bluuebunny/crossref_metadata_2025 huggingface dataset:
Solitary fibrous renal tumor with thrombus extension into the inferior vena cava and right atrium
Authors: Almohammad Farouk , Bakour Mohammad M
Published: February 2021

A solitary fibrous tumor of the kidney with thrombus extended into the inferior vena cava and right atrium is very rare. The current surgical approach is to combine intra-abdominal and cardiac surgery with cardiopulmonary bypass. We describe a rare case of renal solitary fibrous tumor extended to the inferior vena cava and right atrium, treated with urgent cardiac surgery using deep hypothermic circulatory arrest one month after an inappropriate right nephrectomy because of the development of cavo-atrial obstruction symptoms.
‘There Is No Alternative’? The role of depoliticisation in the emergence of populism
Authors: Scott Jake Anthony
Published: February 2021

The current literature on populism considers the causal factors surrounding the emergence of populism to be materialist and often ignores the role of elites in the precipitation of populist movements. Consequently, populism is often conceptualised as an epiphenomenon. However, it is the scope of this article that the construction of events or processes as ‘beyond’ public control contributes to popular resentment necessary for the emergence of populism. In comparison to this construction (encapsulated best in Margaret Thatcher’s proclamation, ‘there is no alternative’), democratic politics involves an appeal to the constituency most often associated with populism, ‘the common people’ and ‘common sense’. This article, therefore, will proceed along the following lines: first, I establish the theoretical model for analysis with reference to Margaret Canovan’s paper ‘Trust the People!’; following this, sections ‘ Depoliticisation as “Pragmatic Politics”’ and ‘Common sense as “Redemptive Politics”’ look at different permutations of the two sides of this theoretical model, respectively Depoliticisation, and an appeal to ‘common sense’, before turning back in the section ‘Applying and illustrating the framework’ to Canovan’s theoretical framework to understand how the interaction between these two permutations can contribute to a populist reaction. The final section presents an illustrative example of this clash – immigration in the United Kingdom.
Flow-through arterialized venous free thenar flaps for palmar soft tissue defects in fingers
Authors: Gu Song , Fu Huichao , Huang Yinjun , Xie Renguo
Published: February 2021

Objective

To evaluate the efficacy of venous free thenar flaps for reconstructing palmar soft tissue defects in fingers.

Methods

From December 2018 to October 2019, 11 patients with palmar soft tissue defects in fingers were treated using venous free thenar flaps. At the final follow-up, the range of thumb radial and palmar abduction on the injured side and opposite side was calculated. The total active movement (TAM) of the injured and opposite fingers and flap sensibility recovery were also recorded.

Results

The mean follow-up time was 13.4 months, all flaps survived, and all wounds at the donor sites healed with no skin necrosis. At the last follow-up, the average range of thumb radial abduction and thumb palmar abduction on the injured side was 96.6% and 95.9% of the value on the opposite side, respectively. The average TAM of the injured fingers was 98.2% of the value of the opposite fingers. Sensation in the flaps was restored to grade S2 to S3.

Conclusion

Venous free thenar flaps can be alternatives for reconstructing palmar soft tissue defects in fingers.
The Role of Personal Resilience and Interpersonal Support in Building Fulfilling and Prosocial Lives: Examining the Good Lives Model among Young Women Four Years after Youth Detention
Authors: Van Damme Lore , Fortune Clare-Ann , Hoeve Machteld , Vanderplasschen Wouter , Colins Olivier F.
Published: February 2021

Despite growing interest in strength-based rehabilitation frameworks, relevant internal/external resources that are likely to facilitate the rehabilitation of detained female adolescents (DFA) have been understudied. This study aims to fill this gap by studying the role of young women’s personal resilience and interpersonal support in building fulfilling and prosocial lives 4 years after youth detention, thereby examining the strength-based good lives model (GLM). Forty-nine former DFA ( Mage = 20.75) completed questionnaires about resilience, support, Quality of Life (QoL), and offending. Hierarchical multiple regression analyses showed that young women with more resilience displayed higher QoL and less offending, while more support was associated with higher QoL only. The relationship between resilience and QoL/offending did not depend upon the level of support. Overall, our results support the applicability of the GLM to former DFA, showing evidence for the importance of both internal and external resources in building fulfilling and prosocial lives.
Design and experimental research of stress measurement system for ferromagnetic components based on ACSM method
Authors: Song Kai , Sun Hongda , Cui Ximing , Zhang Lipan
Published: February 2021

