bluuebunny/crossref_metadata_2025 huggingface dataset:
Implementation of Digital Competency-building Strategy in Management Education
Authors: Quttainah Majdi Anwar , Singh Priya
Published: April 2024

This article uses a case study method to explore implementing an organisation’s digital competency-building strategy. The research examines the organisation’s context, including its size, industry and current digital landscape, to comprehensively understand its challenges and opportunities in developing digital competencies. Through qualitative data collection techniques such as interviews, surveys and observations, the research uncovers the specific strategies employed by the organisation to build digital competencies. These strategies may include training programmes, mentorship initiatives, online learning platforms and other relevant interventions. Additionally, the research explores the factors that influence the success or failure of these strategies, such as leadership support, organisational culture and employee engagement. This study used the multi-criteria decision-making analysis technique VIKOR to prioritise these factors and provide a prescriptive approach for digital competency building in a business programme to remove subjectivity and bias. Findings indicate that the digital competency-building initiative, including improved employee performance, enhanced digital literacy and increased innovation, is analysed to gauge the overall impact on the organisation’s success. Ultimately, this research aims to inform organisations about the importance of digital competency building and provide guidance on effective strategies for implementation. The case study approach allows for a deep exploration of the contextual factors and provides actionable recommendations for organisations looking to enhance their digital capabilities. By aligning their workforce’s skills with the demands of the digital age, organisations can better position themselves for success in an increasingly digitalised world.
Emerging Paradigms in Sustainable Supply Chain Management: A Comparative Study of Pre– and Post–COVID-19 Research Trends
Authors: Jaiswal Anand , Negi Pushpa , Singh Nripendra
Published: April 2024

The COVID-19 pandemic has ushered in an unprecedented global crisis, profoundly affecting industries and managerial sectors worldwide, including supply chain management (SCM). This study explores the impact of the pandemic on research trends in sustainable supply chain management (SSCM), which has gained significant attention in recent years due to its promising advantages and environmental imperatives. By comparing pre- and post-pandemic periods, we investigate the paradigm shift in SSCM issues caused by COVID-19. To conduct our analysis, we utilised data from the Scopus database, focusing on published research spanning the past decade (2010–2021). Through trend estimations, we identified the key areas that experienced shifts in research focus, shedding light on the evolving landscape of SSCM in the COVID-19 environment. This study contributes to the literature by providing valuable insights into how the pandemic has influenced research directions within the domain of sustainable supply chains. Scholars and practitioners can use these findings to assess the most explored and overlooked areas in SSCM during the COVID-19 era. Ultimately, our research aims to guide future investigations and inform strategies for resilient and environmentally conscious supply chain practices in the post-pandemic world.
Assessing the Influence of Entrepreneurial Culture on Innovative Work Behaviour: An Empirical Study of the Indian Service Sector
Authors: Tiwari Sampada , Asma * , Nidhan Navendu
Published: April 2024

This study investigates the relationship between entrepreneurial culture and innovative work behaviour of the employees in Indian service sector organisations. Based on responses collected from 203 Indian service sector employees, the study examines the impact of the factors constituting entrepreneurial culture, namely, management support, work discretion/ autonomy, rewards, time availability and organisational boundaries on their innovative work behaviour. Multiple regression analysis has been used to study this relationship. The results show that work discretion, time availability and reward/reinforcement had a significant positive impact on innovative work behaviour. On the other hand, management support and organisational boundaries did not significantly affect innovative work behaviour. This study assists managers in understanding the factors which are the facilitators and inhibitors of innovative work behaviour among employees.
Treatment Engagement and Outcomes in Parent–Child Interaction Therapy with Mothers with a History of ADHD: A Case Series
Authors: Bailey Brittany A. , Heaton Shelley C. , McNeil Cheryl B. , Nelson Melanie M.
Published: April 2024

Behavioral parent training is the recommended intervention for young children with disruptive behavior and/or attention-deficit/hyperactivity disorder (ADHD). Parent–child interaction therapy (PCIT) is an empirically supported behavioral parent-training program for families of children ages 3–6 years old.

Behavioral parent-training programs, including PCIT, rely on parents as the primary agents of therapeutic change. Parents who face barriers to adequate engagement with these programs may also struggle to implement the changes necessary for children’s behavior to improve. Parental characteristics that may prevent treatment engagement, however, are seldom considered in the research literature or in clinical practice.

The current case series describes engagement indicators in three mothers taking part in PCIT. Each mother has a history of diagnosed or suspected ADHD, and this series explores their ADHD-related symptoms as they relate to the treatment of their child’s behavior.
Culture Production and Consumption in Post-COVID Era: A Meta-Analysis of OTT Industry in India
Authors: Srivastav Sonali , Rai Shikha
Published: April 2024

Web series and video on demand services destabilised and efficiently replaced popular entertainment in the past one year, due to the coronavirus disease (COVID-19) pandemic. The subsequent lockdown not only impacted the traditional creative industries, such as TV and films, but it has also catalysed the way narratives are produced and consumed over the internet. Narratives on the web have been posing challenges to traditional storytelling since the past decade, but the changes in the Indian market have been slow until this year. The industry has also been studied extensively from the perspective of various disciplines, film studies, marketing, psychology, and communication being a few of them. These studies have elaborated upon the evolution of the industry, its popularity, challenges and roadblocks specifically in relation to the Indian market.

