bluuebunny/crossref_metadata_2025 huggingface dataset:
Investigación narrativa con niños y niñas: una reflexión teórico-metodológica
Authors: Rodríguez-Castrillón Claudia maría , Amador-Baquiro Juan Carlos
Published: September 2023

(analítico)Se presenta una reflexión teórico-metodológica derivada de una investigación sobre experiencias de participación y subjetividades en niños y niñas, ubicados en contextos institucionales y comunitarios de tres países de la región. En oposición a los enfoques que asumen a estas personas como sujetos receptores per se, la metodología de este estudio adoptó la investigación narrativa, dada su potencialidad para que los participantes logren narrar-se, conocer-se y transformarse. De esta manera, en la primera parte, se propone un acercamiento ontológico, epistémico y metodológico a la investigación narrativa con niños y niñas. Luego, basados en el trabajo de campo del estudio, se abordan técnicas de investigación que favorecen la interacción horizontal para la generación de conocimiento con estas personas, desde lo dialógico y lo estético. Al final, se presentan las conclusiones.
Palabras clave:  Niño; niña; infancia; investigación narrativa; relato; técnica. Tesauro de Ciencias Sociales de la Unesco.
Teatro de João Redondo do Rio Grande do Norte: transmissão do saber e da prática pela internet
Authors: Macêdo Zildate Ramos de
Published: September 2023

Este artigo, fruto de uma pesquisa de doutorado, se propõe a informar o que é o Teatro de João Redondo do Rio Grande do Norte e a refletir sobre o processo de transmissão e de construção desse tipo de teatro diante das novas tecnologias, em especial a internet. A metodologia aplicada foi a observação participante e análise dos dados utilizando teóricos que refletem sobre a cultura popular e a internet, como Bosi, Hine, Zumthor, Hall e Johnson.
Aboriginal and Torres Strait Islander employment provisions within enterprise agreements in Australian universities, the role of the National Tertiary Education Union and collective bargaining
Authors: Leroy-Dyer Sharlene
Published: September 2023

Collective bargaining is the foundation for democracy in the workplace, and a mechanism for ensuring workers in Australia have improved working conditions whilst striving to reduce inequality. Collective bargaining offers potential to improve democratic workplace participation and socio-economic status of Aboriginal and Torres Strait Islander peoples, however, if done ineffectively can further entrench inequality. Aboriginal and Torres Strait Islander workplace issues need to be at the forefront of bargaining. In the Higher Education sector, collective agreements with universities cover the majority of employees and are negotiated by the National Tertiary Education Union (NTEU). The NTEU uses its bargaining power within the university sector to establish Aboriginal and Torres Strait Islander employment targets and other targeted provisions within enterprise agreements. These targets and other provisions aim to increase Aboriginal and Torres Strait Islander representation on campus, ensure fair and equitable working conditions and challenge entrenched inequality for Aboriginal and Torres Strait Islander workers within their universities. The NTEU has for over 20 years advocated for and won Aboriginal and Torres Strait Islander employment clauses in enterprise agreements. The National Aboriginal and Torres Strait Islander Policy Committee, under the direction of the Aboriginal and Torres Strait Islander members has pushed for these for the benefit of all Aboriginal and Torres Strait Islander peoples employed or yet to be employed in the higher education sector. The increase in Aboriginal and Torres Strait Islander employment in universities has and continues to be driven by NTEU.
Postural Responses to Achilles Tendon Vibration Depend on Feet Positioning
Authors: Teixeira Alves E. , Rinaldin C. D. , Hembecker P. K. , Manffra E. F. , Nadeau S. , Nogueira Neto G. N. , Mesure S.
Published: September 2023

Mechanical vibration of the Achilles tendon is widely used to analyze the role of proprioception in postural control. The response to this tendon vibration (TV) has been analyzed in the upright posture, but the feet positions have varied in past research. Moreover, investigators have addressed only temporal parameters of the center of pressure (CoP). We investigated the effect of TV on both temporal and spectral characteristics of the CoP motion. Eighteen healthy young adults, stood barefoot, with one foot on each side of a dual platform, wearing glasses with opaque lenses. We applied 20 seconds of Achilles TV (bilaterally with inertial vibrators at a frequency of 80 Hz and an amplitude of .2–.5 mm). We analyzed CoP signals pre-vibration (PRE,4-seconds), during vibration (VIB,20 seconds), and after vibration cessation (REC,20 seconds). We repeated this protocol in natural and standardized positions (15° feet angular opening). For determining CoP amplitude and velocity, we divided the 20 seconds into five phases of four seconds each and calculated spectral parameters for the whole 20-second signals. There was an adaptation process in the speed of the CoP mediolateral ( p < .01) and anteroposterior ( p < .01) and in the displacement of the CoP anteroposterior ( p < .01), with higher values in the VIB condition. Velocity and displacement decreased progressively in the REC condition. Median and peak frequencies were higher in the VIB condition when compared to the REC condition, but only in the mediolateral direction ( p = .01). The standardized foot position led to increased speed in CoP mediolateral, anteroposterior, and mediolateral displacement ( p < .01). CoP spectral characteristics were not affected by foot positioning. We concluded that adaptation of CoP motion in the presence of TV and after its cessation are observable both in time and frequency domains. Feet positioning influenced CoP motion in the presence of TV and after its cessation but it did not affect its spectral characteristics.
In Memoriam: A Tribute to the Late Dr. Ransford W. Palmer (1932–2023)
Authors: Green Rodney , Hunte C. Kenrick
Published: September 2023

