bluuebunny/crossref_metadata_2025 huggingface dataset:
God’s Gift in Ephesians: Dwelling in the Space of Divine Transcendence in the Face of Hopelessness and Dislocation
Authors: MacDonald Margaret Y.
Published: September 2019

With a focus on Eph 4:7-16, the article highlights the significance of the concept of “gift” in Ephesians. John Barclay’s work helps to situate the Paul of Ephesians among Jewish theologians of grace, especially the perspective of the Qumran Hodayot with respect to the incongruity of divine mercy. Moreover, the results of recent analyses of Ephesians within the Roman Imperial context, including civic and familial concepts, are pushed to a new level of understanding. The study includes an examination of the link between ancient ideologies and practices related to gift giving and the delineation of social bonds and communal obligations where the depiction of the role of Christ as the giver of ministerial gifts plays a crucial role. Ultimately, the essay goes some way to close the perceived gap between the undisputed letters and Ephesians in term of a theology of grace.
Gift and Grace in Philippians, 2 Thessalonians, and Ephesians: a Response
Authors: Barclay John M. G.
Published: September 2019

This response to Willis, Sumney, and MacDonald highlights and develops their key points. Reinforcing Willis’ reading of gift-reciprocity in Philippians, seen even in the self-giving (non-“taking”) of Christ (Phil 2.6-11), it is argued that Paul views gifts in Christ as operative simultaneously at two levels—gifts circulate among believers, but also come from God and are offered to God. Sumney’s reading of 2 Thessalonians is nuanced by connecting the language of “worth” to 1 Thess 2.12: the congruity between believers and the Kingdom of God is based on the agency of God and the prior gift of new life. Further reflection is offered on the perfection of “efficacy” and its possible range of meanings. Finally, MacDonald’s reading of Ephesians is affirmed with emphasis on the Christ-gift as the key to the cosmos; the Psalm-interpretation in Ephesians 4.7-10 clarifies how this gift permeates (“fills”) all reality, as manifested first in gifts within Christ’s body.
The Origin and Development of the Custom for the Bride to Circle the Groom Three or Seven Times
Authors: Ron Zvi
Published: September 2019

This article traces the origin and development of the by now ubiquitous Ashkenazic custom for the bride to circle the groom under the chuppa. The custom began as circling three times, and various reasons were given for this particular practice. Due to kabbalistic influence, the custom shifted from three circuits to seven, the common custom today. The reasons given also changed over time, reflecting changing attitudes to the symbolism of the wedding ceremony.
Incidence and Radiological Findings of Incidental Sinus Opacifications in Patients Undergoing Septoplasty or Septorhinoplasty
Authors: Kim Sung Hee , Oh Jin Seok , Jang Yong Ju
Published: September 2019

Objectives:

Although the routine use of computed tomography (CT) is controversial, it is employed in the preoperative screening of patients undergoing septoplasty or septorhinoplasty. The aim of this study was to evaluate the incidence and radiological characteristics of incidentally found sinus pathologies on screening CT in patients who underwent elective septoplasty or septorhinoplasty.

Methods:

We retrospectively reviewed the patients who underwent septoplasty and septorhinoplasty performed by a single surgeon (Y.J.J.) at Asan Medical Center between January 2016 and December 2017. CT images of 372 patients who had agreed to undergo preoperative CT were reviewed to determine the location and extent of incidental sinus opacifications.

Results:

Of the 372 patients, 107 (28.8%) showed incidental sinus lesions on CT images. Opacifications were mainly found in the maxillary sinus (73, 68.2%), followed by the ethmoid (34, 31.8%), sphenoid (10, 9.3%), and frontal (3, 2.8%) sinuses. The most common sinus lesion was retention cyst (55, 51.4%), and the second most common one was opacification and mucosal thickening (46, 43%). Other lesions such as osteoma (3, 2.8%), dental cyst (2, 1.9%), and mucocele (1, 0.9%) were rarely found.

Conclusions:

In patients undergoing septoplasty or septorhinoplasty, the incidence of incidental sinus lesions was approximately 28.8% (107/372). This results indicate that preoperative CT in patients undergoing septoplasty or septorhinoplasty might be helpful to surgeons not only for better understanding the anatomical detail but also for detecting hidden paranasal sinus disease.
Treatment of Trauma: Imaginative Minds of Dissociative Identify Disorder
Authors: Rinker Katelyn
Published: September 2019

If childhood trauma leads to dissociation, then this coping mechanism is powered by the imagination, creativity, consciousness, and similar areas of cognitive function. The goal of this article is to promote the treatment of trauma with particular emphasis on humanistic psychotherapy and behavioral therapy, such as “Play Therapy” for pediatric populations. It will thoroughly describe the multiple personality states within dissociative identity disorder, including the individualized sense of “self.” The diagnostic criteria of this mental disorder will be covered, along with assessment techniques that evoke a deeper understanding of dissociative disorders. It will also discuss comorbidities that present with dissociative disorders, such as posttraumatic stress disorder. This scholarly article suggests that dissociative disorders may result from experiencing tragic events and therefore need treatment for trauma to relieve negative symptoms of dissociation. The multidimensional aspects of dissociation are emphasized in their relation to the treatment of trauma.
Anaconda, Jet Fuel, White Robes, and Miaow Miaow: The Argot of Women Prisoners
Authors: Moshe Keren Dagan , Einat Tomer
Published: September 2019

