bluuebunny/crossref_metadata_2025 huggingface dataset:
Qualitative Analysis of Patient Decisional Needs for Medications to Treat Heart Failure
Authors: Turgeon Ricky D. , Fernando Saranee , Bains Marc , Code Jillianne , Hawkins Nathaniel M. , Koshman Sheri , Straatman Lynn , Toma Mustafa , Virani Sean A. , MacDonald Blair J. , Snow M. Elizabeth
Published: April 2024

BACKGROUND:

The development of tools to support shared decision-making should be informed by patients’ decisional needs and treatment preferences, which are largely unknown for heart failure (HF) with reduced ejection fraction (HFrEF) pharmacotherapy decisions. We aimed to identify patients’ decisional needs when considering HFrEF medication options.

METHODS:

This was a qualitative study using semi-structured interviews. We recruited patients with HFrEF from 2 Canadian ambulatory HF clinics and clinicians from Canadian HF guideline panels, HF clinics, and Canadian HF Society membership. We identified themes through inductive thematic analysis.

RESULTS:

Participants included 15 patients and 12 clinicians. Six themes and associated subthemes emerged related to HFrEF pharmacotherapy decision-making: (1) patient decisional needs included lack of awareness of a choice or options, difficult decision timing and stage, information overload, and inadequate motivation, support and resources; (2) patients’ decisional conflict varied substantially, driven by unclear trade-offs; (3) treatment attribute preferences—patients focused on both benefits and downsides of treatment, whereas clinicians centered discussion on benefits; (4) quality of life—patients’ definition of quality of life depended on pre-HF activity, though most patients demonstrated adaptability in adjusting their daily activities to manage HF; (5) shared decision-making process—clinicians’ described a process more akin to informed consent; (6) decision support—multimedia decision aids, virtual appointments, and primary-care comanagement emerged as potential enablers of shared decision-making.

CONCLUSIONS:

Patients with HFrEF have several decisional needs, which are consistent with those that may respond to decision aids. These findings can inform the development of HFrEF pharmacotherapy decision aids to address these decisional needs and facilitate shared decision-making.
Exploring Best Practices in Constructing Dog Adoption Advertisements
Authors: Kelling Angela S. , Wilson Megan L. , Martin Allison L. , Barker Sarah , Mallavarapu Suma
Published: April 2024

A primary goal of animal shelters is to adopt animals into permanent homes. Many potential adopters learn about adoptable animals via online advertisements. It remains unclear how to best format these advertisements to increase the likelihood of a successful adoption. Participants (N = 561) completed a questionnaire after viewing fictional dog adoption advertisements in which certain characteristics were systematically varied. Results indicated that characteristics of the advertisements influenced participant opinions. Participants showed preference for advertisements in paragraphs over those written as bullet points. Participants’ perceptions of the dog and their ability to identify potential behavioral challenges were influenced by the type of language used in the advertisements. Participants expressed interest in having additional information in the advertisements, including information about the dog’s behavior. Our findings can help guide the content and structure of dog adoption advertisements to maximize information transfer, meet reader expectations, and result in more successful adoptions.
Compassion Fatigue and Satisfaction Within Sanctuary-Based Primate Husbandry
Authors: Rantala Madalyn , Gabriel Kara I. , Lipton Jennifer , Mulcahy J. B.
Published: April 2024

Animal-care workers are at risk of compassion fatigue (i.e., experiencing burnout and secondary traumatic stress [STS]) which has been shown to adversely impact employee wellbeing, organizational productivity, and caregiving quality in other caregiving fields. The current cross-cultural analysis explored compassion fatigue among 46 primate sanctuary workers across three continents who completed the Professional Quality of Life (ProQOL) scale and Trauma-Informed Organizational Culture (TIOC) survey, and answered questions about their work. Higher compassion satisfaction (CS) and lower compassion fatigue were observed in primate care workers compared to previously published animal-care worker samples. CS negatively correlated with burnout whereas burnout positively correlated with STS. Workplace support positively correlated with CS while supervisory and peer support negatively correlated with burnout. Lastly, African-residing respondents had higher burnout and STS than did European- and North American-residing respondents and more often mentioned conservation concerns and recovery and release of animals as important elements of their work.
Epilogue: Bogotá, Law, Time, and Politics
Authors: Galindo George Rodrigo Bandeira
Published: April 2024

This special issue offers contemporary international lawyers a unique opportunity to be self-conscious about how those involved in the 1948 Bogotá Conference politicized time and how historical narratives about that Conference do the same. They treat the American region as an object of study in itself in international law, and avoid falling into the habit of many international lawyers in facing universalism as an a priori of legal thinking. In this vein, the 1948 Bogotá Conference is better seen as an array of possibilities.
The Puebla Conference: The Origins of Pope Francis’ Synodal Ecclesiology
Authors: Campagnaro Matteo
Published: April 2024

