bluuebunny/crossref_metadata_2025 huggingface dataset:
A New Partial Correlation Coefficient Technique Based on Intuitionistic Fuzzy Information and Its Pattern Recognition Application
Authors: Ejegwa Paul Augustine , Onyeke Idoko Charles , Kausar Nasreen , Kattel Parameshwari
Published: March 2023

Computation of correlation coefficient among attributes of ordinary database is important especially in the classification and analysis of data. Due to the hesitations in the process of data classification, the idea of intuitionistic fuzzy data (IFD) is appropriate for a reliable classification. To achieve a dependable correlation, the construct of partial correlation coefficient based on IFD has been considered. The construct of partial correlation coefficient of intuitionistic fuzzy sets (PCCIFSs) is reasonable since correlation coefficients of intuitionistic fuzzy sets (CCIFSs) are limited in the sense that it only expressed linear association and direction of such relation between IFD without minding the effect of other IFD. On the contrary, partial correlation coefficient finds the exact association between any two IFD by muting the effect of other IFD which could sway the result of the correlation coefficient. In previous works, the idea of PCCIFSs was introduced based on the multivariate correlation model using empirical logit transform. Besides the fact that the outputs of multivariate correlation model are not always easy to interpret, the approach also never considered the three parameters of IFSs and does not use the values of CCIFSs for the computational process. With these setbacks, we are motivated to propose a novel approach of finding PCCIFSs by incorporating the three parameters of IFD based on a modified CCIFSs approach. A comparative analysis of the robust PCCIFSs approach and the existing approach is considered to justify the novel approach. An application of the new approach of PCCIFSs is considered in the case of pattern recognition where the patterns are represented as intuitionistic fuzzy data.
Deep SVDD and Transfer Learning for COVID‐19 Diagnosis Using CT Images
Authors: Alhadad Akram A. , Mostafa Reham R. , El-Bakry Hazem M.
Published: March 2023

The novel coronavirus disease (COVID‐19), which appeared in Wuhan, China, is spreading rapidly worldwide. Health systems in many countries have collapsed as a result of this pandemic, and hundreds of thousands of people have died due to acute respiratory distress syndrome caused by this virus. As a result, diagnosing COVID‐19 in the early stages of infection is critical in the fight against the disease because it saves the patient’s life and prevents the disease from spreading. In this study, we proposed a novel approach based on transfer learning and deep support vector data description (DSVDD) to distinguish among COVID‐19, non‐COVID‐19 pneumonia, and intact CT images. Our approach consists of three models, each of which can classify one specific category as normal and the other as anomalous. To our knowledge, this is the first study to use the one‐class DSVDD and transfer learning to diagnose lung disease. For the proposed approach, we used two scenarios: one with pretrained VGG16 and one with ResNet50. The proposed models were trained using data gathered with the assistance of an expert radiologist from three internet‐accessible sources in end‐to‐end fusion using three split data ratios. Based on training with 70%, 50%, and 30% of the data, the proposed VGG16 models achieved (0.8281, 0.9170, and 0.9294) for the F1 score, while the proposed ResNet50 models achieved (0.9109, 0.9188, and 0.9333).
An Infected, Noncoronary, Bare Metal Stent Presenting as a Right Groin Abscess
Authors: Khan Madiha , Mourad Youssef , Zeitlin Alan , Louis Martine Alice , Rizvi Syed Ali , Cervellione Kelly L.
Published: March 2023

Bare metal stent infections complicating peripheral endovascular stenting are rare but can be associated with devastating morbidities. The current standard of care necessitates explantation and extra-anatomical bypass of the affected limb. We report the case of a patient presenting with a right groin abscess with draining sinuses secondary to an infected common femoral and right external iliac artery bare metal stent. In addition, a portion of the stent was explanted into the subcutaneous tissues instead of where it was placed intravascularly one year prior. The patient was not an ideal candidate for explantation and bypass due to significant medical comorbidities and underwent local debridement and long-term antibiotic management instead. His postoperative course was uncomplicated, and he had a successful outcome with management utilizing antibiotics and debridement. We aim to highlight the importance of recognizing bare metal stent infections along with their deceptive cutaneous manifestations in order to prevent the development of significant morbidity and mortality.
A Water-Soluble Hydrogen Sulfide Donor Suppresses the Growth of Hepatocellular Carcinoma via Inhibiting the AKT/GSK-3β/β-Catenin and TGF-β/Smad2/3 Signaling Pathways
Authors: Duan Shao-Feng , Zhang Meng-Meng , Dong Qian , Yang Bo , Liu Wei , Zhang Xin , Yu Hai-Lan , Zhang Shi-Hui , Khan Nazeer Hussain , Wu Dong-Dong , Zhang Xiao-Ju , Cen Juan
Published: March 2023