The many contributions and service of the late Dr. Ransford W. Palmer to academia and the community are recounted with a deep appreciation for a life well lived.
Agent-based simulation of seismic crisis including human behavior: application to the city of Beirut, Lebanon
Authors: Iskandar Rouba , Dugdale Julie , Beck Elise , Cornou Cécile
Published: September 2023

Earthquake simulations at the urban scale usually focus on estimating the damages to the built environment and the consequent losses without fully taking into account human behavior in crisis. Yet, human behavior is a key element for improving crisis disaster management; therefore, it is important to include it in seismic crisis simulations. In this study, an agent-based model for the simulation of pedestrian evacuation during earthquakes at the city scale is developed following an interdisciplinary approach. The model recreates the urban conditions using Geographic Information System (GIS) and a synthetic population, in addition to the earthquake consequences on the urban fabric. Moreover, the model integrates realistic human behaviors calibrated using quantitative survey results. We simulate pedestrian outdoor mobility with the different constraints that affect it such as the topography and the presence of debris. The simulator is applied to the case of Beirut, Lebanon. A what-if approach is adopted to analyze the population’s safety in case of earthquakes in Beirut, particularly the open spaces’ capacity to provide shelters and the effect of debris and realistic human behaviors on people’s safety. The simulation results show that less than 40% of the population is able to arrive at an open space within 15 min after an earthquake. This number is further reduced when some open spaces are locked. Debris and realistic human behaviors significantly delay the arrivals to safe areas and, therefore, should not be neglected in earthquake simulations.
Cross-Border Tourism and Community Solidarity at a Militarized Border: A Photo Elicitation Approach
Authors: Clark Connor , Nyaupane Gyan P.
Published: September 2023

Despite increased militarization along international borders, border communities share elements of natural and cultural heritage. This shared heritage invokes a form of solidarity whose influence on cross-border tourism and bordering processes is understudied. The purpose of this study is to analyze how community solidarity influences tourism and border processes at the highly militarized U.S.-Mexico border by using photo-elicitation. Data were collected from 21 participants from Mexico and the U.S. A direct and indirect analysis of the interviews and photos found major themes and common focal points within photos, and the findings demonstrate binational solidarity for heritage and a desire for sharing this heritage with visitors. The paper contributes a conceptual framing of how borders are reinforced through militarization and softened through tourism, cross-border collaboration, and biodiversity conservation and ecological restoration. The implications of these findings for border theories and frameworks are discussed in further detail.
Risk and Protective Factors Associated with Suicidal Ideation and Suicide Attempts Among Black Adolescents Based on the 2017 Youth Risk Behavior Survey
Authors: Baiden Philip , LaBrenz Catherine A. , Kim Yi Jin , Muehlenkamp Jennifer J. , Thrasher Shawndaya
Published: September 2023

The purpose of this cross-sectional study was to investigate risk (violence and victimization, symptoms of depression, substance use, and obesity) and protective factors (physical activity and academic performance) associated with suicidal ideation and suicide attempts among Black adolescents. Data were obtained from the 2017 Youth Risk Behavior Survey. The analytic sample consisted of 658 adolescents ages 14–18 years (51.8% female) who self-identified as Black. Multivariable binary logistic regression was conducted to examine risk and protective factors associated with suicidal ideation and suicide attempts. About 16% of the sample reported suicidal ideation, and 9.1% made a suicide attempt during the past 12 months. Factors associated with suicidal ideation and suicide attempts included weapon-carrying on school property and symptoms of depression. Physical activity ( AOR = 0.28, 95% CI = 0.11–0.68) and higher academic performance had protective effects on suicide attempts ( AOR = 0.35, 95% CI = 0.17–0.71). Clinicians and school counselors working with Black adolescents may want to inquire about suicide when these risk factors are experienced and strengthen the protective factors identified.
Validation of the ACL-RSI Scale in Pediatric and Adolescent Patients
Authors: Cirrincione Peter M. , Gross Preston W. , Matsuzaki Yukiko , Johnson Mitchell A. , Nagra Kiranpreet K. , Green Daniel W. , Fabricant Peter D.
Published: September 2023

Background:

The Anterior Cruciate Ligament–Return to Sport after Injury (ACL-RSI) scale is a 12-item questionnaire assessing psychological readiness to return to sport after anterior cruciate ligament reconstruction. It has been validated for use in adults in multiple languages and in an abbreviated 6-question short form. Additionally, literature has been published using this scale in pediatric and adolescent populations, however it has not yet been validated for use with them.

Purpose:

To validate the ACL-RSI scale for use with pediatric and adolescent patients.

Study Design:

Cohort study (Diagnosis); Level of evidence, 2.