This article aims to contribute to an intelligent examination of Pope Francis’ magisterium and to the development of post-conciliar Latin American theology which acquired its maturity during the third Episcopal Conference of Latin America and the Caribbean in Puebla, Mexico in 1979. Firstly, this article examines the genesis of the Puebla Conference: how it came about, and the social and ecclesiastical environment that inspired it. In the second and third parts, the contents of the Final Document are explored. The article focuses on the birth of the Theology of the People and on the synodal ecclesiology that is derived from it, two fundamental themes that advance post-conciliar ecclesiological discourse.
Ecclesiology from Below in Contemporary Orthodox Christianity
Authors: Chivu Silviu
Published: April 2024

This article aims to critically and comparatively explore a recent model of ecclesiology from below as worked out by a contemporary Ukrainian Orthodox theologian and worldwide known scholar, Cyril Hovorun (b. 1974). In order to discern Hovorun’s original contribution to the field of Orthodox ecclesiology and its ecumenical potential, his doctrine of the church is placed in a wider scholarly context by emphasising the way in which the Ukrainian theologian is influenced by his main sources. Afterwards, the concrete implications of Hovorun’s ecclesiology from below are examined and some critical remarks are further articulated. Finally, this study sheds light on the strengths and shortcomings of Hovorun’s approach when compared with one of the most influential ecclesiological perspectives in contemporary Orthodox Christianity, namely, John Zizioulas’ eucharistic ecclesiology.
On Mitigating Celebritistic Culture in Western Ecclesial Contexts
Authors: Gooch Griffin
Published: April 2024

This article explores the influence of celebrification and celebritisation within Western ecclesial contexts while addressing the ways in which this phenomenon bolsters pressures to structure orthopraxy around pragmatism, popularity, and efficiency. Examining the social effects of celebritisation, such as ‘parasocial relationships’ and ‘mimicry’, on ecclesial dynamics, the article argues that such influences lead to the elevation of those who exhibit impressive or culturally ‘popular’ traits, while marginalising those who ‘fail’ according to the larger system’s standards. Further study elucidates the intersection of celebritisation with Western leadership models, critiquing a perceived over-reliance on strict, ‘ladder’ hierarchy. Western ecclesial contexts have suffered from a celebritisation that is contradictory to communal health, and the paper concludes that its mitigation will require a reorientation of ecclesial structure and practices. Proposing a rejection of these trends, the study first advocates the mitigation of celebrification through internal self-emptying among ecclesial leaders, before suggesting an undermining of celebritisation through trading a ‘ladder’ hierarchy for a ‘lattice’ hierarchy that will serve to enhance community participation.
A taxonomic revision of the sponge-associated genus Thoracactis Gravier, 1918 (Anthozoa: Zoantharia) based on an integrated approach
Authors: Kise Hiroki , Montenegro Javier , Corrêa Paulo V.F. , Clemente Marcos V.C. , Sumida Paulo Y.G. , Hoeksema Bert W. , Reimer James D.
Published: April 2024

The integrated approach of molecular phylogenetic and morphological analyses has revolutionized the systematics and our understanding of the evolutionary relationships of marine taxa. One such group is the hexacorallian order Zoantharia Rafinesque, 1815. The monotypic genus Thoracactis Gravier, 1918 has been little investigated since its placement within the order Zoantharia more than 100 years ago. Here, we examined museum specimens collected from the Cape Verde Islands (eastern Atlantic) and newly collected specimens from Brazil (southwestern Atlantic), using a combined molecular and morphological approach. Our results conclusively show Thoracactis to be referable to the family Parazoanthidae. Morphological data show that Thoracactis topsenti Gravier, 1918, the type species of this monotypic genus, has a cyclically transitional arrangement of its sphincter muscle, and this arrangement has previously been reported from the Parazoanthidae. Thoracactis can be distinguished from other hexasterophoran glass-sponge-associated genera (Churabana Kise, Montenegro & Reimer, 2022, Parachurabana Kise, 2023, and Vitrumanthus Kise, Montenegro & Reimer, 2022) by a combination of morphological, ecological and molecular phylogenetic data. In addition, molecular phylogenetic analyses clearly indicate that Thoracactis topsenti is placed within Parazoanthidae. These results are yet another demonstration of the utility of comprehensive combined approaches. From now, research attention should focus on the revision of remaining taxonomic questions within the family Epizoanthidae, with the goal of a comprehensively revised suborder Macrocnemina within reach.
Keeping the Cold War Cold: Korea, 1966–1976
Authors: Evan Sarantakes Nicholas
Published: April 2024

During the Cold War, U.S. strategic leaders had to deal with policies and issues in every part of the globe. The main theater was in Europe, but there were other regions that demanded attention. Korea was an important one. From the mid-1960s to the mid-1970s, the peninsula was on the brink of conflict as North Korea initiated a series of operations that were legitimate acts of war. There was a strong desire among South Korean government officials for a military response, but U.S. government leaders said no. Officials in Washington recognized the limits of U.S. power at the time, and designed their responses to maintain the status quo. The story of how the United States handled its undertakings in areas of marginal importance was a chapter in the larger history of the Cold War. A number of historians have suggested that the Third World played a key role in shaping developments in the Cold War, but U.S. actions in Korea indicate something a bit more complicated. Knowing when to become involved and when to limit losses was crucial in how the United States managed events along the periphery of the Cold War.
Cooperation and Struggle Between Vietnam and the United States: Impediments to Improved U.S.-Vietnam Relations
Authors: Cường Nguyễn Anh
Published: April 2024