Stress is one of the important factors that cause fatigue and fracture of ferromagnetic components, and its accurate measurement is of great significance to ensure the safety and reliability of components. Accordingly, a set of alternating magnetic field stress measurement system was designed and developed. The system includes a measurement sensor, DDS signal excitation module, signal conditioning module, signal acquisition, and processing module. The system was used to carry out uniaxial tensile testing of Q235 steel, and the influence of different testing parameters on the testing signal was studied. The research results show that: in the elastic stage, there is a good linear relationship between the real part of the detection signal and the tensile stress. This characteristic quantity can be used to evaluate the stress of ferromagnetic materials; In addition, the correlation coefficient and sensitivity of different detection parameters were compared through linear fitting analysis, and a set of best detection parameters were obtained. Under this parameter, the correlation coefficient reaches 0.991, and the sensitivity is 7.318 mV/kN. The above research provides test methods and techniques for ferromagnetic material stress measurement.
Message framing effects on food consumption: A social marketing perspective
Authors: Garg Nitika , Govind Rahul , Nagpal Anish
Published: February 2021

Across two studies, this research examines the effects of positive versus negative framing of health messages on food consumption, in the relatively short and long run. Specifically, it studies the effects of multiple exposures to health messages over time (Study 1), using daily food consumption diary data. It replicates and extends those findings in a cross-sectional, single exposure setting to tease out the individual effects of positive and negative framing with consumption intentions as the dependent variable (Study 2). With this combination of an externally and internally valid setup, our research provides robust evidence of the associations of message effectiveness and behavioral outcomes. Our findings suggest that negative messages are more effective than positive messages in the short term but importantly, in the long term as well, suggesting that transforming consumption in the long term can be a viable social marketing objective with the appropriate message tactics.

JEL Classification: M31, M37
Biomechanical but Not Strength or Performance Measures Differentiate Male Athletes Who Experience ACL Reinjury on Return to Level 1 Sports
Authors: King Enda , Richter Chris , Daniels Katherine A.J. , Franklyn-Miller Andy , Falvey Eanna , Myer Gregory D. , Jackson Mark , Moran Ray , Strike Siobhan
Published: February 2021

Background:

Performance measures such as strength, jump height/length, and change of direction (CoD) time during anterior cruciate ligament (ACL) rehabilitation have been used to determine readiness to return to play and identify those who may be at risk of rerupture. However, athletes may reach these criteria despite ongoing biomechanical deficits when performing these tests. Combining return-to-play criteria with an assessment of movement through 3-dimensional (3D) biomechanics in male field sports athletes to identify risk factors for ACL rerupture has not been explored previously.

Purpose:

To prospectively examine differences in strength, jump, and CoD performance and movement using 3D biomechanics in a cohort of male athletes playing level 1 sports (ie, multidirectional field sports that involve landing, pivoting, or CoD) between those who reinjured the reconstructed ACL (RI group) and those with no reinjury (NRI group) after 2 years of follow-up and to examine the ability of these differences to predict reinjury.

Study Design:

Cohort study; Level of evidence, 2.

Methods:

After primary ACL reconstruction (ACLR), 1045 male athletes were recruited and underwent testing 9 months after surgery including isokinetic strength, jump, and CoD performance measures as well as patient-reported outcomes and 3D biomechanical analyses. Participants were followed up after 2 years regarding ACL reinjury status. Differences were determined between the RI and NRI groups in patient-reported outcomes, performance measures, and 3D biomechanics on the ACLR side and symmetry between limbs. The ability of these measures to predict ACL reinjury was determined through logistic regression.

Results:

No differences were identified in strength and performance measures on the ACLR side or in symmetry. Biomechanical analysis indicated differences on the ACLR side primarily in the sagittal plane for the double-leg drop jump (effect size, 0.59-0.64) and greater asymmetry primarily in the frontal plane during unplanned CoD (effect size, 0.61-0.69) in the RI group. While these biomechanical test results were different between groups, multivariate regression modeling demonstrated limited ability (area under the curve, 0.67 and 0.75, respectively) to prospectively predict ACL reinjury.

Conclusion:

Commonly reported return-to-play strength, jump, and timed CoD performance measures did not differ between the RI and NRI groups. Differences in movement based on biomechanical measures during double-leg drop jump and unplanned CoD were identified, although they had limited ability to predict reinjury. Targeting these variables during rehabilitation may reduce reinjury risk in male athletes returning to level 1 sports after ACLR.

Registration:

NCT02771548 (ClinicalTrials.gov identifier).
The white mirror: Face to face with racism in group analysis part 2—mainly practice
Authors: Aiyegbusi Anne
Published: February 2021

This is my second article about a form of group mirroring I have called the white mirror. The previous article focused on underpinning theory. This article is practice oriented. I argue that the white mirror is a defensive structure, primarily functioning to prevent white group members, including the conductor(s) from coming face to face with the reality of racism. It mirrors projections in the form of racist stereotypes for black members to internalize in their position as the location of disturbance. I highlight present and historical black victimization which I feel requires elucidation given its position in the shadows of psychotherapy. I am mindful of the intersecting nature of identities and touch on this through a clinical example. I suggest how group analysts might work with the ubiquity of racism, engaging ethnically-diverse members at a level of full and mutual humanity.
Evaluating the Impact of a Critical Time Intervention Adaptation on Health Care Utilization among Homeless Adults with Mental Health Needs in a Large Urban Center
Authors: Reid Nadine , Mason Joyce , Kurdyak Paul , Nisenbaum Rosane , de Oliveira Claire , Hwang Stephen , Stergiopoulos Vicky
Published: February 2021

Objective:

This study evaluated the impact of a critical time intervention (CTI) adaptation on health care utilization outcomes among adults experiencing homelessness and mental health needs in a large urban center.