Methods:

Scores of 6- and 12-item ACL-RSI scales for patients undergoing return-to-sport readiness testing 6 to 8 months after anterior cruciate ligament reconstruction were analyzed. Convergent validity testing was performed against the International Knee Documentation Committee (IKDC)/Pediatric IKDC score, Single Assessment Numeric Evaluation (SANE) score, and peak torque asymmetry of knee flexion and extension using Spearman correlations. Discriminant validity testing was performed against age (Spearman correlation), body mass index (Spearman correlation), and sex (Mann-Whitney U test). Reliability testing was performed by calculating Cronbach’s alpha. Floor and ceiling effects were assessed by calculating the number of minimum and maximum scores in the cohort.

Results:

A total of 51 patients were included in the final analysis. The mean age at surgery was 15.2 ± 2.2 years, and 51.0% were female. The 6- and 12-item ACL-RSI scales demonstrated a strong significant positive correlation with IKDC/Pediatric IKDC scores ( R = 0.723 and 0.717, respectively; P < .001) and moderate significant positive correlation with Single Assessment Numeric Evaluation scores ( R = 0.516 and 0.502, respectively; P < .001) Age at surgery, body mass index, and sex were not correlated with either ACL-RSI scale. Cronbach’s alpha values of the 12- and 6-item ACL-RSI scales in this population were 0.959 and 0.897, respectively. For both the 12- and the 6-item ACL-RSI scales, no floor or ceiling effects were found as the minimum score (0) was not observed in either version, and the maximum score (100) was only observed twice (3.9%) in both versions.

Conclusion:

The ACL-RSI scale is valid to use with pediatric and adolescent patients. The 6-item scale may be a better choice because it has fewer redundancies and minimizes the risk of questionnaire fatigue.
A Modified Technique for Percutaneous Dilatational Tracheostomy
Authors: Ghotbi Zahra , Estakhr Mehrdad , Nikandish Mehdi , Nikandish Reza
Published: September 2023

Purpose: Percutaneous dilatational tracheostomy (PDT) is widely used in mechanical ventilation patients to facilitate weaning. This modified technique aims to reduce accidental intraprocedural airway loss and desaturation associated with current PDT techniques. Materials and Methods: This is a single-center, prospective cohort study of 100 patients who underwent a modified technique between September 8, 2022, and January 18, 2023. The procedure was performed at Shiraz University of medical science at the tertiary center, Namazi teaching hospital. In this method instead of withdrawing the endotracheal tube (ETT) up close to the vocal cord and subglottic area at the beginning of the procedure, which is a common theme in PDT techniques with accidental extubation risk, we kept the ETT and gradually withdraw it. Results: Of the 100 patients, the average age was 53.5 years, and 66% were males. On average, the procedure lasted 255 (67) seconds. All patients successfully underwent PDT with no life-threatening complications, accidental intraprocedural airway loss, or desaturation. Conclusions: As a result of this modified technique, PDT for airway management can be a safe and low-complication procedure without the risk of accidental intraprocedural airway loss. Moreover, omitting bronchoscopy and sonography during these procedures is cost-effective and secure.
Comparison of Colchicine Monotherapy Versus Nonsteroidal Anti-Inflammatory Drugs Monotherapy or Combination Therapy for the Prevention of Recurrent Pericarditis in Patients With Heart Failure With Reduced Ejection Fraction and/or Coronary Artery Disease
Authors: Musick Kaitlin , Knoell Chloe , Clarke Megan M.
Published: September 2023

Objective: Guidelines recommend nonsteroidal anti-inflammatory drugs (NSAIDs) or aspirin for 2-4 weeks with colchicine for 3 months for the treatment of acute pericarditis. In patients with HFrEF and/or CAD, the adverse effect profile of NSAIDs pose concern. While previous studies evaluated colchicine as adjunctive therapy, colchicine monotherapy has never been assessed. This study aims to compare the efficacy of colchicine monotherapy to NSAID monotherapy or combination therapy for the prevention of recurrent pericarditis in patients with HFrEF and/or CAD. Methods: This was a single health-system, retrospective, observational cohort study. Patients were 18 years or older, had a diagnosis of acute pericarditis and HFrEF and/or CAD, and were discharged on colchicine and/or NSAID therapy. Patients were excluded if they had an episode of pericarditis within the previous 12 months. The primary outcome was the incidence of pericarditis recurrence or documentation of incessant symptoms within 12 months of the index hospitalization. Results: Of the 77 patients included, 43 (55.8%) were treated with colchicine monotherapy, 7 (9.1%) were treated with NSAID monotherapy, and 27 (35.1%) were treated with combination therapy. Pericarditis recurrence or documentation of incessant symptoms occurred in 16.3% of patients treated with colchicine monotherapy, 28.6% of those treated with NSAID monotherapy, and 18.5% of those treated with combination therapy ( P = .740). Conclusion: In this study, no difference in the primary outcome was observed between groups. However, a prospective, randomized trial is needed to further elucidate the efficacy of colchicine monotherapy for the treatment of acute pericarditis in patients with HFrEF and/or CAD.
A Cross-Sectional Survey Study of Student Pharmacists’ Career Interests
Authors: Cameron Caitlin , Carroll Kim , Forbes Allison , Luca Xhovana , Alamer Ahmad A. , Fazel Maryam T.
Published: September 2023

