bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluating the Accuracy of Probe-Based Truck Volumes using Continuous and Short-Duration Traffic Counts
Authors: Zrobek Cassidy , Grande Giuseppe , Regehr Jonathan , Mehran Babak
Published: April 2024

The widespread nature of cell phones and connected vehicle navigation systems has led to the development of commercially available probe-based traffic data products. This study assesses the accuracy of annual average daily total traffic, truck traffic, medium-duty truck traffic, and heavy-duty truck traffic volumes obtained using probe-based traffic activity indices from a North American company called StreetLight Data (StL). The probe-based estimates were compared with 2019, 2020, and 2021 volumes at eleven continuous count sites and 2019 volumes at twenty-nine short-duration count (SDC) sites in the Winnipeg Metropolitan Region. The results showed reasonable agreement between the ground truth and probe-based total traffic estimates with mean absolute percent errors (MAPEs) ranging from 8.8% to 22.1% across the study years. The medium-duty truck estimates had larger errors than total traffic with MAPEs of 29.9% to 37.5%. Despite having higher volumes than medium-duty trucks, heavy-duty trucks had the smallest probe data sample and largest errors with MAPEs of 56.6% to 96.4%. Benefiting from its larger sample size, the StL medium-duty truck index was found to be a better predictor of heavy-duty truck traffic than the heavy-duty truck index. Further, the total truck volumes estimated using only the medium-duty index were more accurate than those taken as the sum of the medium and heavy-duty truck volumes obtained using their respective indices. Finally, the percent differences for the 2019 annual average daily total traffic and truck traffic estimates at the SDC sites were comparable when only the medium-duty index was used for truck volume estimation.
Developing, evaluating, and interpreting personality state measures: A framework based on the revised latent state-trait theory
Authors: Bader Martina , Columbus Simon , Zettler Ingo , Mayer Axel
Published: April 2024

States are increasingly important in personality theory and research. Yet, the assessment of personality states usually relies on ad hoc measures whose development and evaluation are largely separated from theoretical considerations. To enable theory-guided development and evaluation of personality state measures, we introduce a framework based on the revised latent state-trait (LST-R) theory. The theory defines latent states as the expectation of an observed measure given a person in a specific situation, which can be decomposed into latent traits and latent situation-specific state residuals. Consequently, items and scales can be evaluated for their reliability due to latent traits (consistency) and situation-specific influences (specificity). We propose that specificity, in particular, is an appealing property for instruments designed to assess personality states. We illustrate this framework with experience sampling data on personality states. Our framework has implications for both the conceptualisation and the assessment of personality states. On the theoretical side, we provide a formal definition of personality states, which enables integration between trait-, process-, and development-focused theories. On the practical side, we show how using LST-R models allows researchers to develop and evaluate state measures on their own terms rather than applying criteria for trait measures to assess the qualities of state measures.
Comparison of Safety and Treatment Continuity of Palbociclib and Abemaciclib for Hormone Receptor-Positive, HER2-Negative Metastatic/Recurrent Breast Cancer
Authors: Go Makiko , Kimura Michio , Yamada Shiori , Usami Eiseki , Noguchi Yoshihiro , Yoshimura Tomoaki
Published: April 2024

Background: Appropriate adverse event (AE) management and maintenance of therapeutic intensity are necessary to achieve therapeutic benefits of CDK4/6 inhibitors (palbociclib and abemaciclib) in hormone receptor-positive, HER2-negative metastatic/recurrent breast cancer. Objective: This study was aimed at clarifying the effect of AEs associated with palbociclib and abemaciclib on treatment. Methods: A total of 62 and 49 patients were prescribed palbociclib and abemaciclib, respectively, at our hospital from January 1, 2018 to June 30, 2023. The rate and reasons for treatment discontinuation, interruption of administration, and changes in dose and dosing schedule, treatment duration, and relative dose intensity (RDI) were compared between the groups of patients prescribed the 2 treatments. Results: Treatment discontinuation due to AEs occurred more frequently with abemaciclib (12 patients) because of interstitial lung disease and hepatic and renal events than with palbociclib (5 patients; P = .008). Administration was interrupted in 57 (91.9%) and 35 (71.4%) patients treated with palbociclib and abemaciclib, respectively ( P = .004). Dose reduction occurred in 37 (67.3%) and 19 (47.5%) patients treated with palbociclib and abemaciclib, respectively ( P = .053). The median [range] treatment duration was 301 [21-1643] days for palbociclib and 238 [70-1526] days for abemaciclib (log-rank test, P = .581). The median RDI was 59.7% and 59.6% for palbociclib and abemaciclib, respectively ( P = .539). Although the AEs of palbociclib and abemaciclib affected the treatment considerably, the treatment duration and RDI were similar. Conclusion: CDK4/6 inhibitors should be selected based on the tolerability and manageability of each AE.
Homicide Patterns in Estonia During the 1994−2023 Period
Authors: Ahven Andri , Tamm Kaire
Published: April 2024

