bluuebunny/crossref_metadata_2025 huggingface dataset:
“You Could Tell I Said the Wrong Things”: Constructions of Sexual Identity Among Older Gay Men in Healthcare Settings
Authors: Kia Hannah , Salway Travis , Lacombe-Duncan Ashley , Ferlatte Olivier , Ross Lori E.
Published: December 2021

Older gay men commonly conceal their sexual identity in healthcare settings due to past experiences and expectations of encountering stigma and discrimination in these contexts. Although insights on how older gay men construct their sexual identity in healthcare may help contextualize this phenomenon, this question remains under-explored. Accordingly, we present the findings of a secondary grounded theory analysis of individual interview data, which we originally collected to examine the healthcare experiences of 27 gay men ages 50 and over, to explore constructions of sexual identity among the group. Our findings broadly reveal that older gay men’s varying exposure to intersecting systems of oppression, together with their perceptions of different healthcare settings, may be critical in shaping their constructions of sexual identity in these contexts. Our research supports the need for healthcare policies and practices that address stigma and discrimination as salient barriers to sexual identity disclosure among older gay men.
Connector-link-part-based disassembly sequence planning
Authors: Tseng Hwai-En , Chang Chien-Cheng , Lee Shih-Chen , Chen Cih-Chi
Published: December 2021

Under the trend of concurrent engineering, the correspondence between functions and physical structures in product design is gaining importance. Between the functions and parts, connectors are the basic unit for engineers to consider. Moreover, the relationship between connector-liaison-part will help accomplish the integration of information. Such efforts will help the development of the Knowledge Intensive CAD (KICAD) system. Therefore, we proposed a Connector-liaison-part-based disassembly sequence planning (DSP) in this study. First, the authors construct a release diagram through an interference relationship to express the priority of disassembly between parts. The release diagram will allow designers to review the rationality of product disassembly planning. Then, the cost calculation method and disassembly time matrix are established. Last, the greedy algorithm is used to find an appropriate disassembly sequence and seek suggestions for design improvement. Through the reference information, the function and corresponding modules are improved, from which the disassembly value of a product can be reviewed from a functional perspective. In this study, a fixed support holder is used as an example to validate the proposed method. The discussion of the connector-liaison-part will help the integration of the DSP and the functional connector approach.
Stereotactic Biopsy for Brainstem Lesions: A Meta-analysis with Noncomparative Binary Data
Authors: He Lin , He Dongjie , Qi Yuhong , Zhou Jiejing , Yuan Canliang , Chang Hao , Wang Qiming , Li Gaiyan , Shao Qiuju
Published: December 2021

Objectives

To evaluate the diagnostic yield and safety of brainstem stereotactic biopsy for brainstem lesions.

Methods

We performed a meta-analysis of English articles retrieved from the PubMed, Web of Science, Cochrane Library, and APA psycInfo databases up to May 12, 2021. A binary fixed-effect model, the inverse variance method, or a binary random-effect model, the Dersimonian Laird method, were utilized for pooling the data. This meta-analysis was registered with INPLASY, INPLASY202190034.

Findings

A total of 41 eligible studies with 2792 participants were included. The weighted average diagnostic yield was 97.0% (95% confidential interval [CI], 96.0-97.9%). The weighted average proportions of temporary complications, permanent deficits, and deaths were 6.2% (95% CI, 4.5–7.9%), .5% (95% CI, .2–.8%), and .3% (95% CI, .1–.5%), respectively. The subgroup analysis indicated a nearly identical weighted average diagnostic yield between MRI-guided stereotactic biopsy and CT-guided stereotactic biopsy (95.9% vs 95.8%) but slightly increased proportions of temporary complications (7.9% vs 6.0%), permanent deficits (1.9% vs .2%), and deaths (1.1% vs .4%) in the former compared to the latter. Moreover, a greater weighted average diagnostic yield (99.2% vs 97.6%) and lower proportions of temporary complications (5.1% vs 6.8%) and deaths (.7% vs 1.5%) were shown in the pediatric patient population than in the adult patient population.

Conclusions

Brainstem stereotactic biopsy demonstrates striking accuracy plus satisfying safety in the diagnosis of brainstem lesions. The diagnostic yield, morbidity, and mortality mildly vary based on the diversity of assistant techniques and subject populations.
Diaphanospondylodysostosis: Full Case Report with Novel Pathogenic BMPER Mutation
Authors: Arredondo Montero Javier , Bronte Anaut Mónica , Ruiz de Azúa Yerani , Morales Garofalo Lourdes
Published: December 2021

