bluuebunny/crossref_metadata_2025 huggingface dataset:
Improving Job Satisfaction and Belonging Through Flexible Work and Leadership Cohorts
Authors: Scheide Miller Carey , Giblin Joan
Published: November 2023

Problem

Higher staff turnover rates occurred at a university when flexible work schedules were selectively discontinued in some divisions after the COVID-19 pandemic workplace disruption.

Solution

Staff surveys and focus groups identified a strong positive connection between flexible work, job satisfaction, and supervisor support. Alongside collaborators, leadership workshop cohorts were developed for staff supervisors. Pre- and post-workshop surveys, interviews, and a split-test survey of non-managerial staff gauged if job satisfaction and belonging were influenced by the workshops and how flexible work was factored. Job satisfaction and communication improved for participants and their staff. Furthermore, their staff reported higher feelings of belonging.

Stakeholders

The intended audience for this article is HRD scholars, practitioners, and employers interested in improving job satisfaction and belonging for their employees.
Recruitment and Attrition for Panel Surveys of Hard-to-reach Populations: Some Lessons from a Longitudinal Study on Undocumented Migrants
Authors: Duvoisin Aline , Refle Jan-Erik , Burton-Jeangros Claudine , Consoli Liala , Fakhoury Julien , Jackson Yves
Published: November 2023

Conducting research among hard-to-reach populations is a difficult endeavor because some of their characteristics are known to be associated with survey nonresponse and panel attrition. In the case of the Parchemins study, which followed undocumented migrants over their process of regularization and during the first years of regularized life in Geneva, we underscore the difficulties in recruiting and keeping respondents who come from such a hard-to-reach population. Factors hindering their participation include the fear of being denounced as undocumented, missing time due to high workload, health issues, or language problems. Using unique data from the recruitment and the follow-up processes, we demonstrate that investing high resources and time is particularly beneficial to reach such a population and to reduce attrition over successive data collection waves. In addition, we present the strategies adopted to draw a convenient sample from our targeted population, which mainly relies on generating trust.
Management of Acute Lower Limb Ischemia Without Surgical Revascularization – A Population-Based Study
Authors: Acosta Stefan , Kulezic Andrea , Zarrouk Moncef , Gottsäter Anders
Published: November 2023

Objectives

To evaluate outcomes of management without surgical revascularization in patients with acute lower limb ischemia (ALI) in a population-based setting.

Design

Retrospective observational population-based study.

Materials

Patients from Malmö, Sweden, hospitalized for ALI between 2015 and 2018.

Methods

In-hospital, surgical, radiological, and autopsy registries were scrutinized for descriptive data on ALI patients managed by endovascular and open vascular surgery, conservative vascular therapy, primary major amputation, and palliative care.

Results

Among 161 patients, 73 (45.3%) did not undergo any operative revascularization. Conservative vascular therapy, primary amputation, and palliative care were conducted in 25 (15.5%), 26 (16.1%), and 22 (13.7%) patients, respectively. Conservatively treated patients had Rutherford class ≥ IIb ischemia and embolic occlusion in 33% and 68% of cases, respectively. Their median C-reactive protein level at admission was 7 mg/L (interquartile range 2 – 31 mg/L). Among conservatively treated patients, anticoagulation therapy in half to full dose was given to 22 (88%) patients for six weeks or longer, and analgesics in low or moderate doses were given to twelve (48%) patients at discharge. The major amputation rate at 1 year was 8% among conservatively treated patients, and four patients with foot embolization had not undergone amputation at 1 year.

Conclusion

Patients selected for initial conservative therapy of ALI with anticoagulation alone may have a good outcome, even when admitted with Rutherford class IIb ischemia. A low C-reactive protein level at admission seems to be a favorable marker when choosing conservative therapy. A prospective, preferably multicenter, study with a predefined protocol in these conservatively treated patients is warranted to better define the dose and length of anticoagulation therapy.
Stereolithographic (SLA) 3D Printing for Preprocedural Planning in Endovascular Aortic Repair of a Thoracic Aneurysm
Authors: Gonzalez-Urquijo Mauricio , Hosseinzadeh Elnaz , Aguirre-Soto Alan , Fabiani Mario Alejandro
Published: November 2023

Background

When treating aortic aneurysm patients with complex anatomical features, preprocedural planning aided by 3D-printed models offers valuable insights for endovascular intervention. This study highlights the use of stereolithographic (SLA) 3D printing to fabricate a phantom of a challenging aortic arch aneurysm with a complex neck anatomy.

Clinical Case

A 75-year-old female presented with a 58 mm descending thoracic aortic aneurysm (TAA) extending to the distal arch, involving the left subclavian artery (LSA) and the left common carotid artery (LCCA). The computed tomography (CT) scans underwent scrutiny by radiology and vascular teams. Nevertheless, the precise spatial relationships of the ostial origins proved to be challenging to ascertain. To address this, a patient-specific phantom of the aortic arch was fabricated utilizing an SLA printer and a biomedical resin. The thoracic endovascular aortic repair (TEVAR) procedure was simulated using fluoroscopy on the phantom to enhance procedural preparedness. Subsequently, the patient underwent a right carotid-left carotid bypass and a right carotid-left subclavian bypass. After a 24-hour interval, the patient underwent the TEVAR procedure, during which a 37 mm × 150 mm stent graft (CTAG, WL Gore and Associates, Flagstaff, AZ, USA) and a 40 mm × 200 mm stent graft (CTAG, WL Gore and Associates, Flagstaff, AZ, USA) were deployed, effectively covering the LSA and LCCA. Notably, the aneurysm exhibited complete sealing, with no indications of endoleaks or graft infoldings. At the 12-month follow-up, the patient remains in good health, with no evidence of endoleaks or any other surgery-related complication.