This article describes patterns in the homicides committed in Estonia since the 1990s. The overall decreasing trend in mortality is first described using mortality statistics. Based on a dataset of court verdicts spanning the 2016−2023 period, we extend previous research in this domain by describing current homicide patterns. To reflect on changes, we compare the results yielded by our investigation with those obtained in prior key studies. According to our analyses, mortality due to homicide exhibited a relatively stable trend over the last decade, with alcohol as a major contributor to most of these incidents. At the same time, there has been a decrease in economically motivated cases, as well as in homicides committed with firearms. Guided by these results, we provide suggestions for future research aimed at contributing to the European Homicide Monitor (EHM) database.
AAC in AACtion: Collaborative Strategies for Special Education Teachers and Speech-Language Pathologists
Authors: Archer Anwar Rebecca , Hart Barnett Juliet E.
Published: April 2024

Augmentative and alternative communication (AAC) refers to a wide variety of communication devices, systems, tools, and strategies that support or replace spoken language. Augmentative and alternative communication users represent a range of ages, abilities, and communication needs. Support for AAC often begins in the public school setting. Although the Individuals with Disabilities Education Act (IDEA) mandates public schools to provide adequate assistive technology for communication and training to support implementation, researchers estimate that fewer than 40% of students with communication impairments using AAC are proficient communicators. Barriers to implementation include a lack of training opportunities, limited preparation time, unfamiliarity with AAC systems, and difficulty finding evidence-based strategies for AAC. To address these, we present evidence-based strategies that speech-language pathologists (SLPs) and special education teachers may use in collaboration to support students using AAC and practical tips for implementation. Strategies described include aided language modeling, core vocabulary, and communication partner support behaviors. Planning considerations for collaboration are discussed.
Endorsing Precarious Manhood Beliefs Is Associated With Sexual Harassment Myths Acceptance in Italian Men and Women
Authors: Moscatelli Silvia , Mazzuca Silvia , Guizzo Francesca , Ciaffoni Stefano , Bertolli Chiara , Kosakowska-Berezecka Natasza , Sacino Alessandra , Menegatti Michela
Published: April 2024

The present study aimed to expand the understanding of the correlates of sexual harassment myths, a set of beliefs that serve to justify male perpetrators. Data collected among Italian adults ( N = 407; 59.5% women) showed that individual levels of precarious manhood beliefs—according to which manhood is a social status that must be proven via public action—were related to greater sexual harassment myths acceptance in male and female respondents. Such associations were mediated by hostile sexism and benevolence toward men. Findings suggest that interventions to reduce tolerance of sexual harassment of women should target cultural views of manhood and counteract rigid models of masculinity and femininity.
Tool or Tyrant: Guiding and Guarding Generative Artificial Intelligence Use in Nursing Education
Authors: Lane Susan Hayes , Haley Tammy , Brackney Dana E.
Published: April 2024

As artificial intelligence (AI) continues to evolve rapidly, its integration into nursing education is inevitable. This article presents a narrative exploring the implementation of generative AI in nursing education and offers a guide for its strategic use. The exploration begins with an examination of the broader societal impact and uses of artificial intelligence, recognizing its pervasive presence and the potential it holds. Thematic analysis of strengths, weaknesses, opportunities, and threats collected from nurse educators across the southeastern United States in this case-based descriptive study used four codes: time, innovation, critical thinking, and routine tasks. Findings from the qualitative analysis revealed the overarching themes that AI can serve as both a tool and a tyrant, offering opportunities for efficiency and innovation while posing challenges of transparency, ethical use, and AI literacy. By establishing ethical guidelines, fostering AI literacy, and promoting responsible implementation in nursing education with a clear articulation of expectations, nurse educators can guide and guard the use of generative AI. Despite the concerns, the transformative potential of generative AI to enhance teaching methodologies and prepare students for the interprofessional health-care workforce provides a multitude of innovative opportunities for teaching and learning.
Wilderness Medical Society Clinical Practice Guidelines for the Treatment of Acute Pain in Austere Environments: 2024 Update
Authors: Fink Patrick B. , Wheeler Albert R. , Smith William R. , Brant-Zawadzki Graham , Lieberman James R. , McIntosh Scott E. , Van Tilburg Christopher , Wedmore Ian S. , Windsor Jeremy S. , Hofmeyr Ross , Weber David
Published: April 2024

The Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for the management of pain in austere environments. Recommendations are graded based on the quality of supporting evidence as defined by criteria put forth by the American College of Chest Physicians. This is an update of the 2014 version of the “WMS Practice Guidelines for the Treatment of Acute Pain in Remote Environments” published in Wilderness & Environmental Medicine 2014; 25:41–49.
Dialogicity and narrativity in pedagogical interaction in the classroom. A proposal for analysing teacher discourse in the teaching process / Dialogicidad y narratividad en la interacción pedagógica del aula. Una propuesta para el análisis del discurso docente en el proceso de enseñanza
Authors: Villarroel-Henríquez Verónica , Sebastián Christian
Published: April 2024