Diaphanospondylodysostosis is an extremely rare, recessively inherited, perinatal lethal skeletal disorder associated with BMPER gene mutations. Clinically it is characterized by defects in costovertebral ossification, absent ribs, hypertelorism, short nose with depressed nasal bridge, low-set ears, and short neck. At the extraosseous level, the most frequent pathologic finding is nephroblastomatosis with multicystic kidneys. We present the case of a child of non-consanguineous parents who died at 2 months of age in our center. Autopsy showed a marked costovertebral ossification defect, perilobar nephrogenic rests and loss of white matter with periventricular leukomalacia. After genetic study, the diagnosis of diaphanospondylodysostosis was confirmed. A previously undescribed germinal mutation in the BMPER gene (c.576 + 2dupT) was found.
Evaluation of gastrointestinal transit times and pH in healthy cats using a continuous pH monitoring system
Authors: Telles Naila J , Simon Bradley T , Scallan Elizabeth M , Gould Emily N , Papich Mark G , He Yuqing , Lee Mu-Tien , Lidbury Jonathan A , Steiner Jörg M , Kathrani Aarti , Katherine Tolbert M
Published: December 2021

Objectives

The aim of this study was to characterize gastrointestinal (GI) transit times and pH in healthy cats.

Methods

GI transit times and pH were measured in six healthy, colony-housed, purpose-bred spayed female cats using a continuous, non-invasive pH monitoring system in a sequential order design. For the first period (‘pre-feeding’), food was withheld for 20 h, followed by oral administration of a pH capsule. Five hours post-capsule administration, cats were meal-fed by offering them their daily allowance of food for 1 h. For the second period (‘post-feeding’), food was withheld for 24 h and cats were fed for 1 h, after which a pH capsule was orally administered. Studies in both periods were repeated three times. GI transit times and pH were compared between the two periods.

Results

The median transit times for the pre- and post-feeding periods, respectively, were: gastric – 94 mins (range 1–4101) and 1068 mins (range 484–5521); intestinal – 1350 mins (range 929–2961) and 1534 mins (range 442–2538); and GI – 1732 mins (range 1105–5451) and 2795 mins (range 926–6563). The median GI pH values for the first and second periods, respectively, were: esophageal – 7.0 (range 3.5–7.8) and 4.5 (range 2.9–6.4); gastric – 2.7 (range 1.7–6.2) and 2.0 (range 1.1–3.3); intestinal – 8.2 (range 7.6–8.7) and 7.8 (range 6.7–8.5); first-hour small intestinal – 8.2 (range 7.4–8.7) and 8.3 (range 7.9–8.6); and last-hour large intestinal – 8.5 (range 7.0–8.9) and 7.8 (range 6.3–8.7). Gastric ( P <0.0020) and intestinal pH ( P <0.0059) were significantly increased in the pre-feeding period compared with the post-feeding period.

Conclusions and relevance

Gastric and intestinal pH differed significantly when the capsule was administered 5 h prior to feeding compared with 1 h after feeding. Transit times for both periods showed high degrees of intra- and inter-individual variability.
The decline of authority and the rise of managerialism
Authors: Spillane Robert , Joullié Jean-Etienne
Published: December 2021

Managerialism, as an ideology and management practice, is grounded on a theory of authority. Such grounding has been neglected in the relevant literature since scholars have generally treated authority as a form of power and have ignored the view that authority is also a source of power. Following a review of the construct of authority as it appears in the works of noted social psychologists and critical management authors, this essay argues that Carl Friedrich’s theory of authority as reasoned elaboration reveals two manifestations: authoritativeness and authoritarianism. It is argued here that managerialism draws on authoritarian ideas and practices, whereas management, as traditionally conceived, draws on authoritativeness. To promote authoritative management, therefore, is to resist (authoritarian) managerialism since authority redirects power to technical experts and professional colleagues and thereby limits managerial power.
Parental experiences of psychological interventions for recurrent abdominal pain in childhood
Authors: McGurgan Alannah , Wilson Charlotte , McGuire Sarah
Published: December 2021

Active components of psychological intervention for RAP remain unclear. This study involved completing interviews about parental experience of psychological intervention for RAP to ascertain how and why psychological intervention can be effective. Difficulty making sense of RAP and barriers to treatment were identified as struggles. Acceptance and containment were key overlapping mechanisms, which allowed families to develop a changed relationship with the pain and manage the impact of pain. To further develop interventions, the role of containment should be considered and acceptance-based interventions explored, given the growing evidence base in this area. Practical implications of this research are also discussed.
Bringing the laboratory into the home: A protocol for remote biobehavioral data collection in pregnant women with emotion dysregulation and their infants
Authors: Gao Mengyu (Miranda) , Saenz Celine , Neff Dylan , Santana Marilynn Lape , Amici Joseph , Butner Jonathan , Raby K Lee , Crowell Sheila E , Conradt Elisabeth
Published: December 2021