Conclusion

This report showcases the successful use of a 3D-printed endovascular phantom in guiding the decision-making process during the preparation for a TEVAR procedure. The simulation played a pivotal role in selecting the appropriate stent graft, ensuring an intervention protocol optimized based on the patient-specific anatomy.
Inclusivity in Occupational Participation: Life Stories of Bangladeshi With Spinal Cord Injury
Authors: Alve Yeasir Arafat , Begum Salma , Yousuf Myrna , Ikiugu Moses N. , Bontje Peter
Published: November 2023

This research aimed to describe the process of occupational participation among persons with spinal cord injury (SCI) discharged from the only SCI rehabilitation hospital in Bangladesh. We analyzed seven participants’ interview transcripts and observations using the trajectory equifinality model. Study participants demonstrated the following occupational participation trajectories: (a) employing a strategy or difficulty in occupational participation; (b) performing solidarity or experiencing deprivation; (c) creating identity or divergence; and (d) being included in or excluded from everyday life. There are four pathways: (I) discouraging conditions that minimized daily performance; (II) reinforcing obligatory connections to optimization of daily performance; (III) reciprocity to facilitate social activities; and (IV) manipulating mastery in occupational participation. Occupational therapists can consider the trajectory phases and pathways of occupational participation when facilitating the inclusion of service users after discharge from the hospital.
Estimating attrition coefficients for the Lanchester equations from small-unit combat models
Authors: Mittal Vikram
Published: November 2023

The Lanchester equations are a valuable tool for analyzing attrition warfare and the impact of new technologies on the battlefield. However, uncertainties regarding the numerical values of attrition coefficients pose a challenge in accurately applying these equations. To address this, entity-based combat simulations focusing on small-unit operations can offer insights into calculating attrition coefficients and analyzing the effects of new technology on the battlefield. This study outlines the development of such entity-based simulations and the associated derivation of attrition coefficients from the results. One method involves using combat simulation to determine the combat multiplier factor associated with a new technology and multiplying the attrition coefficients accordingly. The second method involves basing the attrition coefficients solely on the results of the model. This paper explores each of these methods through two case studies, both of which use the Infantry Warrior Simulation (IWARS). The first case study examines the Battle of Mosul, analyzing the impact of drone technology on ISIS insurgents and the Iraqi army. The second case study investigates the influence of a more accurate rifle in a conflict involving rural and urban combat. It is important to note that these models provide approximations for attrition coefficients and are subject to inherent limitations. Nonetheless, they offer value by capturing the broader implications of integrating technological changes at the small-unit level.
Electroencephalography Prediction of Neurological Outcomes After Hypoxic-Ischemic Brain Injury: A Systematic Review and Meta-Analysis
Authors: Ding Xina , Shen Zhixiao
Published: November 2023

Background. Predicting neurological outcomes after hypoxic-ischemic brain injury (HIBI) is difficult. Objective. Electroencephalography (EEG) can identify acute and subacute brain abnormalities after hypoxic brain injury and predict HIBI recovery. We examined EEG's ability to predict neurologic outcomes following HIBI. Method. A PRISMA-compliant search was conducted in the Medline, Embase, Cochrane, and Central databases until January 2023. EEG-predicted neurological outcomes in HIBI patients were selected from relevant perspective and retrospective cohort studies. RevMan did meta-analysis, while QDAS2 assessed research quality. Results. Eleven studies with 3761 HIBI patients met the inclusion and exclusion criteria. We aggregated study-level estimates of sensitivity and specificity for EEG patterns determined a priori using random effect bivariate and univariate meta-analysis when appropriate. Positive indicators and anatomical area heterogeneity impacted prognosis accuracy. Funnel plots analyzed publication bias. Significant heterogeneity of greater than 80% was among the included studies with P < 0.001. The area under the curve was 0.94, the threshold effect was P < 0.001, and the sensitivity and specificity, with 95% confidence intervals, were 0.91 (0.84-0.99) and 0.86 (0.75-0.97). EEG detects status epilepticus and burst suppression with good sensitivity, specificity, and little probability of false-negative impairment result attribution. Study quality varied by domain, but patient flow and timing were well conducted in all. Conclusion. EEG can predict the outcome of HIBI with good prognostic accuracy, but more standardized cross-study protocols and descriptions of EEG patterns are needed to better evaluate its prognostic use for patients with HIBI.
Older Age, Male Sex, and Early Start Time Lengthen the Recovery Room Stay Following Total Joint Arthroplasty in an Ambulatory Surgical Center
Authors: Schultz Matthew J. , Thalody Hope S. , Lutz Rex W. , Cheesman Quincy T. , Ong Alvin C. , Post Zachary D. , Ponzio Danielle Y.
Published: November 2023

Background:

Total joint arthroplasty (TJA) performed in the ambulatory surgical center (ASC) has been shown to be safe and cost-effective for an expanding cohort of patients. As criteria for TJA in the ASC become less restrictive, data guiding the efficient use of ASC resources are crucial.