The relationship between the United States and Vietnam began when Prince Nguyen Phuc Canh worked with Extraordinary and Plenipotentiary American Ambassador Thomas Jefferson in 1787. The United States, however, later invaded Vietnam, causing a bloody conflict unlike any in human history from 1954 to 1975. Then, in 1995, a shared sense of humanity and morality motivated the two countries to attempt to form a comprehensive partnership that they achieved in 2013, and they have been working to refine their approach toward collaborating together ever since. In this partnership, there is a need to uncover and resolve a few mysteries. This article’s objective is to analyze the fundamentals of both cooperation and conflict in this historical partnership – human rights (including for prisoners of war and those missing in action), military security, policy reform in Vietnam, and financial gains for Vietnam and the United States. However, differences in political institutions, interests and values, and aims for the relationship have all become points of contention since normalization of bilateral relations in 1995.
Perceptuo-Cognitive Analysis of Magritte’s Iconic Painting La Condition Humaine (1933)
Authors: Hamer Russell D.
Published: April 2024

René Magritte once said “… the function of art is to make poetry visible, to render thought visible”. The poetry emerged on his canvases by meticulous, aesthetically engaging depiction of objects and scenes replete with surprise and apparent perceptual self-contradiction. His 1933 masterpiece, La Condition Humaine (The Human Condition), is one of his most philosophical works. We see a room with a painting on an easel that appears to paradoxically reveal exactly what it occludes: a pastoral scene outside the room. Magritte had a sophisticated understanding of perception as representation in the brain, and he discussed this theme explicitly. This article examines in detail visual cues in La Condition Humaine that elicit an alternation between salient yet mutually exclusive percepts, transparency vs opacity, of the same object. The conflicting percepts are experienced as surreal, drawing us into the heart of the problem: the nature of representation (in art and in the brain), a meditation on the localization of thought, while beckoning us to ponder the nature of reality and the ‘mystery of the ordinary’. The painting also illustrates the power of subtle painterly gesture, i.e., when small details act as ‘perceptual amplifiers’, inducing a strong effect on both our perceptual and cognitive understanding of scene elements across a large region of visual space. Finally, examination of how the competing percepts are established, and the emergence of some perceptuo-cognitive features provide clues about the visual system’s scene processing hierarchy.
The Metaphysics of Presence and Absence: the Primacy of the Ear over the Eye in the Holy Qurʾan
Authors: Hamamra Bilal , Abusamra Sanaa
Published: April 2024

In the Qurʾan, the sense of hearing and its agent the ear are both linked to the heart whereas sight and its organ the eye are associated with the head. The sense of hearing, which is a channel to spiritual knowledge, is privileged to the sense of sight, the gateway to the realm of carnal knowledge. The ear and the heart are channels to the sphere of absence while the eye and the head are associated with the realm of presence. Knowledge of the world of absence is twofold: The first incarnates in the type of knowledge obtained from God and his angels and the other is that which is acquired from Satan and Jinn. The primacy of the ear over the eye is further substantiated by the Qurʾanic repudiation of the charges that the origin of the Prophet Muhammad’s words is fables breathed into his ears from the underworld of absence.
Ahmed Cevdet Pasha’s Printed Quranic Manuscript in the Ottoman Empire: a Critical Study
Authors: Eed Shady
Published: April 2024

This article discusses a discovery made by the author involving the wrong manuscript of calligrapher Şekerzâde being printed by the Ottoman Empire. It was initially illegal to sell printed copies of the Qurʾan in Ottoman lands, as cutting letters of the verses was deemed disrespectful. After foreign-printed copies began circulating, the position of the Ottoman government was forced to change. Thereby, the Ministry of Education, led by Ahmed Cevdet Pasha, was commissioned to produce a printed Qurʾan. However, the governmental body accidentally printed a manuscript that Şekerzâde wrote in Istanbul, while indicating it was the Qurʾan he wrote in Medina. Through careful examination, including translations of the inscriptions, this error was noticed for the first time. This paper presents an introduction to Ottoman reverence for the Qurʾan, a history of the printing process, background information of Ahmed Cevdet Pasha, and evidence regarding the mistake made when printing the manuscript.
China’s Wolf Warrior Diplomacy (Narrative): Development, Causes, and Political Effects
Authors: Liu Kerry
Published: April 2024

China’s wolf warrior diplomacy has attracted worldwide attention since April 2020. Unlike previous studies, which mainly adopted a conceptual/qualitative approach, this study, based on Google Trends data during April 2020–May 2021, performs a comprehensive empirical analysis. In particular, this study finds that China’s wolf warrior diplomacy began to develop rapidly in April 2020. It finds that China’s wolf warrior diplomacy failed to stir up domestic nationalism but significantly augmented the perception of a Chinese threat around the world. However, Xi Jinping’s new guidelines on China’s wolf warrior diplomacy on May 31, 2021 have reduced the significance of this style of diplomacy.
Clash of Diplomatic Cultures between Europe and China around 1800: A Rereading of the Macartney Mission
Authors: Tang Chenxi
Published: April 2024

