bluuebunny/crossref_metadata_2025 huggingface dataset:
Navigating workplace incivility: Exploring turnover intention with resilience and affective commitment as shields in Pakistan and Malaysia
Authors: Rehman Nabeel , Azhar Arooj , Javaid Muhammad Umair
Published: September 2024

Around the globe, in the services sector, customers’ demands and expectations are continuously increasing. To meet their expectations, employees face high pressure from their customers and top management, and sometimes employees face workplace incivility from customers and supervisors, which aggravates employee burnout and increases turnover intentions, especially in the hospitality industry. Based on the conservation of resource theory, this study develops a mechanism to reduce front-line employees' burnout and turnover intentions in two emerging economies, Pakistan and Malaysia. This study collects the data in three waves from 635 front-line employees working in 3-5-star hotels in Pakistan (361), and Malaysia (274), and analyzes the data through SMART PLS 4.0. The results revealed that employee burnout and employee performance significantly mediate the relationship between supervisor incivility and turnover intention, while this sequential mediation is not significant in the case of customer incivility and turnover intention in Pakistan.
Axillary to Lateral Above Knee Popliteal Artery Bypass: An Alternative Approach to Lower Extremity Revascularization
Authors: Nguyen Trung , Tenewitz Paul , Shames Murry , Parikh Rajavi
Published: September 2024

Objective

Management of limb ischemia in the setting of malignancy with history of resection and/or radiation presents a unique challenge. Radiation arteritis contributing to limb ischemia may not respond to endovascular intervention. Furthermore, significant tissue scarring from extensive resection and/or radiation can increase the risk of complications with open intervention and limit revascularization options. Utilization of an axillary to popliteal artery bypass using a lateral approach to the popliteal artery has been described as a reasonable alternative in these challenging cases.

Case Report

The patient is a 68-year-old male with history of liposarcoma of the left groin, scrotum, and medial thigh for which he underwent multiple resections, flap reconstruction, and skin graft. He had a recurrence 2 years later and underwent repeat resection, placement of brachytherapy catheters, vertical rectus abdominal flap, and external beam radiation. He now presents with Rutherford 2B acute limb ischemia with associated left foot drop. Computed tomography angiography was performed and revealed an occluded left common femoral artery stent, proximal left superficial and deep femoral artery occlusion, and thrombosis of the left femoral vein. An attempt was made at endovascular recanalization without success. He subsequently underwent left axillary-to-lateral above knee popliteal artery bypass with a 6 mm ringed polytetrafluoroethylene graft, tibial thrombectomy, and 4 compartment fasciotomy.

Results

Post-operatively, his pain resolved. He continued to have left foot drop but recovered his ability to ambulate with a walker. He was ultimately discharged on post-operative day 11 to an inpatient rehabilitation facility on aspirin and apixaban.

Conclusion

Hostile groin secondary to infection, malignancy requiring resection/radiation presents a unique challenge for revascularization. When endovascular revascularization or obturator bypass are not feasible options, axillary-to-lateral above knee popliteal artery bypass is a described, feasible alternative approach to restore blood flow in this challenging patient population.
Study Protocol for a Focus Group Discussion About the Patients’ Perspective on Carotid Endarterectomy
Authors: Marsman M. S. , Koning G. G. , Jansen B. P. W. , Reijnen M. M. P. J. , Habibovic M. , Vriens P. W. H. E.
Published: September 2024

Introduction

The outcomes of carotid surgery are commonly evaluated using parameters such as mortality and stroke. The importance of these parameters is based on doctors’ and scientific perspectives. Presently, patient centered health care aims to value the evaluation from patients’ perspective, mostly using Patient-Reported Outcomes (PROs). The true significance of outcomes of carotid surgery that matter most to the patients is largely unknown. The aim of this study is to identify and verify the patients’ perspective on carotid surgery for patients with a symptomatic and significant carotid stenosis.

Methods and Outcomes

An exploratory semi-structured focus group discussion will be used, as a quality research method. Three groups consisting of 8 patients ( n = 24), who underwent the carotid endarterectomy because of a significant and symptomatic stenosis of the internal carotid artery, will be enrolled. If data saturation is not reached, the sample size will be expanded. An expert medical psychologist will lead the focus group discussions. The interviews will be recorded, transcribed ‘verbatim’ and analyzed after each session. Items valuable to patients regarding their surgery and recovery will be discussed. This protocol will be published prior to the start of the Focus Group Discussion.