Hepatocellular carcinoma (HCC) is a disease with high morbidity, high mortality, and low cure rate. Hyaluronic acid (HA) is widely adopted in tissue engineering and drug delivery. 5-(4-Hydroxyphenyl)-3H-1, 2-dithiol-3-thione (ADT-OH) is one of commonly used H2S donors. In our previous study, HA-ADT was designed and synthesized via coupling of HA and ADT-OH. In this study, compared with sodium hydrosulfide (NaHS, a fast H2S-releasing donor) and morpholin-4-ium (4-methoxyphenyl)-morpholin-4-ylsulfanylidenesulfido-λ5-phosphane (GYY4137, a slow H2S-releasing donor), HA-ADT showed stronger inhibitory effect on the proliferation, migration, invasion, and cell cycle of human HCC cells. HA-ADT promoted apoptosis by suppressing the expressions of phospho (p)-protein kinase B (PKB/AKT), p‐glycogen synthase kinase‐3β (GSK-3β), p‐β‐catenin, and also inhibited autophagy via the downregulation of the protein levels of p‐Smad2, p‐Smad3, and transforming growth factor‐β (TGF‐β) in human HCC cells. Moreover, HA-ADT inhibited HCC xenograft tumor growth more effectively than both NaHS and GYY4137. Therefore, HA-ADT can suppress the growth of HCC cells by blocking the AKT/GSK-3β/β-catenin and TGF‐β/Smad2/3 signaling pathways. HA-ADT and its derivatives may be developed as promising antitumor drugs.
Concurrent Prospects to Develop Activated Charcoal Reinforced Self-Sensing Cement Composites for Structural Health Monitoring Applications
Authors: Dinesh A. , Suji D. , Pichumani Moorthi
Published: March 2023

This research examines the electromechanical characteristics of self-sensing cement composite (SCC) containing activated charcoal (AC) at various concentrations (5%, 10%, 15%, 20%, and 25%). The developed composite is placed in various zones in the beam to monitor beam behaviour, as well as in the column center to monitor column deflection. The research reveals that AC reduced the compressive strength and resistivity of cement composites by generating local hydration and carbon accumulation. The performance index approach optimizes AC concentrations at 25% and 20% without and with 10% silica fume (SF), respectively. The embedded SCC has monitored the deflection of beams and columns with a maximum correlation between electrical resistivity and deflection at 99% and 96%, respectively. According to the findings, the AC can generate SCC, which might be utilized to monitor the deflection of beams and columns.
Thin Basement Membrane: An Underrated Cause of End-Stage Renal Disease
Authors: Uzzo Martina , Moroni Gabriella , Ponticelli Claudio
Published: March 2023

The term “thin basement membrane” (TBM) refers to a glomerular disorder characterized by diffuse uniform thinning of the glomerular basement membrane (GBM) on electron microscopy. Patients with TBM usually show an isolated hematuria with excellent renal prognosis. However, some patients can develop proteinuria and progressive kidney dysfunction in the long term. Most patients with TBM are heterozygous for pathogenic variants in genes encoding for both the α3 and α4 chains of collagen IV, a major constituent of GBM. Such variants are responsible for a wide range of clinical and histological phenotypes. The differential diagnosis between TBM and autosomal-dominant Alport syndrome and IgA nephritis (IGAN) may be difficult in some cases. Patients who progress to chronic kidney disease may show clinicopathologic features similar to those of primary focal and segmental glomerular sclerosis (FSGS). Without a shared classification of these patients, the risk of misdiagnosis and/or underestimation of the risk of progressive kidney disease is real. New efforts are needed to understand the determinants of renal prognosis and recognize the early signs of renal deterioration, allowing a custom-made diagnosis and therapeutic approach. For this purpose, a practical and simple clinical approach is supplied.
M2 Macrophages Upregulated by Allergen Exposure in Seasonal Allergic Rhinitis
Authors: Lou Hongfei , Huang Yanran , Chu Xiaohan , Wang Yang , Wang Chengshuo , Zhang Luo
Published: March 2023

Introduction: Macrophages play a central role in balancing the immune response by switching phenotypes between the M1 and M2 profiles according to a delicate equilibrium. Based on a previous clinical trial (NCT 03649139), this study aimed to evaluate the change in M2 macrophages during pollen exposure in seasonal allergic rhinitis (SAR). Methods: Nasal symptom scores were recorded. Peripheral M2 macrophages were investigated according to cell surface markers, and M2-associated cytokine/chemokine release in serum and nasal secretion were assessed. In vitro pollen stimulation tests were performed, and polarized macrophage subsets were analyzed by flow cytometry. Results: Compared to baseline, the percentage of peripheral CD163+ M2 macrophages in CD14+ monocytes increased during the pollen season (p < 0.001) and at the end of treatment (p = 0.004) in the SLIT group. The percentage of CD206+CD86− M2 cells in M2 macrophages during the pollen season was higher than that at baseline and at the end of SLIT. On the other hand, the percentage of CD206−CD86+ M2 cells in M2 macrophages significantly increased at the end of treatment in the SLIT group compared to baseline (p = 0.049), the peak pollen period (p = 0.017), and the placebo group (p = 0.0023). M2-associated chemokines CCL26 and YKL-40 were significantly increased during the pollen season in the SLIT group and remained higher at the end of SLIT than at baseline. Correspondingly, in vitro study demonstrated that Artemisia annua promoted M2 macrophage polarization in pollen-induced AR patients. Conclusion: Significant M2 macrophage polarization was promoted when patients with SAR were exposed to the allergen, either naturally exposed in pollen seasons or subjectively continuously exposed during the course of SLIT.
Alterations in the Proteome of Developing Neocortical Synaptosomes in the Absence of MET Signaling Revealed by Comparative Proteomics
Authors: Eagleson Kathie L. , Levitt Pat
Published: March 2023