This qualitative study based on research conducted in a prison facility for women in Israel aims to establish the existence of an argot among women prisoners and to analyze how it reflects their subculture. This research found that the argot focuses on seven different aspects of prison life: same-sex sexual relations, loyalty, prisoner status, drugs, relations between mentally stable prisoners and mentally ill prisoners, attitudes toward the prison staff, and threats and violence. The argot concerning gender-oriented distresses was found the most common, and the authors concluded that this aspect is the most stressful and threatening in the prisoner subculture.
Mind–Body Dissonance: A Catalyst to Creativity
Authors: Huang Li
Published: September 2019

Mind–body dissonance (MBD) is the psychological experience of one’s bodily expressions contradicting one’s mental states. Across four experiments (total N = 887), the current research proposes and demonstrates that MBD can enhance creativity by facilitating an atypicality mind-set. First, two different instantiations of MBD (i.e., assuming a high-power/low-power role while adopting a constricted/expansive posture, or recalling a happy/sad memory while frowning/smiling) increased performance on creative association, insight, and generation tasks (Experiments 1 and 2). A third study showed that an atypicality mind-set was an underlying mechanism for the creativity effect (Experiment 3). Finally, the frequency of past MBD experiences was found to reduce MBD’s creativity effect (Experiment 4). The present research offers evidence for the positive functions of bodily expressions that contradict mental states and highlights the significance of understanding the interactive effects of psychological states and their physical analogues in studying creativity.
Professional Development on Data-Based Individualization: A Mixed Research Study
Authors: Bruhn Allison L. , Estrapala Sara , Mahatmya Duhita , Rila Ashley , Vogelgesang Kari
Published: September 2019

Data-based individualization (DBI) is a process of collecting and analyzing data on students’ response to intervention and then making intervention adaptations accordingly. Although this process can lead to better student outcomes, very few teachers are trained in the components of DBI, particularly in relation to behavior. Improving practice requires not only ongoing professional development but also understanding about how teachers’ experiences in training can lead to better outcomes. Within the context of implementing a behavior intervention, the purpose of this study was to evaluate how participating in ongoing professional development on DBI affects teachers’ perceptions of themselves in relation to the DBI framework over time. Using a convergent, parallel mixed-methods research design, we evaluated the conceptual understanding, self-efficacy, and perceptions associated with DBI before, during, and after professional development of 16 general and special education teachers. Data analysis indicated teachers reported significant improvements in all three areas over time. Qualitative data indicated active practice and collaboration with other professionals contributed to these improvements. Key findings, limitations, and future directions are discussed.
Therapeutic Jurisprudence and Restorative Justice in Brazil
Authors: Traguetto Jessica , Guimaraes Tomas de Aquino
Published: September 2019

The Brazilian prison population in 2016 had increased by more than 700%, compared with the situation in the early 1990s, from 90 thousand to 726.7 thousand. The ordinary response to prison overcrowding came through changes to the justice system, such as Therapeutic Jurisprudence and Restorative Justice. Although these new processes are socially relevant, there are few studies about them anywhere, but especially in Brazil. This study seeks to discuss the perceptions of Brazilian judges upon these new ways of dispensing justice from the perspective of institutional change theory. The data collection involved document analysis, court-hearing observations, and interviews with 14 key-actors in the Brazilian justice system. The results show four dimensions— beliefs, motivations, commitment, and intergroup relations—that characterize the roles played by Brazilian judges working with Therapeutic Jurisprudence and Restorative Justice. This movement can be classified as the modal type of institutional change called layering and “radical” frame blending.
Impact of Market-Rate Residential Parking Permit Fees on Low-Income Households
Authors: Okashita Alex , Willson Richard
Published: September 2019

On-street parking is a poorly-managed public asset. In dense neighborhoods, this results in difficult space searches, neighborhood conflict, and opposition to housing development. Market-rate residential parking permit systems are a logical solution because they manage demand. However, these programs are regressive for low-income residents who buy a permit because the permit fee is a larger percentage of their income than for higher-income groups. This paper reports on a simulation of the burden of a market-based fee on households of different income classes using three low-income neighborhoods in Los Angeles, California. Data from the American Community Survey, Consumer Expenditure Survey, and primary parking counts are the model inputs. The outputs are measures of the increase in a household’s annual transportation expenditure, by income class, after a market-rate permit fee is implemented. The results show that market-rate programs are indeed regressive for households that purchase a permit. But because many low-income households do not have a car, do not park on-street, or pursue alternative options to buying a permit, the magnitude of the effect of income class is not as large as is often assumed. The study concludes that the regressive effect of a market-rate residential parking benefit district should not be an impediment to implementing such a scheme because low-income permit purchasers can be subsidized with permit revenue from higher-income drivers in the district, resources from higher-income parking districts, or both. Additionally, revenues can be used to support transportation modes that particularly benefit all low-income residents.
Fall Prevention Program Characteristics and Experiences of Older Adults and Program Providers in Canada: A Thematic Content Analysis
Authors: Malik Humna , Virag Briana , Fick Fiona , Hunter Paulette V. , Kaasalainen Sharon , Dal Bello-Haas Vanina
Published: September 2019