Background: Career planning is important to student pharmacists and pharmacy schools due to slower job growth for pharmacists over the last decade. Understanding students’ career interests can help colleges and schools of pharmacy develop targeted career planning, as well as meaningful curricular and co-curricular activities. Objectives: This study aims to describe the career path interests of two doctor of pharmacy cohorts in each professional year (P1 through P4) during the 2019-2020 and 2020-2021 academic years. Methods: This was a retrospective cross-sectional survey study conducted at an Accreditation Council for Pharmacy Education accredited college of pharmacy in the United States. Students were surveyed regarding their career interests in a mentorship program. Using frequencies and proportions we reported the pattern of students’ career interests. Results: The top careers most frequently selected by students in the 2019-2020 cohort as their first choice were hospital (21.4% of P1s, 17.4% of P3s) and community (24.6% of P2s, 24.3% of P4s). Those career paths for the 2020-2021 cohort were hospital (21.4% of P1s), clinical specialty (19.2% of P2s, 21.9% of P4s), and community (22.9% of P3s). In both cohorts and all professional program years, students selected a broad range of first choice career interests and even broader range when indicating top 3 careers of interest. Conclusion: Overall, the most frequently selected career path interests were hospital, community, clinical specialty, and ambulatory care. However, there was broad variability in the career interests, accounting for a third to half of the students with interests different than the majority.
An Examination of Coping Strategies that Moderated the Effects of COVID-19-Related Stress on Anxiety Among Older Adults in Aotearoa/NZ
Authors: Kaur Navneet , Stephens Christine
Published: September 2023

Objectives: 1. To describe perceived stress and changes in anxiety and coping among older adults between 2018 and 2020. 2. To examine the moderating roles of social support, exercise, alcohol use, and smoking on the relationship between perceived stress and anxiety. Methods: Longitudinal data collected from 3275 participants ( M = 68.1 years) as part of the NZ Health, Work, and Retirement study’s 2018 and 2020 biennial surveys, were analyzed using hierarchical regression. Results: Older adults perceived COVID-19 as a low-level source of stress. Social support and alcohol use moderated the relationship between perceived mental stress and anxiety. At high-stress levels, only social support exerted a protective effect against the negative impact of stress on anxiety. Discussion: These findings support the general resilience of many older adults and highlight the effectiveness of coping strategies used by those groups who are more likely to be vulnerable to mental stress during a pandemic.
Holistically sustainable continence care: A working definition, the case of single-used absorbent hygiene products (AHPs) and the need for ecosystems thinking
Authors: Vaittinen Tiina , Koljonen Krista , Tella Susanna , Asikainen Eveliina , Laatikainen Katri
Published: September 2023

Incontinence is a common health issue that affects hundreds of millions of people across the world. The solution is often to manage the condition with different kinds of single-use continence technologies, such as incontinence pads and other absorbent hygiene products (AHPs). Throughout their life cycle, these fossil-based products form a remarkable yet inadequately addressed ecological burden in society, contributing to global warming and other environmental degradation. The products are a necessity for their users’ wellbeing. When looking for sustainability transitions in this field, focus on individual consumer-choice is thus inadequate – and unfair to the users. The industry is already seeking to decrease its carbon footprint. Yet, to tackle the environmental impact of single-use continence products, also societies and health systems at large must start taking continence seriously. Arguing that continence-aware societies are more sustainable societies, we devise in this article a society-wide working definition for holistically sustainable continence care. Involving dimensions of social, ecological and economic sustainability, the concept draws attention to the wide range of technologies, infrastructures and care practices that emerge around populations’ continence needs. Holistically sustainable continence care is thus not only about AHPs. However, in this article, we examine holistically sustainable continence care through the case of AHPs. We review what is known about the environmental impact AHPs, discuss the impact of care practices on aggregate material usage, the future of biobased and degradable incontinence pads, as well as questions of waste management and circular economy. The case of AHPs shows how holistically sustainable continence care is a wider question than technological product development. In the end of the article, we envision an ecosystem where technologies, infrastructures and practices of holistically sustainable continence care can flourish, beyond the focus on singular technologies.
Pluralizing the urban waste economy: insights from community-based enterprises in Ahmedabad (India) and Kampala (Uganda)
Authors: Oates Lucy , Kasaija Peter , Sseviiri Hakimu , Sudmant Andrew , Ersoy Aksel , Van Bueren Ellen
Published: September 2023

The delivery of urban basic infrastructure services is often guided by the modern infrastructure ideal, which aims for technical innovation, economic efficiency and uniformity through long-term, centralized management approaches. In rapidly growing urban centres of the global South, however, heterogeneous infrastructure configurations have long involved multiple systems in varying degrees of coexistence. This paper explores how community-based enterprises – organizations that aim not to turn a profit but rather to generate human well-being – contribute to, complement or conflict with wider municipal solid waste management strategies. It does so through two case studies, focused on Luchacos, a local enterprise turning waste into briquettes in an informal settlement of Kampala, Uganda; and the Self Employed Women’s Association (SEWA), a cooperative of waste pickers in Ahmedabad, India. Drawing on empirical data and policy analysis, the research finds that, given the necessary state support, community-based enterprises can contribute to a range of sustainability and development objectives.
Unraveling the link between political polarization and wind energy perspectives: Insights from a survey of agricultural landowners in Alberta, Canada
Authors: Holowach Monique , Parkins John R
Published: September 2023