The study in concern tries to trace the evolution of the industry in comparison to the predictions. It tries to verify if the predictions and scope have been met by trajectory and what quantum of growth can be credited to the COVID pandemic lockdown period. This research starts with gathering studies conducted on the industry, specifically in the Indian market, since its existence. With the help of a qualitative meta-analysis, this paper tries to analyse the trends and trajectories predicted vis-a-vis the actual growth in numbers over the years, specifically in the post-COVID era. Researchers aim to suggest a model on the production–consumption patterns and the functioning of the industry.
Co-creating Sustainability Science Communication Through Aesthetic Formats: This is What a Transdisciplinary Moment Looks Like
Authors: Vitting-Seerup Sabrina , Berg Kristine Marie , Ferm Elin , Hjortkjær Laura Thinggaard , Killeen Brendan , Kisbye Sarah , Kristoffersen Jens Good , Mathiesen Cecilie Vad , Achiam Marianne
Published: April 2024

Sustainability science calls for new methodologies and collaborations that go beyond disciplinary boundaries. This points to a new role for sustainability science communication. Here, we explore how science communication can employ aesthetic formats (e.g., storytelling, performance, artistic installations) to promote transdisciplinary collaborations. We conducted a series of experiments in a master-level science communication course at the University of Copenhagen, engaging students, practitioners and researchers in experimental collaborations and qualitative data collection. Through thematic analysis of classroom observations and interviews, five elements of transdisciplinarity emerged: Acknowledgement of disciplinary identities, negotiation of diverse vocabularies, disruption of hierarchical structures, experience of novel insights and evident learning processes among participants. These moments challenged direct observation but became discernible through post hoc analysis. We suggest they constitute a sequence that together describes a transdisciplinary moment. We thus conclude that the aesthetic formats we employed were instrumental in disrupting conventional boundaries and enhancing collaboration across disciplines. However, we also acknowledge the complexities of achieving transdisciplinary moments and emphasize the importance of reflective practice.
Protein S Deficiency Resulting in Recurrent Arterial Ischemic Strokes in a Young Female: A Case Report
Authors: Sheetal S. , Gladson Nikhil , George Joseph , Daniel Jennifer
Published: April 2024

Introduction:

Ischemic stroke in younger adults has been increasing over the years. It is often challenging to identify the underlying etiology and pathogenesis of stroke in the young. Inherited thrombophilias contribute to about 1%–4% of ischemic strokes in the young. Of the inherited thrombophilias, isolated protein S deficiency is an important risk factor for the development of arterial ischemic strokes. It is commonly associated with venous thrombosis but it is rarely associated with arterial ischemic strokes, contributing to 4%–12% of young strokes. Case Description: We report the case of a 38-year-old female who presented with acute onset of weakness in her left upper and lower limbs, whose magnetic resonance imaging brain showed evidence of recurrent arterial ischemic strokes and was detected to have an isolated protein S deficiency. Conclusion: It is very important to identify the underlying etiology in a young patient with stroke. Although protein S deficiency is commonly associated with venous thrombosis, it can be rarely associated with arterial ischemic strokes; hence, thrombophilia workup should always be done in the evaluation of young stroke.
Unicystic Ameloblastoma Mural Variant: A Case Report
Authors: Akhtar Soubia , Khan Ashar Masood , Afzal Yumna , Ikram Mubasher
Published: April 2024

Background:

Ameloblastomas are a rare type of benign neoplastic tumors that are locally invasive and make up around 1% of all head-and-neck tumors. Mostly diagnosed in people between the ages of 30 and 60 years, it has a global incidence of about 0.5% of cases per million person years. Ameloblastomas are classified as multicystic, unicystic, peripheral, and desmoplastic variants. Unicystic ameloblastomas (UAs), accounting for about 6% of the cases, have a high recurrence rate. It is histologically divided into luminal, intraluminal, and mural types. As the mural variant is aggressive and has the highest chance of recurrence, radical resection of tumor is required. Case Presentation: A case of 47-year-old patient, diagnosed as unicystic mural variant of ameloblastoma presented to us in March 2023 at the department of head-and-neck surgery at a tertiary care setup in Karachi, Pakistan. Postoperatively, the patient is now on 6-month follow-up with no residual or recurrence report as of yet. Conclusion: We report a rare case of UA mural variant in the right mandible, which highlights the importance of prompt diagnosis and treatment of this type of ameloblastoma, particularly in a location where they can cause significant damage.
Comparison of Clinical Outcome of Bacterial Colonization between Nasogastric and Orogastric Enteral Feeding Tubes in Neonates in the Neonatal Intensive Care Unit
Authors: Soumya M. , Malapur Rajanikanth S.
Published: April 2024