Methods:

Provincial population-based administrative data from Ontario, Canada, were used in a pre–post design for a cohort of 197 individuals who received the intervention between January 2013 and May 2014 and were matched to a cohort of adults experiencing homelessness who did not receive the intervention over the same time period. Changes in health care utilization outcomes in the year pre- and postintervention were evaluated using generalized estimating equations, and post hoc analyses evaluated differences between groups.

Results:

Pre–post analyses revealed statistically significant changes in health care utilization patterns among intervention recipients, including reduced inpatient service use and increased outpatient service use in the year following the intervention compared to the year prior. However, the matched cohort analysis found nonsignificant differences in health service use changes between a subgroup of intervention recipients and their matched counterparts.

Conclusions:

An adapted CTI model was associated with changes in health care utilization among people experiencing homelessness and mental health needs. However, changes were not different from those observed in a matched cohort. Rigorous study designs with adequate samples are needed to examine the effectiveness of CTI and local adaptations in diverse health care contexts.
The practice of envelope journalism in the Republic of the Congo
Authors: Nkie Mongo Cleves
Published: February 2021

This article provides insight into the “brown envelope journalism” in the Republic of the Congo (Brazzaville). Through in-depth interviews with journalists from four major Congolese news outlets, this research reveals how financial difficulties result in reporters justifying their violations of journalism ethics and standards. While two news outlets accept bribes to compensate for their precarious financial situation, two other news organizations pretend that they oppose envelope journalism although this research shows that their reporters also secretly accept bribes.
Critical Care of Patients With Cardiopulmonary Complications of Sarcoidosis
Authors: Lui Justin K. , Mesfin Nathan , Tugal Derin , Klings Elizabeth S. , Govender Praveen , Berman Jeffrey S.
Published: February 2021

Sarcoidosis is a systemic inflammatory disease defined by the presence of aberrant granulomas affecting various organs. Due to its multisystem involvement, care of patients with established sarcoidosis becomes challenging, especially in the intensive care setting. While the lungs are typically involved, extrapulmonary manifestations also occur either concurrently or exclusively within a significant proportion of patients, complicating diagnostic and management decisions. The scope of this review is to focus on what considerations are necessary in the evaluation and management of patients with known sarcoidosis and their associated complications within a cardiopulmonary and critical care perspective.
Antimicrobial dressing of silver sulfadiazine-loaded halloysite/cassava starch-based (bio)nanocomposites
Authors: da Silva Graziele Louize Policarpio , Morais Laís Caroline de Assunção , Olivato Juliana Bonametti , Marini Juliano , Ferrari Priscileila Colerato
Published: February 2021

(Bio)nanocomposites have been studied for biomedical applications, including the treatment of wounds. However, wound infection is one of the main problems of wound care management, and the use of wound dressings with antibacterial agents is essential. This work focused on developing and characterizing silver sulfadiazine-loaded halloysite/cassava starch-based (bio)nanocomposites potentially suitable as antimicrobial dressing. Silver sulfadiazine was complexed inside the halloysite nanotubes lumen, and the drug-loaded nanotubes were incorporated in thermoplastic starch dispersion, forming the (bio)nanocomposites. The silver sulfadiazine-loaded halloysite and the (bio)nanocomposite were characterized by zeta potential, scanning electron microscopy, X-ray diffraction, and infrared spectroscopy. The dressing properties of (bio)nanocomposites (water vapor permeability and mechanical stability) and their antimicrobial efficacy by Escherichia coli, Pseudomonas aeruginosa, and Staphylococcus aureus were also evaluated. Physicochemical studies suggested the silver sulfadiazine-loaded halloysite complexation (zeta potential of −38.9 mV) and its interactions with the starch forming the nanocomposites. The silver sulfadiazine-loaded halloysite/starch-based (bio)nanocomposites possessed a homogeneous and organized structure. Also, they had mechanical properties to be used as a dressing (13.73 ± 3.09 MPa and 3.17 ± 1.28% of elongation at break), and its permeability (6.18 ± 0.43 (10−13) g.Pa−1.s−1.m−1) could be able to maintain the environmental moisture at the wound surface. Besides that, the (bio)nanocomposites acted against the studied bacteria, being a potential contact antimicrobial and biodegradable wound dressing. Finally, the developed (bio)nanocomposites are semi-occlusive and good candidates for dry wounds to be widely in vitro and in vivo tested as controlled silver sulfadiazine delivery dressing.
Review of Empirical Studies on Relationship between Street Environment and Crime
Authors: Mao Yuanyuan , Yin Ling , Zeng Minling , Ding Jiajun , Song Yan
Published: February 2021