Objectives: To document the characteristics of fall prevention programs in specific regions in two Canadian provinces and to explore older adults’ and program providers’ experiences with these programs. Methods: Semi-structured interviews were conducted with 16 program providers/managers from 12 different programs. Ten semi-structured focus groups were conducted with 59 older adults. Data were analyzed using thematic content analysis. Results: Older adults reported functional and social benefits. Program providers identified barriers to program success, including cognitive impairment, frailty, and lack of motivation. The need for general attitudinal changes toward older adults’ needs and broader community changes were identified as important by the older adults. Discussion: Easily accessible information about fall prevention programs for older adults and no-cost, ongoing initiatives were critical. Health care providers play keys roles in disseminating information, facilitating referrals, and advocating for initiatives that best meet the needs of older adults in their communities.
Developing Predictors of Long-Term Adherence to Exercise Among Older Veterans and Spouses
Authors: Brown Candace S. , Sloane Richard , Morey Miriam C.
Published: September 2019

Behavior change theory was used to explore predictors of long-term adherence (≥2 years) to exercise. A retrospective analysis of data from participants ( N = 97) who reached a 6-month follow-up, which served as the baseline, was evaluated for completion of yearly follow-up surveys. Variables examined at baseline, which included age, race, gender, body mass index (BMI), and self-report of comorbidities, symptoms, physical function, and a Barriers Specific Self-Efficacy Scale, were examined with significance set at p < .05. Lower BMI (29.1 ± 5.1 vs. 31.6 ± 6.5, p = .047) and higher self-efficacy to overcome environmental barriers ( p = .016) and social isolation ( p = .05) were associated with long-term adherence. Self-efficacy to overcome environmental and social barriers, such as inclement weather, access to exercise site, and opportunities for group-based exercise, should be addressed to promote long-term adherence to exercise among older adults.
Attachment, Sense of Entitlement in Romantic Relationships, and Sexual Revictimization Among Adult CSA Survivors
Authors: Brenner Inbal , Bachner-Melman Rachel , Lev-Ari Lilac , Levi-Ogolnic Mor , Tolmacz Rami , Ben-Amitay Galit
Published: September 2019

Insecure attachment orientations are disproportionately frequent in child sexual abuse (CSA) survivors and have been found to mediate some of the effects of CSA on adult interpersonal and romantic difficulties, including sexual revictimization (SR). A sense of relational entitlement (SRE) has received growing attention in psychological discourse and research in recent years. It reflects both adaptive (assertive) and pathological (restricted or inflated) attitudes to the assertion of needs and rights and has not been studied in adult CSA survivors. The purpose of this study was to examine associations between CSA, attachment orientations, SR, and SRE. Sixty-seven Israeli women aged 25 ± 3.95 years (30 adult CSA survivors and 37 healthy female controls with no history of CSA) completed a demographic questionnaire and self-reported measures of adult attachment orientations, sense of entitlement in romantic relationships, and adult SR. CSA survivors reported greater attachment anxiety and attachment avoidance, more restricted SRE, and higher revictimization rates than control women. No difference was found between the groups in inflated SRE. In the CSA but not the control group, anxious and avoidant attachment orientations were significantly and negatively associated with assertive SRE. Insecure (anxious and avoidant) attachment fully mediated the association between CSA and restricted SRE. Our findings suggest that the interplay between insecure attachment and CSA is related to a sense of impaired assertive entitlement and elevated restricted entitlement in adult CSA survivors. This entitlement pattern can be destructive to survivors’ romantic relationships and should be addressed in therapy.
Stressors of Rape Crisis Work From the Perspectives of Advocates With and Without Sexual Assault Victimization History
Authors: Mihelicova Martina , Wegrzyn Annie , Brown Molly , Greeson Megan R.
Published: September 2019