Introduction:

Enteral feeding tubes are commonly utilized in the neonatal intensive care unit (NICU) due to the underdevelopment of coordination between sucking, swallowing, and breathing, or due to various diseases affecting the respiratory, cardiovascular, gastrointestinal, or neurological systems. The aim of the study was to investigate the differences in bacterial colonization patterns in hospitalized infants who received enteral feeding through either nasogastric (NG) or orogastric (OG) feeding tubes. Materials and Methods: This study was a hospital-based cross-sectional investigation that was carried out on infants who were admitted to the NICU. The NICU gathered feeding tubes throughout 4 months, beginning in August 2022 and continuing through December 2022. In addition, informed consent was collected from the participant’s parents or legal guardians for the entire group of people who took part in the research. The fact that the patient participated in this study had no bearing on the level of care that they were given. The research team gave serious consideration to recruiting any of the newborns who were receiving medical attention in the NICU and who had a feeding tube inserted during the time that sample collection was taking place. The infants did not receive any probiotics as a form of treatment in any of the cases. Results: Infants with NG tubes had a significantly higher number of C-sections ( P = 0.04), infants with NG tube were exclusively breastfed ( P = 0.02), and one or more dose of antenatal steroids was administered more in infants with OG tube ( P = 0.04). The most common types of bacteria found in NG and OG tubes were Proteobacteria (with a mean relative abundance of 50% and 60%, respectively), Firmicutes (with a mean relative abundance of 33% and 23%, respectively), and Actinobacteria (9% and 7%, respectively). Conclusion: Oral versus nasal feeding tube insertion was found to have a greater influence on bacterial colonization than any of the other clinical factors that were evaluated.
Navigating Experiential Learning: Insights From Vietnamese Architecture Students on an Educational Field Trip
Authors: Truong Thi Nhu Ngoc , Nguyen Hoang Thao Phuong
Published: April 2024

Background: Experiential learning (EL) through educational field trips positively impacts students’ creativity, motivation, and subject knowledge. However, research on this in the context of architecture education in Vietnam is limited. Purpose: This study delves into the largely unexplored realm of EL in the context of architecture education in Vietnam, focusing on the Project subject. Methodology: A carefully organized field trip aligned with Kolb's EL cycle engaged 22 participants from different stages of their undergraduate education. Semi-structured interviews were conducted, with 10 participants assigned to two focus groups. The data analysis utilized an elaborative coding approach within grounded theory methodology. Findings: The study reveals three core categories: traditional pedagogy constraints, experiential learning transformation, and educational ecosystem enhancement. Implications: The study informs curriculum designers and architecture lecturers about the benefits of organized field trips for enhancing architectural students’ learning experiences. The emergent theoretical framework also sets the stage for an innovative and student-centered approach to architectural education in Vietnam. Future research avenues may explore the long-term professional impact of EL and assess the practical implementation of suggested curricular changes.
“It's Like a Limb Is Missing”: The Lived Experience of Mothers of Adult Sex Offending Sons
Authors: Tadros Eman
Published: April 2024

The impact of mass incarceration has been wide-reaching, affecting not only those who are incarcerated, but substantially burdening their family members. Parents of incarcerated individuals often carry the emotional and financial burden of incarceration, in addition to the stigma of having a child behind bars. Supporting a loved one or child incarcerated for a sexual offense can exacerbate the burden, particularly due to the stigma and shame attached to such acts. This is especially evident in the experiences of mothers navigating this challenging circumstance. Using data from the Facebook group, incarcerated loved ones, and through a phenomenological approach, six themes emerged. The themes included painful emotions, physical health impacts, barriers and challenges, systemic issues, mental health services, advocacy, and support. Clinical and policy implications are embedded into the discussion and future research directions are provided.
The Effects of Education and Financial Development on Energy Poverty Reduction in Latin America
Authors: Said Rabie
Published: April 2024

Using data from 14 Latin American countries over the period 2000–2019, this study examines the influence of education and financial development on energy poverty reduction. Evidence from different estimation approaches, such as dynamic ordinary least squares (DOLS), fully modified ordinary least squares (FMOLS), and canonical correlation regression (CCR), showed that education substantially decreases energy poverty reduction in Latin America. The results also indicated that the nexus between financial development and energy poverty reduction is positively and significantly associated. Conversely, the linkage between education, financial development, and energy poverty reduction considerably varies among Latin American countries. We suggest that policies stimulating financial development and education will be pivotal in addressing energy poverty reduction in Latin America.
TRP Channels in Excitotoxicity
Authors: Zong Pengyu , Legere Nicholas , Feng Jianlin , Yue Lixia
Published: April 2024