This essay revisits some familiar diplomatic encounters between European nations and China in the decades around 1800. It proceeds from a theoretical distinction between diplomacy within an international society and diplomacy between international societies. The set of ideas, principles, and institutions of diplomatic interaction within an international society may be summarily termed its diplomatic culture. Diplomacy between international societies lacks a shared diplomatic culture, involving instead negotiations between different diplomatic cultures. The European embassies to China around 1800 epitomize diplomacy between international societies. The essay examines in some detail the attempts on both sides to make sense of the diplomatic exchange, in which they were engaged: translating documents, documenting actions, and interpreting the events by poetic means. All these attempts turned out to entrench differences rather than induce agreements. This predicament was to be resolved only by violence.
Three-Pronged Resentment: How Status Insecurity, Relative Deprivation, and Powerlessness Mediate Between Social Positions and Populist Attitudes
Authors: Abts Koen , Maximilian Rogenhofer Julius
Published: April 2024

Populist attitudes are frequently tied to a specific social position, namely the constituent’s status as a “loser of globalization.” Adding nuance to this explanatory framework, we investigate whether and how resentment mediates between social positions and populist attitudes. We distinguish three constitutive components of resentment—status insecurity, relative deprivation, and powerlessness—and analyze to what extent these sentiments explain the prevalence of two key populist attitudes: anti-elitism and demands for popular sovereignty. Using survey data from the Belgian National Election Study 2014, we show that although both populist attitudes are more likely among individuals of low socioeconomic status, this effect is mediated by a sense of group relative deprivation (anti-elitism and popular sovereignty) and feelings of powerlessness (anti-elitism). The effect of individual-level status insecurities on populist attitudes is, however, not significant. These results suggest that people do not simply adhere to antagonistic and people-centric views about politics because they experience economic precariousness; they embrace populist attitudes if their vulnerability is perceived in terms of a threatened sense of group position and understood as the outcome of an unjust society, wherein they feel powerless to alter their circumstances.
Washington State Assault Weapon Firearm Violence Before and After Firearm Legislation Reform
Authors: Bhullar Avneet , Shipley Jonathan , Alaniz Leonardo , Grigorian Areg , Burruss Sigrid , Swentek Lourdes , Kuza Catherine , Nahmias Jeffry
Published: April 2024

Background

In January of 2019, Washington State (WA) passed Initiative 1639 making it illegal for persons <21 years-old to buy assault weapons (AWs). This study aimed to evaluate the effects of WA-1639 on firearm-related incidents involving AWs by those <21 years-old in WA, hypothesizing a decrease in incidents after WA-1639.

Methods

Retrospective (2016-2021) data on firearm violence (FV) events were gathered from the Gun Violence Archive. The rate of FV was weighted per 100,000 people. Total monthly incidents, injuries, and deaths were compared pre-law (January 2016-December 2018) vs post-law (January 2019-December 2021) implementation. Mann-Whitney U tests and Poisson’s regression were used for analysis.

Results

From 4091 FV incidents (2210 (54.02%) pre-law vs 1881 (45.98%) post-law), 50 involved AWs pre- (2.3%) and 15 (.8%) post-law. Of these, 11 were committed by subjects <21 years-old pre-law and only one occurred post-law. Total incidents of FV (z = −3.80, P < .001), AW incidents (z = −4.28, P < .001), and AW incidents involving someone <21 years-old (z = −3.01, P < .01) decreased post-law. Additionally, regression analysis demonstrated the incident rate ratio (IRR) of all FV (1.23, 95% CI [1.10-1.38], P < .001), all AW FV incidents (3.42, 95% CI [1.70-6.89], P = .001), and AW incidents by subjects <21 years-old (11.53, 95% CI [1.52-87.26], P = .02) were greater pre-law vs post-law.

Discussion

Following implementation of WA-1639, there was a significant decrease in FV incidents and those involving AWs by individuals <21 years-old. This suggests targeted firearm legislation may help curtail FV. Further studies evaluating FV after legislation implementation in other states is needed to confirm these findings.
Level One Trauma Center Proliferation May Worsen Patient Outcomes
Authors: Zhou Michael , Norton Taylor W. , Rupp Kelsey , Paxton Rebecca J. , Wang Michele S. , Rehman Nisha S. , He Jack
Published: April 2024

Background

From 2013 to 2020, Arizona state trauma system expanded from seven to thirteen level 1 trauma centers (L1TCs). This study utilized the state trauma registry to analyze the effect of L1TC proliferation on patient outcomes.

Methods

Adult patients age≥15 in the state trauma registry from 2007-2020 were queried for demographic, injury, and outcome variables. These variables were compared across the 2 time periods: 2007-2012 as pre-proliferation (PRE) and 2013-2020 as post-proliferation (POST). Multivariate logistic regression was performed to assess independent predictors of mortality. Subgroup analyses were done for Injury Severity Score (ISS)≥15, age≥65, and trauma mechanisms.