Given that pedagogical activity is eminently discursive, this article seeks to provide conceptual elements that help to describe teachers’ pedagogical discourse when teaching curricular contents. Working from the constructivist tradition and the cultural psychology approach, which uphold the social and cultural origin of human cognition, a discursive model is proposed that involves two dimensions: the dialogic-monologic and the narrative-paradigmatic. From the dialogic pole, teaching maintains the naturalness of a spontaneous conversation, intentionally including pedagogical elements that inquire into the students’ comprehension of the information and promoting argumentation, participation and the extension of group discussion. From the narrative pole, teaching seeks to contextualize the thematic contents to help students to gain perspective and understand the course and intentionality of actions. Considering both perspectives of analysis, we propose a conceptual schema for studying the phenomenon of teaching in which we theoretically characterize the different types of pedagogical discourses that emerge when articulating these two dimensions. Finally, we point to future lines of research that could emerge from this proposal.
Fitting in or standing out? The organisational socialisation of early career physical education specialism graduates through a micropolitical lens
Authors: Brennan Cillian , Bowles Richard , Murtagh Elaine
Published: April 2024

The recent emergence of primary school generalist teachers with physical education (PE) expertise has addressed calls for some form of specialisation in primary PE provision in Ireland ( Marron et al., 2018 ). It was hoped that these teachers could advance the quality of PE taught within schools, through their own teaching and by supporting colleagues ( Ní Chróinín, 2018 ). Despite PE specialism graduates (PESGs) developing teaching orientations and high self-efficacy to teach PE during their professional socialisation, it is unclear how their skills are applied within schools. This study examined the organisational socialisation of PESGs through a micropolitical lens, drawing on the research of Kelchtermans and Ballet (2002a , 2002b ). Adopting a critical realist approach enabled us to explore teachers’ complex teaching realities. Semi-structured interviews were conducted with 11 graduates of the four-year Bachelor of Education with a major specialism in PE. Reflexive thematic analysis of interview data identified that PESGs had limited opportunities to apply their PE skills due to the conflicting custodial orientations of their schools. Due to PESGs’ professional interests, they were more likely to assimilate with the existing school culture as early career teachers, even if it overlooked their PE expertise. The outsourcing of PE provision to external coaches, and PESGs’ identity as novice teachers, also undermined their potential contribution as PE experts. Although some PESGs have positively used their knowledge to direct whole-school PE provision, more structured opportunities may be necessary to support the continued development of PESGs as teachers and leaders of PE.
Design, thermal-mechanical coupling analysis, and optimization of polymeric matrix composite sandwiches with a lattice core exposed to a high temperature
Authors: Al Amouri Hiba , Khalil Khaled , Rizk Georgio , Alfayad Samer
Published: April 2024

This study presents the design of a sandwich structure tailored for post-heat transfer applications subjected to out-of-plane compression. A three-dimensional finite element simulation model was developed to analyze the temperature distribution within the sandwich structure and investigate the effects of high-temperature exposure on its mechanical behaviors. The structure was subjected to a temperature of 300 °C for 400 s, and the temperature distribution at the upper connection point between the top face sheet and the struts of the core was determined. Subsequently, upon returning the sandwich to ambient temperature, a comprehensive calculation of its mechanical properties was conducted and then enhanced by applying different optimization techniques. The results demonstrate that filling the core with Saffil alumina fibers in the presence of a 1.5 mm a thermal barrier coating of Superwool 607 helps increase the mechanical properties of the sandwich structure by around 55%.
Everlasting divorce? The temporal scope of the UK Withdrawal Agreement
Authors: Buchta Tomáš
Published: April 2024

The purpose of this article is to examine and to provide a tentative temporal scope of the UK Withdrawal Agreement with a focus on the maximal time limits for its application. It begins with an analysis of the nature of the agreement and its impact on the temporal scope. Subsequently, a temporal scope is explored with respect to the core provisions of the agreement (citizens’ rights, financial settlement, various separation provisions, and dispute settlement) and the three protocols addressing the situation in Ireland/Northern Ireland, Gibraltar and the Sovereign Base Areas in Cyprus. The focus is laid on determining the approximate time limits for the application of both the core provisions and the protocols. Their temporal scope is derived from their nature and an appropriate explanation to this effect is provided.
Safety and efficacy of transvenous embolization of cerebrospinal fluid-venous fistula in patients with spontaneous intracranial hypotension
Authors: Cagnazzo Federico , Ducros Anne , Risi Gaetano , Charif Mahmoud , Corti Lucas , Rapido Francesca , Le Bars Emmanuelle , Lonjon Nicolas , Costalat Vincent
Published: April 2024

Background

Transvenous embolization is a recent treatment strategy for cerebrospinal fluid-venous fistulas (CSFVF), which are associated with spontaneous intracranial hypotension (SIH).