Glutamate excitotoxicity is a central mechanism contributing to cellular dysfunction and death in various neurological disorders and diseases, such as stroke, traumatic brain injury, epilepsy, schizophrenia, addiction, mood disorders, Huntington’s disease, Alzheimer’s disease, Parkinson’s disease, multiple sclerosis, pathologic pain, and even normal aging-related changes. This detrimental effect emerges from glutamate binding to glutamate receptors, including α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptors, N-methyl-d-aspartate receptors, kainate receptors, and GluD receptors. Thus, excitotoxicity could be prevented by targeting glutamate receptors and their downstream signaling pathways. However, almost all the glutamate receptor antagonists failed to attenuate excitotoxicity in human patients, mainly due to the limited understanding of the underlying mechanisms regulating excitotoxicity. Transient receptor potential (TRP) channels serve as ancient cellular sensors capable of detecting and responding to both external and internal stimuli. The study of human TRP channels has flourished in recent decades since the initial discovery of mammalian TRP in 1995. These channels have been found to play pivotal roles in numerous pathologic conditions, including excitotoxicity. In this review, our focus centers on exploring the intricate interactions between TRP channels and glutamate receptors in excitotoxicity.
Blood fibroblast growth factor 23 concentration in cats with and without chronic kidney disease: a scoping review
Authors: Summers Stacie , Michael Helen T , Szlosek Donald , Mack Rebekah
Published: April 2024

Objectives

This study undertook a scoping review of research on blood fibroblast growth factor 23 (FGF-23) concentrations in healthy non-azotemic cats and cats with chronic kidney disease (CKD) to describe the volume and nature of existing literature, to determine whether published studies provide adequate evidence to support the use of FGF-23 as a biomarker in clinical practice and to identify any existing gaps in knowledge.

Methods

PRISMA Extension for Scoping Reviews guidelines were used to design and perform the scoping review. Online databases were used to identify observational and clinical studies of blood FGF-23 concentrations in healthy cats and cats with CKD published before December 2022. Study and population characteristics and descriptive data on FGF-23 concentrations were extracted.

Results

A total of 205 publications were reviewed; 17 were retained for inclusion. Most studies were retrospective. Most studies included cats with International Renal Interest Society stage 2–4 CKD, with some variation. Key concepts explored in the literature include FGF-23 concentrations by CKD stage, effect of dietary phosphate restriction on FGF-23 concentrations, relationship between FGF-23 concentrations and blood phosphorus, calcium and magnesium concentrations, and FGF-23 concentrations in cats with progressive CKD. FGF-23 concentrations tended to be higher in cats with CKD compared with healthy cats, with an overlap between healthy and CKD populations, and there was significant variation within stages of CKD.

Conclusions and relevance

FGF-23 is a biomarker of interest for the management and monitoring of phosphate overload in cats. Studies support several potential clinical applications for measuring FGF-23 concentration in practice; however, evidence is limited. Research on FGF-23 in cats with CKD would benefit from longitudinal, prospective studies that standardize CKD diagnosis and categorize cats by stage using current guidelines. Studies should include cats with early-stage, non-azotemic CKD and use commercially available assays so such results are comparable across studies.
Understanding the Barriers and Facilitators of Digital Health Technology (DHT) Implementation in Neurological Rehabilitation: An Integrative Systematic Review
Authors: Jarvis Kathryn , Thetford Clare , Turck Edward , Ogley Kelly , Stockley Rachel C
Published: April 2024

Background:

Digital Health technologies (DHT) have potential to deliver intensive, novel and engaging rehabilitation for people with neurological conditions, yet health services lack a strong track record in embedding DHT into practice. The aim of this review was to synthesise factors that have been shown to influence implementation of DHT into neurological rehabilitation.

Method:

An integrative review was undertaken. An extensive search of MEDLINE, CINAHL, AMED, EMBASE was undertaken. The title and abstract of all retrieved sources were screened against pre-defined criteria. Retained sources underwent full text review. The quality of all included sources was assessed. A meta-ethnographic synthesis explored commonalities and contradictions of the included studies.

Results:

Fourteen studies (1 quantitative, 8 qualitative and 5 mixed methods) were included. Eleven implementation theories/models/frameworks were used across the 14 studies. Five themes were identified: (i) individual factors; (ii) user experience of the technology; (iii) the content of the intervention; (iv) access to the technology and (v) supporting use.

Conclusions:

Key factors which appear to influence the implementation of DHT into clinical settings are highlighted. Implementation theories, models and frameworks are under-utilised in DHT rehabilitation research. This needs to be addressed if DHT are to realise their potential in neurological rehabilitation.