Alterations in the expression of genes encoding proteins involved in synapse formation, maturation, and function are a hallmark of many neurodevelopmental and psychiatric disorders. For example, there is reduced neocortical expression of the MET receptor tyrosine kinase (MET) transcript and protein in Autism Spectrum Disorder (ASD) and Rett syndrome. Preclinical in vivo and in vitro models manipulating MET signaling reveal that the receptor modulates excitatory synapse development and maturation in select forebrain circuits. The molecular adaptations underlying the altered synaptic development remain unknown. We performed a comparative mass spectrometry analysis of synaptosomes generated from the neocortex of wild type and Met null mice during the peak of synaptogenesis (postnatal day 14; data are available from ProteomeXchange with identifier PXD033204). The analyses revealed broad disruption of the developing synaptic proteome in the absence of MET, consistent with the localization of MET protein in pre- and postsynaptic compartments, including proteins associated with the neocortical synaptic MET interactome and those encoded by syndromic and ASD risk genes. In addition to an overrepresentation of altered proteins associated with the SNARE complex, multiple proteins in the ubiquitin-proteasome system and associated with the synaptic vesicle, as well as proteins that regulate actin filament organization and synaptic vesicle exocytosis/endocytosis, were disrupted. Taken together, the proteomic changes are consistent with structural and functional changes observed following alterations in MET signaling. We hypothesize that the molecular adaptations following Met deletion may reflect a general mechanism that produces circuit-specific molecular changes due to loss or reduction of synaptic signaling proteins.
Nurturing Basic Societal Competencies in Speech-Language-Hearing Therapy Training Education: Effects of Coaching Classes
Authors: Okuyama Junko , Suzukamo Yoshimi , Osanai Fudeko , Nishizawa Yoshiko , Izumi Shin-Ichi
Published: March 2023

Introduction: Nurturing “basic societal competencies” is important in the training education of speech-language-hearing therapists (SLHTs) to enable them to respond to fluctuating medical treatment scenarios. However, in the current training education for SLHTs, some students need assistance in terms of basic societal competencies, such as initiative, planning, and communication. In this study, the focus was on coaching theory, a method of interpersonal support through dialog, as a strategy for addressing the issues. The objective was to clarify whether coaching theory-based classes for SLHT students improve their basic societal competencies. Methods: The participants were first- and third-year undergraduate SLHT students in Japan. The coaching and control groups comprised students enrolled in 2021 and 2020, respectively. The observation period for this prospective cohort study was from April to September 2020 and from April to September 2021. The coaching and control groups received 90-min coaching and remedial education classes, respectively, 11 times in 3 months. To establish students’ knowledge and skills, follow-up sessions were conducted four times a month, and assignments were given during the subsequent summer vacation. The effects of the classes were based on Kirkpatrick’s four-level evaluation model, with Levels 1, 2, 3, and 4 evaluating satisfaction with the class, learning proficiency, behavior modification, and result attainment, respectively. Results: The coaching and control groups comprised 40 and 48 participants, respectively. In the evaluation of behavior modification (level 3) using the “PROG (progress report on generic skills) competency test (RIASEC Inc., Tokyo),” the interactions between time and group and the main effects of time were significant for the basic societal competencies of “relating with others” and “self-confidence.” Multiple comparisons showed that the post-class scores were significantly higher than the pre-class scores in the coaching group (change of 0.9 for relating with others and 0.7 for self-confidence) and that the scores in the coaching group were significantly higher than those in the control group at the post-class. The interaction between time and group was significant for those “planning solutions,” and the post-class score was significantly higher than the pre-class score in the coaching group (change of 0.8). Conclusion and Implication: The coaching classes improved the students’ basic societal competencies of relating with others, self-confidence, and planning solutions. This suggests that coaching classes are useful in the training education for SLHTs. Ultimately, nurturing students’ basic societal competencies will develop human resources who could achieve quality clinical performance.
Educação e processos de criação: relações contemporâneas
Authors: Martinelli Paula , Pfützenreuter Edson do Prado , Ayoub Eliana , Carlin Mariana Henriques Duarte , Dias Wagner Miranda
Published: March 2023

Editorial do dossiê 48 - "Educação e processos de criação: relações contemporâneas".
Imersões poéticas e processos criação na formação de licenciadas(os) em Artes Cênicas
Authors: Hernández Márcia Maria Strazzacappa , Ferreira Mirza
Published: March 2023

O presente artigo é fruto de uma pesquisa participante de abordagem qualitativa, que tinha por objetivo refletir acerca da construção do conhecimento de/em arte na formação de licenciadas(os) em dança e em teatro em Instituições de Ensino Superior públicas que abriram suas graduações pelo Programa de Apoio a Planos de Reestruturação e Expansão das Universidades Federais (REUNI). A pesquisa foi realizada por meio de ações propostas pelas artistas-pesquisadoras denominadas Imersões Poéticas. O texto em tela expõe a gênese das Imersões, descreve os procedimentos do trabalho e relata o processo de criação de um espetáculo cênico-coreográfico, considerado um dos pontos mais significativos do trabalho. Por fim, analisa os efeitos da apresentação deste junto ao corpo docente e discente das licenciaturas em artes cênicas, comprovando a relevância da realização de processos criativos como parte fundamental na formação de licenciadas(os) em Artes Cênicas.
Why the Five Eyes? Power and Identity in the Formation of a Multilateral Intelligence Grouping
Authors: Williams Brad
Published: March 2023