Wind energy development can be polarizing with opposition coming from rural regions that are most affected by new wind farms. Local opposition can become further entrenched through political ideologies, where one's perspective on wind turbines becomes a litmus test for one's political position. With these concerns in mind, we utilize results from a survey of large-scale agricultural landowners in Alberta, Canada, to answer the following question. To what extent are self-declared political positions consistent with views on wind energy development? Results indicate that wind energy acceptance is not politically polarized nor even polarized among Alberta's rural landowners. Instead, the sample reveals fragmented, moderate, and likely malleable opinions about wind energy. Within a jurisdiction that is politically conservative and fossil fuel dependent, these results have largely positive implications for future wind energy development in the province.
The ‘Bloody Problem’ of Women and Children in India
Authors: Joseph Vanishree , Madhuri N. V.
Published: September 2023

This article explores the persistent challenge of anaemia in India, focusing on its impact on women and children. Anaemia, a ‘silent killer’, remains a major public health concern, with India harbouring nearly half of the world’s anaemic women. In response, the government has implemented various programmes, but the prevalence of anaemia continues to rise, especially among women and children. The article discusses the Anaemia Control Programme’s evolution, current strategies, and challenges in reducing anaemia prevalence. The article highlights the importance of nutritional outlook in tackling anaemia, emphasizing the need for food fortification, as evidenced by successful interventions. However, geographical, and socio-economic factors significantly influence anaemia prevalence, with tribal and marginalised communities facing higher risks due to inequitable gender norms, inadequate access to healthcare, and poor sanitation and hygiene practices. The study suggests a multi-faceted approach to combat anaemia, including targeted interventions for women and children, improved antenatal care services, and comprehensive awareness campaigns. Addressing anaemia requires synergistic efforts from healthcare providers, policymakers and communities to create a healthier and iron-sufficient India.
‘Going digital’ – Its place in research into the history of modern accounting
Authors: Sangster Alan
Published: September 2023

This article presents the case for accounting historians to ‘go digital’, reflecting on a personal journey towards becoming a digital accounting historian, the motivations, strengths, weaknesses, opportunities, threats and outcomes. Above all, it describes benefits attainable by any accounting historian who allows ‘the digital’ to become how it should be, not the constraining master, but the flexible servant; and it sets a digital agenda for research into modern accounting history for now and for the future.
Amniotic Band Syndrome with Severe Facial Cleft: A Case Report
Authors: Irfan Rasul Muhammad , Fujiwara Kumiko , Ruslin Muhammad , Ayu Astuti Ida , Takaichi Mayu , Noguchi Makoto
Published: September 2023

Cases of severe bilateral Tessier 4 cleft with unilateral Tessier 3 cleft and additional involvement of the amniotic band syndrome are rarer. This case reports a very rare case of ABS with severe facial cleft. Postoperative progress was satisfactory and the patient achieved functional recovery. The patient underwent several miner reconstructive surgeries and appropriate surgical treatment is necessary to restore the patient's social life.
An encoder-decoder model with embedded attention-mechanism for efficient meshfree prediction of slope failure
Authors: Chen Jun , Wang Dongdong , Deng Like , Ying Jijun
Published: September 2023

The particle-based meshfree methods provide an effective means for large deformation simulation of the slope failure. Despite the advances of various efficient meshfree algorithmic developments, the computational efficiency still limits the application of meshfree methods for practical problems. This study aims at accelerating the meshfree prediction of the slope failure through introducing an encoder-decoder model, which is particularly enhanced by the attention-mechanism. The encoder-decoder model is designed to capture the long sequence character of meshfree slope failure analysis. The discretization flexibility of meshfree methods offers an easy match between the meshfree particles and machine learning samples and thus the resulting surrogate model for meshfree slope failure prediction has a quite wide applicability. In the meantime, the embedding of the attention-mechanism into the encoder-decoder neural network not only enables a significant reduction of the number of meshfree model parameters, but also maintains the key features of meshfree simulation and effectively alleviates the information dilution issue. It is shown that the proposed encoder-decoder model with embedded attention mechanism gives a more favorable prediction on the meshfree slope failure simulation in comparison to the general encoder-decoder formalism.
Topical anesthesia versus topical and subconjunctival anesthesia combined in diabetic retinopathy photocoagulation
Authors: Mafrici M. , Fragiotta S. , Tarsitano M.G. , Lorenzi U. , Toscani L.
Published: September 2023

Purpose

comparison between two anesthetic techniques on the ability to reduce pain during panretinal photocoagulation (PRP) treatment.

Methods

Observational retrospective single center study. Medical charts of patients who underwent PRP for proliferative diabetic retinopathy were revised. Patients were included if they had the first eye treated with oxybuprocaine hydrochloride drops, and in case of severe pain, the fellow eye received topical anesthesia in combination with 2% subconjunctival lidocaine. The groups were compared for pain perception using an analog visual scale (VAS), number of laser spots, number of interruptions, and laser session duration.