Purpose:

We sought to identify factors associated with length of stay in the recovery room after primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) performed in the ASC.

Methods:

We conducted a retrospective review of 411 patients who underwent primary THA or TKA at our institution’s ASC between November 2020 and March 2022. We collected patient demographics, perioperative factors, success of same-day discharge (SDD), and length of time in the recovery room.

Results:

Of 411 patients, 100% had successful SDD. The average length of time spent in recovery was 207 minutes (SD: 73.9 minutes). Predictors of longer time in recovery were increased age, male sex, and operative start time before 9:59 am. Body mass index, preoperative opioid use, Charlson Comorbidity Index, type of surgery (THA vs TKA), urinary retention risk, and type of anesthesia (spinal vs general) were not significant predictors of length of time in the recovery room.

Conclusion:

In this retrospective study, factors associated with increased length of time in the recovery room included older age, male sex, and operative start time before 9:59 am. Such factors may guide surgeons in determining the optimal order of cases for each day at the ASC, but further prospective studies should seek to confirm these observations.
How close are children with obesity to becoming an adult with chronic illnesses?
Authors: Dundar Cihad , Arslan Hatice Nilden , Terzi Özlem
Published: November 2023

Objectives

Childhood obesity has become a global threat due to its serious negative consequences. We aimed to determine the patterns of metabolic syndrome and cardio-metabolic risk factors in Turkish children with obesity.

Methods

We examined 169 schoolchildren with obesity in April and May 2019 in Samsun, Turkey. After clinical evaluation and anthropometric measurements, fasting blood samples were collected to measure total cholesterol, low and high-density lipoprotein, fasting blood glucose, triglycerides, and insulin levels.

Results

The proportion of those who met the metabolic syndrome criteria in boys was 14.3%, but it was twice as high in girls (28.2%). The most prevalent component of cardio-metabolic risk factor was increased waist circumference (96.4%) followed by a high homeostasis model assessment insulin resistance index (74.6%) and high blood pressure (29.0%). While the average high-density lipoprotein was higher in boys than in girls, on the contrary, insulin, HbA1c, and homeostasis model assessment insulin resistance concentrations were higher in girls. The prevalence of dyslipidemia was also higher in girls (67.1%) than in boys (47.6%), as were all impaired metabolic syndrome components.

Conclusions

One in five children with obesity was at risk of metabolic syndrome. For early intervention and prevention, children with obesity should be monitored in terms of cardio-metabolic risk factors, but obese girls are more prioritized.
Associations of sugar-sweetened beverages, artificially sweetened beverages, and natural juices with cardiovascular disease and all-cause mortality in individuals with inflammatory bowel disease in a prospective cohort study
Authors: Dan Lintao , Fu Tian , Sun Yuhao , Ruan Xixian , Lu Shiyuan , Chen Jie , Wang Xiaoyan
Published: November 2023

Background:

Beverage consumption was found to be associated with cardiovascular disease and mortality in the general population. However, it is unclear whether this association still exists in individuals with inflammatory bowel disease (IBD).

Objectives:

To investigate the associations of sugar-sweetened beverages, artificially sweetened beverages, and natural juices with cardiovascular disease and all-cause mortality among individuals with IBD.

Design:

Prospective cohort study.

Methods:

We included 1981 participants with IBD in the UK Biobank. Consumption of beverages was measured using a validated 24-h diet recall. Outcomes of interest were overall cardiovascular disease and all-cause mortality. Cox proportional hazard models were used to estimate the hazard ratios and 95% confidence intervals (CIs).

Results:

During a mean (SD) follow-up of 10.1 (1.7) years, we documented 205 cardiovascular events and 133 deaths. Compared to non-consumers, those consuming sugar-sweetened beverages more than 1 unit/day (reported in glasses/cans/250 ml/cartons) were associated with 64% (95% CI: 5–155, p = 0.030) and 97% (95% CI: 16–233, p = 0.012) increased risk of cardiovascular disease and all-cause mortality, respectively. We also observed a 78% (95% CI: 3–205, p = 0.038) increased risk of cardiovascular disease in participants who consumed artificially sweetened beverages more than 1 unit/day when compared with non-consumers. We did not observe significant associations between natural juice consumption and the two outcomes in IBD.

Conclusion:

Higher sugar- and artificially sweetened beverage consumption were associated with adverse cardiovascular and mortality outcomes in IBD. These exploratory results were consistent with the evidence in the general population and highlighted the importance of diet management in individuals with IBD.
Feasibility of home dose optimization of apomorphine sublingual film in Parkinson’s disease patients with OFF episodes: results from the dose-optimization phase of an open-label, randomized crossover study
Authors: Kassubek Jan , Stocchi Fabrizio , Martinez Ernest Balaguer , Pahwa Rajesh , Ondo William , Zhang Yi , Bowling Alyssa , Pappert Eric , Isaacson Stuart , Wu Stacy ,   for the CTH-302 Study Investigators*
Published: November 2023

Background:

Dose optimization of sublingual apomorphine (SL-APO), a dopamine agonist for the treatment of OFF episodes in patients with Parkinson’s disease (PD), has been performed under clinical supervision in clinical trials. SL-APO may be a candidate for home dosing optimization which would be less burdensome for patients.