Results

A total of 482,896 trauma patients were included in this study. 40% were female, 29% were geriatric patients, and 8.6% sustained penetrating trauma. The median ISS was 4. Inpatient mortality overall was 2.7%. POST consisted of more female, geriatric, and blunt trauma patients ( P < .001). Both periods had similar median ISS. POST had more interfacility transfers (14.5% vs 10.3%, P < .001). Inpatient, unadjusted mortality decreased by .5% in POST ( P < .001). After adjusting for age, gender, ISS, and trauma mechanism, being in POST was predictive of death (OR: 1.4, CI:1.3-1.5, P < .001). This was consistent across all subgroups except for geriatric subgroup, which there was no significant correlation.

Discussion

Despite advances in trauma care and almost doubling of L1TCs, POST had minimal reduction of unadjusted mortality and was an independent predictor of death. Results suggest increasing number of L1TCs alone may not improve mortality. Alternative approaches should be sought with future regional trauma system design and implementation.
Efficiency of Public Healthcare Systems Across Indian States
Authors: Aneja Ranjan , Kappil Shine Raju , Mor Surender
Published: April 2024

This article analyses the technical efficiency of public healthcare systems within various states of India. Slacks-based efficiency model (SBM) to compare the efficiencies of the public healthcare systems of selected Indian states has been used. A comparison of budget documents and government responses during the pandemic revealed the changing stereotypical stand of the Central Government towards the health sector, especially after the advent of the pandemic. Further, the study found that the public healthcare systems of four states (Bihar, Kerala, Maharashtra and NCT of Delhi) are SBM efficient. Healthcare resources are over-utilised in most states, but health outcomes still need to be improved. The study recommends connecting poor and illiterate citizens in remote villages with public health utilities to improve health outcomes.

JEL Codes: H51, H52, H75
UiO-66/AgNPs Coating for Dental Implants in Preventing Bacterial Infections
Authors: Yu C. , Yu Y. , Lu Y. , Quan K. , Mao Z. , Zheng Y. , Qin L. , Xia D.
Published: April 2024

Titanium (Ti)–based biomaterials lack inherent antimicrobial activities, and the dental plaque formed on the implant surface is one of the main risk factors for implant infections. Construction of an antibacterial surface can effectively prevent implant infections and enhance implant success. Silver nanoparticles (AgNPs) exhibit broad antibacterial activity and a low tendency to induce drug resistance, but AgNPs easily self-aggregate in the aqueous environment, which significantly impairs their antibacterial activity. In this study, UiO-66/AgNP (U/A) nanocomposite was prepared, where zirconium metal–organic frameworks (UiO-66) were employed as the confinement matrix to control the particle size and prevent aggregation of AgNPs. The bactericidal activity of U/A against methicillin-resistant Staphylococcus aureus and Escherichia coli increased nearly 75.51 and 484.50 times compared with individually synthesized Ag. The antibacterial mechanism can be attributed to the enhanced membrane rupture caused by the ultrafine AgNPs on UiO-66, leading to protein leakage and generation of intracellular reactive oxygen species. Then, U/A was loaded onto Ti substrates (Ti-U/A) by using self-assembly deposition methods to construct an antibacterial surface coating. Ti-U/A exhibited excellent antibacterial activities and desired biocompatibility both in vitro and in vivo. The U/A nanocomposite coating technique is thus expected to be used as a promising surface modification strategy for Ti-based dental implants for preventing dental implant infections.
Supporting Adolescents Bereaved by Suicide or Other Traumatic Death: The Views of Counselors
Authors: Andriessen Karl , Snir Jessica , Krysinska Karolina , Rickwood Debra , Pirkis Jane
Published: April 2024

Adolescents bereaved by suicide and other traumatic death may experience strong grief reactions and increased risks of mental health problems and suicidal behaviour. As timely access to professional help can be critical, it is essential to understand how counselors perceive suicide bereavement in adolescents and how they work with this population. This study aimed to examine the perspectives of counselors ( N = 34). Eleven participated in an individual semi-structured interview and 23 others in group interviews. Thematic analysis yielded three themes: (1) Building a relationship with the bereaved adolescent, (2) Offering support tailored to the needs of the grieving adolescent, and (3) Offering strengths-based and sustainable support. Counselors’ skills, attitudes, content-related expertise, and approaching the adolescent’s grief within their developmental context were deemed essential for building a therapeutic relationship and offering viable support. The findings may inform good practices in counseling bereaved adolescents to facilitate positive mental health outcomes.
Impact of multi-dimensional religiosity on party support in Poland
Authors: BŁASZCZYŃSKI Kamil
Published: April 2024