Results

Forty-two eyes of 21 patients (mean age: 58.3 ± 7.6 years) were analyzed. The mean number of laser spots was significantly higher under combined anesthesia (+84.2 ± 155.9 spots, p = 0.01), with a reduced time for laser execution (−2.5 ± 3.12, p = 0.0008). The use of combined anesthesia significantly decreased the number of interruptions (−40.8%, p < 0.0001) into a single session. On the pain grading scale, the pain perception was significantly lower in the combined anesthesia group ( p < 0.0001). In eyes receiving topical anesthesia the treatment was stopped for pain in 5 eyes (23.8%), while 5 eyes under combined anesthesia presented subconjunctival hemorrhage (23.8%).

Conclusion

Using combined anesthesia in patients subjected to PRP appeared to reduce pain perception limiting the treatment duration and the interruptions for pain without significant complications. Further studies on a larger scale would be desirable to replicate such findings and standardize the analgesic procedures in ophthalmology.
“A case of ocular ischemic syndrome in spontaneous acute internal carotid dissection: The importance of multidisciplinary management”
Authors: Cattaneo Jennifer , Micieli Camilla , Poli Jacopo Carlo , Migliorisi Carmelo , Trabucchi Giuseppe
Published: September 2023

Aims

To emphasize that ocular ischemic syndrome (OIS) is a rare but threatening condition. It is a consequence of occlusion or dissection of internal carotid artery (ICA).

Methods

A 66-year-old caucasian male presented in the emergency room with painful vision loss in his right eye and mild neurological symptoms. He was diagnosed ocular ischemic syndrome (OIS) in ICA and ophthalmic artery occlusion due to right ICA dissection.

Conclusions

It is very important to know and be able to recognise OIS as it may often be misdiagnosed or treated as a different entity. Patients with ICA occlusion and OIS must be treated as soon as possible by a stroke unit team to resolve ICA occlusion/dissection and by the ophthalmologist to prevent further ocular related complications.
Relationships Between Lifestyle, Quality of Life, Organizational Culture and Job Satisfaction Among Nurses Related to Health Promoting Hospital (HPH) Standards
Authors: Whitehead Dean , Hamidi Yadollah , Ebrahimi Hossein , Hazavehei Seyed Mohammad Mahdi , Kharghani Moghadam Seyedeh Melika
Published: September 2023

Providing quality healthcare services through health promotion activities to patients, hospital-based professionals and the wider community is the goal of the health promoting hospital (HPH). There is, however, no formal structured pathway for “universally” providing health promotion services in hospitals. Accordingly, this study was conducted with the aim of presenting a model designed to promote and increase health-related satisfaction of hospital-professionals in health-promoting hospitals (HPHs) in Iran—as a potential tool to guide international HPH standards. Lifestyle, quality of life, organizational culture, and job satisfaction were measured using standardized questionnaires in specialized hospitals in Hamadan, Iran. A structural equation model (SEM) using partial least squares (PLS) software (version 2) was used to determine the validity and fit of the conceptual framework/model. The study revealed that several factors were identified as strong predictors of job satisfaction and wellbeing, including various dimensions of lifestyle such as spiritual health, physical activity, stress management, and interpersonal communication, dimensions of quality of life including physical and mental aspects, and organizational culture. The values of predictive relevance ( Q2) for physical and psychological dimension of life quality, organizational culture, and job satisfaction were estimated to be 0.101, 0.250, and 0.040 and 0.251, respectively. Conclusively, the study found a goodness of fit (GOF) value of 0.415, indicating that the model had a high predictive power and fit well. Based on these results, it is suggested that implementing HPH interventions that focus on the outcomes of this model could lead to increased job satisfaction and wellbeing in hospitals. Additionally, the model could serve as a useful indicator of HPHs.
Retrospective chart review of transplant recipients with cytomegalovirus infection who received maribavir in the Phase 3 SOLSTICE trial: Data at 52 weeks post-maribavir treatment initiation
Authors: Bassel Marielle , Romanus Dorothy , Bo Tien , Sundberg Aimee K , Okala Sandra , Hirji Ishan
Published: September 2023

Background

Cytomegalovirus (CMV) infection is a frequent complication in haematopoietic cell/solid organ transplant (HCT/SOT) recipients. Previous studies report all-cause mortality rates of 31% and 50% in HCT/SOT recipients post-treatment initiation with conventional anti-CMV therapies for refractory or resistant CMV.

Methods

This was a multi-country, retrospective medical chart review study of HCT/SOT recipients with refractory CMV infection with or without resistance (R/R) who were randomized to the maribavir arm in the open-label Phase 3 SOLSTICE trial. Patients came from 21 SOLSTICE sites across 6 countries; each site randomized ≥3 patients to the maribavir arm. Patients were followed for 52 weeks (SOLSTICE trial period: 20 weeks; follow-up chart review period: 32 weeks). The primary outcomes were mortality and graft status.