Adopting an analytically eclectic approach that draws on theories of realist bargaining, identity, and socialization, this article investigates the early Cold War origins of the Five Eyes intelligence grouping (the United States, Canada, Great Britain, Australia, and New Zealand). An understanding of identity grounded in culture suggests a natural process of international intelligence community building, but this was not the case with the Five Eyes. The formation of the grouping was not preordained. Although Anglo-Saxonism was a necessary condition, it was not sufficient. In addition to being able to provide valuable sites for signals intelligence collection, aspiring members had to be seen as staunchly anti-Communist (and therefore politically trustworthy) by the United States in order to become full members of this exclusive community. Early postwar concerns over the political loyalties and secrecy protection regime of the Australian government prompted the British to initiate a process of socialization aimed at bolstering its affiliate's security institutions and practices and guaranteeing its own access to U.S. secrets.
Tears and Contrition in Early Modern Iberian Inquisitorial Trials (1560–1610): A Preliminary Study
Authors: Soyer François
Published: March 2023

The History of Emotions has been establishing itself as a field of historical research since the 1980s, but, to date, almost no attempt has been made to approach the study of the Spanish and Portuguese inquisitions through the history of emotions. Focusing on the period 1560–1610, which followed the conclusion of the Council of Trent, this essay endeavours to offer a preliminary analysis of Iberian inquisitorial trials for the history of emotions. The first section examines the case study offered by the trial of the Spanish soldier Bartolomé Domínguez, who was prosecuted in Portugal for committing sacrilege in 1589. Having lost all his money gambling, Bartolomé drew his sword and slashed at a wayside cross. This public act of sacrilege led to Bartolomé’s arrest and an investigation by the Inquisition. The surviving inquisitorial trial dossier provides an interesting insight into the role played by emotions in inquisitorial justice and social disciplining in the early modern Iberian Peninsula. The second section examines a limited sample of trials that have been edited and seeks to find references to tears and weeping in such sources. It discusses what such references reveal about the attitudes of inquisitors towards tears within the legal context of inquisitorial trials, and whether tears were always seen as evidence of genuine contrition. The third and final section focuses on investigating how the context of post-Tridentine spirituality might have played a role in the increased attention that the inquisitors paid to other physical signs of contrition beyond tears.
Ticks of Australasia: 125 species of ticks in and around Australia
Authors: BARKER STEPHEN c. , BARKER DAYANA
Published: March 2023

The present work is an update and a substantial expansion of Barker & Walker (2014). Barker & Walker (2014) dealt with 16 species of particular importance to domestic animals and humans whereas the present work deals with all 125 of the species known from Australasia; that is Australia, New Zealand, the island of New Guinea, Sulawesi, and the islands of the western Pacific. These comprise 102 species of ixodid (hard) ticks and 23 species of argasid (soft) ticks.
Mechanisms of Injury in Adolescent Trauma Patients With a Positive Marijuana Screen
Authors: Aryan Negaar , Grigorian Areg , Matsushima Kazuhide , Schellenberg Morgan , Nahmias Jeffry , Emigh Brent , Inaba Kenji
Published: March 2023

Background

Marijuana use among adolescents may have increased after its legalization in the United States. An association between violence and marijuana use in adults has been demonstrated in previous reports. We hypothesized that adolescent trauma patients presenting with a positive marijuana screen (pMS) are more likely to have been injured by gunfire or knives and will have more severe injuries overall, compared to patients with a negative marijuana screen (nMS).

Methods

The 2017 Trauma Quality Improvement Program database was queried for adolescent (13-17 years old) pMS patients and compared to adolescents who tested negative for all substance/alcohol. Patients with positive polysubstance/alcohol were excluded.

Results

From 8257 adolescent trauma patients, 2060 (24.9%) had a pMS with a higher rate of males in the pMS group (76.3% vs 64.3%, P < .001). The pMS group presented more frequently after gun (20.3% vs 7.9%, P < .001) or knife trauma (5.7% vs 3.0%, P < .001) and less frequently after falls (8.9% vs 15.6%, P < .001) and bicycle collisions (3.3% vs 4.8%, P = .002). The rate of serious thoracic injury (AIS ≥3) was higher for pMS patients (16.7% vs 12.0%, P < .001), and more pMS patients required emergent operation (14.9% vs 10.6%, P < .001).