Rape crisis centers largely rely on volunteers for delivering emergency room advocacy to survivors of sexual assault. Volunteer advocates bear witness to trauma as part of their role, such as when listening to details of sexual assault. This exposure may negatively affect advocates long term, which may lead to secondary traumatic stress and vicarious traumatization, and possibly reduce their ability to provide quality services and remain in their role. In addition, some advocates may be survivors of sexual assault themselves. Survivors may differentially experience the toll of advocacy work. The present qualitative study sought to identify stressors that advocates face within their role, aspects of stressors unique to survivors who advocate, and the effects of stressors on advocates. Semistructured interviews were conducted with 18 current volunteer advocates, 11 of whom identified as survivors, from three rape crisis centers. Findings demonstrated stressors associated with self-evaluation; rules or expectations of the role (including the crisis nature of the role); witnessing lack of client support; helplessness around sexual assault as a systems issue; identifying with the client; witnessing the physical and emotional impact on clients; and being reminded of their own assault. Results also revealed how these stressors and advocacy overall influenced advocates. Unique aspects of stressors to survivors arose in the way advocates experienced the stressors. In addition, survivors exclusively described being reminded of past trauma within advocacy work. Findings have implications for supporting advocate well-being by better understanding the stressors that may lead to negative outcomes and informing individual coping, training, and overall organizational support of advocates. Such measures may ensure retention of volunteers and maintain quality advocacy services.
Unfounded, Cleared, or Cleared by Exceptional Means: Sexual Assault Case Outcomes From 1999 to 2014
Authors: Venema Rachel M. , Lorenz Katherine , Sweda Nicole
Published: September 2019

Sexual assault is a highly underreported crime with even fewer cases proceeding to the point of charges and prosecution, suggesting that sexual assault victims have less opportunity for legal justice than other crime victims. Case attrition may, in part, be due to negative attitudes and rape myth acceptance (RMA) in police decision making. Yet, little attention has been paid to examining the evidentiary and extralegal factors surrounding the case that contribute to police decision making and case outcomes through examination of police case files. This examination is necessary to address the issue of differential processing of sexual assault cases in the criminal justice system. This study uses police data of sexual assault case files from 1999 to 2014 ( N = 23,525) to examine the assault, victim, and detective characteristics that contribute to case outcomes of unfounded, cleared, and exceptionally cleared through arrest and victim refusal to prosecute. Logistic regression models tested 15 years of reported sexual assault data from one large police department and found that elements that correspond with RMA were predictive of unfounded, cleared, and exceptionally cleared case decisions, providing further indication that officers consider evidentiary but also extralegal factors in decision making. Overall, results support previous contentions that sexual assault victims have unequal access to legal justice, particularly victims possessing demographic and assault characteristics that do not align with stereotypical notions of rape. Implications for future research and policing practices are discussed.
The Role of Violence Acceptance and Inequitable Gender Norms in Intimate Partner Violence Severity Among Couples in Zambia
Authors: Fine Shoshanna L. , Kane Jeremy C. , Murray Sarah M. , Skavenski Stephanie , Munthali Saphira , Mwenge Mwamba , Paul Ravi , Mayeya John , Murray Laura K.
Published: September 2019

Inequitable gender norms, including the acceptance of violence in intimate relationships, have been found to be associated with the occurrence of intimate partner violence (IPV) perpetration and victimization. Despite these findings, few studies have considered whether inequitable gender norms are related to IPV severity. This study uses baseline data from a psychotherapeutic intervention targeting heterosexual couples ( n = 247) in Lusaka, Zambia, who reported moderate to severe male-perpetrated IPV and male hazardous alcohol use to consider: (a) prevailing gender norms, including those related to IPV; (b) the relationship between IPV acceptance and IPV severity; and (c) the relationship between inequitable gender norms and IPV severity. Multiple linear regression analyses were used to model the relationships between IPV acceptance and inequitable gender norms, and female-reported IPV severity (including threats of violence, physical violence, sexual violence, and total violence), separately among male and female participants. In general, men and women were similar in their patterns of agreement with gender norms, with both highly endorsing items related to household roles. More than three-quarters of men (78.1%) and women (78.5%) indicated overall acceptance of violence in intimate relationships, with no significant differences between men and women in their endorsement of any IPV-related gender norms. Among men, IPV acceptance was associated with a statistically significant increase in IPV perpetration severity in terms of threatening violence ( B = 5.86, 95% confidence interval [CI] = [1.84, 9.89]), physical violence ( B = 4.54, 95% CI = [0.10, 8.98]), and total violence ( B = 11.65, 95% CI = [3.14, 20.16]). There was no association between IPV acceptance and IPV victimization severity among women. Unlike IPV acceptance, there was no evidence for a relationship between inequitable gender norms and IPV severity for either men or women. These findings have implications for the appropriateness of gender transformative interventions in targeting men and women in relationships in which there is ongoing IPV.
I Second That Emotion: A Collaborative Examination of Emotions Felt in Course Administration Work
Authors: Anderson Lindsey B. , Ruiz-Mesa Kristina , Jones-Bodie Ashley , Waldbuesser Caroline , Hall Jennifer , Broeckelman-Post Melissa A. , Hosek Angela M.
Published: September 2019

Course administrators hold a unique position in academe—one that requires high levels of emotion management as part of the job. This research utilized a collaborative autoethnography to explore how workplace emotions were experienced in the basic communication course. The experiences were presented through vignettes written and analyzed by seven course administrators from programs across the United States. Four themes emerged from the vignettes: (1) acting perpetually positive, (2) (un)catching emotion, (3) rushing for time, and (4) switching roles. Each theme highlighted the multiple, and sometimes competing, responsibilities/expectations embedded in the administrative role. This research offers a discussion of each theme and informs five recommendations for managing emotions and emotional labor within course administration.
Contextualizing the SAT: Experimental Evidence on College Admission Recommendations for Low-SES Applicants
Authors: Bastedo Michael N. , Glasener Kristen M. , Deane K. C. , Bowman Nicholas A.
Published: September 2019