Results

Of 234 patients who were randomized and received maribavir in SOLSTICE, chart abstraction was completed for all 109 patients enrolled across 21 trial sites (SOT, 68/142; HCT, 41/92). At 52 weeks, overall mortality was 15.6% (17/109) and survival probability was 0.84. Among SOT recipients, survival probability was 0.96, and 3 (4.4%) deaths occurred during the chart review period. For the HCT recipients, survival probability was 0.65 with 14 (34.1%) deaths; 8 occurred during SOLSTICE and 6 during the chart review period. No new graft loss or re-transplantation occurred during the chart review period.

Conclusions

Overall mortality at 52 weeks post-maribavir treatment initiation in this sub-cohort of patients from the SOLSTICE trial was lower than that previously reported for similar populations treated with conventional therapies for R/R cytomegalovirus infection.
Disentangling the normative justification of basic income from the structure of the capitalist wage relation and the culture of the work ethic
Authors: Henderson Troy
Published: September 2023

This article contributes to the literature on basic income and work by articulating the case for disentangling the normative justification of basic income from the structural and temporal imperatives of the capitalist wage relation and the work ethic. It begins with a survey of the major normative justifications of basic income and their respective orientations towards capitalist development and labour markets. Next it presents an argument against tying the justification of basic income to posited labour supply responses based on predicted technological change, the extant empirical evidence from pilots or technical policy simulations. It then addresses the politico-cultural barrier to basic income presented by the wage relation and the work ethic, and critically evaluates the ‘exit option’ argument for basic income. The article concludes that asserting a right to an ad vitam basic income is an ethically justified and politically astute step towards a necessary decentring of (capitalist) work in basic income scholarship and advocacy.
Attaining consensus on a core dataset for upper limb lymphoedema using the Delphi method: A foundational step in creating a clinical support system
Authors: Sierla Robyn , Dylke Elizabeth , Poon Simon , Shaw Tim , Kilbreath Sharon
Published: September 2023

Background: Lymphoedema is a condition of localised swelling caused by a compromised lymphatic system. The protein-rich fluid accumulating in the interstitial tissue can create inflammation and irreversible changes to the skin and underlying tissue. An array of methods has been used to assess and report these changes. Heterogeneity is evident in the clinic and in the literature for the domains assessed, outcomes and outcome measures selected, measurement protocols followed, methods of analysis, and descriptors used to report change. Objective: This study seeks consensus on the required items for inclusion in a core data set for upper limb lymphoedema to digitise the monitoring and reporting of upper limb lymphoedema. Methods: The breadth of outcomes and descriptors in common use were captured in prior studies by this research group. This list was refined by frequency and proposed to experts in the field ( n = 70) through a two-round online modified Delphi study. These participants rated the importance of each item for inclusion in the dataset and identified outcomes or descriptors they felt were missing in Round 1. In Round 2, participants rated any new outcomes or descriptors proposed and preference for how numeric data is displayed. Results: The core dataset was confirmed on completion of Round 2. Interlimb difference as a percentage, and limb volume were preferred for graphed display over time; and descriptors for observed and palpated change narrowed from 42 to 20. Conclusion: This dataset provides the foundation to create a clinical support system for upper limb lymphoedema.
A Novel Tripartite Evolutionary Game Model for Internet Consumer Financial Regulation
Authors: Mu Guangyu , Wang Yuhan , Gao Nan , Li Xiurong
Published: September 2023

Due to many social problems caused by Internet consumer finance, Internet consumer finance regulation has always become one of the main concerns of governments and society. Based on a novel three-dimensional mixed strategy game matrix, this paper constructs a tripartite evolutionary game model for regulators, Internet consumer financial institutions, and consumers. In this model, we establish the dynamic replication equation of the three parties above, analyze the influence of factors on the tripartite strategy selection and discuss the stability of model equilibrium points through numerical simulation. The results show that the model will get six evolutionary stable points in Internet consumer financial regulation under different conditions. Moreover, strict regulation, verification, and contract keeping are the most ideal evolutionarily stable strategies. In addition, three critical factors affect the evolution results of the three parties, namely losses to institutions caused by loose regulation and verification, punishment for loose verification under strict regulation, and losses from breaking the contract.
Effect of Delayed Endodontic Sealing with Dentin Biomodification on Fracture Resistance of Endodontically Treated Teeth
Authors: Ahmad Javed , Sajjan Girija S. , Panithini Durga Bhavani , Varma Madhu , Kalyan Satish R  , Prasad K Durga
Published: September 2023

Aim:

Endodontically treated teeth display altered tooth structure pertaining to various chemical irrigants and intracanal medicaments. To prevent the compromised adhesive bond, dentin biomodification is indicated. This study was designed to evaluate the influence of dentin biomodification on the fracture resistance of root canal-treated teeth following Delayed Endodontic Sealing (DES).