Pregnant women struggling with emotion dysregulation may be more likely to engage in a wide range of health risk behaviors. This protocol describes a study on intergenerational transmission of emotion dysregulation from the third trimester of pregnancy to 18 months postpartum. Biobehavioral markers of emotion dysregulation are typically measured in laboratory settings which was prohibited by many universities during the COVID-19 pandemic. We describe how markers of emotion dysregulation (e.g. maternal, fetal, and infant heart rate variability) are collected remotely. We detail how data collection can be augmented to reach diverse populations who may not otherwise participate in laboratory-based research.
Numerical investigation on early age performance of ultra-high-performance concrete shear keys between an adjacent prestressed concrete box beams
Authors: Liu Zhengyu , Semendary Ali A , Phares Brent M
Published: December 2021

Adjacent precast prestressed concrete box beam bridges have been widely utilized for decades and have shown satisfactory performance. However, significant issues regarding to the longitudinal shear key cracking have been noted by bridge maintenance personnel. The cracks are typically initiated at beam-shear key interfaces due to shrinkage and temperature and propagate due to applied load. Recently, ultra-high-performance concrete (UHPC) was employed in the shear keys with the anticipation to prevent joint cracking. Although the field-collected data at early age from bridge utilizing UHPC shear keys indicated promising performance, the results only reflected the early age joint behavior at locations which were instrumented during the field test. In the current study, a 3D finite element (FE) model was developed to calculate the early age stresses due to shrinkage and temperature. The results indicated that the UHPC material associated with a specific shear key configuration created a “self-locked” phenomenon that generated compression on the upper level shear key. The early age tensile stress during the first couple of days near the end of the joint was relatively small compared to the tensile strength of UHPC material. Although the interface had sufficient capacity to resist the early age stresses, it is still a critical component and needs to be designed with sufficient capacity.
Shaheen Bagh: Making sense of (re)emerging “Subaltern” feminist political subjectivities in hashtag publics through critical, feminist interventions
Authors: Edwards Emily , Ford Sarah , Gajjala Radhika ,   Nanda , Bhatia Kiran Vinod
Published: December 2021

In this article, we examine protest of India’s passage of the Citizenship Amendment Act (CAA) and National Registry of Citizens (NRC) which spurred instances of physical and digital protest. We study the intersections of gender, political subjectivities, and digital activism among anti-CAA-NRC activists, specifically the “Women of Shaheen Bagh.” We discuss our data collection methods, description, and analysis of the protests in the context of larger questions, including how critical, feminist researchers may engage with data tools and how forms of gendered, transnational protest are mediated and represented via individual images, texts, and videos that make up social media data. We illuminate the formation of political subjectivities in the context of transnational, digital protest movements by re-appropriating computational and data tools. This article seeks to demonstrate an interdisciplinary engagement between critical, feminist approaches to knowledge and subject formation and data science approaches to social network analysis and data visualization techniques.
Study on the microstructural variation and fatigue performance of microplasma arc welded thin 316L sheet
Authors: Saha Dipankar , Pal Sukhomay
Published: December 2021

Welding is a venerable and reliable fabricating technique to integrate materials into complex geometry desired for various industrial applications. However, localized heat concentration leading to microstructural variations can deteriorate the fatigue life of welded components. The present study explains tensile and high cycle fatigue performance of microplasma arc welded 316L SS thin sheet (0.5 mm thickness) material. The square butt joint configuration with a single pass weld was achieved for 316L SS similar sheet material. The skeletal and lathy delta-ferrite-austenitic structures were observed in the fusion zone (FZ) due to non-equilibrium solidification, which is attributed to the different thermal cycle behaviour of the FZ. This morphology is explained by the pseudo phase diagram and the Schaeffler diagram of SS material. The tensile test showed that the microplasma arc welding process achieved a joining efficiency of 93%. The high cycle fatigue performance of welded specimens was analysed at different alternating stress amplitude. The presence of a dense delta ferrite phase in the austenitic matrix is responsible for fatigue failure of the welded specimen. However, the development of deformation-induced martensite in the crack initiation site promotes fatigue life. The crack initiation, propagation, and sudden failure site were investigated to explain the fatigue fracture behaviour.
When a crisis undermines quality public service provision: Romanian early childhood education and care through the SARS-Cov-2 epidemic
Authors: Kovács Borbála
Published: December 2021

What appeared to be the success of many Eastern European states in managing the toll of the SARS-Cov-2 pandemic in its first round has been attributed to the early introduction of strict lockdown. However, erring on the side of caution came at a high price, with mixed economies of welfare shifting sometimes radically towards families, with the related costs unevenly distributed. Using the case of early childhood education and care (ECEC), the article explores the specifics of what has been a more general pattern in epidemic-induced social policy adaptation in the Romanian context: the overnight, radical and prolonged individualisation of service provision without the corresponding remaking of the cash nexus. It expands on the timeline of government decisions on family policy adaptations, including ECEC service provision. The article also reviews fragmented evidence about the impact of ECEC service suspension on the mixed economy of early years care. The article explains how and why the Romanian government was able to effectively suspend ECEC service delivery between March and September 2020 while keeping related financial arrangements practically unaltered, and do so without open protest. The Romanian case reveals how and why a family policy environment historically characterised by fragmented, selective and partially adequate provision, directly and indirectly maintaining the familialisation of young children’s care, acts as a catalyst for more of the same in hard times: fragmented, selective and only partially adequate intervention. In conceptual terms, the article suggests that familialist family policy is particularly sticky, more so in times of crisis than in ‘good’ times.
Kindergarten children’s perceptions of the social unrest in Hong Kong
Authors: Cohrssen Caroline , Rao Nirmala , Kapai Puja , Londe Priya Goel La
Published: December 2021