Registration:

The protocol was registered and is available from PROSPERO (CRD42021268984).
Contrasting media representations of race and national identity: The case of England and Italy at the Union of European Football Associations Euro 2020
Authors: Mauro Max
Published: April 2024

The continuous growth of international sport events as media spectacles has magnified their ability to project ideas of nationhood. In media coverage, the athletes/players are portrayed as the embodiment of the ‘nation’, but this process is far from linear. Historically, mass media have constructed highly gendered and restricted ideas of the nation, placing women and ethnic minorities at the margins or erasing them altogether. The analysis of the coverage of the England and Italy men’s teams at the Euro 2020 brings to the forefront the persistence, but also the evolution, of such tensions. Combining critical discourse analysis with theories of race and racialisation, this article aims to unpack the often-overlooked role of ‘race’ in the articulation of national identity in Europe. While the England team proudly embraced the ethnic diversity of British society, Italy was the only Western European team not to select players with an immigrant background or ethnic minorities. By looking at a British popular newspaper, Daily Mail, and at an Italian one, Corriere della Sera, this article provides a necessary update to the understanding of the function of mass media as ‘gatekeepers’ of the nation.
Microcelebrities’ identity construction on social media: A systematic review and synthesis
Authors: Xu Huimin , Weninger Csilla , Chen Der-Thanq Victor
Published: April 2024

Over the past decade, a robust body of scholarship on microcelebrity has emerged, occasioning several review studies of this growing field of research. Extant reviews on microcelebrity have mostly focused on microcelebrities’ strategic communication or audiences’ attitudes, but no review has specifically focused on microcelebrities’ identity. Echoing the call for more attention to this particular aspect in recent reviews, this article examines 97 empirical studies published from 2010 to 2022 that focused on microcelebrities’ identity construction on social media. Our analysis identified various research trends and synthesized microcelebrities’ identity tactics into 10 categories. We situate the findings within current discussions of platformized cultural production and microcelebrity’s role in it by drawing on and extending Duffy et al.’s ‘nested precarities’ framework to account for microcelebrities’ identity work on social media. The review’s key contribution is the conceptualization of microcelebrities’ identity-related tactics and its embedding in the formidable precarities of platform ecosystems.
For the Country, the Corporation and the Métier: Alternative Drivers Among Practitioners in Private Sector Aid
Authors: Sundberg Molly
Published: April 2024

The financialization of development and the outsourcing of aid work to contracted businesses are strengthening the role of alternative drivers among practitioners engaged in international development work. These relate to but also transcend the dichotomy between altruism and personal self-interest, which often frames scholarly research on aid worker motivations. Focusing on consultants and development finance experts, this article highlights three institutional impetuses that guide practitioners’ work. They are concerned with the international competitiveness of donor operations, the stakes of one’s employer in cross-sectoral partnerships and the reputation and position of one’s professional sub-field. Consultants and development finance experts also highlight considerable staff movements across non- and for-profit institutions. In the increasingly complex architecture of aid interventions, such boundary-crossers operate in a new space of development brokerage, as mediators between public and private sector actors.
Service-learning: An Empirically Driven and Transformational Pedagogy to Develop Psychologically Literate Citizens for Contemporary Challenges
Authors: Ruiz Ana I. , Reeb Roger N. , Turner Tia N. , Bringle Robert G. , Clayton Patti H.
Published: April 2024

Service-learning can produce timely paradigmatic shifts in the psychology curriculum and in teaching practices. This innovative pedagogy enhances students’ academic learning, personal growth, civic development, and professional development. Service-learning pedagogy also has the potential of enhancing students’ understanding of, and commitment to, “glocal” (global-local) issues as expressed in the United Nations’ Sustainable Development Goals. Service-learning is defined and proffered to transform the undergraduate psychology curriculum by engaging the department faculty to align course outcomes and scaffold community-engaged activities from the introductory to capstone courses. This transformation is illustrated with a major contemporary challenge: climate change.
Research on distortion in boring process of large-size main bearing holes in marine diesel engine body
Authors: Qu Dongyue , Han Jiyuan , Zhan Yong , Zhang Hongyi , Xu Jian’an
Published: April 2024

Machining-induced residual stress (MIRS) in thin-walled components affects their machining accuracy, especially for large-size thin-walled components. This study focuses on the bodies of marine diesel engines, exploring the distribution of MIRS and distortion caused by the gravity-coupled machining residual stress during the boring process of the main bearing hole. The research obtained the distribution of MIRS and the machining distortion based on the finite element method and the mapping method. It examined the influence rules of various parameters, such as the cutting speed, feed, and depth of cut, on MIRS and machining distortion. The study shows that cutting speed, feed, and depth of cut are vital factors affecting MIRS and machining distortion. For the machining distortion of large-size and thin-walled components, their own weight is an essential factor that cannot be ignored. By optimizing the wall thickness, the distortion range can be effectively controlled, supporting the lightweight design of the structure.
Causal interpretation of the hazard ratio in randomized clinical trials
Authors: Fay Michael P , Li Fan
Published: April 2024

Background:

Although the hazard ratio has no straightforward causal interpretation, clinical trialists commonly use it as a measure of treatment effect.