Materials and Methods:

In 50 maxillary central incisors, Class III cavities along with access cavities were prepared. The samples were randomly divided into five groups. Group 1: Intact teeth ( N = 10), Group 2: Immediate Endodontic Sealing (IES) ( N = 10); Group 3: DES after irrigation with 3% NaOCl ( N = 10); Group 4: DES with 2% chlorhexidine (CHX) as a biomodifier ( N = 10) and Group 5: DES with 5% grape seed extract (GSE) as a biomodifier ( N = 10). In Group 2 samples, composite restorations were done prior to irrigation with 3% sodium hypochlorite (NaOCl). Group 3 samples received root canal irrigation with 3% NaOCl for 1 min, etch and rinse procedure and composite restorations. In Groups 4 and 5, dentin biomodification was done prior to composite restorations. Teeth were subjected to fracture resistance tests. Statistical analysis was carried out employing analysis of variance (ANOVA) and Tukey’s post hoc tests ( p < .05).

Results:

IES group demonstrated the highest fracture resistance, with a significant difference statistically ( p < .05) when compared with the DES groups. DES modified with GSE resulted in significantly superior fracture resistance compared to DES only, but no statistical difference was present between the CHX and grape seed-treated DES groups.

Conclusion:

DES with the use of dentin biomodifiers such as 5% GSE and 2% CHX increased the fracture resistance of root canal-treated teeth compared to DES only.
Entrepreneurial Leadership and Innovative Work Behaviour: Moderating Role of Islamic Work Ethics
Authors: Hussain Riffat , Gohar Madiha , Iqbal Yasmine Muhammad Javaid , Khan Hammad Ali
Published: September 2023

The present environmental complexity resulting from technological advancements has made it critical for firms to promote innovation in their activities, products, services and outputs. Innovation is a solution to everyday management problems to successfully adapt to workplace challenges and unanticipated occurrences, the invention of new ideas to improve the workflow and the advancement of novel products and services. However, for a firm to be innovative, it is essential to be led by an entrepreneurial lead. Therefore, we aim to examine the impact of entrepreneurial leader(ship) (EL) on employees’ innovative work behaviour (IWB) with moderating role of Islamic Work Ethics (IWE), with a theoretical lens of Social Cognition and Resource-Based view. To achieve these objectives a self-administered survey questionnaire was circulated among managers, owners and employees of small and medium enterprises (SMEs) in Islamabad. The Partial Least Squares Structural Equation Modelling (PLS-SEM) model was applied for hypotheses testing. The results of SEM demonstrate that EL significantly influences the IWB of employees in SMEs. Similarly, IWE also shows a significant effect on the employees’ IWB. However, an insignificant effect for IWE as a moderator between EL and IWB is observed. Overall, the findings of this research contribute to the existing body of knowledge by conceptualising a theoretical and practical model of entrepreneurial leadership predicting employees’ IWB in SMEs.
Unearthing the Conflict of Induced Displacement of Dalits and Tribals in Kashipur: Critical Insight into Utkal Alumina International Limited Operation
Authors: Priyadarshini Sugyanta , Dulla Nisrutha
Published: September 2023

Development-induced-displacement (DID) in remote locations has jeopardized the welfare of Tribal and Dalit communities (TDC), which has reached a magnitude and frequency that requires immediate attention and worldwide significance. Therefore, the current study seeks to explore the impact of forced displacement on tribal identity, culture and traditional sources of livelihood in the establishment of Utkal Alumina International Limited (UAIL) in Kashipur (Odisha). The study has addressed three objectives: (a) to what extent did politicizing the UAIL operation by the upper-caste community altered the compensatory R&R (rehabilitation and resettlement) benefits received by TDC, (b) to measure the impact of displacement and the extent of loss of livelihood caused by UAIL and (c) to what extent tribal identity, culture and livelihood security been eroded in the process of UAIL establishment. Amid the essentiality for balanced reconciliation between displacement and resettlement, the study found that the impact of DID is not homogenous on society but has affected the TDC differently due to corrupt intervention of upper-caste officials, resulting in delayed or denied compensation. The study recommends an immediate requirement of risk reversal explicit strategies backed up by adequate financing for reconstructing and improving the livelihood of displaced masses.
Hierarchical CNNPID Based Active Steering Control Method for Intelligent Vehicle Facing Emergency Lane-Changing
Authors: Wang Wensa , Liang Jun , Pan Chaofeng , Chen Long
Published: September 2023

To resolve the response delay and overshoot problems of intelligent vehicles facing emergency lane-changing due to proportional-integral-differential (PID) parameter variation, an active steering control method based on Convolutional Neural Network and PID (CNNPID) algorithm is constructed. First, a steering control model based on normal distribution probability function, steady constant radius steering, and instantaneous lane-change-based active for straight and curved roads is established. Second, based on the active steering control model, a three-dimensional constraint-based fifth-order polynomial equation lane-change path is designed to address the stability problem with supersaturation and sideslip due to emergency lane changing. In addition, a hierarchical CNNPID Controller is constructed which includes two layers to avoid collisions facing emergency lane changing, namely, the lane change path tracking PID control layer and the CNN control performance optimization layer. The scaled conjugate gradient backpropagation-based forward propagation control law is designed to optimize the PID control performance based on input parameters, and the elastic backpropagation-based module is adopted for weight correction. Finally, comparison studies and simulation/real vehicle test results are presented to demonstrate the effectiveness, significance, and advantages of the proposed controller.