This article delves into the profound implications of multi-dimensional religiosity on political party support, with a special focus on the case of Poland (N = 1203). In a society undergoing a transformative journey towards secularism and progressiveness, the traditional role of religiosity in shaping political attitudes has been reevaluated. In order to check the impact of religiosity, binomial logistic regression models were conducted. In the study, combined Wave 7 World Value Survey and European Value Study database was used. With the obtained results, a significant role of normative religiosity was detected. The results do not confirm conclusions discussed by other leading authors in Poland, who use other models and indicators of religiosity. The proposed study provokes and encourages for change in the methodological approach in building party-support models in Poland by including and measuring the normative dimension of religiosity as the leading source of individual party support motivation, discarding thus more traditional ritualistic behaviour measuring.
Pharmacovigilance Concept Knowledge, Perspectives and Attitudes: A Cross-Sectional Study Among Community Pharmacists
Authors: Abu Assab Mohammad , Alhamad Hamza , Albahar Fares , Abu Dayyih Wael , Echarif Soumaia , Abu Assab Hanadi
Published: April 2024

The concept of pharmacovigilance (PV) is currently highlighted after emergency authorization and worldwide distribution of the urgently launched COVID-19 novel vaccinations. As they typically serve as the initial point of patient contact for medication-related issues, understanding the knowledge, perspectives, and attitudes of community pharmacists in PV and reporting adverse drug reactions (ADRs) is crucial to improving the healthcare system and public health policies. However, previous studies in Jordan have not focused entirely on community pharmacists. This study aimed to assess community pharmacists’ knowledge, perspectives, and attitudes on PV and ADRs reporting in Jordan. The applied methodology in this study was based on a cross-sectional study design using a validated questionnaire distributed to a convenient sample of Jordanian community pharmacists. Seventeen questions were designed from different pieces of literature relating to knowledge, perspectives, and attitudes of PV among community pharmacists. Descriptive statistics (frequencies and percentages) were used to report the results data. The study questionnaire was completed by 180 of 325 community pharmacists willing to participate (a response rate of 55.4%). Of them (n = 132, 73%) were aware of the concept of PV. Additionally (n = 84, 47%) of the community pharmacists would use the concept and policy of PV in their everyday work. Nevertheless, only (n = 36, 20.0%) of the community pharmacists thought an ADR should be reported if seen, and approximately 120 pharmacists (67.0%) believed it was essential to report ADRs as patient health matters. Although community pharmacists in Jordan showed a considerable awareness level of PV, they demonstrated a low level of its application. Thus, ADR reporting is not considered a mainstay among them, and the implementation of PV is not yet addressed. The results from this study shed light on community pharmacists’ perceptions and attitudes regarding ADR reporting and PV.
The effect of precarious employment on suicidal ideation: A serial mediation model with contractual temporality and job insecurity
Authors: Llosa José Antonio , Iglesias-Martínez Enrique , Agulló-Tomás Esteban , Menéndez-Espina Sara , Oliveros Beatriz
Published: April 2024

Suicidal ideation is a variable prior to suicidal behaviour and one of the main producers of risk of death by suicide. The sample consisted of a total of 1,288 people living in Spain who at the time of answering the questionnaire were in active employment. Contractual status is a significant variable for the prediction of suicidal ideation. Contractual temporality is a risk factor for suicidal ideation, whereas permanent employment is a protective factor. In suicidal ideation, job insecurity is a mediating risk factor and a key dimension of job precariousness because of the adverse effects on mental health it causes. Job insecurity interacts with objective causes of precariousness and is presented as a necessary variable for understanding the relationship between these material causes and suicidal thoughts.
A new two-stage decomposition and integrated hybrid model for short-term wind speed prediction
Authors: Han Ying , Zhang Chi , Li Kun
Published: April 2024

Accurate wind speed prediction is of essential importance for the stability and safe operation of power systems. Given the complexity of wind speed sequence, this paper proposed a new two-stage decomposition and integrated hybrid model to improve the accuracy of wind speed prediction. A two-stage decomposition method combining robust local mean decomposition (RLMD), sample entropy (SE) and variational modal decomposition (VMD) was used to decompose the wind speed signal in the data preprocessing stage. Firstly, the wind speed signal was decomposed into various components by RLMD, and the complexity of each component was calculated using the SE to classify them into random, detail component and trend component. Then, a secondary decomposition of the random component with the highest SE was performed using the VMD. In the prediction stage, two different prediction models were used for prediction depending on the smoothness of each component. Stochastic configuration networks (SCN) was used to predict the detail and trend components with relatively smoothness. Echo state network (ESN) was used to predict the components of the secondary decomposition. Finally, the actual wind speed data were compared by different prediction models, which illustrated that the prediction method proposed in this paper had good prediction accuracy and generalizability.
Outcomes After Community Discharge From Skilled Nursing Facilities: The Role of Medicaid Home and Community-Based Services
Authors: Wang Sijiu , Temkin-Greener Helena , Simning Adam , Konetzka Rita Tamara , Cai Shubing
Published: April 2024