Although it is well established that college entrance exams have become a key factor for admission to selective institutions, less is known about the influence of test scores in relation to other academic factors in the evaluation of a student’s application file. This study conducts a randomized-controlled trial to determine whether providing students’ test scores in context—how they perform relative to their school and neighborhood peers—increases the likelihood that admission officers ( n = 321) would recommend admitting low-socioeconomic status (SES) applicants. The study also examines how including a personal admission essay that conveys grit, or ability to persevere in the pursuit of long-term goals, influences admission decision making. Admission officers in the contextual condition were significantly more likely to accept both the low-SES and high-SES applicant than those without contextual information on test scores; however, they were not more likely to accept applicants who convey grit in their personal essays.
Changes in the Provision of Family Care to Frail Older People in Familistic Welfare States: Lessons From Israel and Italy
Authors: Tur-Sinai Aviad , Casanova Georgia , Lamura Giovani
Published: September 2019

Objective: Our article aims to investigate changes in the rate of informal care provision, which occurred in Israel and Italy in the last decade. In addition, we analyze typology and magnitude of the main factors contributing to explain the probability of providing informal care. Method: We used data from the Survey of Health, Ageing and Retirement in Europe (SHARE) at two selected time points (2006/2007 and 2015). Results: The probability of offering social support to elder family members who live outside the household has been trending down substantially over the years. The likelihood of providing unpaid care is significantly higher when one performs volunteer or charitable work and/or engages in leisure activities, and the importance of these two variables has been growing over the years. Discussion: Israel and Italy have experienced over the years a remarkable decline in the share of older adults providing informal care. The article helps to identify which factors have been associated with this phenomenon.
Perceived Risk of Developing Diabetes in the General Population and Asian Americans: Systematic Review
Authors: Nguyen Angelina Phuong-Uyen , Loescher Lois J. , McEwen Marylyn Morris
Published: September 2019

Introduction: The purpose of this systematic review was to explore perceived diabetes risk with foci on prediabetic persons and Asian Americans. Persons with prediabetes and of Asian descent are at higher risk for developing diabetes, but little is known about their perceived diabetes risk. Method: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guided this systematic review. Electronic searches were conducted in three databases. The authors conducted eligibility determination, data extraction, synthesis, and evaluation. Twelve articles were selected. Results: Key findings include (1) limited studies including Asian populations, (2) a low percentage of persons in the general population with moderate to high levels of perceived diabetes risk, (3) a lack of congruency between actual and perceived diabetes risk in the general population, and (4) no interventions effectively changing the level of perceived diabetes risk. Discussion: More studies regarding perceived diabetes risk are needed, especially with a focus on Asian Americans.
Typically Developing Preschoolers’ Behavior Toward Peers With Disabilities in Inclusive Classroom Contexts
Authors: Hong Soo-Young , Eum Jungwon , Long Yanjie , Wu Chaorong , Welch Greg
Published: September 2019

This study aimed to investigate typically developing preschoolers’ behavior toward peers with disabilities in inclusive classrooms, focusing on the co-occurrence of the interactions between children with and without disabilities with various classroom contexts. Behaviors of 22 typically developing preschoolers were observed and coded on two different days in both indoor and outdoor classrooms during free play, small group activities, transitions, and meals/snack. Typically developing children interacted with peers with disabilities for a small amount of time; the interactions were significantly more likely in the outdoor classroom, in either child- or teacher-directed activities, and in play activities. There was a lack of adults’ intentional scaffolding for social interactions between children with and without disabilities even when they were near the children. Activity contexts contribute to children’s social behavior, and teachers need more support and training with inclusive and collaborative practices.
Mixed Methods in Early Childhood Special Education Research: Purposes, Challenges, and Guidance
Authors: Corr Catherine , Snodgrass Melinda R. , Greene Jennifer C. , Meadan Hedda , Santos Rosa Milagros
Published: September 2019

Mixed methods approaches to research are gaining popularity in the social sciences. Although these approaches may be unfamiliar to many in our field, they can uniquely contribute to and enhance early childhood special education (ECSE) research. The purpose of this article is to orient ECSE researchers to the field of mixed methods social inquiry. We offer two examples of mixed methods. We define mixed methods and how mental models and paradigms influence these efforts, including a discussion of the distinctive purposes for applying mixed methods. Finally, we identify challenges to determining rigor and quality of mixed methods research and offer preliminary guidance to mitigate these challenges. Throughout, we encourage integrating rigorous mixed methods into ECSE scholarship.
TRENDS: Racial Resentment and Public Opinion across the Racial Divide
Authors: Kam Cindy D. , Burge Camille D.
Published: September 2019