Discussion

Patients’ perspective on outcomes regarding their carotid surgery will be explored and tried to be identified. The results of the focus group discussions may fuel the ongoing global discussion on improving evidence based and patient reported outcome measures and will help the clinical physician to ‘understand’ their patients better. Focus group discussions may aid in the purpose of verification of PROs and PROMs.
Methods for Co-researching With Youth: A Cross-Case Analysis of Centering Anti-Adultist Frameworks
Authors: Chaffee Rachel , Todd K. T. , Gupta Preeti , May Sarah , Abouelkheir Mahmoud , Lagodich Lucie , Wang Jackie , Murphy Cara , Lawrence Xavier
Published: September 2024

This article provides a cross-case study of three studies that utilized anti-adultist approaches to collaborating with youth as co-researchers. Drawing on reflections from both adults and youth, we present an analysis of three case studies of adult and youth experiences in planning, implementing, and conducting research studies aimed at centering youth perspectives. Findings include what adults and youth learned about the co-researching process and highlight the need for careful consideration of how both adults and youth can disrupt adultist power dynamics. We argue that amplifying youth co-researcher perspectives in research can create a mutually meaningful and empowering research process for both adults and youth by promoting more equitable relationships and participatory practices.
A mathematical model of Casson nanofluid flow over a vertically stretched porous surface along with bioconvection, Joule heating and thermal Robin conditions
Authors: Khan Waleed , Khan Waris , Hussain Shah , salah Bashir
Published: September 2024

The current analysis aims is to investigate the steady-state visco-plastic Casson nanofluid flow over an electrically conducting stretching porous surface. Thermophoresis and Brownian motion parameters are utilized for modeling and analysis. Also, Joule heating, thermal radiation, thermal robin condition, thermo-solutal stratifications, and viscous dissipation are considered for energy and nanoparticle concentration. Using appropriate similarity transformation, the partial differential equations (PDEs) system is altered into ordinary differential equatons (ODEs). The Homotopy analysis method (HAM) is used for solving governing equations. The effect of distinct physical parameters on the velocity, concentration, temperature, and microorganism’s density is revealed graphically and discussed tabularly. Additionally, numerical analysis is conducted on designed Nusselt number, Sherwood number, skin friction, and motile microorganism’s density. The major finding of the study is that the fluid velocity decreases as both the magnetic parameter and Casson fluid parameter increases. Instead, increasing the values of the Deborah number and activation energy results in an increase in fluid temperature. The current study is useful for coating deposition of magnetic nanomaterials at comparatively higher temperatures.
Research on service behaviour of brake pad fastener snap ring during high-speed train braking process
Authors: Yin Jian , Zhou Zihan , Shi Li , Wang Ziguang , Liu Ziyuan , Liu Yu , Sha Zhihua
Published: September 2024

Disc brake performance is an important guarantee for the safe operation of high-speed trains. Brake pad fastener snap rings may fail during train braking, causing the friction body to fall off, which is a serious threat to the safety of train operation. This article establishes a finite element model of brake pads/discs taking into account the thermal-mechanical coupling field in the braking process. The temperature distribution of the brake disc surface, the displacement and stress results of the snap rings at different positions are investigated. The results show that the temperature of the brake disc rises and then falls during braking, and the surface temperature of the brake disc is spread in the form of an annular band. The highest displacement and stress variations are found in the snap ring group around the speed entrance area and the inner side of the brake pad. In the x and z directions, the average displacement changes are 0.1967 and 0.1233 mm, respectively. The average changes in contact stress and internal stress are 9.8 and 15.5 MPa. The results of the service behaviour of the snap ring provide a basis for the study of snap ring failure.
Pharmacological, molecular and genetic mechanisms of acetylsalcilic acid in the secondary prevention of cardiovascular disease
Authors: Luque-Esparza Lilia Edith , Delgadillo-Guzmán Dealmy , Mata-Vidal Ricardo Caleb , Carranza-Almaguer Daniela , Corvera-Aispuro Citlalli Esmeralda , Castillo-Maldonado Irais
Published: September 2024

This present review provides an overview of Acetylsalicylic Acid (ASA), emphasizing its role in cardiovascular disease prevention. ASA’s mechanism involves irreversible inhibition of COX activity, impacting prostaglandin synthesis. The ASA as a crucial lifelong therapy for cardiovascular events, with over 50 million Americans using it. While its clinical benefits are established, the underlying mechanisms, especially in coronary artery disease (CAD) secondary prevention, lack full clarity. The document discusses pharmacokinetics, pharmacodynamics, and optimal doses, including ongoing studies like ADAPTABLE to determine the most effective dosage for secondary prevention. It also touches on pharmacogenomics, highlighting genetic variations influencing ASA response and metabolism, particularly in genes like CYP2C9, UGT1A6, and TBXA2R. Conclusion: The review aims to consolidate information on pharmacological, molecular, genetic, and clinical aspects of ASA’s protective effects in CAD. The expression and saturation of enzymes involved in ASA metabolism can alter individual responses, so understanding the pharmacogenomic profile is important for personalizing treatment and improving clinical outcomes.
Medico-legal recommendations to fight the silent war of femicide in Europe
Authors: Scendoni Roberto , Ricchezze Giulia
Published: September 2024