This study investigated the association between Medicaid Home and Community-Based Services (HCBS) generosity and post-discharge outcomes among dual-eligible beneficiaries discharged from skilled nursing facilities (SNFs). We linked multiple national datasets for duals discharged from SNFs between 2010 and 2013. Accounting for SNF fixed effects, we estimated the effect of HCBS generosity, measured by its breadth and intensity, on the likelihood of remaining in the community, risks of death, nursing home (NH) admission, and hospitalizations within 30 and 180 days after SNF discharge. We found that higher HCBS generosity was associated with an increased likelihood of remaining in the community. HCBS breadth and intensity were both significantly associated with reduced risks of NH admission, while higher HCBS intensity was related to a reduced risk of acute hospitalizations within 30 days after discharge. Our findings suggest that more generous HCBS programs may facilitate smoother transitions and sustainable community living following SNF discharge.
Effective waste management in service industry: Fuzzy-based modelling approach for strategic decision-making
Authors: Dinçer Hasan , Yüksel Serhat , Eti Serkan , Gökalp Yaşar , Mikhaylov Alexey , Karpyn Zuleima
Published: April 2024

Hospitals need to identify issues of greater importance on waste management because the implementation of many different strategies may lead to an unconscious increase in costs. Accordingly, the purpose of this study is to define the most effective waste management strategies in the service industry. For this purpose, a novel fuzzy decision-making model is proposed that has two different stages. In this context, six JCI-based indicators are weighted by using sine trigonometric fuzzy Decision Making Trial and Evaluation Laboratory (DEMATEL) methodology. Additionally, a comparative evaluation has also been conducted with sine trigonometric fuzzy Criteria Importance Through Intercriteria Correlation (CRITIC) technique to check the reliability of the findings. On the other hand, five different strategy alternatives are selected by considering the principles of the integrated waste management hierarchy approach. These items are evaluated by considering sine trigonometric fuzzy Technique for Order Preference by Similarity (TOPSIS). On the other side, these factors are also ranked with the help of sine trigonometric fuzzy Additive Ratio Assessment (ARAS) to test the consistency of the results. The main contribution is that prior strategies can be presented to the hospitals to have appropriate waste management process by defining the most important factors. Criteria weighting and alternative ranking results are the same in all combinations. Therefore, it is seen that the proposed model creates coherent and consistent results. It is defined that efficient storage of waste is the key issue to have effective waste management process. Moreover, ‘reduce’ is found as the most critical stage of this process.
The Maternal Guilt of Working Latina Mothers: A Qualitative Study
Authors: Montano Melody , Mizock Lauren , Pulido Carmen , Calzada Esther
Published: April 2024

There is a lack of research on the maternal guilt of working Latina mothers. A grounded theory methodology study on this topic was conducted with 12 Latina mothers in the South Central region of the United States. Data analysis revealed five themes: the Compensatory Parenting Trap (parenting behaviors that attempt to make up for the absence of mothers by indulging their children in ways that violate cultural norms), Proximity Desire (a yearning to be physically close in location to one’s children to compensate for guilt from separation), Ultimate Caregiver Comparison (the deifying of past generations of self-sacrificing family members as superior mothers against whom Latina mothers deem themselves failures), Familismo Paradox (the attempt to honor conflicting cultural norms to be a self-sacrificing mother who is also educated and financially secure), and Redefining Cultural Norms (reaction to the violation of cultural norms among working Latina mothers that involves expanding cultural expectations of gender in parenting). Results indicated that working Latina mothers face double binds in gender and cultural expectations that contribute to feelings of maternal guilt, as reflected in the above themes. Latina mothers demonstrate resilience in responding to this tension by restructuring cultural norms to alleviate guilt and protect their children from inheriting the same stressors.
Percutaneous Lung Biopsies With Robotic Systems: A Systematic Review of Available Clinical Solutions
Authors: Bodard Sylvain , Guinebert Sylvain , Petre Elena N. , Alexander Erica , Marinelli Brett , Sarkar Debkumar , Cornelis Francois H.
Published: April 2024

Objectives: This systematic review aims to assess existing research concerning the use of robotic systems to execute percutaneous lung biopsy. Methods: A systematic review was performed and identified 4 studies involving robotic systems used for lung biopsy. Outcomes assessed were operation time, radiation dose to patients and operators, technical success rate, diagnostic yield, and complication rate. Results: One hundred and thirteen robot-guided percutaneous lung biopsies were included. Technical success and diagnostic yield were close to 100%, comparable to manual procedures. Technical accuracy, illustrated by needle positioning, showed less frequent needle adjustments in robotic guidance than in manual guidance ( P < .001): 2.7 ± 2.6 (range 1-4) versus 6 ± 4 (range 2-12). Procedure time ranged from comparable to reduced by 35% on average (20.1 ± 11.3 minutes vs 31.4 ± 10.2 minutes, P = .001) compared to manual procedures. Patient irradiation ranged from comparable to reduced by an average of 40% (324 ± 114.5 mGy vs 541.2 ± 446.8 mGy, P = .001). There was no significant difference in reported complications between manual biopsy and biopsies that utilized robotic guidance. Conclusion: Robotic systems demonstrate promising results for percutaneous lung biopsy. These devices provide adequate accuracy in probe placement and could both reduce procedural duration and mitigate radiation exposure to patients and practitioners. However, this review underscores the need for larger, controlled trials to validate and extend these findings.
Attitude Is Everything: Examining Acceptance of Violence Items for Differential Item Functioning Across Heterosexual and Sexual Minority Youth
Authors: McMillan Iris F. , Langhinrichsen-Rohling Jennifer , Mennicke Annelise , Montanaro Erika
Published: April 2024