Creating a safe street environment is the primary goal for urban planners and urban designers. However, the existing research findings on the relationship between street environment and criminal behavior are various and contradictory, which brings confusion to the practice of urban planning and design. This article reviews literature on crime prevention through street environmental design on three spatial levels—street networks, paths, and nodes. This article also explores the causes of diversity and contradiction in the existing conclusions. Finally, limitations of the existing research, directions of optimization, and further studies in this field are put forward.
Redefining Basic Needs for Higher Education: It’s More Than Minimal Food and Housing According to California University Students
Authors: Martinez Suzanna M. , Esaryk Erin E. , Moffat Laurel , Ritchie Lorrene
Published: February 2021

Purpose:

A student-specific definition of basic needs for higher education is warranted to inform programs and policies for underserved students. The purpose of this study was to: 1) explore how students define basic needs, 2) understand experiences of housing insecurity, and 3) understand experiences of food insecurity within the context of housing insecurity.

Design:

Qualitative research elicited student perceptions of basic needs and experiences of housing and food insecurity.

Setting:

Focus group discussions were conducted at 5 University of California campuses between February and March 2019.

Participants:

Undergraduate (n = 37) and graduate (n = 21) students were recruited from campus basic needs centers.

Methods:

Each student completed a brief survey. Researchers conducted 11 focus groups using a semi-structured interview guide. Transcripts were coded to identify themes.

Results:

Students were female (76%), age 23.6 (SD = 5.8) years; 46% were Pell grant recipients; and 52% were first-generation college students. Most had experienced food insecurity (98%) and 26% had experienced homelessness. Eight themes were identified: 1) students define basic needs as more than minimal food and shelter and as the responsibility of students and the university, 2) students encounter multifaceted housing insecurity issues, 3) affording rent is a priority that most often leads to experiencing food insecurity, 4) transportation barriers interfere with meeting students’ basic needs to succeed as students, 5) students with nontraditional characteristics, graduate students, and out-of-state students face unique challenges in meeting basic needs, 6) limited financial aid and lack of financial aid guidance are barriers to meeting basic needs, 7) fees contribute additional challenges to students meeting basic needs, and 8) additional university basic needs services are essential.

Conclusion:

A student-informed definition of basic needs included food, housing, mental health, sleep, hygiene, and transportation. This understanding of basic needs can inform future research, programs, and policy to address housing insecurity in higher education.
The Magnitude and Determinants of Partial Redemptions of Food Benefits in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC)
Authors: Li Xuemei , McLaughlin Patrick W. , Saitone Tina L. , Sexton Richard J.
Published: February 2021

Purpose:

WIC provides food assistance to low-income pregnant and postpartum women, infants, and children ages 1- 4. A partial redemption (PR) occurs when a participant redeems only a portion of the prescribed benefit, thereby not obtaining the full nutritional benefit. We study the magnitude and determinants of PRs using electronic benefit transfer data.

Design/Setting:

Statistical analysis of all WIC transactions from Feb 2016 to Nov 2018.

Subjects:

Oklahoma WIC participants.

Measures:

The probability of a WIC household fully redeeming a food category. A random effects probit model is used to study determinants of PRs.

Analysis:

Estimate the marginal effects of key variables on households’ likelihood of full redemption: location—urban/rural, number of members in WIC, duration in the program, number of shopping trips, shopping venue, and prescribed foods.

Results:

Overall 18.5% of $ value of benefits are unredeemed, 29.3% excluding formula. Some foods have PRs > 40%. Only 17.3% of households fully redeem benefits in a given month. PRs increase with number of household members in WIC and duration of participation. PRs are lower for participants in rural locations, who shop more frequently, and who shop at WIC-specialized stores.

Conclusions:

Food packages with high PRs fail to impart prescribed benefits. Results pinpoint products and household characteristics associated with PRs, enabling targeted nutritional counseling and suggest food package choices need to be made with participant acceptance in mind.
Growth all along the road? Personality development and international contacts of (in)experienced sojourners
Authors: Zimmermann Julia , Greischel Henriette , Jonkmann Kathrin , Neyer Franz J.
Published: February 2021