Research on racial resentment has been meticulously developed, tested, and analyzed with white Americans in mind—yet black Americans have also responded to this battery for the past three decades. To date, little to nothing is known about the implications of responses to the racial resentment battery among black Americans. A burgeoning literature on blacks’ intragroup attitudes suggests that over time, black Americans have increasingly attributed racial inequality to individual failings as opposed to structural forces. As such, unpacking blacks’ responses to the canonical racial resentment battery may provide further insight into the micro-foundations of black public opinion. Using survey data from 1986 to 2016, we engage in a systematic quantitative examination of the role of racial resentment in predicting black and white Americans’ opinions on racial policies, “race-coded” policies, and nonracialized policies. Along the way, we highlight the existence of wide heterogeneity among black respondents and call for further investigation that identifies similarities and differences in the foundations of white and black public opinion.
Minority Support: School District Demographics and Support for Funding Election Measures
Authors: Alvord Daniel , Rauscher Emily
Published: September 2019

In the context of tight state budgets, local education funding is increasingly important. This article examines the relationship between district-level demographic characteristics and voter support for tax increases to fund the local school district. Using district-level panel data on California school district elections and demographics from 1995 to 2014, we ask the following questions: (1) What is the relationship between demographics and support for school district tax measures? and (2) Does this relationship vary by the type of tax measure? Results suggest that voter support varies by district demographics. However, results differ for bond and property tax measures and suggest that the proportion of Black students increases the likelihood of passing a bond measure but reduces the likelihood of passing a property tax measure. This heterogeneity offers one potential explanation for contradictory evidence in the literature. Results have implications for racial inequality of educational resources between districts.
Angiotensin II in Decompensated Cirrhosis Complicated by Septic Shock
Authors: Coleman Patrick J. , Nissen Alexander P. , Kim Daniel E. , Ainsworth Craig R. , McCurdy Michael T. , Mazzeffi Michael A. , Chow Jonathan H.
Published: September 2019

This case describes the first reported use of human-derived synthetic angiotensin II (Ang-2) in a patient with decompensated cirrhosis and septic shock. The patient presented in vasodilatory shock from Enterobacter cloacae bacteremia with a Sequential Organ Failure Assessment Score of 14 and a Model for End-Stage Liver Disease score of 36. This case is significant because liver failure was an exclusion criterion in the Angiotensin II for the Treatment of Vasodilatory Shock (ATHOS-3) trial, but the liver produces angiotensinogen, which is key precursor to Ang-2 in the renin-angiotensin-aldosterone system. Resuscitation with Ang-2 is a potentially beneficial medication when conventional vasopressors have failed to control mean arterial pressure in this population.
The Bundling Strategy: The One-Click Effect on Loss Aversion
Authors: Nicolau Juan Luis , Sellers Ricardo
Published: September 2019

This research aims to determine different levels of loss aversion in the context of price responsiveness and service bundling. Considering that nonlinearities in price responses may exist in a bundling strategy, this research tests the existence of different degrees of loss aversion, depending on whether an individual books one service independently of another (e.g., an airline ticket independently of accommodation) or as part of a bundle (e.g., a package that includes an airline ticket plus accommodation). We estimate a random parameter logit model. Empirical application shows that people who book a flight independently of accommodation are more loss averse than those who book a package that includes flight and accommodation. To explain this result, we propose the one-click effect so that people who find a price higher than expected (loss aversion) are more willing to accept it if the product is included in a bundle.
Interspecies Park Life: Participatory Experiments and Micro-Utopian Landscaping to Increase Urban Biodiverse Entanglement
Authors: Knudsen Britta Timm , Stage Carsten , Zandersen Marianne
Published: September 2019

This article analyses the design and outcomes of the research project Rewilding Lystrup, which involved a partnership with local authorities in Aarhus, Denmark, to merge two distinct processes: climate adaptation and the biodiversity transformation of a public park. Our key interest in the article is the potential offered by experimental participatory events to support the biodiverse transformation of public areas by creating micro-utopian entanglements of citizens and nonhuman organisms. The article will focus on three experimental participatory events enacted as part of the research project: (1) public dialogues and workshops, (2) the arrival on the scene of charismatic cows, and (3) pop-up events in the form of participatory playing. The article concludes that this kind of material citizenship is a powerful strategy for stimulating public engagement in building more biodiverse futures. The strategy thus materializes micro-utopian spaces where the importance of biodiversity can be rehearsed and sensed by local communities. In this way, a culturally transformative zone of dreaming while doing—or doing dreams—is enacted.
Ultrasound Measurements of the First Extensor Compartment: Determining the Transection Limits for Ultra-minimally Invasive Release of De Quervain Tenosynovitis
Authors: McCool Logan , Tonkin Brionn , Guo Danqing , Guo Danzhu , Senk Alexander
Published: September 2019