Hong Kong experienced a period of significant social unrest, marked by protests, from June 2019 to February 2020. Media coverage was pervasive. In July 2020, children aged from 5 to 6 years attending kindergartens in areas both directly and less directly impacted by the protests were asked to draw and talk about what had taken place during the social unrest. Thematic analysis of children’s drawings demonstrates the extent of their awareness and understanding and suggests that children perceived both protestors and police as angry and demonstrating aggression. Many children were critical of police conduct and saw protestors as needing protection from the police. Children around the world have been exposed to protest movements in recent times. The implications for parents, teachers and schools are discussed.
Trust and Relationship Development Among Users in Dark Web Child Sexual Exploitation and Abuse Networks: A Literature Review From a Psychological and Criminological Perspective
Authors: Kloess Juliane A. , van der Bruggen Madeleine
Published: December 2021

The increased potential and speed of the Internet has changed the nature of sexual crimes against children. It enables individuals with a sexual interest in children to meet, interact, and engage in illegal activities. The literature review presented here aims to provide an overview of the current knowledge and understanding of trust and relationship development among users of online networks that are dedicated to the sexual exploitation and abuse of children. A systematic search using six databases was conducted to identify relevant literature from a psychological and a criminological perspective. Twenty-one studies met the inclusion criteria that centered around the key aspects of the literature review’s research question, namely, (i) child sexual exploitation and abuse, (ii) Dark Web platforms, (iii) online forums and networks, and (iv) trust and relationship development. Our findings reveal that the engagement in interpersonal communication and interactions with like-minded others serves various functions, including validation, normalization, and support, as well as access to expert advice, information, and material. Dark Web networks are high-stake and risky environments, where users have to manage a continuous flow of threats, with information about others and their trustworthiness being limited. The establishment and maintenance of trust is of social and technical relevance, and users have to navigate a number of demands and commitments. Findings are discussed in relation to theoretical and practical implications, as well as directions for future research.
Prevention Effect of News Shocks in Anti-Doping Policies
Authors: Maennig Wolfgang , Schumann Viktoria C. E.
Published: December 2021

This paper contributes to the debate on anti-doping policies not by evaluating the policy itself but by evaluating the announcement of (new) policy measures. We develop a dynamic model for analyzing the effects of two different types of news shocks: (1) the preannouncement of improved drug testing technological opportunities and (2) the preannouncement of future increases in financial sanctions. We find that the anticipation of policy changes affects the behavior of potentially delinquent athletes. In both scenarios, our simulations show immediately reduced drug abuse among athletes. We conclude that authorities may consider news shocks as an anti-doping strategy.
Balancing Ethics, Art and Economics: A Qualitative Analysis of Game Designer Perspectives on Monetisation
Authors: Karlsen Faltin
Published: December 2021

This article explores the relationship between monetisation models, game design and ethical considerations from the perspective of three different small-scale Norwegian game companies: an indie company, a freemium company and a premium company. The aim is to explore critically how small-scale game companies reason and act in the current economy. Interviews with game designers and CEOs form the empirical basis of the analysis. The motives and practices of the informants are categorised according to three ethical schools, namely, deontology, virtue ethics, and utilitarianism. The informants believe that freemium models and free games have made the computer game industry markedly more challenging to monetise. Their views on what is considered ethical monetisation varies between companies, most distinctly between the freemium company and the two others. Informants from the freemium company downplay ethical responsibilities, with reference to the huge number of existing free games and costumers unwilling to pay for games.
Engaging Young Black Males in Sexual and Reproductive Health Care: A Review of the Literature
Authors: Burns Jade C. , Reeves Jaquetta , Calvert Wilma J. , Adams Mackenzie , Ozuna-Harrison Rico , Smith Maya J. , Baranwal Salisha , Johnson Kedar , Rodgers Caryn R. R. , Watkins Daphne C.
Published: December 2021