Femicide is a global phenomenon; yet there is no commonly accepted understanding of what counts as femicide. Different disciplines and approaches offer different definitions. Defining the term femicide is not only a purely lexical matter but also involves the aspect of data collection. Owing to the lack of a standardized definition, data collected by countries under this label are not comparable and cannot be used for global or regional estimates to provide an indication of the scale of this phenomenon. One tool to fight this silent war against women is certainly medical-legal diagnosis, with everything that the body of a victim of femicide can reveal. Autopsies are crucial; they can help differentiate between female homicide and femicide and the search for a formal, agreed-upon definition of femicide may be derived precisely from forensic pathology research and necropsy evidence. The autopsies performed and studies written on femicide cases are of extraordinary importance because they make it easy to identify which anatomical districts are most affected, which weapons are most frequently used, and where the bodies of victims of femicide are most often found. To curb this phenomenon, it is essential to act on several levels, starting with the national one. It is necessary to develop a data collection and processing system involving both law enforcement and forensic centers. It is also emphasized the relevance of creating a universal database that can be easily consulted, along the lines of the one that already exists in the United States.
The impact of the kingpin strategy on extortion and kidnapping
Authors: Estévez-Soto Patricio , Lecona Esteban Reynaldo
Published: September 2024

The ‘kingpin’ strategy focuses on dismantling criminal groups by apprehending their leaders. However, existing evidence indicates that removing a criminal leader may lead to a surge in organised crime-related homicides, and to spatial displacement of organised crime violence. This study explores the strategy’s impact on other organised crimes, specifically extortion and kidnapping. Analysing Mexican data from 2011 to 2015, we employ a novel matching method for cross-sectional time-series data to assess how leadership removals affect the incidence of extortion and kidnapping, and whether there are any displacement effects. Our results reveal a significant rise in extortions within 6 months of a leadership removal in a municipality, while kidnappings show no significant change. Notably, no spatial displacement effects were observed in neighbouring municipalities post-removal. These findings underscore the unintended consequences of the kingpin strategy, emphasising the need for alternative policies to address organised crime-related violence.
An examination of the literature surrounding leadership and change management to implement a Golden Theatre Initiative: Reducing inefficiencies within a neurosurgical operating department
Authors: Fowler Helen Louise
Published: September 2024

Following the COVID-19 pandemic, National Health Service trusts nationwide are faced with a significant backlog of patients to clear, furthering the strain on the National Health Service. In an era where sustainability and efficient management of National Health Services is of paramount importance, the introduction of a Golden Theatre Initiative could alleviate day-to-day pressures and assist in the smooth running of a modern-day theatre department. Preoperative burdens on patients can be both physical and psychological, resulting in fears and anxiety surrounding the unknown. It is not uncommon for elective procedures to be cancelled last minute due to pressures; however, this can hugely impact the willingness of a patient to comply in the future, with a potential adverse effect on their health. Cost-effectiveness, reduction on waiting lists and overall negative patient impact, in addition to an improvement on first case start times following the introduction of the Golden Patient Initiative, have been observed nationally. It is believed with the introduction of a Golden Theatre Initiative; these improvements could greatly change the current running of elective waiting lists nationally.
Effect of preprocedure anxiety and oestrogen levels on Postoperative Nausea and Vomiting in patients undergoing diagnostic laparoscopy and hysteroscopy for infertility: A prospective observational pilot study
Authors: Narayanan MR Vishnu , K Anjaleekrishna , Khanna Puneet , Ray Bikash Ranjan , Anand Rahul Kumar , Singh Akhil Kant , Malhotra Neena , Sharma K Aparna , Mahey Reeta , Singhal Seema , Maheshwari Ankita
Published: September 2024

Background:

Females undergoing laparoscopic gynaecological surgeries have a high incidence of postoperative nausea and vomiting. Apart from the established risk factors, hormonal, psychological, genetic and ethnic factors may also contribute to postoperative nausea and vomiting. This study aimed to evaluate the relationship between preoperative anxiety and serum oestrogen level with postoperative nausea and vomiting in patients undergoing diagnostic laparoscopy – hysteroscopy for infertility.

Methods:

In total, 100 female patients, between the ages of 20-40 years, undergoing diagnostic laparoscopy – hysteroscopy for infertility were recruited for this study. Preoperative anxiety level was assessed using Depression, Anxiety and Stress Scale-21 (DASS-21) Questionnaire. Serum oestrogen samples were taken before anaesthesia. Postoperative nausea and vomiting grading was rated with 0–3 Likert-type scale. An association of anxiety and oestrogen levels to postoperative nausea and vomiting was done.

Results:

The analysis between median DASS 21 scores to postoperative nausea and vomiting grading showed no association between DASS 21 scores and postoperative nausea and vomiting grades. Comparing the mean oestrogen levels in patients among each grade of postoperative nausea and vomiting showed no significant difference in the mean oestrogen levels.