Discussion

In our adolescent patient population, one quarter tested positive for marijuana. These patients are more likely to be injured by guns and/or knives suffering serious injuries, and often require immediate operative intervention. A marijuana cessation program for adolescents can help improve outcomes in this high-risk patient group.
Whole Blood Trauma Resuscitation in Community Trauma Centers Confers Survival Benefit Over Component Therapy
Authors: Johnson Tyler , Mack T. J. , Burke Rachel , Damiano Nick , Heger Laura , Minner Nicholas , German Emily , Wilson Angela , Mount Michael , Thurston Brian , Mentzer Caleb J.
Published: March 2023

Whole blood (WB) for trauma resuscitation in civilian populations has become more common. The utilization of WB in community trauma centers has not been reported. Previous studies have centered around large academic medical centers. We hypothesized that WB-based resuscitation compared to component-only resuscitation (CORe) would demonstrate a survival benefit and that WB resuscitation is safe, feasible, and benefits trauma patients regardless of setting. Our results indicate that receiving whole blood during resuscitation conferred a clear survival benefit to discharge, and this benefit was independent of ISS, age, gender, and initial SBP. We conclude WB should be incorporated into all resuscitation protocols for exsanguinating trauma patients and preferred over component therapy in all centers treating trauma patients.
Management of Internal Mammary Artery Injuries Associated With the Nuss Procedure
Authors: Briscoe William Eric , Miles M. Victoria Purvis , Byers Brynn , Rippy Meredith , Smith Lisa
Published: March 2023

The minimally invasive repair of pectus excavatum (MIRPE), or Nuss procedure, is regarded as the gold standard technique for the treatment of symptomatic pectus excavatum. Minimally invasive repair of pectus excavatum is regarded as a low-risk operation with a reported life-threatening complication rate estimated at around 0.1%. Presented are three cases of right internal mammary artery injury (RIMA) after MIRPE resulting in massive hemorrhage in both the acute and chronic postoperative setting and subsequent management strategies. Exploratory thoracoscopy and angioembolization were utilized which achieved prompt hemostasis and allowed for complete patient recovery.
Predictive Significance of the Preoperative Neutrophil-lymphocyte Ratio for Recurrence in Idiopathic Granulomatous Mastitis Patients
Authors: Li Qiang , Wan Jiangyang , Feng Ziyu , Shi Jianhua , Wei Wan
Published: March 2023

Background

To investigate and assess the correlation between inflammatory markers, such as the preoperative neutrophil-lymphocyte ratio (NLR), and the recurrence of idiopathic granulomatous mastitis (IGM).

Methods

All patients with IGM who were free of malignancy or inflammatory diseases were included in this retrospective analysis between January 2013 and December 2019. On the basis of the presence or absence of recurrence, the patients were split into two groups. After collecting retrospective data, the relationship between patient characteristics, hematological markers such as C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), NLR, platelet-lymphocyte ratio (PLR), and white blood cell count (WBC), and their connection with postoperative recurrence were assessed utilizing univariate and multivariate analyses, receiver operating characteristic curves (ROC curves), and logistic regression.

Results

Recurrences occurred in 40.0% (32/80) of the 80 patients over a median follow-up duration of 35.5 months (22.0-47.8 months). The recurrent group showed higher NLR and CRP than the non-recurrent group (PNLR = .003, PCRP = .02). Neutrophil-lymphocyte ratio and postoperative recurrence were associated (correlation coefficient r = .436, P = .01). The ROC curve’s ideal threshold, which had predictive value for IGM recurrence, was 2.18 (sensitivity: 46.9%; specificity: 14.6%).

Conclusion

The preoperative NLR is a simple and affordable way to predict IGM relapse, which is important for directing clinical work.
A commentary on “Different strokes for different folks? The translation of public values into official meanings”
Authors: Stazyk Edmund C.
Published: March 2023

This commentary on the article “Different strokes for different folks? The translation of public values into official meanings” considers the merits of the authors’ arguments and offers several recommendations for researchers interested in public values.
“It’s Allowed Me to Be a Lot Kinder to Myself”: Exploration of the Self-Transformative Properties of Solitude During COVID-19 Lockdowns
Authors: Paterson Jodie , Park Miriam Sang-Ah
Published: March 2023

The Coronavirus (COVID-19) national lockdowns profoundly affected the lives of many, as significant portions of the U.K. population were involuntarily sequestered away from their usual social landscapes into newfound states of solitude. Many millennials (those between the ages of 25 and 40 at the point of study), having lived in an age of constant connection, found themselves in an extended period of solitude for the first time. The current qualitative study explores through Interpretative Phenomenological Analysis (IPA) how some UK millennials were able to harness the unique self-transformative properties of positive solitude during the COVID-19 national lockdowns. Analysis revealed a narrative of self-discovery, as domains of positive solitude granted the participants freedom from the demands of performative social burdens and encouraged opportunities to engage with mindfulness and meaningful introspection. These activities, within the experience of solitude, encouraged an alignment of inward beliefs and outward behaviors for the participants, thus helping them to cultivate a more congruent self-concept and subsequently a heightened sense of authenticity and enhanced psychological well-being. Clinical implications leading on from the current study highlight the importance of mindfulness and other solitude-promoting interventions as a method to ameliorate depressive symptoms and improve psychological well-being.
Work–faith integration in the neoliberal age: Women professionals’ alignment of evangelical identity with professional identity in South Korea
Authors: Jung Gowoon
Published: March 2023