Methods:

We review the definition and examples of causal estimands. We discuss the causal interpretation of the hazard ratio from a two-arm randomized clinical trial, and the implications of proportional hazards assumptions in the context of potential outcomes. We illustrate the application of these concepts in a synthetic model and in a model of the time-varying effects of COVID-19 vaccination.

Results:

We define causal estimands as having either an individual-level or population-level interpretation. Difference-in-expectation estimands are both individual-level and population-level estimands, whereas without strong untestable assumptions the causal rate ratio and hazard ratio have only population-level interpretations. We caution users against making an incorrect individual-level interpretation, emphasizing that in general a hazard ratio does not on average change each individual’s hazard by a factor. We discuss a potentially valid interpretation of the constant hazard ratio as a population-level causal effect under the proportional hazards assumption.

Conclusion:

We conclude that the population-level hazard ratio remains a useful estimand, but one must interpret it with appropriate attention to the underlying causal model. This is especially important for interpreting hazard ratios over time.
A novel means of capitate distraction lengthening for end-stage Kienböck’s disease
Authors: Zhang Yaqiang , Xue Yun , Deng Xiaowen , Gao Qiuming
Published: April 2024

We present a patient with Kienböck’s disease treated with a novel technique of capitate distraction lengthening using two wires in the proximal capitate and two in the ulna.
Closed reduction with percutaneous Kirschner wire fixation for delayed treatment of distal humeral epiphyseal fracture separation
Authors: Wu Xinwu , Wu Linkun , Canavese Federico , Huang Dianhua , Chen Shunyou
Published: April 2024

Background:

Fracture separation of the distal humeral epiphysis in children is a relatively uncommon injury, predominantly occurring in children under 3 years. It has a high risk of treatment delays. This study aims to evaluate outcomes in the management of fracture separation of the distal humeral epiphysis treated seven or more days post-initial injury.

Methods:

A retrospective analysis was conducted on patients diagnosed with fracture separation of the distal humeral epiphysis between November 2016 and October 2023. Inclusion criteria encompassed patients with delayed presentation of fracture separation of the distal humeral epiphysis who underwent surgical intervention seven or more days following the initial injury. Demographic data were collected, and fractures were categorized using the modified DeLee classification. Plain radiographs facilitated the assessment of the carrying angle and postoperative Baumann angle. Clinical outcomes were evaluated using the Flynn criteria.

Results:

The study included 12 patients who met the inclusion criteria. The average age at the time of injury was 1.59 years. According to the modified DeLee system, fracture classification identified one type I fracture, eight type II fractures, and three type III fractures. The average duration from injury to surgery was 11.8 days. The mean surgical duration was 21.5 min. The average follow-up period was 40.7 months. One patient exhibited cubitus varus development. Based on the Flynn criteria, outcomes were as follows: seven patients had excellent outcomes, four had good outcomes, and one had a poor outcome.

Conclusion:

Closed reduction with percutaneous K-wire fixation represents a minimally invasive approach suitable for children diagnosed with fracture separation of the distal humeral epiphysis seven or more days post-initial injury. Most of these patients experienced favorable outcomes.

Level of evidence:

IV
Arsenic Exposure in Well Water From the Perspective of Patients and Providers
Authors: Jegen Dominika , Maxson Julie , Fischer Karen , Bernard Matthew , Foss Randy , Hidaka Brandon , Passmore Rachael , Sosso Jessica , Stacey Stephen K. , Thacher Tom D.
Published: April 2024

Background:

Arsenic is a well-known toxin which may contaminate household water. It is harmful when ingested over prolonged periods of time. As a result, public health experts recommend that water should be screened and treated to prevent arsenic ingestion. In the United States, the responsibility of testing and treatment of private wells falls on homeowners. Despite recommendations for routine screening, this is rarely done.

Objectives:

To assess the prevalence of well water use in a Midwestern patient population, how patients and clinicians perceive the risks of arsenic in well water, and whether additional resources on well water testing are desired. These findings will be used to influence tools for clinicians regarding symptom and examination findings of chronic arsenic exposure and potentiate the distribution of informational resources on well water testing.

Methods:

Surveys were sent via email to all actively practicing primary care clinicians at the Mayo Clinic in the United States Midwest, and all active adult patients at the Mayo Clinic in the same region. Our team analyzed survey data to determine whether both patients and clinicians are aware of the health effects of chronic arsenic toxicity from well water, the need for routine well water testing and whether each group wants more information on the associated risks.

Results:

Both patients and primary care clinicians worry about arsenic exposure. Patients with well water are concerned about their water safety yet feel uninformed about testing options. Clinicians do not know how prevalent well water use is among their patients, feel uninformed about the chronic risks of arsenic exposure and the physical examination associated with it. Both groups unanimously want more information on testing options.