Methods

Participants were selected from a prospective database on patients with CSFVF that received transvenous Onyx embolization. All patients underwent a brain magnetic resonance imaging (MRI) before and after embolization with MRI follow-up performed at least 3 months after treatment. Clinical and MRI results after treatment were described.

Results

Twenty-one consecutive patients (median age 63 years, IQR = 58–71; females: 15/21 = 71.5%) with 30 CSFVF were included. Most lesions were situated between T9 and L1 (19/30 = 63%), 70% were right-sided, and 38% of the patients had multiples fistulas. Embolization was successful in all cases. The mean MRI SIH score before and after treatment was 6 (±2.5) and 1.4 (±1.6), respectively ( p < 0.0001). Twenty patients (90%) experienced improvement of their initial condition, of which 67% reported complete clinical recovery. The mean HIT-6 score decreased from 67 (±15) to 38 (±9) ( p < 0.0001), the mean amount of monthly headache days from 23.5 (±10) and 3.2 (±6.6) ( p < 0.0001), the visual assessment scale (VAS) for headache severity from 8 (±1.9) to 1.2 (±2) ( p < 0.0001), and the mean VAS for perception quality of life improved from 2.6 (±2.5) to 8.6 (±1.8) ( p < 0.0001). There were no major complications. The suspected rebound headache rate after treatment was 33%.

Conclusion

Transvenous embolization of CSFVF allowed high rates of clinical improvement with no morbidity related to the treatment.
The resolute Onyx in TIA management (ROTIA)
Authors: Hassan Ameer E , Shoman Ahmed M , Miller Samantha , Hagrass Abdulrahman Ibrahim , Desai Sohum , Saei Hamzah , Tekle Wondwossen G
Published: April 2024

Background

First-line treatment for symptomatic intracranial atherosclerotic disease (ICAD) is medical management; however, interventional approaches are increasingly considered for refractory disease. The Resolute Onyx in TIA management (ROTIA) study is a post-market evaluation of the Resolute Onyx (R-Onyx) drug-eluting stent in the treatment of recurrent transient ischemic attacks (TIAs) due to refractory ICAD (off-label use).

Methods

This is a single-center, retrospective case series of consecutive patients who underwent angioplasty and stenting with R-Onyx for treatment of recurrent TIAs due to refractory ICAD from October 2019 to November 2022. Included patients were ages 22–80, had a baseline modified Rankin Scale of ≤2, and had recurrent TIAs attributed to intracranial artery stenosis >70% despite maximal medical therapy. Primary outcomes of interest were peri-procedural complications (TIA, stroke, intracranial hemorrhage, mortality) up to 72 h post-stenting and ischemic stroke up to 18 months post-stenting.

Results

Twenty patients (mean age 66.84 ± 14; 25% female; 80% Hispanic) were included. A total of 21 stents were successfully deployed with no peri-procedural complications. There were no recurrent ischemic events at 30 days post-stenting. At 18 months post-stenting, there were no ischemic events and no patient exhibited in-stent restenosis.

Conclusion

ROTIA demonstrates the feasibility of using the Resolute Onyx drug-eluting stent for the management of TIAs due to refractory ICAD, with high technical success and low peri-procedural complications. Limitations include the retrospective and single-center nature of this study. Future prospective, multi-center, randomized trials with extended observation periods are needed.
Toward a Psychology of Ideas Rather Than Demographics: Commentary on Hommel (2024)
Authors: Stanovich Keith E.
Published: April 2024

The public will rightly not value a science that is more concerned with demographic population matching than with ideas. Taking further steps in the direction of identity politics will reduce public confidence in psychology’s conclusions and reduce trust and respect. If psychology embraces demographic quotas, there will be self-selection out of the discipline, and that self-selection will harm our science.
From image to identity icon: Discourses of organizational visual identity on Australian university homepages
Authors: Laba Nataliia
Published: April 2024

This article explores how universities construe organizational identities and engage digital audiences through images on web homepages. Combining visual content analysis and a discourse-analytic approach informed by social semiotics, I interpret the discourses of identity in 400 images from organizational homepages of four top-tier public universities in Sydney, Australia – University of Sydney, University of New South Wales, University of Technology Sydney, and Macquarie University. Based on the social semiotic interpretation of images, I identify eight identity icons, each deploying a combination of semiotic resources to represent a specific organizational identity. The analysis suggests that universities prioritize featuring people, which results in an augmented sense of social presence on the homepage. Lastly, four identified strategies for digital audience engagement in images – proximation, alignment, equalization, and subjectivation – point to how these are instrumental in representing university life as both individual and shared experiences.
Assessing the effectiveness of targeted agents in adjuvant therapy for patients with metastatic colorectal cancer undergoing surgical resection: a retrospective cohort study
Authors: Su Yi-Chia , Wu Chih-Chien , Chen Yu-Hsun , Su Chien-Chou , Chang Yu-Ching , Hsieh Meng-Che , Kao Yang Yea-Huei
Published: April 2024

Background:

Primary tumor resection and metastasectomy may be beneficial for many patients with metastatic colorectal cancer (mCRC).