Prior studies on work–faith integration have only explained professionals’ negotiation of religious and professional identities within one occupational setting, overlooking how the negotiation diverges in the soaring force of neoliberal regime that intersects with gendered workplace culture. Drawing on in-depth interviews with Korean evangelical women professionals, the article demonstrates how women, proportionately more religious than men, arrive in the alignment of two identities at the workplace. The research finds two patterns of alignments: (1) individual moralising, which is achieved through displaying the narratives of calling and participating in expressive activities, and (2) selective compartmentalising, which is obtained through the practices of setting flexible boundaries and turning evangelical language off. Bringing a neoliberal and gendered perspective to the categorisation of workplaces, this study argues that women are likely to display higher degrees of faith and more evangelical language within less neoliberal-oriented, feminised workplaces than in neoliberal-oriented, masculine ones.
Healthcare Associated Infections, Nurse Staffing, and Financial Performance
Authors: Upadhyay Soumya , Smith Dean G.
Published: March 2023

Healthcare associated infections (HAIs) are a concern to patients, hospital administrators and policymakers. For over than a decade, efforts have been made to hold hospitals accountable for the costs of HAIs. This study uses contingency theory as a framework to examine the association between HAIs and hospital financial performance. We use publicly available data on 2059 hospitals in 2014 to 2016 that include HAIs, staffing financial performance, and hospital and hospital market characteristics. The key independent variables are available infection rates and nurse staffing. The dependent variables are indicators of financial performance: operating margin, total margin, and days cash on hand. We find nearly identical negative direct associations between infections and operating margins and total margins (−0.07%), and positive associations between the interaction of infections and nurse staffing (0.05%). A 10% higher infection rate would be predicted to be associated with only a 0.2% lower profit margin. The associations between HAIs, nurse staffing and days cash on hand were insignificantly different from zero.
Perceived Religious Pressures as an Antecedent to Self-Reported Religious/Spiritual Development and Well-Being for Christians
Authors: Walker Andrea C. , D. Lang Andrew S. I.
Published: March 2023

Past research has confirmed the utility of environmental variables, and perceptions of religious pressure (RP) in particular, in predicting faith maturity and religious schema scores for participants from Christian environments. Whether environmental variables predict religious development and whether religious development, in turn, leads to greater well-being for individuals from broader environments remain unknown. Utilizing participants from both Christian and non-Christian environments, the current study measures religious development variables that were constructed based on self-determination theory (SDT). We used structural equation modeling (SEM) to evaluate our hypothesis that religious pressures RP and autonomy supportive environment (ASE) are antecedents to religious/spiritual relatedness (R/S-R) and self-mastery (R/S-S), which in turn lead to greater well-being, as determined by the presence of meaning in life (MIL). Results indicate that both environmental variables of RP and ASE predicted higher scores on religious/spiritual relatedness and self-mastery, and this led to self-reports of greater well-being for both samples. Therefore, members of the broader religious environment of Christianity responded to RP similarly, implying that certain commonalities may shape Christians’ cognitions around obedience to God and authority across settings, although this result should be interpreted with caution. Further implications of these findings are explored and recommendations for future research provided.
Bonebridge Implantation in Treacher-Collins Syndrome With Conductive Hearing Loss—Case Report
Authors: Šikolová Soňa , Urík Milan , Hošnová Dagmar , Kruntorád Vít , Bartoš Michal , Petrová Barbora
Published: March 2023

The Bonebridge (BB) was the first active transcutaneous implantation system for bone conduction. The main indications are conductive or mixed hearing loss and single-sided deafness. Treacher-Collins syndrome (TCS) is a rare genetic disease that affects craniofacial development. The disorder results in deformations of facial structure including ear malformations, especially microtia and ear canal atresia. These patients suffer from conductive hearing loss. CT scans often show unfavorable temporal bone anatomy making placement of an implant difficult. For implantable hearing rehabilitation, patients may decide for conduction implants, such as a BAHA, a Ponto, a Vibrant Soundbridge, or a Bonebridge. In this case report, we present 2 patients with TCS implanted with the Bonebridge system, their audiological results, and quality of life.
Spaced Effect Learning and Blunting the Forgetfulness Curve
Authors: Wollstein Yael , Jabbour Noel
Published: March 2023

Medical education requires learners to absorb, retain, and apply vast amounts of information at every level of training. This process is constrained by the limitations of human memory, which were described by psychologist Hermann Ebbinghaus as a “forgetfulness curve.” As he explained, material encountered during a lecture or study session is typically lost rapidly over the ensuing days. Ebbinghaus’ solution to this problem—spaced repetition—involves revisiting studied content at multiple, specifically selected time intervals to reinforce learning and facilitate long-term retention. Using question-based repetition, as opposed to passive reading/listening modalities, can help optimize this process. Spaced learning has been used for training in multiple fields including finance, management and technology development. It has also been utilized by medical students preparing for exams and by select residency training programs. This article examines the range of ways spaced repetition has been employed in medical education, with a focus on applications in Otolaryngology training. It also discusses possible future avenues for use of this system to improve long-term retention in Otolaryngology residency and beyond.
The Construct of Bottom-Line Mentality: Where We’ve Been and Where We’re Going
Authors: Greenbaum Rebecca L. , Mawritz Mary B. , Zaman Nazifa N.
Published: March 2023