Acceptance of dating violence (ADV) is a cognitive risk factor for violence perpetration and a common target of prevention programs. However, frequently used items assessing ADV are characterized by heteronormative item wording, and limited research has evaluated the degree to which ADV items function equivalently for both heterosexual and sexual minority youth (SMY). The current study sought to determine if there are differences in the way heterosexual and SMY respond to ADV survey items. Secondary data from a total of 2,014 adolescents ( Mage = 16.78) were used to examine differences in ADV. Results of differential item functioning analysis indicated nonuniform differential item functioning for two of eight ADV items, with heterosexual youth being more likely to express strong levels of agreements with (a) female-perpetrated physical violence in response to male-perpetrated violence and (b) female-perpetrated violence against males broadly, relative to SMY. Although these differences were of negligible magnitude and only resulted in minimal differences in overall expected average scores, heterosexual youth were more likely to strongly accept female-perpetrated dating violence compared to SMY. Findings highlight differences in ADV item response patterns across heterosexual and sexual minority identifying youth and provide preliminary evidence for group differences in acceptance of female-perpetrated dating violence. Implications for prevention programming based on current findings include greater focus on measure adaptation and development as well as more consensus on the necessity of preventing female-perpetrated violence.
State estimation based actuator fault detection for tandem rotor helicopter with experimental validation
Authors: Yang Pengcheng , Li Yuxue , Zhu Xiaoyuan
Published: April 2024

Timely fault detection is essential to flight safety of tandem rotor helicopter. In this paper, a fault detection method is proposed based on state estimation and the deviation between the measured value and the estimated value. Firstly, a polyhedral linear parameter varying (LPV) model is established to solve the nonlinear coupling problem of the helicopter in different moving directions. Then, to obtain actuator fault information, a robust state observer is developed to generate the residual. Meanwhile, a mixed [Formula: see text] algorithm is designed to calculate observer gain by configuring performance parameters, which makes the residuals both sensitive to actuator faults and robust to external disturbances. Furthermore, a dynamic threshold method is introduced to evaluate the residual signal for actuator fault detection. Finally, based on the 3-dof helicopter platform, the effectiveness of the proposed method is verified through comparative simulation and experimental tests.
Drug-induced lupus erythematosus in childhood: Case-based review
Authors: Kaya Akca Ummusen , Sener Seher , Batu Ezgi Deniz , Balik Zeynep , Basaran Ozge , Bilginer Yelda , Ozen Seza
Published: April 2024

Background

Drug-induced lupus erythematosus (DILE) is the development of lupus-like syndrome following a drug exposure. DILE has been reported less frequently among children than adults.

Methods

In this study, we present four children with DILE and similar published cases through a systematic literature review.

Results

We report four children (three girls and one boy) who developed DILE associated with the use of topiramate, doxycycline, etanercept, and ethosuximide. Three of them were positive for anti-histone antibodies. In all patients, the drug was discontinued and symptoms resolved completely. The literature review revealed 48 articles describing 61 children with DILE. In the evaluation of 65 patients (our 4 patients and 61 patients from the literature), the most frequently reported drugs associated with DILE were ethosuximide ( n = 13) and minocycline ( n = 12). Fever ( n = 33), arthralgia ( n = 31), rash ( n = 30), and arthritis ( n = 29) were the most common clinical manifestations. Antinuclear antibody (ANA) was positive in 93.5% of patients and anti-histone antibodies were detected in 72.2% of the patients. As for treatment, the responsible drug was discontinued in all patients, and corticosteroids were initiated in 53.3%. Improvement was achieved in 92.0% of patients.

Conclusion

For children presenting with SLE features, proper drug history is crucial since DILE may be more frequent than anticipated. An association of the relevant drug with the symptoms, and resolution of symptoms on drug withdrawal provides evidence for the diagnosis of DILE.
Accepting responsibility? Institutions and the security implications of climate change
Authors: McDonald Matt
Published: April 2024

Who has responsibility for addressing the security implications of climate change? States and the United Nations justify their existence on the promise of providing security. Yet, although the national and international security implications of climate change are increasingly acknowledged, incorporation of climate change in national security planning or institutional arrangements is far from universal, while debates in the UN Security Council about its role in addressing climate change have been characterized by contestation. This article examines key debates about the responsibilities these institutions have for providing security in the face of the threats posed by climate change, examining the extent to which these institutions accept responsibility for providing security in these contexts. Drawing on Toni Erskine’s notion of institutional moral agency, the article examines a 2017 inquiry into the national security implications of climate change in Australia, and the September 2021 UN Security Council debate on the international security implications of climate change. These two case studies explicitly focus on the question of institutional responsibility – of the Australian Government and the UN Security Council respectively – for addressing the threat of climate change. In both cases these institutions stop short of accepting responsibility for providing security in the face of climate change, with limited policy responses or institutionalization as the result. With the security implications of climate change increasingly apparent, and increasingly recognized by these (and other) actors, the failure to accept responsibility raises potentially significant questions about the legitimacy of these institutions themselves.