Objective:

To assess the differences in postoperative survival outcomes between adjuvant therapy with chemotherapy alone and chemotherapy plus targeted agents (TAs).

Design:

Retrospective cohort study.

Methods:

Patients with mCRC who underwent surgical resection for primary colorectal tumor and distant metastases and received adjuvant therapy from 1 January 2010 to 31 December 2017 were enrolled in the Taiwan Cancer Registry. We analyzed the overall survival of patients with resectable or initially unresectable mCRC who received adjuvant chemotherapy alone and chemotherapy plus TAs.

Results:

We enrolled 1124 and 542 patients with resectable and initially unresectable mCRC, respectively. Adjuvant chemotherapy plus TAs and chemotherapy alone resulted in similar mortality rates among patients with resectable mCRC [adjusted hazard ratio (aHR) = 1.13; 95% confidence interval (CI), 0.93–1.36]; however, it marginally reduced the mortality rate among patients with initially unresectable mCRC who underwent conversion surgery after neoadjuvant therapy (aHR = 0.81; 95% CI, 0.62–1.06). The subgroup analysis of patients who received more than nine cycles of TAs preoperatively and anti-epidermal growth factor receptor agents revealed aHRs of 0.48 (95% CI, 0.27–0.87) and 0.33 (95% CI, 0.18–0.60), respectively.

Conclusion:

Adjuvant chemotherapy plus TAs may improve survival in patients with initially unresectable tumors who underwent conversion surgery following neoadjuvant therapy with TAs, especially in those who respond well to the targeted therapy. Our study underscores the importance of stratifying patients with mCRC based on tumor resectability when selecting the adjuvant therapy regimen.
Can a rural renaissance be a reality?
Authors: Hennessy Thia
Published: April 2024

This article explores the factors contributing to and consequences of rural depopulation. The important economic and non-economic contribution of the agricultural sector to rural communities is discussed. It is argued that the role of agriculture is often underappreciated and misrepresented in public discourse, in particular in the climate change debate, leading to a ‘recognition gap’ which is damaging to the reputation of the sector, especially among potential new entrants. Farmers need to be positioned to avail themselves of the opportunities presented by the green economy and the transition to a low-carbon food system. This transition will be costly in terms of direct, indirect and opportunity costs, which will be mostly borne by farmers. Policy will need to be targeted to address these costs, support farmers in this transition and position rural communities to prosper in the coming generations.
Ocimum basilicum and Ocimum americanum: A Systematic Literature Review on Chemical Compositions and Antimicrobial Properties
Authors: Wirtu Shuma Fayera , Mishra Ashutosh Kumar , Jule Leta Tesfaye , Ramaswamy Krishnaraj
Published: April 2024

Objectives

This systematic review aimed to evaluate the chemical compositions and Pharmacological applications of Ocimum basilicum, known as sweet basil, and Ocimum americanum, known as hoary basil, to assess their antimicrobial properties. Both plants are renowned for their culinary uses and medicinal properties, with studies suggesting potential therapeutic benefits due to their rich essential oil.

Methods

A systematic approach was adopted to gather and analyze the relevant literature on the chemical profiles and pharmacological activities of Ocimum basilicum and Ocimum americanum. Electronic databases including Web of Science, ScienceDirect, Google Scholar, and PubMed were searched using keywords such as chemical composition of Ocimum basilicum, chemical composition of Ocimum americanum, antimicrobial activities of Ocimum basilicum, and antimicrobial activities of Ocimum americanum.

Results

Ninety-nine articles meeting the determined inclusion criteria were incorporated in this systematic review. Several studies have consistently demonstrated the antimicrobial activities of these 2 plants, although the specific compounds responsible for this activity vary between the 2 species.

Conclusion

The diverse array of bioactive molecules present in these plants contributes to their pharmacological effects, suggesting avenues for further research into their therapeutic applications. This review supports the continued exploration of the medicinal properties and potential development of sweet basil and hoary basil as antimicrobial agents.
Knee Cartilage Injuries in Football Players: Clinical Outcomes and Return to Sport After Surgical Treatment: A Systematic Review of the Literature
Authors: Andriolo Luca , Marín Fermín Theodorakys , Chiari Gaggia Giulia Marcella Maryse , Serner Andreas , Kon Elizaveta , Papakostas Emmanuel , Massey Andrew , Verdonk Peter , Filardo Giuseppe
Published: April 2024

Objective

To systematically review the literature and analyze clinical outcomes and return-to-sport after surgical management of cartilage injuries in football players.