International student mobility (ISM) is an important educational means to promote the international (job market) potential of university students. Beyond that, it constitutes a context of personality development in young adulthood. With the present research, we tried to integrate the perspectives of applied and personality research in addressing the following questions. First, we scrutinized the robustness of ISM effects on personality development as we controlled for effects of sociodemographic characteristics and implemented a waiting group design ( N = 3070). Second, we explored ISM anticipation effects as well as the moderation of ISM effects by previous international mobility experiences. Finally, in view of the public discourse on the benefits of “Erasmus crowds”, we assessed the roles of international and host relationships with regard to the personality development of sojourners. The results largely corroborated the robustness of ISM effects on personality development. No ISM anticipation effects occurred, and effects of current ISM engagement were largely unaffected by previous international mobility experiences. Finally, international contact experiences were associated with personality development above and beyond effects of host country contacts. Implications for the understanding of personality development and potential inferences for the organization and improvement of ISM programs are discussed.
Child-led research, children’s rights and childhood studies: A defence
Authors: Thomas Nigel Patrick
Published: February 2021

Recent articles by Kim and Hammersley have critiqued, respectively: the methodological and normative assumptions that underlie research ‘by’ children; claims made about the implications of children’s rights for the ethics of research with children; and more broadly, some of the central commitments of Childhood Studies. This paper offers a response to these critiques, seeking to distinguish between those that clearly should be accepted, those that appear to be based on a misreading of the claims being made by scholars and researchers, and those that represent serious challenges to defend, redefine or rethink our aims, claims or practices.
Study of friction stir spot welding for thermotolerant engineering thermoplastic polyimide joints
Authors: Gao Jicheng , Dong Jiachen , Zhang Sunyi , Yu Liang , Jin Huiming , Zhang Jianfeng , Shen Yifu
Published: February 2021

In this research, thermoplastic polyimide (TPI) were welding via friction stir spot welding (FSSW) in order to evaluate the feasibility of the technology. The welding tool with a tri-flute pin was used for keeping the welding effectiveness. The effect of the rotation speed and dwell time on the microstructure and shear strength was studied. The results shows that the number of gap defects between the shoulder affect zone and the pin affect zone decreased with the increase of the rotation speed. The boundary of the shoulder affect zone and the pin affect zone was no clear when increasing the dwell time from 10 s to 20 s. Long dwell time could increase the mixing time and reduce the materials viscosity, which made the structure was denser. The maximal shear strength was obtained 85.5% of the base materials. The differential scanning calorimetry (DSC) results indicated that the melting behaviour of different regions was no obvious difference. It indicated that FSSW had a feasible and potential technology to join the high temperature resistant engineering plastics.
Does Culture Influence the Website Design of Schools? A Cross-cultural Comparative Study in the Indian, Chinese and American Context
Authors: Ganguly Boudhayan , Nag Tirthankar
Published: February 2021

Decades of globalization had led website designers to focus more on functionality and standardization catering to the global village. Nevertheless, do cultural dimensions matter in website design. Extant literature in the domain of e-commerce has explored cultural parameters in website design in limited contexts. In the current era, globalization is not just restricted to trade and commerce but subsumes other important categories such as education. This article examines the influence of culture on the design and layout of websites of schools, which has not been explored otherwise. Most prominent developed and developing economies have international schools with international course curriculum and content. It is thus becoming increasingly important to understand whether the schools are following a generic design of websites without considering the individual cultural values or giving more emphasis to local cultural values in developing websites. This study has sampled websites of schools from India, China and the USA and conducted a comparative analysis to get a comprehensive understanding of whether culture influences the website design of schools. For theorizing and initializing cultural parameters, the study refers to the seminal work of Hofstede and uses cultural markers to score websites using an instrument developed for the study. Subsequently, the article uses the well-accepted technique of support vector machine (SVM) to segregate the websites of schools of India, China and the USA based on cultural dimensions. The presence of a large number of misclassified cases indicates that perhaps an emic approach is needed for a better understanding of the design of websites of schools rather than an etic approach wherein we compare the schools using cultural dimensions. The study contributes to the academic literature by developing an instrument and a methodology for analysing cultural markers in website design for schools and may be useful for school administrators and designers to integrate cultural dimensions in website design.
Negative accounting stereotype: Enron cartoons
Authors: Jones Michael , Stanton Patricia
Published: February 2021

A sample of editorial cartoons published following the wave of accounting scandals in the United States culminating in the collapse of Enron and the demise of the auditors Arthur Andersen LLP was examined to explore the portrayal of accounting, accountants and auditors. The nature and importance of the cartoons was also investigated. While the examination revealed what cartoonists had to say about accounting, accountants and auditing, the purpose was to ascertain the stereotypes conveyed. The cartoonists working from established preconceptions of accounting and accountants redefined and reshaped accounting stereotypes. They replaced the dull but honest image with a negative one, the fraudulent accountant. However, the image of the male accountant survived. As social critics, the cartoonists focused on the consequences on employees and stockholders but neglected to address the consequences for business institutions.
Exploring Perceptions of Education for Central Venous Catheter Care at Home
Authors: Bailie Kiera , Jacques Lisa , Phillips Angele , Mahon Paula
Published: February 2021