Objectives:

To evaluate the feasibility and safety of home optimization of SL-APO in patients with PD and OFF episodes.

Design:

A multicenter, randomized, crossover study comparing SL-APO with subcutaneous apomorphine was conducted, comprising an open-label dose-optimization phase and a treatment phase. This non-comparative analysis focuses on the outcomes of the dose-optimization phase with SL-APO only.

Methods:

Patients with PD and OFF episodes received SL-APO at an initial dose of 10 mg in the clinic (open-label). Further optimization could continue at home in 5 mg increments during subsequent OFF episodes (maximum dose of 30 mg). Optimization and tolerability were assessed daily by patient-reported feedback via telephone. Patients reporting a FULL ON returned to the clinic for a dose-confirmation visit (DCV). In patients with inadequate response as determined during the DCV, the dose could be further optimized at home.

Results:

Home optimization was continued by 81.4% (83/102) of patients. Of these, 80.7% identified an effective, tolerable dose. Mean time between initial clinic visit and DCV 1 was 6.8 days, and the final optimized dose of SL-APO was 30 mg (mode). In total, 62.7% of patients reported ⩾1 adverse event; the most common included nausea (31.4%), dizziness (9.8%), somnolence (8.8%), dyskinesia (7.8%), and fatigue (5.9%). The safety profile in this study in which most patients performed home dose optimization was consistent with the study utilizing clinic-based optimization.

Conclusion:

After the first clinic dose, home dose optimization of SL-APO appears feasible in patients with PD and OFF episodes, with most patients identifying their optimal SL-APO dose at home.

Trial registration:

This study is registered with EudraCT (2016-003456-7): Clinical Trials register – Search for eudract_number:2016-003456-70.
Results From a Virtual Clinic for the Follow-up of Patients Using the Advanced Hybrid Closed-Loop System
Authors: Gómez Medina Ana María , Henao Carrillo Diana Cristina , Silva León Julio David , Gómez González Javier Alberto , Muñoz Velandia Oscar Mauricio , Conde Brahim Lucia , Mecón Prada Guillermo Andrés , Rondón Sepúlveda Martin
Published: November 2023

Background:

Evidence regarding the implementation of medium-term strategies in advanced hybrid closed-loop (AHCL) system users is limited. Therefore, this study aimed to describe the efficacy and safety of the AHCL system in patients with type 1 diabetes (T1D) on a six-month follow-up in a virtual diabetes clinic (VDC).

Method:

A prospective cohort of adult patients with T1D treated using the AHCL system (Mini Med 780G; Medtronic, Northridge, California) in a VDC follow-up. Standardized training and follow-up were conducted virtually. Clinical data and metabolic control outcomes were reported at baseline, and at three and six months.

Results:

Sixty-four patients (mean age = 42 ± 14.6 years, 65% men, 54% with graduate education) were included. Percentage time in range (%TIR) increased significantly regardless of prior therapy with intermittently scanned continuous glucose monitoring + multiple daily injections and sensor-augmented pump therapy with predictive low-glucose management after starting AHCL and persisted during the follow-up period with no hypoglycemic events. The %TIR 70 to 180 mg/dL according to socioeconomic strata was 73.4% ± 5.3%, 78.1% ± 8.1%, and 84.2% ± 7.5% for the lower, middle, and upper strata, respectively. The sensor was used more frequently in the population with a higher education level. Adherence to sensor use and SmartGuard retention were higher in patients who underwent the VDC follow-up.

Conclusions:

Medium-term follow-up of users of AHCL systems in a VDC contributes to safely achieving %TIR goals. Virtual diabetes clinic follow-up favored adherence to sensor use and continuous SmartGuard use. Socioeconomic strata were associated with a better glycemic profile and education level was associated with better adherence to sensor use.
To have or have not: Limiting the data available for subsequent use by the police
Authors: Sunde Inger Marie
Published: November 2023

In search of evidence in criminal investigation police often collect data in bulk, and the question addressed concerns whether the bulk data as a whole or only in part may be deemed available for subsequent use. The article suggests that only data exposed to the police in the digital forensic analysis performed as part of the investigation, should be deemed available for subsequent use. Such data are termed digital assessed information and are contrasted to data whose content is not known to the police. The latter should be deleted or made inaccessible for further use once the original case is finalised. The position is anchored in the criminal procedural principles of purpose limitation and purpose orientation, recognised in case-law related to Article 8 European Convention of Human Rights (ECHR), further validated in considerations of fairness and coherence with the rules for use of excess information in intercepted communications.
Synergistic effect of albuminuria on atherosclerosis in patients with primary aldosteronism
Authors: Kao Ting-Wei , Liao Che-Wei , Tsai Cheng-Hsuan , Chang Yi-Yao , Pan Chien-Ting , Chang Chin-Chen , Lee Bo-Ching , Huang Wei-Chieh , Huang Kuo-How , Lu Ching-Chu , Lai Tai-Shuan , Chan Chieh-Kai , Chueh Jeff S. , Wu Vin-Cent , Hung Chi-Sheng , Chen Zheng-Wei , Lin Yen-Hung
Published: November 2023

Background:

Primary aldosteronism (PA) has been associated with atherosclerosis beyond the extent of essential hypertension, but the impact of albuminuria remains unknown.

Objective:

To investigate the effect of concomitant albuminuria on arterial stiffness in PA.

Design:

Prospective cohort study.