Design

A systematic literature review was performed in August 2023 on PubMed, WebOfScience, and Cochrane Library to collect studies on surgical strategies for cartilage lesions in football players. Methodological quality and risk of bias were assessed with the modified Coleman Methodology score and RoB2 and RoBANS2 tools.

Results

Fifteen studies on 409 football players (86% men, 14% women) were included: nine prospective and two retrospective case series, one randomized controlled trial, one prospective comparative study, one case report, and one survey. Bone marrow stimulation (BMS) techniques were the most documented. The lesion size influenced the treatment choice: debridement was used for small lesions (1.1 cm2), BMS, osteochondral autograft transplantation (OAT), matrix-assisted autologous chondrocytes transplantation (MACT), and scaffold-augmented BMS for small/mid-size lesions (2.2-3.0 cm2), and autologous chondrocytes implantation (ACI) for larger lesions (5.8 cm2). The surgical options yielded different results in terms of clinical outcome and return-to-sport, with fastest recovery for debridement and scaffold-augmented BMS. The current evidence is limited with large methodological quality variation (modified Coleman Methodology score 43.5/100) and a high risk of bias.

Conclusions

Decision-making in cartilage injuries seems to privilege early return-to-sport, making debridement and microfractures the most used techniques. The lesion size influences the treatment choice. However, the current evidence is limited. Further studies are needed to confirm these findings and establish a case-based approach to treat cartilage injuries in football players based on the specific patient and lesion characteristics and the treatments’ potential in terms of both return-to-sport and long-term results.

Level of evidence

Systematic review, level IV.
Determinants of Online Teaching and Learning Effectiveness for Statistical Concepts and Calculations Subjects During the COVID-19 Movement Control Order (MCO)
Authors: Chai Li Cheam , Luqman Azyanee
Published: April 2024

In today’s fast-paced ICT-driven world, understanding the factors influencing the effectiveness of online teaching and learning is paramount, especially during the Movement Control Order (MCO) when physical educational activities are restricted. Assessing the efficacy of undergraduate students under these circumstances can be particularly challenging, and the resulting conclusions may vary depending on the context. Consequently, this study is driven by three primary objectives. Firstly, this study seeks to employ factor analysis as a robust method for validating the selected online teaching and learning instruments. Secondly, it endeavors to categorize the survey instruments into distinct core variables using Principal Axis Factor analysis. Additionally, the study aims to harness multiple regression analysis to uncover the factors influencing the efficiency of online teaching and learning. To achieve these objectives, an online questionnaire was administered to 107 students enrolled in a university in Malaysia. The collected data were analyzed using Statistical Package for the Social Sciences (SPSS). The results of the multiple regression analysis revealed that lecturer roles and student attitudes have significant positive relationships with the success of online teaching and learning. In contrast, flexibility exhibited a significant but inverse association. Despite the global transition into the endemic phase of COVID-19, this study aspires to furnish valuable insights for lecturers, students, and university administrators regarding the ongoing practices of online teaching and learning. Ultimately, these insights can empower policymakers to formulate optimal strategies thereby benefiting all stakeholders involved. In conclusion, this study acknowledges its limitations and offers recommendations for further research.
Anti-Corruption Efforts in the Healthcare Sector During the Covid-19 Pandemic in Malaysia
Authors: Mahmud Nurfarizan Mazhani , Mohamed Intan Salwani , Arshad Roshayani , Adam Amizahanum
Published: April 2024

The Covid-19 pandemic has had an irreversible impact on the global economy and industries, particularly in the healthcare sector. The rush to respond to the pandemic, particularly in terms of getting treatment and vaccines and technology to market, has created a huge opportunity for undisclosed corruption and misconduct in the research and development and procurement processes. Effectively responding to current and future global health corruption threats is critical if the world is to provide health care to all. Due to a lack of research in preventive corruption measures in the healthcare industry, this paper aims to provide an overview of anti-corruption efforts among healthcare companies listed on the main board of Bursa Malaysia. The disclosure index is made up of 47 items derived from a review of previous literature and the Malaysian Anti-Corruption Act. The content analysis research method is used to analyze information from 13 companies listed in 2020’s anti-corruption policies and procedures published on their website, board charter, whistleblowing policy, code of ethics and conduct, annual report, sustainability report, and corporate governance report. According to the findings, Malaysia’s healthcare industry has demonstrated a strong commitment to fighting corruption, with 76.9% of companies scoring higher than average on the disclosure index.
Examination of Late COVID-19 Pandemic Stress, Burnout, Hopelessness, and Depression Among University Students According to Demographic Characteristics
Authors: Uysal Sibel , Dönmez İsmail
Published: April 2024