Conclusion:

Our study did not find evidence of a significant association between serum oestrogen levels, preoperative anxiety, and postoperative nausea and vomiting.
A literature review assessing the perioperative efficacy and safety of tranexamic acid in elective total hip and knee arthroplasty in UK practice
Authors: Patel Ravi , Golding Steven , Nandra Rajpal , Banerjee Robin
Published: September 2024

Hip and knee arthroplasty are frequently associated with significant blood loss, often necessitating blood transfusions. A variety of methods are employed to minimise blood loss and consequently mitigate the necessity for transfusions. This review explores the incidence of blood loss in hip and knee arthroplasty alongside perioperative strategies aimed at its reduction in UK practice. Given the increasing prevalence of tranexamic acid utilisation, we systematically examine the extant literature concerning its application in patients undergoing hip and knee arthroplasty. Our analysis discerns a prevailing consensus within published studies favouring the implementation of tranexamic acid as a safe and efficacious measure for reducing blood loss during hip and knee arthroplasty procedures.
Navigating Ankle Fracture Surgery in the Shadow of COVID-19
Authors: Chan Justin P. , Hoang Henry , Anderson Amanda , Hsu Andrew R.
Published: September 2024

Background

This case control study aimed to evaluate the impact of preoperative COVID-19 diagnosis on postoperative complications in patients undergoing ankle fracture surgery using the National COVID-19 Cohort Collaborative (N3C) database. The investigation focused on the interplay between COVID-19 diagnosis timing, patient characteristics, and clinical outcomes, particularly considering the potential mechanisms by which COVID-19 may contribute to increased complications.

Methods

This case control study included patients who underwent ankle fracture surgery using the N3C database. The cohort was divided into two groups: patients without COVID-19 diagnosis within 12 weeks of surgery (n = 16 806) and those with a positive COVID-19 diagnosis within 12 weeks of surgery (n = 369). Demographic factors were analyzed. Clinical outcomes encompassed deep vein thrombosis (DVT), sepsis, surgical site infection, bleeding, acute kidney injury, 30-day mortality, and 365-day mortality. Multivariate logistic regression analyses were conducted.

Results

The COVID-19–positive cohort displayed a slightly higher mean age (52.95 ± 18.43 vs 51.62 ± 18.36, P = .169) and body mass index (34.88 ± 9.99 vs 33.86 ± 8.80, P = .028) compared to the negative cohort. Although some outcomes, such as DVT and sepsis, demonstrated slightly higher frequencies in the COVID-19–positive group, these differences were not statistically significant. Adjusted odds ratios (AORs) for various COVID-19 diagnosis periods were generally not significant, except for a heightened risk of 30-day all-cause mortality associated with COVID-19 positivity within 0 to 2 weeks of surgery (AOR = 6.29, P = .003).

Conclusions

Preoperative COVID-19 diagnosis within 12 weeks did not exhibit a significant association with most postoperative complications. While this study did not unveil substantial COVID-19–related effects, acknowledging the broader context of the pandemic remains essential in guiding comprehensive patient care strategies.

Level of Evidence:

Level III
Combating Disinformation With News Literacy Interventions: An Experimental Study on the Framing Effects of News Literacy Messages
Authors: van Erkel Patrick F. A. , van Aelst Peter , Van Nieuwenborgh Joren , de Vreese Claes H. , Hameleers Michael , Hopmann David N.
Published: September 2024

Despite increasing academic attention, several questions about news literacy messages (NLM) remain unanswered. First, it remains unclear how differences in the framing of the NLMs may influence their effectiveness. Second, we still know little about how NLMs work and, in particular, whether people also adopt the recommendations they are given. To answer these questions, this study conducts an experiment in the Netherlands and Belgium, where we manipulate the frames of the NLM, comparing interventions using a “fake news” frame with those using a “reliable news” frame or a mix of the two. We also manipulate elements in the false news article that participants have to evaluate afterwards. Our findings show that all three types of NLMs are effective in making people resilient to misinformation, without resulting in a general decrease in trust in accurate news (=spill-over effect). In particular, news literacy media messages with a “mixed” frame are effective, as they make people critical toward false news articles, and also result in a higher perceived accuracy of accurate news articles. Additionally, the findings provide suggestive evidence that NLMs work, at least partly, because participants also adopt (some) of the recommendations being given.
Alliances for change: Conversations across the abyssal line
Authors: Urban Mathias , Gómez Muñoz Diana Paola , Zárate Pinto Germán Camilo
Published: September 2024

This paper traces a conversation between the authors about their long-standing (Urban) and more recent (Gómez Muñoz, Zárate Pinto) engagement in and with RECE. The conversation revolves around the role and potential of reconceptualist thought in contexts of early childhood realities in the Global South, most prominently in Latin America, where two of the authors are based, while one has extensive work connections to the region. Given RECE’s roots in US-American and English language worlds, what other approaches exist in Latin America contexts and beyond that enable us to challenge the dominant narratives of early childhood education, its narrow disciplinary base, its policies and practices? Drawing on work with marginalised communities, the conversation turns to necessities of advocacy and transdisciplinarity, and to possibilities of epistemic and new activist alliances.
‘I understand. And I’m with you’: RECE as Home, (un)Doing, Belonging, (dis)Place(ment) and (in)Security
Authors: Murray Colette , Myers Casey Y
Published: September 2024