Pediatric oncology patients with an external central venous catheter (CVC) in situ can be discharged from the hospital. Caregivers are expected to learn how to care for the CVC prior to discharge while also dealing with their child's new cancer diagnosis. This study aimed to evaluate the perceptions of a CVC education program received by caregivers to identify opportunities for improvement. A qualitative study was conducted in 3 stages, using an evidence-based co-design approach, involving caregivers and one adolescent patient discharged from the British Columbia Children's Hospital Oncology/Hematology/BMT inpatient unit. Stage I involved semi-structured interviews to gain feedback on the existing CVC education program. In Stage II, educational resources were updated or developed and implemented. For Stage III, the revised CVC education program was evaluated through a focus group and semi-structured interviews. Interview transcripts were analyzed using QSR NVivo®. The original CVC education program was overall well received. Repeated instruction and support provided by nurses was reported to have increased confidence with performing CVC skills. Participants appreciated the multimodal approach to meet learning needs and expressed interest in additional visual aids. Inconsistencies in nurses’ practice and offers of “tips and tricks” were identified to be challenging for caregivers while learning a new skill. Videos depicting CVC care were developed to provide an additional visual tool, decreased inconsistencies in care, and support to caregivers at home. Caring for a CVC at home is challenging and overwhelming for caregivers. A standardized multimodal education program is required to support caregivers at home.
Improving Antibiotic Timing in Febrile Neutropenia for Pediatric Oncology Patients with a Central Line
Authors: Roseland Jenae
Published: February 2021

Background: Febrile neutropenia in pediatric oncology patients is considered a medical emergency. This population is at risk for infection-related complications due to their immunocompromised state. The purpose of this evidence-based quality improvement project was to reduce the time in minutes from admission to antibiotic administration to within 60 min in at least 90% of pediatric oncology patients with a central line presenting with febrile neutropenia. Methods: An order set titled “FAST BREAK—Fever Neutropenia Admission” was created to expedite care during the first hour of admission, including labs, blood cultures, and a one-time STAT dose of intravenous cefepime. Education was provided to all providers and nursing staff on the unit through inservices, handouts, emails, and computer reminders. Results: Within three months from the FAST BREAK order set implementation, compliance for administering antibiotics within 60 min from admission occurred in 100% of admissions. Other outcomes included 100% compliance in provider utilization of the order set, reduction in the average time from admission to antibiotic administration, and cost reduction related to cefepime waste. Discussion: The FAST BREAK order set is now considered the standard of care in the Pediatric Cancer Center at the University of Iowa Stead Family Children's Hospital. Maintaining the expectation of prompt antibiotic administration for febrile neutropenia in pediatric oncology patients with a central line will improve patient care, reduce adverse outcomes in this vulnerable population, and correlate with national guidelines for antibiotic administration in febrile oncology patients.
“You Should Maybe Work Together a Little Bit”: Formulating Requests in Interprofessional Interactions
Authors: Pichonnaz David , Staffoni Liliane , Greppin-Bécherraz Camille , Menia-Knutti Isabelle , Schoeb Veronika
Published: February 2021

Based on an empirical analysis of video-recorded collaborative practice situations, this article looks at different ways in which a health professional can direct a request to another professional with the aim that he or she performs an action. Using a corpus of video-recorded interactions in different institutional settings and types of situations, it looks at how requests are formulated, showing that they can range from authoritative to mitigated, direct to indirect, and explicit to implicit. The study shows that professionals use a great deal of strategies to preserve politeness and each other’s right not to be told what to do, aiming at mitigating the “face-threatening” aspect of requests. However, by doing so, they frequently produce unclear statements which can impede good communication and professional collaboration.
Preparing Students With Disabilities and Police for Successful Interactions
Authors: Diamond Lindsay Lile , Hogue Lindsey B.
Published: February 2021

Students with disabilities are likely to have contact with a police officer as either a victim or a perpetrator of a crime; however, media outlets often underreport the presence of a disability. The lack of acknowledgment of disabilities raises concerns regarding the ability of a police officer to support a person with a disability. Likewise, students need to be prepared to interact with the police. This article presents a general overview of a two-pronged training approach designed to promote positive interactions between students with disabilities and police officers.
Improving Access to Integrated Behavioral Health in a Nurse-Led Federally Qualified Health Center
Authors: Stalder Sarah , Techau Aimee , Hamilton Jenny , Caballero Carlo , Weber Mary , Roberts Mia , Barton Amy J.
Published: February 2021

INTRODUCTION:

All patients of a nurse-led federally qualified health center and faculty practice interested in medication management were automatically referred to the psychiatric mental health nurse practitioner in the clinic. This approach was not sustainable to provide access to patients who needed both simple and complex medication management. Thus, a search for a new care model that also focused on the full-scope practice of a psychiatric RN was initiated.

AIMS:

The specific aims of this project were to create a fully integrated, nurse-led model of a psychiatric nurse practitioner and behavioral health care team within primary care to facilitate (1) patients receiving an appropriate level of care and (2) care team members performing at the top of their scope of practice.