Conclusions:

Our findings show a significant reliance on well water use in the American Midwest, and unanimous support for the need for further well water testing information and resources for patients and their clinicians.
Perceptions and Experiences With Healthcare Providers Among People Navigating Reproductive and Fertility Decisions
Authors: Bornstein Marta , Church Anna C. , Masterson Kaleb , Norris Alison H.
Published: April 2024

Objectives:

Primary healthcare providers have an important role in helping people manage their reproductive health and fertility by assessing pregnancy intentions to inform the provision of contraception and/or preconception care. This study explores how women navigating fertility decisions perceived and experienced interactions with their healthcare providers around their fertility.

Methods:

We conducted in-depth interviews (N = 17) and focus groups (N = 17 groups) with 65 women aged 18 to 35 years about fertility, infertility, and reproductive planning. Two researchers coded 2 transcripts using thematic and inductive methods and met to develop a structured codebook. We then applied the codebook to the remaining transcripts.

Results:

In all interviews and focus groups, participants discussed their interactions with healthcare providers around fertility. Three central themes emerged in the data, including a desire for more information from healthcare providers about fertility; experiences of having fertility concerns dismissed by healthcare providers (eg, ability to become pregnant when desired); and, feelings that healthcare providers lacked sensitivity in discussing fertility related issues. Notably, these themes were present, even among participants who were not trying to become pregnant or who did not wish to become pregnant.

Conclusion:

Participants wanted information about fertility from their primary healthcare providers that they felt was lacking. Moreover, participants wanted their healthcare providers to engage with them as multifaceted individuals with current needs as well as future plans regarding fertility. While healthcare providers regularly assess pregnancy intentions, they may need to make a concerted effort to address fertility concerns among both those who want to pursue pregnancy and those who do not wish to become pregnant immediately.
Organizational Citizenship Behavior Scale for Knowledge Workers: Empirical Evidence and New Validations
Authors: da Silva Cátia Camila , Vieira Kelmara Mendes , Klein Leander Luiz , Estivalete Vania de Fátima Barros , de Andrade Taís
Published: April 2024

In order to analyze the empirical instabilities and adopt new validation procedures for the Organizational Citizenship Behavior—Knowledge Workers (OCB-KW) Scale this study was organized in two stages. In the first stage, studies were read for a general characterization of the production of works that used the OCB-KW and from these data, it was possible to characterize applications of the scale and assess their possible instabilities. In the second stage of analysis, a secondary database was used and subjected to the parallel analysis, and then to the exploratory factor analysis for the initial estimation and validation of the constructs, and in a third moment, the confirmatory estimation of the constructs and the comparison of different models. From the comparison indices between models, it can be concluded that the best structure for the Organizational Citizenship Behavior—Knowledge Workers Scale is built from five dimensions correlated with each other.
Streamlining the Management of Children With Simple Hand Injuries
Authors: Wong Lauren , Sabir Zina , Sachsalber Patrick , Ying Yvonne , Malic Claudia , Cheung Kevin
Published: April 2024

Background: Hand injuries are common in children. Most simple pediatric hand fractures do not require surgery and can be treated with protective immobilization, yielding good outcomes. A recent institutional audit revealed significant practice variation in managing these children with many being overtreated with unnecessary follow-up visits. The objective of this study was to implement and assess a streamlined care pathway to manage “simple” pediatric hand injuries and minimize healthcare utilization. Methods: A single institution prospective study of the streamlined care pathway was conducted. Simple hand injuries included volar plate injuries, phalangeal Salter-Harris type 2 fractures, metacarpal neck fractures, unicortical and buckle fractures, proximal interphalangeal dislocations, and thumb ligamentous injuries. Patients were treated with either thermoplastic splinting or buddy taping. Standardized verbal and written instruction were provided. No routine follow-up was arranged. Participants were contacted by telephone 6 weeks post-injury to identify any concerns or need for follow-up. Results: A total of 101 children with simple hand injuries were included. Sixty-one participants completed the telephone survey. About 90% had no problems during healing and 85% resumed all activities. Ten participants requested follow-up; however, 4 cancelled and the remaining 6 required reassurance with no additional treatment. Conclusions: Most simple pediatric hand injuries heal well with buddy taping or splint immobilization. The described streamlined hand pathway can avoid unnecessary follow-ups for simple pediatric hand trauma, reducing the burden on both families and the healthcare system.
Investigating the Intention of Tourists to Travel to the World Heritage Destination: The Mediating Role of Familiarity
Authors: Mehta Prashant , Chakraborty Debarun , Khorana Sangeeta , Rana Nripendra P. , Seetaram Neelu
Published: April 2024