The psychological state of people during the COVID-19 pandemic has attracted significant interest from researchers and the general public alike. The aim of this study is to examine the stress, burnout, hopelessness, and depression levels of university students toward the end of the pandemic. A survey model, as a quantitative research method, was applied in this study. The analysis revealed that 70% of the participating university students had moderate to high stress levels, and levels of stress among female students were found to be higher than those among male students. When the students’ hopelessness levels were examined, it was seen that 81% of them felt hopelessness at medium or high levels. Hopelessness and burnout were seen to be associated with grade point average. A total of 61% of these students had moderate or high levels of depression symptoms, constituting an at-risk status. The results indicate that factors such as gender, year of study, and grade point average had varying effects on stress, burnout, hopelessness, and depression levels. Additionally, strong relationships were found among the four considered psychological variables, suggesting that they may influence one another and highlighting the need for further research in this area.
Emerging Adults’ Attitudes Toward Romantic Relationships: The Effects of Parental Bonding and Personal Value Preferences
Authors: Tartakovsky Eugene
Published: April 2024

This study investigates how parenting and value preferences are connected to emerging adults’ attitudes toward romantic relationships. The study was conducted in Israel among young Jews and Arabs looking for a romantic partner ( n = 1121, 40% male, age 18–30). Higher preferences for conservation versus openness to change and self-enhancement versus self-transcendence values and higher levels of parental care were associated with positive romantic attitudes. In addition, parental care was associated with higher preferences for self-transcendence versus self-enhancement and conservation versus openness to change values, and autonomy-providing was associated with higher preferences for openness to change versus conservation and self-transcendence versus self-enhancement values. Personal value preferences partially mediated the connection between parental bonding and romantic attitudes. More specifically, high levels of parental care and overcontrol lead to a higher preference for conservation values, which, in turn, lead to more positive romantic attitudes. The obtained results advance our understanding of the connections between parenting, general motivational goals, and romantic relationships among emerging adults.
Perceptions and Current Practices in Patient-Centered Care: A Qualitative Study of Ryan White HIV Providers in South Florida
Authors: Knight Jennifer M. , Ward Melissa K. , Fernandez Sofia , Genberg Becky L. , Beach Mary Catherine , Ladner Robert A. , Trepka Mary Jo
Published: April 2024

Background: Patient-centered care (PCC) improves HIV adherence and retention, though lack of consensus on its conceptualization and understanding how it is interpreted has hindered implementation. Methods: We recruited 20 HIV providers at Ryan White Programs in FL for in-depth interviews. Thematic analysis identified core consistencies pertaining to: 1) provider perceptions, 2) current practices promoting PCC. Results: Provider perceptions of PCC emerged under four domains: 1) holistic, 2) individualized care, 3) respect for comfort and security, and 4) patient engagement and partnership. PCC practices occurred at multiple levels: 1) individual psychosocial and logistical support, 2) interpersonal support within patient-provider relationships through respectful communication and active engagement, and 3) institutional practices including feedback mechanisms, service integration, patient convenience, and diverse staffing. Conclusions: Our findings highlight the central tenets of PCC as respectful, holistic, individualized, and engaging care. We offer an HIV-adapted framework of PCC as a multilevel construct to guide future intervention.
Cetuximab for the treatment of cutaneous squamous-cell carcinoma in kidney transplant recipients – A retrospective cohort study
Authors: Nobel Hila , Icht Oded , Ben Dor Naomi , Popovtzer Aron , Gitter Limor , Davidovici Batya , Rahamimov Ruth , Kurman Noga
Published: April 2024

Background:

Kidney transplant recipients are at high risk of developing cutaneous squamous cell carcinoma (cSCC) due to prolonged immunosuppression. While most lesions can be managed with local therapy, a subset of patients develop advanced cSCC that is unresectable, recurrent or metastatic. Immune check point inhibitors (ICI) and chemotherapy may jeopardize the transplanted kidney. Cetuximab, an anti-epidermal growth factor receptor antibody, has demonstrated efficacy in advanced cSCC, but data regarding efficacy and safety in solid organ transplant recipients is lacking.

Methods:

This retrospective cohort study analyzed kidney transplant recipients diagnosed with locally advanced or metastatic cSCC who were treated with cetuximab.

Results:

Seventeen patients were included in the analysis. The median age was 57 years at the time of kidney transplantation and 62 years at diagnosis of index lesion. Cetuximab was administered with radiation therapy as a radiosensitizer in 58.8% of patients, as monotherapy in 17.6% of patients, and with chemotherapy in 23.5% of patients. Importantly, no detrimental impacts on kidney graft function were observed. The main toxicites were grade 1–2 skin reactions and electrolyte imbalance. Of the 10 patients receiving cetuximab with chemoradiotherapy as a radiosesnitizer, 2 were treated with definitive intent, 7 of them in the adjuvantsetting, and 1 for palliative pourpose. Over half of these patients achieved a complete response (37.29%) or no recurrence after resection (23.5%). Median time to disease progression was 10 months.