Methods:

A prospective cohort study was conducted to evaluate the association of albuminuria (>30 mg/g in morning spot urine) with arterial stiffness, as measured non-invasively by pulse wave velocity (PWV) in patients with PA. Propensity score matching (PSM) with age, sex, diabetes, systolic and diastolic blood pressure, creatinine, potassium, number of antihypertensive medications, and hypertension history was used to balance baseline characteristics. The effects of albuminuria on PWV before and 1 year after treatment were analyzed.

Results:

A total of 840 patients with PA were enrolled, of whom 243 had concomitant albuminuria. After PSM, there were no significant differences in baseline demographic parameters except alpha-blocker and spironolactone use. PWV was greater in the presence of albuminuria ( p = 0.012) and positively correlated with urine albumin–creatinine ratio. Multivariable regression analysis identified albuminuria, age, body weight, systolic blood pressure, and calcium channel blocker use as independent predictors of PWV. As for treatment response, only PA patients with albuminuria showed significant improvements in PWV after PSM ( p = 0.001). The magnitude of improvement in PWV increased with urine albumin–creatinine ratio and reached plateau when it exceeded 100 mg/g according to restricted cubic spline analysis.

Conclusion:

Concomitant albuminuria in PA was associated with greater arterial stiffness and more substantial improvement after targeted treatment. Both the baseline and the improved extent of PWV increased in correlation with rising urine albumin–creatinine ratio levels, reaching a plateau when the urine albumin–creatinine ratio surpassed 100 mg/g.
Acceptability rate and barriers to COVID-19 vaccination among healthcare workers in Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Amaku-Awka, Nigeria
Authors: Joe-Ikechebelu Ngozi Nneka , Umeh Uche Marian , Eleje George Uchenna , Igbodike Emeka Philip , Ogbuefi Emmanuel Okwudili , Akanwa Angela Oyilieze , Echendu Sylvia Tochukwu , Ngene Williams Onyeka , Okpala Augusta Nkiruka , Okolo Onyinye Chigozie , Okechukwu Chidubem Ekpereamaka , Akabuike Josephat Chukwudi , Agu Helen Obioma , Okpala Vincent Ogochukwu , Nwazor Onyinye Chinenye , Nnedum Anthony Obiajulu Ugochukwu , Esimone Chinyere Celestina , Agwaniru Hephzibah Ngozi , Ezeabasili Ethel Ifeoma , Joe-Ikechebelu Belusochi Blessing
Published: November 2023

Background:

Healthcare workers were at the forefront of the COVID-19 pandemic. The acceptability and uptake of COVID-19 vaccines among healthcare workers was an important strategy in halting the spread of the virus as well as the antecedent implications on global health and the world economy.

Objectives:

This study aims to determine the acceptability rate and barriers to COVID-19 vaccination of frontline healthcare workers in Awka, Nigeria.

Design:

This is an analytical cross-sectional study.

Methods:

An online cross-sectional survey was conducted from February 2022 to April 2022 to obtain the data for this study. One hundred healthcare workers were studied. Acceptability rate and barriers to uptake of COVID-19 vaccination were outcome measures.

Results:

The COVID-19 vaccination rate was 45.0% among healthcare workers in study area of Awka metropolis. Ages 30–39 years had the highest acceptance rate of COVID-19 vaccination, 19 (47.5%; p = 0.262) with a more female preponderance of COVID-19 vaccine acceptance compared to males [26 (41.3%) vs 16 (42.2%), p = 0.721]. The place of residence of respondents (urban vs rural) and their marital status (married vs single) appeared not to influence the acceptance of COVID-19 vaccination [(38 (42.2%) vs 3 (33.3%); p = 0.667; 25 (36.8% vs 17 (54.8%); p = 0.433)]. Years of work experience (<10 years vs >10 years) significantly affected COVID-19 vaccine acceptance [27 (45.8%) vs 12 (52.2%); p = 0.029]. Educational status and monthly income appeared not to influence vaccine uptake ( p > 0.05, for both). A significant number of respondents were not sure why they should or should not take the COVID-19 vaccine [49 (92.5%) vs 35 (83.3%); p = 0.001].

Conclusion:

The COVID-19 vaccination rate is still poor among healthcare workers in Awka metropolis. The majority of respondents do not know why they should or should not take COVID-19 vaccine. We therefore recommend robust awareness campaigns that will explain in clear terms the essence and efficacy of COVID-19 vaccination in order to improve vaccine acceptance.
Appified homelessness: Locative media apps as tools for the prevention of homelessness in Poland
Authors: Brzozowska Blanka
Published: November 2023

The paper deals with the issue of homelessness in the context of the application of location-based services in urban spaces. Using a walkthrough method, the article compares two applications that allow citizens to report the presence of homeless persons. In doing so, it discusses the use of mobile applications to address the issue of homeless people and the potential benefits and disadvantages of such applications. The paper also emphasized the need to critically examine the power relations that shape the use of locative media to address homelessness. It also highlights the unequal access to appified culture, which particularly affects the homeless. The article suggests the need for a broader discussion and identification of various aspects of the use of location media in the context of homelessness.
Quality of life of stroke survivors in Bangladesh
Authors: Sarkar Shimu , Rahman Ayesha , Islam Nashid , Emran Md Ali , Biswas Jheelam
Published: November 2023

Objective:

In Bangladesh, the factors that contribute to the reduced quality of life were not systematically investigated in long-term stroke survivors, and only a few studies have used preference-based measures to assess the quality of life. We sought to assess the quality of life in stroke survivors who comprise physical health status, psychological state, social relationship, and surrounding environment of the stroke patients.