METHODS:

The guiding model for process implementation was Rapid Cycle Quality Improvement. Three task forces were established to develop interventions in the areas of Roles and Responsibilities, Training and Implementation, and the electronic health record.

RESULTS:

The process measures of referrals to the psychiatric care team and psychiatric assessment intakes performed as expected. Both measures were higher at the onset of the project and lower 1 year later. The outcome indicator, number of case reviews, increased dramatically over time.

CONCLUSIONS:

For psychiatric nurse practitioners, this quality improvement effort provides evidence that a consultative role can be effective in supporting primary care providers. Through providing education, establishing patient tiers, and establishing an effective workflow, more patients may have access to psychiatric services.
Understanding Extended Theory of Planned Behavior to Access Backpackers’ Intention in Self-Service Travel Websites
Authors: Chen Shih-Chih , Jong Din , Hsu Chia-Shiang , Lin Chung-Hsuan
Published: February 2021

By using Web 2.0, backpackers can easily collect travel information and plan their trips. In this study, the theory of planned behavior and the technology acceptance model were integrated with interpersonal influence, electronic word-of-mouth, flexibility, personal innovativeness, and critical mass to measure their effects on behavioral intentions toward self-service travel. A sample of 284 questionnaires was collected via an online survey. The results indicated that attitudes, subjective norms, and perceived behavioral control had significant effects on backpackers’ behavioral intentions. In addition, the perceived usefulness, perceived ease of use, and flexibility of travel websites had significant effects on attitudes toward a given behavior. Moreover, the effects of electronic word-of-mouth, critical mass, and interpersonal influence on subjective norms, and those of self-efficacy and facilitating conditions on perceived behavioral control were significant. Based on these empirical results, theoretical and practical implications for promoting self-service travel websites are proposed.
Tears of biceps femoris, semimembranosus, and semitendinosus are not equal—a new individual muscle-tendon concept in athletes
Authors: Lempainen Lasse , Kosola Jussi , Pruna Ricard , Sinikumpu Juha-Jaakko , Valle Xavier , Heinonen Olli , Orava Sakari , Maffulli Nicola
Published: February 2021

Objectives:

Hamstring injuries are common and can now be accurately diagnosed. In addition, novel surgical indications have been introduced. However, evidence-based guidelines on the hamstring injuries in management of top-level athletes are missing.

Methods:

The management methods and outcomes of treatment are classically based on relatively small case series. We discuss a novel concept based on the fact that each tendon of the hamstrings muscle should be managed in an individual fashion. Furthermore, suitable indications for hamstring surgery in athletes are introduced.

Results:

The present study introduces modern treatment principles for hamstring injury management. Typical clinical and imagining findings as well as surgical treatment are presented based on a critical review of the available literature and personal experience.

Conclusions:

Hamstring injuries should not be considered to be all equal given the complexity of this anatomical region: The three separate tendons are different, and this impacts greatly on the decision-making process and outcomes in athletes.
Making feminist claims in the post-truth era: the authority of personal experience
Authors: Budgeon Shelley
Published: February 2021

The increased visibility of feminism in mainstream culture has recently been noted, with the presence of both online and offline campaigns embedding feminist claims in a variety of everyday spaces. By granting recognition to women’s experiences, these campaigns continue the feminist practice of generating critical knowledge on the basis of gendered experience. In the post-truth era, however, the norms governing claims-making are being significantly reconstructed, with significant consequences for critiques of gender inequality. It is argued here that these norms are linked directly to a wider context of anti-feminism in which dismissing women’s claims is consistent with the goal that opponents of gender equality have of seeking and consolidating epistemic power in the face of what is perceived as systemic male disadvantage and victimhood. Returning to earlier debates within feminism, it is argued that the kinds of post-truth rhetoric used to dismiss women’s experience provide a challenge that feminism must confront. This rhetoric is often grounded in the authenticity of individual experience; however, experience cannot provide unmediated access to truth and, therefore, cannot provide the foundation for feminist claims. On the other hand, experience cannot merely offer one of many contested versions of ‘reality’. The excesses of both foundationalist and anti-foundationalist epistemology are countered with the argument that cognition is a human practice mediated by theoretical propositions which illuminate the question of what can be known. This is the role played by feminist theory in defending the role of experience.
The phantom Mausoleum: Contemporary local heritages of a wonder of the ancient world in Bodrum, Turkey
Authors: Kristensen Troels Myrup , Nørskov Vinnie , Bozoğlu Gönül
Published: February 2021