Drawing upon slow scholarship and autobiographical methods, this paper presents four vignettes constructed from virtual meetings across the span of several months. Although we had originally intended to write a more formal paper about the ways in which the reconceptualist movement connects to our own scholarship, the writing process became less efficient and more personal than we expected as we connected to each other around the idea(l)s of home, (un)doing, belonging, (dis)place(ment) and (in)security. Although we attempted to narrate the ways in which reconceptualism has been instrumental in shaping our identities and scholarship, we found that this paper became moreso a re-representation of reconceptualism-at-work.
Acute extreme hypocapnia and diabetic coma in an elderly patient after surgery: A case report
Authors: Strecker Thomas , Siegle Michaela , Bremer Frank
Published: September 2024

Hyperglycemia and diabetic ketoacidosis are serious and life-threatening emergencies in diabetes patients. Early recognition of the symptoms of these disorders and their management are essential. Therapy is adequate rehydration, insulin treatment, electrolyte replacement, and handling of the underlying causative disease. Herein, we present an 83-year-old male with an extremely altered blood gas analysis after a surgical procedure of his left hand due to a phlegmon and describe the successful treatment through intensive care.
Facial vein thrombophlebitis post facial skin infection: a case report and review of the literature
Authors: Alshalawi May , Almoamary Amal , Alrajhi Sulaiman , Alkanhal Raghad , Alsogair Reema , Albarrak Danah
Published: September 2024

This case report presents a rare instance of facial vein thrombophlebitis, a potentially serious complication, following a facial skin infection. A 33-year-old man known to have cerebral palsy, epilepsy on ventriculoparietal shunt, and kyphoscoliosis presented to the emergency department complaining of small facial wound and swelling for 1 week. The wound failed topical management and fever started to develop. His medications included quetiapine and levetiracetam. Investigations, including computed tomography, were carried out to rule out an extension to deep tissue. Management in the emergency department involved initial resuscitation with 500 mL of 0.9% normal saline and 1 L of lactated ringers, antibiotic coverage with piperacillin/tazobactam and vancomycin was given, and analgesia for pain control. This case highlights the potential for facial vein thrombophlebitis as a complication of facial skin infections. Early diagnosis and prompt initiation of appropriate management are crucial to prevent potentially fatal consequences.
Spin-doctoring in French television series: The art of emotional labor
Authors: Verdier Benoît
Published: September 2024

This article aims to question the spin doctor’s representations on television series. If it is easy to recognize on television series medical professionals because of their white coat and their diverse accessories for example, how can we distinguish a spin doctor who looks like an advisor like any other? Based on the analysis of four French television series ( Baron Noir, Les Hommes de l’ombre, Hénaut Président, and Ainsi soient-ils), this article makes the hypothesis that the ethos of the shadow counselor’s fictional avatar can be measured against the notion of figurative idiom. The aim is to reveal the visual language, the codes, the frameworks, and the behaviors that organize and structure the way this occupation is semiotized. And then, by focusing on the social drama of work and particularly on the asymmetric roles, we will present an expert performing emotional labor on his “client.”
Why Do People Choose to Enroll or Not Enroll in the National Diabetes Prevention Program Lifestyle Change Program? A Mixed-Methods Analysis From a Sample of Adults With a Prediabetes Diagnosis
Authors: Kent-Marvick Jacqueline , Knysheva Marina , Gibson Bryan , Simonsen Sara E.
Published: September 2024

Introduction:

The Diabetes Prevention Program (DPP) is effective; enrollment is low. Little research has examined factors driving individuals’ enrollment decisions.

Methods:

In our final survey of a randomized trial comparing methods to increase enrollment in the DPP, we asked participants about factors impacting enrollment. We conducted interviews with a subgroup.

Results:

Participants who completed the survey (n = 299) were primarily female (96 male); middle-aged (mean 52.9, SD = 14.7); white (86%); non-Hispanic (85%). Only 19% reported awareness of the DPP prior to the study. Cost, online availability, and behavior-change motivation were the most highly rated factors influencing enrollment. The median amount participants were willing to pay for the program was $66.50. Phone interviews included 17 individuals who were/were not interested in receiving a referral to the DPP. Those interested described risk awareness, family history, social support, and healthcare-provider influence as facilitating enrollment. Cost, time, travel, unsupportive family, incomplete knowledge about the program’s impact and low self-efficacy were barriers. Among those uninterested, some were already engaging in lifestyle change, and some didn’t see a benefit.

Conclusions:

Results suggest that, even among high-risk individuals, efforts to increase awareness and benefits of the DPP are needed, as are efforts to address cost of enrollment and low motivation.

Trial Registration:

ClinicalTrials.gov protocol ID: 00132307. The Effect of 360 Video and MAPS on Enrollment in the DPP. URL: https://www.clinicaltrials.gov/study/NCT04746781?id=00132307&rank=1 .
Perceptions of Clinical Academics and People With Parkinson’s Disease on Delivery of Regional Interdisciplinary Model of Care: Qualitative Descriptive Study
Authors: Sharrad Sue , Harmon Joanne
Published: September 2024

Introduction/Objective:

The objective of the study was to develop an understanding of the perceptions of people with Parkinson’s disease and clinical academics on the implementation of a regional interdisciplinary model of care.

