratio (OR). Cochran's Q test and Higgins' I‐squared statistic were performed to assess heterogeneity. Publication bias was assessed by Egger's test.

Key Results

A total of 103,048 patients from 15 studies were included. The combined results suggest that MetS is a risk factor of GERD (OR: 1.66, 95%CI: 1.38–1.99). Among the individual metabolic components, abdominal obesity (OR: 1.42, 95%CI: 1.22–1.64), hypertriglyceridemia (OR: 1.50, 95%CI: 1.27–1.78), hyperglycemia (OR: 1.31, 95%CI: 1.07–1.61), and hypertension (OR: 1.19, 95%CI: 1.07–1.33) are risk factors of GERD.

Conclusions and Inferences

MetS is a risk factor of GERD, and among the abnormal metabolic components that establish the diagnosis of MetS, abdominal obesity, hypertriglyceridemia, hyperglycemia, and hypertension are risk factors of GERD.
Peer doula support training for Black and Indigenous groups in Nova Scotia, Canada: A community‐based qualitative study
Authors: Paynter Martha , Matheson Lauren , McVicar Lindsay , Jefferies Keisha , Gebre Kalkidan , Marshall Paula , Thomas Lee , Zylstra Gaye , MacEachern Darlene , Palliser‐Nicholas Frances
Published: August 2021

Objectives

The objectives of this qualitative study were to explore participant experiences of doula training programs offered by a prisoner health advocacy organization and Indigenous and Black community groups.

Design

This investigation employed a qualitative design. Recruitment was conducted through email. Interviews were conducted in Winter 2020. Data were analyzed using thematic analysis.

Sample

A total of 12 participants were recruited to participate in this study. Six participants identify as Black and six identify as Indigenous. All participants identify as women.

Measurements

Qualitative interviews were conducted using a semi‐structured interview guide to elicit a breadth of information.

Results

Key themes included training experiences, training improvements and ‘‘bridging the gap’’. The training validated participants’ experiences of birth and began to address the exclusion of Black and Indigenous people from birth work. However, participants expressed concerns about not being adequately positioned for sustained participation in birth work.

Conclusions

Participants expressed receiving great value from the training programs. These trainings, which were fully subsidized, removed a financial barrier. However, these trainings do not address the exclusion of Black and Indigenous people from perinatal work or the lack or sustainable support systems for Black and Indigenous communities. This study makes several recommendations for future interventions.
The effect of autonomous and controlled motivation on self‐control performance and the acute cortisol response
Authors: Steel Richard P. , Bishop Nicolette C. , Taylor Ian M.
Published: August 2021

Autonomously regulated self‐control typically does not reduce over time as much, compared with self‐control underpinned by controlled motivation. The proposed study tested whether an acute stress response is implicated in this process. Utilizing a framework grounded in self‐determination theory, this study examined whether participants' motivational regulation would influence repeated self‐control performance and acute stress levels, measured by the stress hormone cortisol. A single‐blind randomized experimental design incorporating two motivational conditions (autonomous regulation and controlled regulation) tested these hypotheses. Participants (female = 28; male = 11; Mage = 22.33) performed three sequential self‐control tasks; a modified Stroop task followed by two “wall sit” postural persistence tasks. Salivary cortisol was measured at baseline and after each of the wall sits. A repeated measures ANCOVA unexpectedly revealed that participants in the controlled regulation condition recorded greater wall sit performance in the first and second wall sits, compared with the autonomous condition. A repeated measures ANCOVA also revealed a significant quadratic interaction for cortisol. Controlled regulation was associated with an increase, and autonomous regulation condition a decrease, in cortisol that subsided at timepoint two. Results imply autonomous motivation facilitates an adaptive stress response. Performance on the self‐control tasks was contrary to expectations, but may reflect short‐term performance benefits of controlled motivation.