A growing body of research has examined the construct of bottom-line mentality (BLM), which captures a tunnel vision focus on securing bottom-line outcomes to the disregard of competing work priorities. We offer a systematic review of the literature to summarize current knowledge of BLM, what is missing in the literature, and key opportunities for advancing our theoretical understanding of the construct. Our review first defines and conceptualizes BLM and then organizes past BLM findings according to the key sources of BLM: (a) leader, (b) employee, and (c) collective BLM. When applicable, research on each source of BLM is synthesized with respect to its most prevalent theoretical frameworks and in relation to its (a) outcomes, (b) antecedents, and (c) instances whereby BLM serves as a moderator. Our discussion then examines the critical ways in which BLM research can advance with the most theoretical rigor. We first discuss whether there is value in studying a BLM with respect to non-financial, bottom-line outcomes. Second, we question whether BLMs always (or mostly) foster the desired bottom-line outcome. Third, we provide theoretical arguments that support BLM as a potentially activated psychological state that is driven by context and suggest specific contexts that could be the driving forces of BLMs at work. Finally, we discuss the ways in which BLM research can improve methodologically, including a suggestion of how to revise the current BLM measure to advance BLMs with respect to non-financial, bottom-line outcomes.
Reimagining Local Government in the Wake of Recent Crises Will Build Public Trust
Authors: Ott Marc A.
Published: March 2023

We have been fundamentally changed by the crises of the past several years from the pandemic and its effects to the climate crisis and we have the opportunity to improve exponentially because of them. It is our challenge to reimagine local government in a way that “builds back better” in partnership with the private, non-profit, and state and federal government sectors and through dedicated, effective public engagement.
Echoes of Slavery: Reflections on Contemporary Racial Discrimination in Black Americans’ Romantic Relationships
Authors: Rice TeKisha M.
Published: March 2023

Informed by ecological and intersectional perspectives, this study examined how Black Americans’ reflections on the historical context of slavery and experiences with discrimination shaped their understandings of and experiences within their own relationships. In-depth semi-structured interviews were conducted with 14 individuals in romantic relationships. Findings of the thematic analysis covered five themes: comparing social climates, assumptions about Black relationships, the discrimination triad, an opportunity to respond, and valuing and celebrating Black love. Contemporary experiences of discrimination were a filter that echoed the historical devaluing and mistreatment of Black individuals and their relationships. Partners’ interactions around discrimination were critical opportunities to offer support to their romantic partner.
del Nido and Histidine-Tryptophan-Ketoglutarate cardioplegia in minimally invasive mitral valve surgery: A propensity-Match study
Authors: Malvindi Pietro Giorgio , Bifulco Olimpia , Berretta Paolo , Silvano Raffaele , Alfonsi Jacopo , Cefarelli Mariano , Zingaro Carlo , Di Eusanio Marco
Published: March 2023

Introduction

In the last decade, del Nido cardioplegia has been embedded in adult cardiac surgery involving CABG and aortic valve surgical procedures. We reviewed our early experience with del Nido cardioplegia in the setting of minimally invasive mitral valve surgery.

Methods

Data on 120 consecutive patients operated between 03/2021 and 06/2022 were retrieved from our internal database (infective endocarditis and urgent operations were excluded). Patients were divided into two groups according to the use of Histidine-Tryptophan-Ketoglutarate or del Nido cardioplegia. A propensity match analysis was performed using thirteen preoperative and intraoperative variables. Several intraoperative data and early postoperative outcomes were investigated, including cardiac enzymes (Troponin I HS and CK-MB) measured upon arrival in the Intensive Care Unit (ICU), after 12 hours and everyday thereafter.

Results

There was no difference in preoperative characteristics and surgical techniques between both unmatched and matched Histidine-Tryptophan-Ketoglutarate and del Nido populations. Patients in the del Nido group received a lower volume of cardioplegia ( p < 0.001) and ultrafiltration during CPB ( p < 0.001). Histidine-Tryptophan-Ketoglutarate was associated with a lower rate of post cross-clamp spontaneous defibrillation ( p < 0.001) and showed a lower level of blood sodium after CPB ( p < 0.001). The release of cardiac enzymes was similar between the two groups ( p = 0.72). There was no difference in terms of postoperative morbidity and 30 day mortality.

Conclusions

del Nido cardioplegia in the setting of minimally invasive mitral valve surgery seemed safe with acceptable myocardial protection and excellent early outcomes.
Nursing of a lactating patient with superior mesenteric artery syndrome: a case report
Authors: Jin Shanshan , Zhou Hua , Li Wenrui
Published: March 2023

Superior mesenteric artery syndrome (SMAS) involves duodenal obstruction caused by compression of the horizontal section of the duodenum between the superior mesenteric artery and abdominal aorta. Here, the experience of nursing a lactating patient with SMAS is summarized. Nursing care was performed according to a multiple therapy approach of treating the SMAS in addition to particular psychological factors that may be present during lactation. The patient underwent exploratory laparotomy under general anaesthesia, duodenal lysis, and abdominal aorta–superior mesenteric artery bypass with great saphenous vein grafting. The key nursing care included pain control, psychological care, positional therapy, observation and nursing care of fluid drainage and body fever, nutrition support and discharge health guidance. Through the above nursing methods, the patient was eventually able to return to a normal diet.
Interrogating and Broadening the Emerging Narrative on Migration Diplomacy: A Critical Assessment
Authors: Tolay Juliette
Published: March 2023