Young Black males (YBM) ages 18 to 24 years are more at risk of contracting sexually transmitted infections (STIs) and have a substantially greater need for sexual reproductive health (SRH) services than other groups. Despite this significant need, the extant literature does not provide a comprehensive picture of how YBM seek preventive care services (e.g., STI testing). Therefore, the purpose of this review is to address YBM’s SRH access and use of STI/HIV testing and screening in this population, with a specific emphasis on young heterosexual Black males, by identifying barriers and facilitators of engaging with SRH care. An electronic search was performed using Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycInfo, PubMed, and Scopus online databases. Keywords were adapted to each database and included variations of “Black males,” “sexual reproductive healthcare services,” “youth (18-24 years old),” and “healthcare access and utilization.” Studies from the review reported that barriers to engaging in SRH care included lack of health insurance, ideas of masculinity that conflict with SRH care, stigma related to accessing services, and lack of knowledge regarding available services and care options. The top facilitators for utilizing SRH care were engagement on behalf of health clinics, confidence gained from social support, access to quality health care in one’s community, and trust in the health care system and providers. This review contributes to the current state of the science and is important to the improvement of high-quality services for this population, including respect, choice in care, confidentially, and compassion.
Using Photographs in Mixed Methods Research: An Illustration Integrating Quantitative and Qualitative Analyses from Consumer Research
Authors: Kleih Anne-Katrin , Lehberger Mira , Sparke Kai
Published: December 2021

Photograph analysis poses a novel methodological challenge for mixed methods researchers. In this paper, we argue that photographs are a valid data source that are not outside of the quantitative–qualitative binary and, hence, can be analyzed and used for integration, applying mixed methods principles. We summarize photograph analysis methods from different scientific fields and contribute to the field of mixed methods by proposing a mixed methods framework for analyzing visual data that allows the flexible application and integration of different quantitative and qualitative photograph analysis methods by focusing on data transformation. We use an illustrative example from consumer research.
Nothing About us Without us: Research Methods Enabling Participation for Aged Care Residents Who Have Dementia
Authors: Shannon Kay , Montayre Jed , Neville Stephen
Published: December 2021

The voices of people living with dementia are rarely included in primary data collection due to cognitive challenges and the concerns of researchers and others about limitations associated with informed consent. This article presents a successfully implemented, step-by-step process enabling effective participation of aged care residents with dementia using a case study approach. Three methodological and critical steps in data collection were identified that led to the successful participation of residents with dementia in research. The process corresponds with, yet is uniquely different from the common elements in the qualitative research process. These are active participation during data collection, researcher familiarization with participants, and their set interval and time-lapse considerations (timeline). The process of involvement of people with dementia in research should proceed at a pace that is guided by the participants. It is important to consider participant interview pace, pattern, and the conversation time points when interruptions occur, to restart the whole interview process. Researchers need to facilitate active engagement by building and maintaining authentic relationships with the participants.
Disarming the periphery: Inter-war arms control, British imperialism and the Persian Gulf
Authors: Biela Leon Julius
Published: December 2021

Drawing on research on the international disarmament efforts of the inter-war years as well as on arms control in the empires, this article argues that arms control in the imperial periphery was an integral and very tangible part of the inter-war years’ international disarmament policies. It demonstrates that arms control in the periphery was conceived by the imperial actors involved as a pivotal part of the disarmament policies and that the disarmament policies had far-reaching consequences for the imperial periphery. The study uses archival sources to investigate the arms control in the Persian Gulf as a case study for the consequences of the disarmament policies in the imperial periphery. By analysing the goals and ends British imperial actors sought to achieve through arms control and particularly arms trade controls in the Gulf, this approach deepens the understanding of imperial disarmament policies beyond the mere assessment that they were somehow important to imperialism. It moreover diversifies and rectifies the understanding of the ‘peace’ that was to be achieved by the inter-war disarmament. Furthermore, it analyses the concrete practices and measures that arose out of the inter-war disarmament policies as well as their effects on the actual arms trade in the Gulf. Based on these results, the study investigates how actors from the Gulf itself positioned themselves within these developments, how and why they did or did not take part in them and how the Gulf's societies in general dealt with the disarmament efforts. Hence, by shifting the level of analysis to the imperial periphery itself, the study seeks to expose the global dimension of disarmament policies and their effects on the region, its inhabitants and the imperial order, thereby stressing the importance of this perspective for a comprehensive understanding of inter-war disarmament.
Understanding Depressive Feelings as Situated Affections
Authors: Ağören Güler Cansu
Published: December 2021

Phenomenologists define social impairments as key aspects of depression and argue that depression is irreducible to the individual. In this article I aim to further elaborate this non-reductionist notion of depression by claiming that depression not only corresponds to an impaired experience of social relations, but also arises from a socially impaired world. To pursue this goal, I will challenge the understanding of depression as an affective disorder blocking the affective communication between individual and environment. I will redefine feelings of depression as situated affections, and hence suggest that (1) they are products of the individual's situatedness in a depressogenic environment and (2) they function in initiating an active withdrawal from such environment.
Anti-GFAP-antibody positive postinfectious acute cerebellar ataxia and myoclonus after COVID-19: a case report
Authors: Asan Livia , Klebe Stephan , Kleinschnitz Christoph , Stettner Mark , Köhrmann Martin
Published: December 2021