The Mausoleum of Halikarnassos (modern Bodrum, Turkey) is one of the wonders of the ancient world, although little remains above ground to give visitors a sense of its original grandeur. While previous scholarship has studied the Mausoleum’s place within the canon of classical Greek art, this paper identifies specifically local perceptions of the monument through interviews with residents of Bodrum, exploring how different images, values and futures are projected onto the archaeological site, in conversation with both national and local discourses of the past. The responses of local inhabitants, living in an Aegean town dramatically transformed by mass tourism, urbanisation and migration, encompass being underwhelmed, pragmatically interested in the monument’s economic potential, or proud of its status, fuelled by the local discourses of “Blue Anatolianism” and “Karianism”. We argue that these influential discourses allow different heritage actors to turn the Mausoleum into a specific kind of locally rooted “heritage capital” and to negotiate a distinctive identity for the monument’s otherwise ambiguous position within the landscape of Turkish national heritage.
Egypt’s dispersed heritage: Multi-directional storytelling through comic art
Authors: Abd el-Gawad Heba , Stevenson Alice
Published: February 2021

This paper responds to a need to address the colonial history of collections of Egyptian archaeology and to find new ways in which Egyptian audiences can assume greater agency in such a process. The ‘Egypt’s Dispersed Heritage’ project presents a model of engagement whereby foreign museum collections become the inspiration for Egyptians to express their own feelings about the removal of their heritage abroad using idioms and traditional storytelling of cultural relevance to them. A series of online comics confronting contentious heritage issues, including the display of mummified human remains, eugenics, looting and destruction, is discussed. It is argued that this approach is not only more relatable for Egyptian communities, but moreover provides space for the development of grass-roots critique of heritage practices, both in the UK and in Egypt. Museums have a responsibility to take on board these critiques, curating not just objects but relationships forged amongst them in historical and contemporary society.
The missing path: Analysing incompleteness in knowledge graphs
Authors: Destandau Marie , Fekete Jean-Daniel
Published: February 2021

Knowledge Graphs (KG) allow to merge and connect heterogeneous data despite their differences; they are incomplete by design. Yet, KG data producers need to ensure the best level of completeness, as far as possible. The difficulty is that they have no means to distinguish cases where incomplete entities could and should be fixed. We present a new visualization tool: The Missing Path, to support them in identifying coherent subsets of entities that can be repaired. It relies on a map, grouping entities according to their incomplete profile. The map is coordinated with histograms and stacked charts to support interactive exploration and analysis; the summary of a subset can be compared with the one of the full collection to reveal its distinctive features. We conduct an iterative design process and evaluation with nine Wikidata contributors. Participants gain insights and find various strategies to identify coherent subsets to be fixed.
Options for developing European strategies on citizenship education
Authors: Abs Hermann J
Published: February 2021

This article explores the tools and strategic options for policymaking of two European intergovernmental organisations in the area of citizenship education. The first section analyses the policy tools used to date, whereas the second section presents current global, political and education-specific challenges in the field. The third section investigates options for how the two organisations might develop their policymaking in future years with a view to formulating recommendations to enable these organisations to make the best use of the policy tools and resources at their disposal. Overall, the article suggests that both the Council of Europe and the European Union are facing significant legal and resource restraints – to a greater extent where the Council of Europe is concerned and to a somewhat lesser extent for the European Union – that limit their capacity to shape and enforce citizenship education policymaking at national levels. Both institutions therefore rely heavily on informational and, to some extent, financial and organisational tools to influence policymaking. Finally, the paper presents a set of clear and actionable goals for improving the power and impact of the informational and organizational policy tools at the disposal of both institutions.
The Effectiveness of Women and Girls Safe Spaces: A Systematic Review of Evidence to Address Violence Against Women and Girls in Humanitarian Contexts
Authors: Stark Lindsay , Robinson Mackenzie V. , Seff Ilana , Gillespie Alli , Colarelli Jonathan , Landis Debbie
Published: February 2021

One in three women and girls will experience violence in their lifetime. In conflict and postconflict settings, the incidence of violence against women and girls (VAWG) is exacerbated, resulting in increased negative social, economic, health, and psychosocial effects. In an attempt to prevent and respond to the occurrence of VAWG in humanitarian settings, Women and Girls Safe Spaces (WGSS) have been promoted as a promising intervention. The authors conducted a systematic review to examine the current quantitative evidence available on the impact and effectiveness of WGSS programs. The authors reviewed relevant peer-reviewed and gray literature using predefined search terms for potential inclusion. Seven records met inclusion criteria. Records included evaluations of WGSS programs implemented in the Democratic Republic of the Congo, Ethiopia, Uganda, Tanzania, Kenya, Bangladesh, and Pakistan. While none of the studies reported reductions in exposure to or incidence of VAWG among program participants, three evaluations demonstrated moderate improvements in psychosocial well-being, social support, and attitudes toward rites of passage. Additionally, only three of the seven evaluations employed rigorous methodologies. This study illustrates the paucity of existing quantitative evidence around the impact of WGSS and the need for further research examining the potential benefits of this widely implemented intervention for women and girls. A stronger evidence base has the potential to inform policy and program development and to help governments, organizations, and communities better allocate limited resources in response to VAWG.