Background: De Quervain syndrome is the second most common compressive tendinopathy. Although the length of the first extensor compartment (FEC) has been studied previously, there is no documented reported comparison study of short-axis and long-axis sonographic measurements. The thread technique, or Guo Technique, has been applied to carpal tunnel syndrome, trigger finger, and superficial peroneal compressive neuropathy. To perform this procedure, it is critically important to accurately identify the boundaries for transection. Methods: Twenty-one fresh frozen cadaver upper extremities were examined under ultrasound to determine the length of the extensor retinaculum (ER) over the FEC. Using the sonographic landmarks, the ERs were measured in short axis and long axis over their proximal to distal margins and from the distal margins to the distal edges of the radial styloids. These sonographic measurements were then compared with gross anatomical measurements. Results: The short-axis sonographic measurement of the ER on average was 22.53 mm (95% confidence interval [CI] = 20.79-24.05 mm). The long-axis sonographic measurement of the ER on average was 15.65 mm (95% CI = 13.70-17.78 mm). The average length of the ER by gross anatomical dissection was 22.40 mm (95% CI = 21.15-23.51 mm). Conclusions: The short axis is not significantly different from the gross anatomical measurement; however, the long axis is significantly lower than the gross anatomical measurement. The results support the idea that the short axis is more accurate than the long axis.
Median Nerve Compression in the Forearm: A Clinical Diagnosis
Authors: El-Haj Madi , Ding Wei , Sharma Ketan , Novak Christine , Mackinnon Susan E. , Patterson J. Megan M.
Published: September 2019

Background: Median nerve entrapment in the forearm (MNEF) without motor paralysis is a challenging diagnosis. This retrospective study evaluated the clinical presentation, diagnostic studies, and outcomes following surgical decompression of MNEF. Methods: The study reviewed 147 patient medical charts following MNEF surgical decompression. With exclusion of patients with combined nerve entrapments (radial and ulnar), polyneuropathy, neurotmetic nerve injury, or median nerve motor palsy, the study sample included 27 patients. Data collected include: clinical presentation and pain, strength, provocative testing, functional outcomes, and Disabilities of the Arm, Shoulder and Hand (DASH) scores. Results: The study included 27 patients (mean follow-up = 7 months), and 13 patients had previous carpal tunnel release (CTR). Clinical presentation included pain (n = 27) (forearm, n = 22; median nerve innervated digits, n = 21; and palm, n = 21) and positive clinical tests (forearm scratch collapse test, n = 27; pain with compression over the flexor digitorum superficialis arch/pronator, n = 24; Tinel sign, n = 11). Positive electrodiagnostic studies were found for MNEF (n = 2) and carpal tunnel syndrome (n = 11). Primary CTR was performed in 10 patients and revision CTR in 7 patients. Postoperatively, there were significant ( P < .05) improvements in strength, pain, quality of life, and DASH scores. Conclusions: The MNEF without motor paralysis is a clinical diagnosis supported by pain drawings, pain quality, and provocative tests. Patients with persistent forearm pain and median nerve symptoms (especially after CTR) should be evaluated for MNEF. Surgical decompression provides satisfactory outcomes.
Optimization of Protocol for Isolation of Chondrocytes from Human Articular Cartilage
Authors: Muhammad Suleiman Alhaji , Nordin Norshariza , Hussin Paisal , Mehat Muhammad Zulfadli , Tan Sheau Wei , Fakurazi Sharida
Published: September 2019

Objective

Cartilage tissue engineering has evolved as one of the therapeutic strategies for cartilage defect, which relies on a large number of viable chondrocytes. Because of limited availability of cartilage and low chondrocytes yield from cartilage, the need for an improve isolation protocol for maximum yield of viable cells is a key to achieving successful clinical constructs. This study optimizes and compares different protocols for isolation of chondrocytes from cartilage.

Design

We employed enzymatic digestion of cartilage using collagenase II and trypsin. The chondrocytes yield, growth kinetics, aggrecan, and collagen type 2 (COL2) expression were evaluated. Collagen type 1 (COL1) mRNA expression was assessed to monitor the possibility of chondrocytes dedifferentiation.

Results

Chondrocyte yield per gram of cartilage was significantly higher ( P < 0.05) using collagenase II in Hank’s balanced salt solution (HBSS) compared with 0.25% trypsin. The number of chondrocyte yield per gram was higher in cartilage digested with collagenase in HBSS compared with Dulbecco’s modified Eagle medium/F12; however, the difference was not statistically significant. Chondrocytes seeded at lower densities had shorter population doubling time compared to those seeded at higher density. Protein and gene expression of chondrocyte phenotype indicates the expression of aggrecan and COL2. The expression of COL1 was significantly increased ( P < 0.05) in passage 3 compared with primary chondrocytes. The mRNA expression of chondrocyte phenotype was similar in primary and passaged one cells.