Methods:

The quality of life among stroke patients was assessed with a semi-structured questionnaire using the validated Bangla Version of the World Health Organization, Quality-of-Life scale among the patients who survived beyond 28 days of first-ever stroke occurrence presenting in the Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University in the period between November 2020 and October 2021.

Results:

Of the 77 patients who were identified as post-stroke patients, the mean score of overall quality of life (as assessed by Q1 and scored in a range of 1–5) was 3.14 ± 1.08. The mean scores of quality of life were highest for the psychological domain (51.18 ± 19.73) followed by environmental (52.08 ± 13.13), social (45.62 ± 22.73), and physical domains (37.18 ± 18.56). According to the classification of the Bangla Version of the World Health Organization, Quality-of-Life, 75.3% had a low physical quality of life, 37.7% had a low psychological quality of life, 53.2% had a low social quality of life, and 53.2% had a moderate environmental quality of life. The average scores for the physical, psychological, social, and environmental domains were notably lower in stroke survivors with comorbid chronic conditions such as hypertension, diabetes, heart disease, asthma or chronic obstructive pulmonary disease, obesity, and ischemic heart disease in comparison to those without such conditions.

Conclusion:

In our study, post-stroke patients with lower quality of life were associated with factors such as female gender, lower level of education, urban dwellers, and chronic diseases.
Base of the tongue hyalinizing clear cell carcinoma: Case report and literature review
Authors: Al Zadjali Fahad , Alsaffar Hussain , Odell Michael , Wasserman Jason K , Tohme Angelina , Johnson-Obaseki Stephanie
Published: November 2023

Hyalinizing clear cell carcinoma is an uncommon neoplasm arising in minor salivary glands. We present a rare case of hyalinizing clear cell carcinoma in the base of the tongue. We report a case of a 38-year-old female presented with a progressive history of hemoptysis and dysphagia over the course of 4 years. Examination revealed a mass originating from the base of the tongue with a biopsy confirmed as hyalinizing clear cell carcinoma . An Ovid MEDLINE and PubMed literature review was conducted due to the rarity of this type of tumor. The patient underwent surgical excision with immediate reconstruction with radial forearm free flap followed with adjuvant radiotherapy and was disease free at her most recent follow-up (12 months). Our review included a total of 13 new cases, including our case. The majority of the cases presented with dysphagia. Surgical excision is the mainstay of treatment, and overall these patients have a good prognosis. Our case highlights a rare presentation of hyalinizing clear cell carcinoma of the base of the tongue, successfully treated with surgical excision, free tissue reconstruction and adjuvant radiotherapy.
Promoting patient self-management following cardiac rehabilitation using a web-based application: A pilot study
Authors: Stamm-Balderjahn Sabine , Bernert Sebastian , Rossek Susanne
Published: November 2023

Background

The use of health-related mobile apps has become an important component of healthcare. Patients can use a range of tools to strengthen their health literacy and promote disease management. The aim of the project was to develop a web-based application for use on smartphones, tablets and computers for patients with cardiovascular diseases (cardio-app).

Methods

A semi-standardized written survey was conducted among rehabilitation patients with cardiovascular diseases ( n = 158). The usability of the cardio-app was assessed using the System Usability Scale (SUS). The usage behaviour was conducted with a self-developed questionnaire.

Results

The study enrolled 158 eligible rehabilitation patients. The SUS of the cardio-app determined was 74.4 (SD ± 17.4). For 86%, the menu navigation was self-explanatory and logical. The visual presentation appealed to 92% of respondents. The content of the texts used in the app was understandable for 95%, and 93% found the technical terms used in the glossary well explained. For 57%, the app was helpful in planning their physical activities. 83% of the rehabilitation patients would recommend the app to others. The main criticisms of the app were the lack of synchronization options with other apps. Of those who did not use the app, the following reasons for non-use were most frequently cited: too much effort (43%), lack of time (29%) and pandemic-related reasons (29%).

Conclusions

The cardio-app revealed high agreement values. Whether the use of the app is associated with improved clinical state and outcome would have to be verified in further studies.
Telemedicine in nursing homes: Insights on the social acceptance and ethical acceptability of telemedical consultations
Authors: Offermann Julia , Ziefle Martina , Sira Nataliya , Groß Dominik ,   Optimal@NRW Research Group, Wilhelmy Saskia
Published: November 2023

Introduction

The increasing number of older adults in need of care, the resulting rise in demand for care services and the shortage of nursing staff are major challenges for society. In these situations, the use of telemedicine seems promising – especially in nursing homes when the focus is on rapid support in acute medical cases. However, in addition to the medical and technical potential, the acceptability and usability of the use of telemedical consultations are crucial for a sustainable implementation and acceptance. Our research aims at a holistic identification of socially and ethically relevant parameters for the evaluation of telemedical consultations in nursing homes.

Methods

Presentation of the empirical approach of an interdisciplinary cooperation that combines social and ethical research perspectives during an entire research project. Qualitative analysis of social and ethical aspects based on an interview study with care personnel (N = 14) who have experiences with telemedical consultations in nursing homes, as an example of this interdisciplinary collaboration and to show first insights.