This study investigates the intention of tourists to travel to the Great Himalayan National Park (GHNP) in India, a conservation area of natural bio-diversity that was accorded World Heritage Site status in 2014. The main constructs that have been used in the study are an image of the destination, homestay preference, destination familiarity and intention to travel. The S-O-R framework has been further used to find the tourists’ intention to travel to GHNP. A closed-ended questionnaire was administered to 1,020 respondents in India. The results show that path coefficients for all constructs are statistically significant. Tourists’ intention to travel is likely to be influenced by the destination image and the preference for a local homestay, which is mediated by destination familiarity. The study is not longitudinal and sheds light on respondents’ perceptions for a specific time period. Policymakers must design policies that focus on developing campaigns that promote lesser-known destinations, thus ensuring a positive destination image and enhancing destination familiarity by providing authentic information. Such a shift in tourism will foster employment in rural and less-known areas of natural beauty. Further, tourists’ preference to stay in homestay arrangements allows them to experience local hospitality.
Exploring the Role of Nurses in Advance Care Planning Within Long-Term Care Homes: A Qualitative Study
Authors: Punia Harveer , Kaasalainen Sharon , Ploeg Jenny , Strachan Patricia , Sussman Tamara
Published: April 2024

Background

Residents in long-term care homes (LTCHs) are often diagnosed with chronic, life-limiting illnesses, and it is now a common site to provide high levels of care and eventual death. There is an urgent need to address communication gaps and uncertainties surrounding resident's end of life preferences. Nurses are well situated to be key facilitators of necessary advance care planning (ACP), ensuring residents have discussions with family, substitute decision-makers and healthcare providers regarding future health and personal care preferences. However, LTCHs present unique challenges for nurses due to not only complex comorbidities but also staffing dynamics.

Purpose

This study explored the experiences and perceptions of Registered Nurses (RNs) and Registered Practical Nurse (RPNs) in LTCHs regarding their role in engaging residents and families in ACP discussions.

Methods

Qualitative interpretive descriptive methodology was used. Data were collected from two LTCHs in Southern Ontario with a sample of 15 nurses (7 RNs and 8 RPNs). Analysis involved review of semistructured interviews, field notes, and utilizing constant comparison within an inductive approach.

Results

Power and authority dynamics in LTCH's was an overarching theme in the data, with four subthemes: (1) Nurses lacking clarity about ACP, (2) nurses’ uncertainty regarding their role in ACP, (3) nurses feeling uncomfortable engaging in ACP discussions, and (4) nurses struggling to support families in ACP discussions.

Conclusion

Recommendations for nurses, healthcare providers, LTCH administrators, and policy makers include: (1) development of policies which support, from a systemic level, nurses to feel safe while engaging in ACP; (2) reassessing LTCH's hierarchical structure, and clarifying RN, RPN, and interdisciplinary team members roles in ACP; (3) developing culture change that allows a team and person-centered approach to ACP; and (4) providing ongoing education and mentorship for nurses to manage family dynamics and expand their understanding of ACP beyond a biomedical lens.
Pangangalaga o Pag-unlad? (Preservation or Development): A Phenomenological Study on the Views of the Stakeholders on the Conservation and Urbanization of a Historic Town: The Case of Lucban, Quezon, Philippines
Authors: Yao Claire Ann Maguyon , Herrera Maricel Dañez , Mercado Jame Monren Tapalla
Published: April 2024

This qualitative-phenomenological study aimed to assess the stakeholders’ perspectives on the conservation and urbanization of Lucban, Quezon, as a historic town. The researchers deployed focus group discussion and documentary analysis to collect significant information from the key informants ( n = 8). A repertory grid and thematic network analysis were used to evaluate and assess the collected information. Based on the findings, Habhab Framework on Stakeholders’ View on Heritage Conservation and Urbanization was conceptualized to provide an in-depth assessment of the town’s current situation. The framework identifies the significance of the historic town’s culture and heritage resources, primary and secondary stakeholders, current programmes, related issues and constraints, tangible and intangible resources needed for conservation, proposed programmes and perceived positive impacts. It will serve as a basis for stakeholders, especially local authorities, to develop sustainable programmes and projects to conserve and safeguard their rich culture and heritage resources.
Communication repair in parole oral hearings: Comparing remote and in-person settings
Authors: Peplow David , Phillips Jake
Published: April 2024

The Parole Board (PB) for England and Wales is responsible for deciding whether prisoners are safe to be released into the community. Although the PB was using remote formats (teleconferencing and videoconferencing) to conduct hearings prior to 2020, the coronavirus (COVID-19) pandemic accelerated the wider application of remote hearings. Such changes in modality can have a significant impact on interactional practices, with participation in remote communication requiring a different set of skills from those normally involved in in-person interaction. We argue that this shift in modality is important because it risks impeding prisoners’ participation in hearings and may limit the legitimacy of a parole hearing decision when examined through the lens of procedural justice theory. In this article, we draw on a dataset of 30 recordings of in-person and remote oral hearings. We analyse sections in which prisoners are questioned by PB panel members to identify whether these interactions can be deemed to be as successful in remotely held hearings as compared with in-person hearings. To assess this, we compare instances of communication problems that occur in the datasets. Applying conversation analysis, we find that instances of repair work from participants are statistically more likely to be present in remote hearings when compared to in-person settings. Our analysis has implications for the operating model being used by the PB and knowledge around participation in remotely held justice contexts.