Conclusions

Collagenase in HBSS yield the highest number of viable chondrocytes and the isolated cells expressed chondrocyte phenotype. This protocol can be employed to generate large number of viable chondrocytes, particularly with limited cartilage biopsies.
A Single Axial Impact Load Causes Articular Damage That Is Not Visible with Micro-Computed Tomography: An Ex Vivo Study on Caprine Tibiotalar Joints
Authors: Blom Robin P. , Mol Douwe , van Ruijven Leo J. , Kerkhoffs Gino M. M. J. , Smit Theo H.
Published: September 2019

Objective

Excessive articular loading, for example, an ankle sprain, may result in focal osteochondral damage, initiating a vicious degenerative process resulting in posttraumatic osteoarthritis (PTOA). Better understanding of this degenerative process would allow improving posttraumatic care with the aim to prevent PTOA. The primary objective of this study was to establish a drop-weight impact testing model with controllable, reproducible and quantitative axial impact loads to induce osteochondral damage in caprine tibiotalar joints. We aimed to induce osteochondral damage on microscale level of the tibiotalar joint without gross intra-articular fractures of the tibial plafond.

Design

Fresh-frozen tibiotalar joints of mature goats were used as ex vivo articulating joint models. Specimens were axially impacted by a mass of 10.5 kg dropped from a height of 0.3 m, resulting in a speed of 2.4 m/s, an impact energy of 31.1 J and an impact impulse of 25.6 N·s. Potential osteochondral damage of the caprine tibiotalar joints was assessed using contrast-enhanced high-resolution micro-computed tomography (micro-CT). Subsequently, we performed quasi-static loading experiments to determine postimpact mechanical behavior of the tibiotalar joints.

Results

Single axial impact loads with a mass of 15.5 kg dropped from 0.3 m, resulted in intra-articular fractures of the tibial plafond, where a mass of 10.55 kg dropped from 0.3 m did not result in any macroscopic damage. In addition, contrast-enhanced high-resolution micro-CT imaging neither reveal any acute microdamage (i.e., microcracks) of the subchondral bone nor any (micro)structural changes in articular cartilage. The Hexabrix content or voxel density (i.e., proteoglycan content of the articular cartilage) on micro-CT did not show any differences between intact and impacted specimens. However, quasi-static whole-tibiotalar-joint loading showed an altered biomechanical behavior after application of a single axial impact (i.e., increased hysteresis when compared with the intact or nonimpacted specimens).

Conclusions

Single axial impact loads did not induce osteochondral damage visible with high-resolution contrast-enhanced micro-CT. However, despite the lack of damage on macro- and even microscale, the single axial impact loads resulted in “invisible injuries” because of the observed changes in the whole-joint biomechanics of the caprine tibiotalar joints. Future research must focus on diagnostic tools for the detection of early changes in articular cartilage after a traumatic impact (i.e., ankle sprains or ankle fractures), as it is well known that this could result in PTOA.
The Effect of Transplant Volume and Patient Case Mix on Center Variation in Kidney Transplantation Outcomes
Authors: Tsampalieros Anne , Fergusson Dean , Dixon Stephanie , English Shane W. , Manuel Douglas , Van Walraven Carl , Taljaard Monica , Knoll Greg A.
Published: September 2019

Background:

Kidney transplantation is the optimal treatment for patients with end-stage renal disease; however, long-term outcomes remain suboptimal.

Objective:

The objectives of our study were to examine the variation in survival rates and determine whether center volume and case mix are associated with transplant outcomes and explain the variation across kidney transplant centers in Ontario, Canada.

Design:

This was a population-based cohort study using health care administrative databases.

Setting:

A total of 5 transplant centers across Ontario, Canada.

Patients:

We included adults (≥18 years) undergoing primary, solitary kidney transplantation between January 1, 2000 to December 31, 2013.

Measurements:

The co-primary outcomes were death-censored graft loss and total mortality.

Methods:

Multivariable Cox proportional hazards regression was used to assess potential associations and describe variation, using hazard ratios (HRs) with 95% confidence intervals (CIs) for each center relative to the average across all centers.

Results:

The study cohort included 5037 patients followed for a median of 5.3 years, interquartile range (2.7-8.6). In multivariable models, recipient age, body mass index, Charlson Index, time on dialysis, donor type, and age were found to be significantly associated with death-censored graft loss, and recipient age and sex, Charlson Index, time on dialysis, donor age, and time era of transplant were associated with total mortality. There was statistically significant variation across centers observed for death-censored graft loss ( P = .04) with HRs ranging from 0.72 to 1.22. However, neither adjusting for case mix nor center volume meaningfully changed the HRs reflecting each center-specific effect. There was a tendency toward reduced risk of graft loss (HR, per additional 25 patients, 0.90 [95% CI, 0.78-1.04]) in centers with higher volumes. For total mortality, there was statistically significant variation across centers with HRs ranging from 0.82 to 1.13 ( P = .04); however, neither adjusting for case mix or center volume meaningfully changed the HRs. Center volume was not significantly associated with total mortality (HR, per additional 25 patients, 1.04 [95% CI, 0.90-1.20]).

Limitations:

This study was limited by the small number of centers included.

Conclusions:

Outcomes differ across the 5 transplant centers in Ontario. We did not find any strong support for our hypotheses that case mix or center volume is responsible for these differences.