Results

The results of the interview study show a slightly positive evaluation of the use of telemedical consultations in nursing homes. Six main categories were identified to capture and differentiate ethically and socially relevant perceived benefits and barriers (contact with physicians, general, personnel-related, residents-related, technical, and organizational aspects).

Conclusion

The study results allow initial recommendations for the implementation of telemedicine consultations in nursing homes considering socially and ethically relevant aspects. These recommendations can be used to inform medical and technical experts in the field of telemedicine. In addition, the presentation of the interdisciplinary collaboration shows that the close integration of social and ethical aspects in research enables a holistic dimension of the use of telemedicine.
Cross-cultural adaptation and preliminary validation of the Arabic version of the Rosenbaum Concussion Knowledge and Attitudes Survey - Student Version (RoCKAS-ST-A)
Authors: Almutairi Anwar B. , Albous Jouzah , Almutairi Madhawi , Alenezi Nourah , Alfadhli Shaikah , Aldhafeeri Shouq
Published: November 2023

Objective

to cross-culturally adapt the Rosenbaum Concussion Knowledge and Attitudes Survey - Student Version (RoCKAS-ST) into Arabic (RoCKAS-ST-A), and to evaluate its psychometric properties (i.e., face validity, internal consistency and test-retest reliability) of the Arabic version 16 of the RoCKAS-ST (RoCKAS-ST-A).

Design

cross-cultural and preliminary validation of the of the Arabic version of the Rosenbaum Concussion Knowledge and Attitudes Survey - Student Version (RoCKAS-ST-A).

Setting

youth clubs and after-school activities centers around Kuwait.

Participants

Adolescent and young adults, aged 13–20 years old, both sexes.

Independent Variables

age, sex, and type of sport (if any).

Main Outcome measure

RoCKAS-ST-A questionnaire answers and demographics of participants.

Results

Two hundred and thirty-four adolescent and young adults ( n = 234) participated in this study (mean age = 15.95, SD = 1.92). More than half of the participants were males ( n = 163, 69.66%). The internal consistency for the concussion knowledge index (CKI) and concussion attitude index (CAI) ranged between fair and good (α = 0.31 & 0.97, respectively). The test-retest reliability of CKI score was 0.79 (95% CI = 0.42–0.92, P < 0.05) and of CAI was 0.86 (95% CI =0.66–0.94, P < 0.05). The average time between the 2 tests was 9.35 ± 2.44 days.

Conclusion

RoCKAS-ST-A is a reliable, valid, and feasible tool to examine the knowledge about and attitudes toward sport-related concussions (SRC) in adolescents and young adults with Arabic as their first language. Decreased knowledge and unsafe attitudes toward SRC was exhibited among adolescents and young adults in Kuwait.
Translation Studies of Traditional Chinese Medicine in China: Achievements and Prospects
Authors: Wang Fang , Chen Jixiang
Published: November 2023

Given the accelerated pace of traditional Chinese medicine (TCM) translation studies and their increasing popularity in China, it is necessary to make a comprehensive review. This study explores the recent development and hotspots on TCM translation studies, based on research articles published between 1992 and 2020 in key journals in China National Knowledge Infrastructure database, and it employs bibliometric methods to analyze the status quo, hotspots, and future trends of TCM translation studies. The study identifies the main researchers, their affiliations, and frequently cited papers and examined them from the perspective of keywords and burst terms. We find that TCM translation studies are rapidly increasing, topics and fields are increasingly covered, and cultural elements and their significance are increasingly considered. More perspectives and topics should remain to be considered. Thus, the TCM-related corpus should be expanded to enable in-depth studies. Further, more studies should be conducted on the training of TCM translators and interpreters.
Executive Function and Impulsivity Predict Distinct Genetic Variance in Internalizing Problems, Externalizing Problems, Thought Disorders, and Compulsive Disorders: A Genomic Structural Equation Modeling Study
Authors: Gustavson Daniel E. , Morrison Claire L. , Mallard Travis T. , Jennings Mariela V. , Fontanillas Pierre , Elson Sarah L. , Palmer Abraham A. , Friedman Naomi P. , Sanchez-Roige Sandra
Published: November 2023

Individual differences in self-control predict many health and life outcomes. Building on twin literature, we used genomic structural equation modeling to test the hypothesis that genetic influences on executive function and impulsivity predict independent variance in mental health and other outcomes. The impulsivity factor (comprising urgency, lack of premeditation, and other facets) was only modestly genetically correlated with low executive function ( r = .13). Controlling for impulsivity, we found that low executive function was genetically associated with increased internalizing (β = 0.15), externalizing (β = 0.13), thought disorders (β = 0.38), compulsive disorders (β = 0.22), and chronotype (β = .011). Controlling for executive function, we found that impulsivity was positively genetically associated with internalizing (β = 0.36), externalizing (β = 0.55), body mass index (β = 0.26), and insomnia (β = 0.35) and negatively genetically associated with compulsive disorders (β = −0.17). Executive function and impulsivity were both genetically correlated with general cognitive ability and educational attainment. This work suggests that executive function and impulsivity are genetically separable and show independent associations with mental health.
Long-Term Results of Minimally Invasive Transforaminal Lumbar Interbody Fusion in Elderly Patients: A 5-Year Follow-Up Study
Authors: Goh Graham S. , Tay Adriel You Wei , Zeng Gerald J. , Soh Reuben Chee Cheong
Published: November 2023

Study Design

Retrospective review of prospective data.