Methods:

A qualitative descriptive study was undertaken. A PD interdisciplinary clinic was conducted in an Australian regional location. As a novel variation, in this clinic, 4 clinical academics consulted simultaneously offering a long, 3-h appointment. Following the clinic, we conducted 2 focus groups with all clinical academics and 6 semi-structured interviews with people with PD and carers. Data were analyzed using Elo & Kyngäs’ inductive content analysis approach.

Results:

An overarching main category namely, “interdisciplinary care proved valuable to regional people with PD and clinical academics,” and 3 generic-categories including “identifying interdisciplinary care as a viable option in regional locations,” “current care provision is disempowering and burdensome,” and “regional residing people with PD and their carers seek locally accessible healthcare with PD skilled clinicians” were identified.

Conclusion:

Our findings suggest the implementation of interdisciplinary care to regional healthcare systems is valued by clinical academics and people with PD and carers. Further research is required to establish how interdisciplinary care can be implemented in regional Australia and its effects on practice changes, patient outcomes, and quality of life.
Lack of Fall Prevention Education in Patients Experiencing Fall-Related Hip Fracture: A Qualitative Study
Authors: Hwang Wonjae , Oh Kyungrok , Kim Min Gyun , Kim Won Bin , Lee Hyun Seung , Chung Sun Gun , Beom Jaewon , Park Myung Woo , Kim Kyung Su , Kim Joonghee , Park Chul-Hyun , Kim Keewon
Published: September 2024

Introduction

We aimed to describe patient awareness regarding fall prevention and education, perceived causes of falls, and changes in attitude after experiencing a fall through interviews with older Korean patients who experienced falls with resultant hip fractures.

Materials and Methods

We conducted face-to-face semi-structured in-depth interviews with 11 patients who were admitted to Kangbuk Samsung Hospital for hip fractures caused by falls and were referred to the Department of Rehabilitation Medicine for postsurgical rehabilitation between June 2022 and June 2023. The data were analyzed using the phenomenological method developed by Colaizzi.

Results

Before hip fracture, none of the patients had received fall prevention education or perceived its necessity; however, they recognized its necessity retrospectively. Participants described the causes of falls as carelessness, actions taken at the time of the fall, environmental factors, and decreased physical function. Most participants believed that falls could be prevented through personal caution and activity restrictions. Some mentioned fall prevention education, exercise, wearing appropriate shoes, environmental adjustments, and seeking assistance from others as methods of preventing future falls. Most patients reported adopting a safety-seeking attitude after experiencing hip fracture. Many patients had negative thoughts such as guilt or thoughts of death, whereas only a few reported increased interest in education and exercise.

Conclusions

We observed a lack of fall prevention education, misunderstanding regarding the cause of falls, and negative psychological changes after experiencing hip fractures due to falls in older Korean individuals. Recognizing and managing patient perceptions is crucial for effective fall prevention, requiring both healthcare provider awareness and active participation from patients and caregivers.
Temporal, Spatial Distribution Characteristics, and Influencing Factors of National Key Cultural Relics Protection Units in the Yangtze River Delta
Authors: Chang Zhiyang
Published: September 2024

It is of great significance to study the spatial and temporal distribution characteristics and influencing factors of national key cultural relics protection units in the Yangtze River Delta region. Taking the national key cultural relics protection units in the Yangtze River Delta as an example, the spatial and temporal distribution characteristics and influencing factors of the sites were studied by using the methods of nearest proximity index, spatial density, standard deviation ellipse, and geographic detector. It can be concluded that the number of key cultural relics under protection in the Yangtze River Delta region is concentrated in the Song, Yuan, Ming and Qing Dynasties and since modern times, with the main types of ancient buildings, and the largest number in the 100-year time scale since modern times. On the whole, the spatial density of the national insurance unit has formed contiguous areas dominated by “Shanghai, Suzhou, and Wuxi,”“Nanjing, Yangzhou,”“Hangzhou and Shaoxing” and single core areas dominated by Ningbo and Huangshan, with the spatial distribution characteristics of “three contiguous areas and two single cores.” During the eight periods from prehistoric period to modern times, the national security units showed a state of agglomeration in spatial distribution, showing the transfer trend of “Southwest-northwest-southeast-southeast-southeast-northwest-northeast” and the evolution process of “agglomeration—dispersion—agglomeration—dispersion—agglomeration—agglomeration.” Natural environmental factors such as altitude and river network density, and socio-economic factors such as economic development level, abundance of scenic spots, abundance of intangible cultural heritage resources and total population have a significant impact on the spatial distribution of national protection units in the Yangtze River Delta.
Primary Polydipsia in a Toddler: A Rare Case
Authors: Ansara Yousef , Siniora Amanda , Ayasa Laith , Nabilsi Mustafa , Hindi Tareq
Published: September 2024