We present a case of acute cerebellar ataxia and myoclonus with detected anti-GFAP-antibodies in a patient recently recovered from COVID-19. Main symptoms consisted of acute gait and limb ataxia and myoclonus. The patient improved considerably upon treatment with high-dose intravenous (IV) steroids. While cerebrospinal fluid (CSF) and magnetic resonance imaging (MRI) findings were unremarkable, anti-GFAP-antibodies were detected in the patient’s serum and disappeared upon clinical remission at a 3-month follow-up. This case suggests that anti-GFAP-antibodies might be associated with some of the increasingly observed cases of postinfectious acute cerebellar ataxias in COVID-19 patients and aid in the diagnosis of this autoimmune complication. We recommend searching for these antibodies in serum and CSF in suspected cases. Early steroid treatment may prove beneficial for these patients.
The European Parliament’s role in EU digital governance: Aspiration and reality
Authors: Zenner Kai
Published: December 2021

Despite its enhanced legislative powers, the European Parliament still struggles to be recognised as an authoritative and reliable political actor. Its current role in EU digital governance serves as a good example to illustrate both the aspirations of the parliamentarians as well as their actual impact. Confronted with a horizontal policy issue that affects all sectors of the analogue and digital world parliamentary working methods have proven to be unfit for purpose. The European Parliament has so far been unable to assume leadership to guide the EU through the digital transformation process. Yet, its aspirations are not pulled out of thin air. Intellectual freedom, swift decision-making channels, and an open and pragmatic debating culture make it, in fact, predestined to define an overarching and balanced digital agenda for the EU. Before this is achievable, however, it is necessary to execute comprehensive internal reforms to overcome a list of structural, financial, political and external deficits.
Mimicry, Fragmentation, or Decoupling? Three Scenarios for the Control Function of EU Correspondents
Authors: Michailidou Asimina , Trenz Hans-Jörg
Published: December 2021

In this article, we explore three possible scenarios for the role of EU correspondents in a post-pandemic media landscape that is marked not only by the mainstreaming of misinformation but also by an EU regulatory turn that aims to support media in the post-pandemic era and to stamp out the culture of ‘fake news’. EU correspondents are best placed to function as translators of EU technocratic and differentiated governance. Such a function is a prerequisite to critically assess the content and quality of decision-making, when demands of national EU readerships for EU news are limited and resources for quality journalism restricted. We submit that whether this function of EU correspondents will materialise in the (post-)pandemic era hinges not on their capacity to contribute to the elusive ‘European public sphere’ but on how the EU's action plan for the recovery and transformation of media organisations will interact with the multiple challenges journalists are already facing in the digital era. We propose three scenarios on how such an institutional settlement of EU journalism may play out: mimicry, fragmentation, and decoupling. The aim is twofold: Firstly, to set out a research agenda for empirical investigation of the EU correspondents’ role in European democracy under constant transformation. And secondly, to argue normatively the case for safeguarding the independence and viability of specialist and/or transnational professional journalism bodies, even if these appear increasingly irrelevant from a commercial perspective.
A rare case report of acute upper gastrointestinal hemorrhage due to splenic artery pseudoaneurysm
Authors: Dinh Luan Nguyen , Duc Nguyen Minh , Hong Son Nguyen , Minh Hien Tran , Anh Huy Le , Tan Tai Nguyen , Tran Kinh Bui , Minh Loi Hoang
Published: December 2021

Splenic artery aneurysm and splenic artery pseudoaneurysm are rare vascular pathologies. The splenic artery represents the third most common site for intra-abdominal aneurysms. In contrast with true splenic artery aneurysm, splenic artery pseudoaneurysm is typically symptomatic, presenting with a range of symptoms, from abdominal pain to hemodynamic instability due to rupture. However, gastrointestinal hemorrhage is an uncommon complication of splenic artery pseudoaneurysm. We report a case of acute upper gastrointestinal hemorrhage due to splenic artery pseudoaneurysm rupture. The patient was successfully treated by endovascular intervention.
Factors affecting endoscopic treatment’s failure for primary vesicoureteral reflux in the paediatric population
Authors: González Miriam García , Casal-Beloy Isabel , Somoza Argibay Iván , Dargallo Carbonell Teresa
Published: December 2021

Objective:

The purpose of this study is to identify which factors could determine endoscopic therapy’s failure in the paediatric patients with primary vesicoureteral reflux (VUR).

Methods:

We reviewed data from patients who underwent endoscopic surgery for primary reflux. We performed a multivariate logistic regression analysis considering factors conditioning therapeutic failure. All the tests were performed considering significant values of p < 0.05. Statistical analysis was performed with the SPSS 19.0 program. Study sample was homogenised by just including patients with primary reflux and excluding both patients with secondary reflux and patients with functional lower urinary conditions.