Objectives

Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) may be beneficial for elderly patients due to decreased surgical morbidity and faster postoperative recovery. This study compared the clinical and radiological outcomes of MIS-TLIF in elderly patients and younger controls at minimum 5-year follow-up.

Methods

There were 120 patients who underwent single-level MIS-TLIF for degenerative spondylolisthesis. Elderly patients (≥70 years; n = 30) and controls (<70 years; n = 90) were matched 1:3 for demographics, comorbidities and preoperative patient-reported outcomes (PROs). The Oswestry Disability Index (ODI), 36-Item Short-Form Physical (SF-36 PCS) and Mental Component Summary (SF-36 MCS), Visual Analogue Scale (VAS) back pain, and VAS leg pain were compared at 6 months, 2 years and 5 years. Radiographic fusion, adjacent segment degeneration (ASD) and revision rates were assessed at mean 7.2 ± 2.0 years.

Results

Elderly patients had longer length of stay (4.7 ± 5.8 vs 3.3 ± 1.4 days, P = .035) and more readmissions (10% vs 1%, P = .019), but there was no difference in operative time, transfusions, complications or discharge disposition. All PROs were comparable at 5 years and satisfaction rates were similar (93% elderly vs 91% controls, P = .703). The rates of radiographic fusion in the control group and elderly group were similar (94% vs 97%, P = .605), as were the rates of ASD (40% vs 33%, P = .503). There were 3 revisions (3.3%) in the control group (2 for ASD, 1 for screw loosening) but none in the elderly group ( P = .311).

Conclusions

Elderly patients undergoing MIS-TLIF achieved similar improvements in pain, disability and quality of life that were sustained at 5 years. Level of Evidence: Level III, retrospective cohort study
Transgenders of the Mughal Empire in Hindustani Cinema: Politics of Representations in Period Films
Authors: Bashir Saba Mahmood , Pandey Shelly
Published: November 2023

Transgender identities and sexualities find a visibly accepted presence in the medieval history of India, especially in the Mughal era. Historical accounts and studies have indicated the prestige and power enjoyed by the third gender in the Mughal Empire to the extent that some of the writings have located them as an integral part of Mughal courts of law, holding some key positions of the royal palaces. In the extant literature on transgender, the analysis of their position as depicted through Hindustani Cinema in the Mughal period remains inadequate. The cinematic representation of the transgenders in the Mughal period can certainly offer a wide window to analyse their status in the given era, as this period has been documented as one of the most liberal periods for the transgender in Indian History. The present article aims to fill this gap through a mise-en-scene analysis of Hindustani Cinema based on the Mughal Empire during the twentieth and twenty-first centuries. The Hindustani Cinema has offered a marginalised space on-screen to transgender people for a long time by putting them only in humorous and comic roles. By providing an intense analysis of all the films based on the Mughal period in Hindustani Cinema, the present article argues that even period films are not devoid of the politics of representation of contemporary times.
Effect of Age and Femoral Tunnel Drilling Technique on the Prevalence of Intra-articular Pathology at Both Primary and Revision ACL Reconstruction
Authors: Brown Michael J.C. , Klemm Haydn J. , Webster Kate E. , Feller Julian A.
Published: November 2023

Background:

Studies have shown that meniscal and chondral lesions are more common at the time of revision anterior cruciate ligament reconstruction (ACLR) compared with primary surgery; however, few have evaluated the same patients through both primary and revision surgery.

Purpose:

To describe the prevalence of meniscal and chondral lesions at the time of primary and subsequent revision ACLR and to determine the effect of age and femoral tunnel drilling technique on the development of intra-articular pathology over time.

Study Design:

Case series; Level of evidence, 4.

Methods:

All patients who had primary and subsequent revision ACLR in the same knee between 1997 and 2022 were identified from a prospectively collated database. The grading of chondral surfaces in each compartment, the presence of any meniscal tears, and treatment performed were recorded. Patients were grouped according to age and femoral tunnel drilling technique to allow subgroup analysis.

Results:

Overall, 262 patients were included. Median age at primary surgery was 20.2 years. Lateral meniscal tears were more prevalent than medial tears at both primary (34.7% vs 28.2%; P = .11) and revision surgery (44.3% vs 40.8%; P = .43). Chondral lesions were most frequently found on the patella (8.8%) and the medial femoral condyle (MFC; 8.0%) at primary surgery. Between surgeries, new lesions developed most commonly on the MFC (13.0%) and the lateral femoral condyle (LFC; 11.1%). It was significantly more common for lateral meniscal tears treated with repair or left in situ at primary surgery to be healed at the time of revision surgery than medial tears ( P = .01). Significantly more patients who had transtibial drilling of the femoral tunnel had a new meniscal tear at revision surgery ( P = .001). Age did not have a significant influence on the prevalence of meniscal pathology.

Conclusion:

The prevalence of intra-articular pathology increased between primary and revision ACLR. Lateral meniscal tears were more prevalent than medial tears at both surgeries. At revision surgery, new chondral lesions were more commonly found on the MFC than the LFC. The higher incidence of new meniscal tears observed in the transtibial group may reflect the more vertical graft orientation with this technique and its inferior ability to control rotation.