As a promising field of inquiry to understand the nexus between migration and foreign policy, migration diplomacy is rich with studies focusing on the agency of countries in the global South, highlighting the effect of power asymmetries, as well as the existence of a wide range of migration diplomacy practices. This article proposes to take these important contributions even further by opening the field to a wider range of theoretical and epistemological approaches. In particular, this analysis highlights the ahistorical nature and eurocentrism of the field and the extent to which it is based on an unrooted conception of power asymmetries. It also calls for a stronger critique of the field’s focus on material interests, as well as the implicit prioritization of states’ interests. The article encourages further research based on the historical colonial/imperial positionality of different actors to highlight both past and current, visible and invisible practices of migration diplomacy.
Connecting up embedded knowledge across Northern Powerhouse cities
Authors: Straulino Daniel , Froy Francesca , Schwanen Tim , O’Clery Neave
Published: March 2023

One of the driving rationales behind plans for major transport investment between Northern UK cities is that of connecting labour pools. Integrated labour pools, the argument goes, will give rise to agglomeration economies and subsequent growth. Behind this logic lies the idea that access to complementary skills in neighbouring cities will yield benefits for firms. Yet, at what travel time radius is access to these skills beneficial? Can a better understanding of this inform our assessment of the likely economic impact of proposed transport investments and subsequent reductions in travel times? Here we develop a method to estimate this radius based on the relationship between industry employment growth in a city and the size of employment in ‘skill-related’ sectors. Assuming car or rail travel, we find that for Northern cities the radius is around 45  min while for the South it is around 110  min. Manufacturing peaks around 45  min for the whole UK, including both North and South. Services, however, peak around 110  min in the South but 70  min in the North. A comparison between the UK’s Integrated Rail Plan and earlier proposals to invest in High Speed 2 rail and Northern rail connections uncovers lost opportunities for employment growth in Manchester, Leeds and Sheffield. This study provides a road-map for the deployment of methods from Evolutionary Economic Geography, originally developed to predict regional and urban growth and diversification processes as a function of the local skill mix, to evaluate the potential gains from transport infrastructure schemes.
Automated Unmanned Aerial Vehicle-Based Bridge Deck Delamination Detection and Quantification
Authors: Zhang Qianyun , Ro Sun Ho , Wan Zhe , Babanajad Saeed , Braley John , Barri Kaveh , Alavi Amir H.
Published: March 2023

Delamination is one of the most critical defects assessed during bridge deck inspections. Recently, infrared (IR) thermography has gained more attention for delamination detection since it provides fast and effective inspections with reasonable accuracy. However, point-by-point inspections with handheld IR cameras and manual data interpretation are still time consuming. In addition, manual data interpretation is highly dependent on the inspectors’ experiences. To tackle these concerns, this study conducted investigations from two perspectives to improve IR-based delamination detection: (1) data collection and (2) data interpretation. In this study, unmanned aerial vehicles (UAVs) equipped with IR sensors have been deployed to perform automated inspection data collection. Various factors have been considered to develop a preliminary UAV-based IR data collection plan. The developed data collection plan has been implemented on a full-scale bridge deck specimen at the Bridge Evaluation and Accelerated Structural Testing (BEAST) facility. Discussions and suggestions based on the results have been provided. A pixel-level deep learning method is developed for automatic delamination detection and quantification of the bridge deck. IR data collected from four real bridge decks are pixel-wise labeled and used for model calibration. The accuracy and mean intersection over union achieve 99.36%, 97.96%, 97.83% and 0.98, 0.96, 0.95 for training, validation, and testing datasets, respectively. Furthermore, an easy-to-use tool is developed based on the proposed method for practical implementation. The developed tool is validated using the BEAST specimen data. The fast and accurate implementation of the developed tool makes it a promising option for autonomous bridge deck inspection.
Psychological Factors Affecting Intention to Use Public Transport among Vietnamese Motorcyclists
Authors: Nguyen Son Tung , Moeinaddini Mehdi , Saadi Ismaïl , Cools Mario
Published: March 2023

Previous studies on factors influencing public transport usage have mainly focused on car users and been conducted in the Western world. In contrast, there are few studies on modal choice in motorcycle- dominant countries like Vietnam. This paper contributes to the state of the art by investigating data from 618 Vietnamese motorcyclists to understand psychological factors that influence the intention to use public transport among Vietnamese motorcyclists. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and structural equation model (SEM) are employed to explore psychological factors influencing public transport mode choice in Vietnam and to test the relationship between these psychological factors and the intention to use public transport. The results show that in addition to other factors in the theory of planned behavior (TPB), such as personal norms and perceived behavioral control, attitudes toward public transport mode choice are formulated from three components: instrumental attitude, symbolic/affective attitude, and social orderliness attitude. In addition, the SEM result also shows that only personal norms and social orderliness have a direct relationship with the intention to use public transport among five psychological factors. The findings from this paper have contributed both theoretical and empirical value to the existing literature in this field.