Results:

A total of 96 patients were included for review. Median age at surgery was 28 months. The overall success rate of endoscopic surgery for vesicoureteral reflux was 57%. Female sex, age under 24 months at the time of surgical intervention and having suffered a urinary tract infection (UTI) despite antibiotic prophylaxis are statistically significant risk factors for therapy failure.

Conclusions:

Nonetheless, differences between series could explain these differences in success rates. The lack of standardisation of the definition of ‘success’, the heterogeneity of patients included, and variables such as the degree of reflux, the presence of dysfunctional voiding, age or follow-up make it difficult to compare the success rate between series. Therefore, homogenisation of study samples assessing the evolution of primary reflux and response to endoscopic therapy is warranted.

Level of evidence:

Not applicable
The Text of Philippians 3.12 in the Gothic Translation: Paul Not Already Deemed Righteous?
Authors: Giffin Ryan Kristopher
Published: December 2021

The Gothic translation of Paul’s Letter to the Philippians contains a reading in which Paul claims he is not already deemed righteous (ni . . . ju garaihts gadomiþs sijau, Phil 3.12). In light of this, the Gothic version has been included as a textual witness to the so-called justification clause, a variant reading scholars have labeled “intriguing,” “very interesting,” “striking,” and “astounding.” However, no scholarly attention has been devoted specifically to the Gothic version of the justification clause of Phil 3.12. This article fills that gap. The author gives attention to this text as it appears in the surviving Gothic manuscripts and discusses two of its noteworthy features. Both features contribute to the wisdom of exercising caution before dismissing the reading as a representative of a secondary insertion into the earliest Greek text of the Pauline Letters.
Colossians 1.12a: A Case for the Reading of the Earliest Witnesses
Authors: Quarles Charles L.
Published: December 2021

The evidence favoring the reading ἅμα τῷ πατρι in Col 1.12 is more compelling than is generally recognized. This variant is the reading supported by the earliest extant witnesses (P46 B), the more difficult reading, and the reading that best explains the origin of the other readings. Scholars who have viewed the reading as a palpable error are likely misreading the variant in the same manner that prompted early scribes to omit the ἅμα. This earliest attested reading supports Tischendorf's punctuation of the verse, the translation adopted by many major English versions, and the structure and exegesis of the passage affirmed by most recent commentaries. These versions and commentaries demonstrate how suitable this reading is in this context. Critical editions of the Greek New Testament should reconsider adopting this reading in their base text.
Social Media Education Provided by National Governing Bodies of Sport: An Examination of Practices for Youth Olympic Games and Olympic Games Athletes
Authors: Geurin Andrea N.
Published: December 2021

Social media provides athletes with many opportunities as well as challenges. Scholars have argued for proactive, educational social media training instead of traditional policy and punishment models, yet research on this topic is limited. Therefore, this study sought to understand the social media training/education national governing bodies (NGBs) provided to athletes ranging from Youth Olympic Games (YOG) to Olympic level, and to examine NGB communication employees’ perceptions regarding athletes’ social media use and their organization’s social media training. Utilizing uses and gratifications theory, a sequential mixed method was employed involving a survey of U.S. NGBs and in-depth interviews with NGB communication personnel. While most NGBs used proactive, educational social media training for Olympic athletes, few did the same for YOG athletes. NGB employees felt social media use posed significant benefits or gratifications to athletes, and education and training helped to enhance those benefits as well as minimize the challenges, or failed gratifications, athletes experience on social media.
Citation Analysis in Breast Reconstruction Publications Between 2000 and 2010
Authors: Miller Rebecca , Macadam Sheina , Demsey Daniel
Published: December 2021

Introduction and Purpose: Breast reconstruction is an active area of plastic surgery research. Citation analysis allows for quantitative analysis of publications, with more citations presumed to indicate greater influence. We performed citation analysis to evaluate the most cited papers on breast reconstruction between 2000 to 2010 to identify contemporary research trends. Methods: The SCI-EXPANDED database was used to identify the 50 most cited papers. Data points included authorship, publication year, publication journal, study design, level of evidence, number of surgeons/institutions, center of surgery, primary outcome assessed, implant/flap/acellular dermal matrix/fat graft, acellular dermal matrix brand and use with implants/flaps, fat graft use with implants/flaps, unilateral/bilateral, one-/two-stage, immediate/delayed, number of patients/procedures, complications. Descriptive analysis of trends was performed based on results. Results: 20% of papers were published in 2006, 16% in 2007 and 12% in both 2004/2009. 66% were published in Plastic and Reconstructive Surgery. The majority were retrospective or case series, and of Level III or IV evidence. The one Level I study was a prospective multicenter trial. 21 and 7 papers discussed procedures by single/multiple surgeons, respectively. Results from single/multiple centers were discussed in 18 and 6 papers, respectively. 30 papers discussed implant-based reconstruction, 22 papers flap-based (19 microsurgical), 15 papers acellular dermal matrix, and five papers fat grafting. The primary focus in the majority was complications or outcomes. Conclusion: Our analysis demonstrates continually evolving techniques in breast reconstruction. However, there is notable lack of high quality evidence to guide surgical decision-making in the face of increasing surgical options.
The long-term results of total knee arthroplasty in octogenarian
Authors: Mak Rex Wang-Fung , Chau Wai-Wang , Chung Kwong-Yin , Chiu Kwok-Hing , Ho Kevin Ki-Wai
Published: December 2021