Primary polydipsia (PP) is a rare but significant clinical entity in pediatric patients. Here, we present the case of a 16-month-old female referred to our center due to recurrent episodes of electrolyte imbalances. Initially admitted for management of a viral illness, she experienced unexplained electrolyte disturbances, prompting subsequent admissions marked by similar disruptions. Despite stabilization and discharge, her condition persisted. Pre-referral laboratory findings revealed significant electrolyte abnormalities alongside polyuria symptoms. Investigations unveiled a history of frequent heavy wet diapers and increased thirst. Further tests including a water deprivation test excluded diabetes insipidus. Following the restriction of water intake and careful monitoring, her condition markedly improved. This case emphasizes the importance of thorough evaluation in persistent electrolyte imbalances in toddlers, highlighting the role of polyuria as a contributing factor and the efficacy of targeted interventions in managing such cases.
Paclitaxel-Induced Hepatotoxicity in Ovarian Cancer Patients: A Case Report
Authors: Yang Haoran , Shen Lina , Yang Yunzhi , Li Xiaoyu
Published: September 2024

Paclitaxel plus carboplatin is the most common regimen for the treatment of ovarian cancer. While generally effective, these chemotherapy agents can cause adverse events such as myelotoxicity, nausea, vomiting, and rarely, hepatotoxicity. Paclitaxel is associated with mild elevations in serum aminotransferase levels, but significant hepatotoxicity is uncommon, particularly in patients without prior liver disease. We present a patient with ovarian cancer who developed significant elevation of serum aminotransferases up to 12 times the upper limit of normal after the first cycle of paclitaxel plus carboplatin chemotherapy. Extensive evaluations excluded other potential causes of liver injury and the diagnosis of paclitaxel-induced liver injury was confirmed. The patient was treated with liver protective medications and a reduced dose of paclitaxel (135 mg/m2) for subsequent cycles. Her liver function tests stabilized within 2 to 3 times the upper limit of normal, allowing continuation of chemotherapy and achieving a favorable outcome.
“We Will Just Have to Take It Underground”: A Black Studies Approach to Teacher Education and Critical Professional Development
Authors: Givens Jarvis , Riddick Zenzile
Published: September 2024

In the context of contemporary attacks on Diversity, Equity, and Inclusion (DEI) and curricula that critically interrogate race and power, as well as the Eurocentric nature of traditional teacher education, out-of-school spaces for the critical development of teachers seeking to bring Black studies into their classrooms are necessary. Informed by the historical approaches of Black educators, the authors of this essay partnered with high school and university educators of color to engage in a collaborative process of teacher education, professional development, and curriculum design. The collaboration highlights the importance of curriculum codesign as a teaching method for developing educators’ content and pedagogical knowledge.
Improving Hurricane Preparedness Among Galveston County Older Adults: Description of a Successful Community-Based Quality Improvement Model
Authors: Young Jennifer , den Herder Jessica , Michael Tammie , Bernardez Diana P. , Carson Zachary , Raji Mukaila , Kuo Yong Fang
Published: September 2024

Older adults are at high risk of experiencing injury, exacerbations of their chronic conditions, and death when evacuations are ordered because of hurricanes or natural disasters. The Homebound seniors residing in Galveston County are at a particularly high risk of morbidity and mortality during evacuations for hurricanes. This paper described the impact of a quality improvement intervention designed and implemented by nurse practitioners during the 2022 and 2023 hurricane season. The education program aimed at increasing the hurricane preparedness of the home-bound patients. Of these patients, 190 returned pre and post surveys. Interventions showed a 43% increase in patients having an evacuation plan in the event of a hurricane, 633% increase in STEAR registration, 16% increase in patients having access to emergency supplies, and 34% increase in patients having an emergency contact list with up-to-date medication list. All improvements on hurricane preparedness items were significant ( p < .0001) except for the need for assistance in case of an evacuation. Our findings suggest a need for continuous hurricane preparedness education in the community to ensure safe evacuation, improve hurricane preparation, and increase the number of seniors who registered with the State of Texas Emergency Assistance Registry.
Outcome of Expanded Newborn Screening Among 194 000 Neonates at Northeast México
Authors: Torres-Sepúlveda María del Rosario , Martínez de Villarreal Laura E. , Villarreal-Pérez Jesús Zacarías , Ruiz Herrera María del Consuelo , Arredondo Vázquez Patricia del Carmen , Treviño-Morales Ana Karen
Published: September 2024

Objectives. To describe the results of a 16-year experience of a state-coverage expanded newborn screening program (NBSP) in Northeast México. Methods. Between 2002 and 2017, dried blood spots of newborns were screened for congenital hypothyroidism (CH), congenital adrenal hyperplasia (CAH), biotinidase deficiency, galactosemia, cystic fibrosis, and glucose-6-phosphate dehydrogenase (G6PD) deficiency via immunofluorescence and amino and fatty acid disorders and organic acidemias using tandem mass spectrometry. Frequency rates were determined. Results. Overall, 192 487 samples were processed; 99.4% had negative results, and 598 were diagnosed. The frequency was 3.01/1000 newborns. G6PD deficiency, CH, amino acidemia, organic acidemia, cystic fibrosis, CAH, fatty acid oxidation disorder, galactosemia, and biotinidase deficiency cases were 1:773, 1:962, 1:4277, 1:4476, 1:11,322, 1:10,693, 1:10,693, 1:38,497, and 1:64,162, respectively. Conclusion. Using different technologies in NBSP increased the number of conditions detected, facilitating infant morbidity and mortality prevention. The frequency of disorders depends on the population’s genetic background and diagnostic capacity.
Clinical Characteristics and Treatment Outcomes of Pediatric Bacterial Skin and Soft Tissue Infections in Central Vietnam: A Prospective Study
Authors: Nguyen-Huu Chau Duc , Cao Thi Nhung , Nguyen Van-Tuy
Published: September 2024