Conclusions:

This novel study suggests cetuximab has a reasonable safety profile and potential efficacy in kidney transplant recipients with advanced cSCC, without impairing allograft function. Further prospective research with larger sample sizes is warranted to confirm these findings. Cetuximab should be investigated as a systemic treatment option for this high-risk population of solid organ transplant recipientss with recurrent, metastatic, or unresectable cSCC.
Combined ACL and Anterolateral Ligament Reconstruction Using an Adjustable-Loop Fixation Device: Surgical Technique
Authors: Jaramillo Quiceno German Alejandro , Sarmiento Riveros Paula Andrea , Helito Camilo Partezani , Arias Perez Ruben Dario , Giardino Moreira da Silva Andre
Published: April 2024

Background:

There are several techniques for the combined reconstruction of the anterior cruciate ligament (ACL) and the anterolateral ligament (ALL), but none have shown superiority. This study aims to present a surgical technique that theoretically reduces some of the risks reported in these procedures.

Indications:

The main indications for the ALL reconstruction include chronic ACL injuries, revision ACL reconstruction, acute ACL injuries in patients with high-grade pivot-shift (grades 2 or 3), patients involved in pivoting sports, and generalized ligament hyperlaxity or knee hyperextension.

Technique Description:

Hamstring tendon autografts are used for the ACL and ALL reconstruction; a common femoral ACL and ALL tunnel is made outside-in, making a short socket. A continuous looped hamstring tendon autograft attached to one button is used. The ACL is fixed with an adjustable-loop button. Through small incisions, the tibial fixation of both grafts is performed with bioabsorbable screws.

Results:

We present a 19-year-old professional soccer player with an acute ACL tear, with no associated meniscal or chondral lesions. Owing to his young age and high-risk sports practice, a combined ACL and ALL reconstruction was performed. The combined ACL and ALL reconstruction with a single femoral tunnel using the hamstrings tendons graft is a well-established procedure for ACL augmentation, reducing failure rates for certain risk groups, with excellent outcomes reported. The use of an adjustable-loop button on the femur is a viable option for this kind of reconstruction with postoperative stability comparable to the interference screw, classically used for this kind of reconstruction.

Discussion/Conclusion:

This technique has some advantages, such as the use of a short outside-in femoral socket, thus theoretically improving healing. In addition, this lowers the risk of lateral collateral ligament injury, and since the ileotibial band graft is not used, the risk of injuring the lateral inferior genicular vessels and the peroneal nerve is theoretically reduced. Besides, using an adjustable-loop cortical button in the femur can theoretically reduce potential complications such as screw migration, soft-tissue impingement, femoral-site pain, and implant removal. Finally, the reconstruction is done with small incisions, improving the aesthetic result and postoperative pain. Considering all the aforementioned factors, this technique theoretically offers some benefits.

Patient Consent Disclosure Statement:

The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.
Sign language interpreters’ experiences of remote interpreting in light of COVID-19 in Sweden
Authors: Warnicke Camilla , Matérne Marie
Published: April 2024

The COVID-19 pandemic transformed the work of sign language interpreters from mostly face-to-face assignments to remote interpreting. The overall aim of this study was to investigate the experiences of interpreters working between spoken Swedish and Swedish Sign Language (STS) during the adjustment to remote interpreting (RI) due to COVID-19. Semi-structured telephone interviews were conducted with 26 sign language interpreters and analysed with qualitative content analysis. The interpreters represented 19 of the 21 regions in Sweden. The results of the analysis revealed five themes: (a) a comparison of interpreting settings; (b) adaptability; (c) social relations and interaction; (d) technical equipment; and (e) sustainability. Within the themes’ multifaceted experiences of both positive and negative aspects from a micro to a macro level were reported. This rather new setting for interpreters is still in transformation; thus, follow-ups are necessary.
The Relationship Between Employment Status and Prior Education to Academic and Clinical Success for Diagnostic Medical Sonography or Radiography Students
Authors: Miller Elena
Published: April 2024

Objective:

It has been reported that employment during student enrollment, in rigorous health care programs, impedes college success and may be a barrier to successful graduation. Furthermore, student’s prior education is typically viewed as a positive predictor of success in college. The aim of this study was to examine whether a relationship exists between employment status and prior education, compared with academic and clinical success for Diagnostic Medical Sonography (DMS) or Radiography (RT) students, in a large community college.

Materials and Methods:

There were 26 imaging student participants consented to this study. This convenient sample included 10 DMS and 16 RT students, enrolled in an associate degree in applied sciences program. A survey was administered that collected demographic data on the students in both programs. Data collection began at the start of each respective program and again one year later. Student academic and clinical grades were examined over a period of three college semesters.

Results:

The analysis of the findings did not show a significant relationship between employment status, prior education, student academics, and clinical success among the participating DMS or RT students.

Conclusion:

The results of this study provide limited evidence that there was no significant relationship between employment status, prior education, and academic and clinical success among this cohort of DMS or RT students. These findings also suggest that students’ employment did not impede success for these DMS and RT students. In addition, this research shows that students’ prior education had no effect on their success in their DMS and RT programs. Further research should be conducted to investigate whether these findings are similar in other imaging programs.