Aims: With increasing life expectancy and ageing population, more octogenarians would benefit from total knee arthroplasty (TKA). The aim of this study is to evaluate the survivorship of TKA in octogenarian and their long-term outcomes. Methods: This was a retrospective review of 67 patients aged above 80 years who had primary TKA performed between 2005 and 2013 at a single centre. A sex-matched younger cohort of 67 primary TKAs during the same time-period was recruited for control. Five and 10-year survival was calculated. Pre- and peri-operative factors were collected and compared. Post-operative range of motion, Knee Society Score (KSS) and Function Score (KFS) were collected and compared. Rate of revision, infection, aseptic loosening and mortality was collected. Results: The mean follow-up period was 10.39 ± 2.29 years. The 5- and 10-year survival of octogenarian group was 85.1% and 54.6%, respectively. Pre- and peri-operative factors between the octogenarian and control groups were comparable ( p > 0.05). Both groups showed improvement in range of motion, KSS and KFS post-operatively. Rate of revision, aseptic loosening and deep infection was 0% in octogenarian and 1.5% in control group. Conclusion: TKA can be performed in patients with age above 80 years old with comparable post-op knee range, complication rate and long-term functional score. Advanced age should not be a limiting factor for TKA.
The Utilization of Phone Communication with Patient Companions During a Pandemic
Authors: Song Weilin , Rachitskaya Aleksandra V.
Published: December 2021

Involvement of companions is a critical aspect of patient-centered care. This retrospective cross-sectional study examined patients who were asked, by utilizing electronic medical record (EMR) preset questions (SmartPhrase template), if they wanted another individual called during the assessment and plan portion of an ophthalmology visit. Of 518 patients, 14.5% wanted another individual called. New patients as well as those who needed procedural or surgical intervention were more likely to want a companion called. Adoption of a SmartPhrase template within clinical workflow may be a feasible and effective method to increase communication with companions of physically unaccompanied patients and promote patient-centered care.
Primary Rosai-Dorfman Disease in 39-Year-Old Woman With Osseous Tibial Lesion Manifestion: A Case Report and Literature Review
Authors: Mansoori Jasmin , Fisher Olivia , Akinyeye Ivana O. , Sobolevsky Michael A. , Quinn Robert H.
Published: December 2021

Rosai-Dorfman disease (RDD), otherwise known as sinus histiocytosis with massive lymphadenopathy (SHML), is a very rare and typically benign disorder of unknown etiology with <10% bone involvement. The report is of a case seen at the authors’ hospital of a patient presenting with several months’ onset unspecified nontraumatic ankle pain. There was no physical mass or lymphadenopathy appreciated on examination. Plain radiographs and magnetic resonance images demonstrated an osteolytic lesion at the medial malleolus. Biopsy revealed the diagnosis of intraosseous manifestation of Rosai-Dorfman disease.
Ocular Toxoplasmosis: No Stranger to the Masquerade Ball
Authors: Dillon Alexander B. , Budoff Greg , McCannel Colin A. , Tsui Edmund , Pullarkat Sheeja T. , Schwartz Steven D.
Published: December 2021

Purpose:

This article illustrates multiple atypical manifestations of ocular toxoplasmosis masquerading as acute retinal necrosis and vitreoretinal lymphoma.

Methods:

Two case presentations are discussed, and the body of pertinent literature is reviewed and discussed.

Results:

In these cases, an extensive workup and attention to history lead to the correct diagnosis and management.

Conclusions:

Aggressive cases of ocular toxoplasmosis may present in a variety of phenotypes that may mimic other vision- and potentially life-threatening conditions, particularly in a milieu of inadequate endogenous and exogenous antimicrobial defenses.
‘Many pieces one family’: An elaboration of one family’s bereavement experiences
Authors: Gaussen Kathryn , Stedmon Jacqui , Smart Cordet
Published: December 2021

There has been considerable research on bereavement and the concept of continuing bonds. However, there is a distinct absence of research considering bereavement, continuing bonds and family dynamics post-bereavement. The paper reports on a study utilising a family systems approach combined with narrative methods, tools of conversation analysis and systemic theory. This integration of approaches is used to consider how one family offers an account of their experience of bereavement. An exploration of their conversation along with visual presentation in the form of button sculpts is employed. The findings support the suggestion that it is useful to consider bereavement experiences as part of a family system. Clinical implications of the research are outlined to consider how best to support bereaved families.