Objective. This study examined bacterial skin and soft tissue infections (SSTIs) in pediatric patients at a hospital in Vietnam. Methods. An April 2022-June 2023 prospective obsevational study at a Tertiary Paediatric Centre in Vietnam. Results. From We analyzed 87 cases and found that the greatest occurrence rates were reported during the summer season. Common symptoms were fever, edema, and lower leg involvement. Curiously, although blood cultures seldom verified the offender, Staphylococcus aureus was the most common cause. Additionally, the study found that children with infections including pus were administered a more extended course of antibiotics. Approximately one-third of the patients underwent surgical procedures, and most of them were administered intravenous antibiotics. Fortunately, all the youngsters made a full recovery. Conclusions. In summary, the results indicate that children with purulent SSTIs, primarily attributed to Staphylococcus aureus, may need longer courses of antibiotics. Intravenous antibiotic administration emerged as the predominant therapeutic modality.
Dental Caries: The Way Forward
Authors: Kopycka-Kedzierawski D.T. , Fontana M. , Marazita M.L. , McLaren S.W. , Morou-Bermúdez E. , O’Connor T.G. , Van Wijngaarden E. , Xiao J. , Billings R.J.
Published: September 2024

In April 2024, the University of Rochester Eastman Institute for Oral Health (EIOH) hosted an inaugural Cariology Conference entitled “Past, Present & Future of Cariology.” This inaugural conference focused primarily on early childhood caries (ECC). Invited talks covered multidisciplinary topics, including microbial pathways, perinatal approaches, genomics, social determinants, evidence-based care including epidemiology and therapeutics, and the groundbreaking role of teledentistry. To move forward, we concluded that integrative and innovative programs, including multifaceted and multimodal approaches in both perinatal and postnatal care, are essential, and an assertive drive toward evidence-based care models is occurring. With a “no child left behind” philosophy, impactful translational and epidemiological studies are needed to realize the promise of science that reduces and eliminates oral health disparities involving dental caries.

Knowledge Transfer Statement:

It is evident that some progress in reducing ECC prevalence in children has been made, but these improvements are not equally distributed. Systemic inequities in oral health among the youngest, most vulnerable children must be reduced.
Whole-genome sequencing of two multidrug-resistant acinetobacter baumannii strains isolated from a neonatal intensive care unit in Egypt: a prospective cross-sectional study
Authors: Mohamed Rania Alam Eldin , Moustafa Nouran Magdy , Mahmoud Fatma Mostafa , Elsaadawy Yara Said , Aziz Heba Sherif Abdel , Gaber Shaimaa Abou Bakr , Hussin Abdelrahman Mohamed , Seadawy Mohamed G.
Published: September 2024

Background

Acinetobacter baumannii (A. baumannii) is a life-threatening and challenging pathogen. In addition, it accounts for numerous serious infections, particularly among immunocompromised patients. Resistance to nearly all clinically used antibiotics and their ability to spread this resistance is one of the most important concerns related to this bacterium.

Objectives

This study describes different molecular mechanisms of two multidrug-resistant A. baumannii isolates obtained from endotracheal aspirates collected from the neonatal intensive care unit (NICU), Ain Shams University Hospital, Egypt.

Methods

Following the identification of two isolates, they were examined for susceptibility to antimicrobial agents. This was followed by multilocus sequence typing as well as whole-genome sequence (WGS). Additionally, a Pathosystems Resources Integration Center (PATRIC) analysis was performed.

Results

Two isolates, Ab119 and Ab123, exhibited resistance to all tested antibiotics except for tigecycline and colistin. The WGS analysis of antimicrobial resistance genes (AMR) indicated that both isolates shared beta-lactam, aminoglycoside, macrolides, and sulfonamide resistance genes. Furthermore, each strain revealed different resistance genes such as blaNDM-1, blaNDM-10, OXA-64, aph (3')-VI, Tet-B in Ab119 strain and blaOXA-68, blaPER-1, blaPER-7, Tet-39 in Ab123 strain. Multiple efflux pump genes were detected. Multilocus sequence typing indicated that both isolates belong to the same sequence type (ST931), which belongs to international clone (IC3). Both isolates exhibited the presence of multiple mobile genetic elements (MGEs), but no plasmid was detected in either of them.

Conclusions

A low prevalence of the IC3 sequence type was identified among two A. baumannii isolates obtained from the NICU in Egypt, exhibiting a high resistance level. Healthcare workers must have knowledge regarding the prevalence of A. baumannii among different populations in order to administer suitable treatment, improve patient outcomes, and apply effective infection control practices.