bluuebunny/crossref_metadata_2025 huggingface dataset:
Race and Sex Differences of Long-Term Blood Pressure Profiles From Childhood and Adult Hypertension
Authors: Shen Wei , Zhang Tao , Li Shengxu , Zhang Huijie , Xi Bo , Shen Hongbing , Fernandez Camilo , Bazzano Lydia , He Jiang , Chen Wei
Published: May 2017

This study aims to characterize longitudinal blood pressure (BP) trajectories from childhood in black–white and sex groups and examine the association between childhood level–independent trajectories of BP and adult hypertension. The longitudinal cohort consisted of 2732 adults who had body mass index and BP measured 4 to 15 times from childhood (4–19 years) to adulthood (20–51 years). Model-estimated levels and linear slopes of BP and body mass index at childhood age points were calculated at 1-year intervals using the growth curve parameters and their first derivatives, respectively. Linear and nonlinear curve parameters differed significantly between race–sex groups; BP levels showed race and sex differences 15 years of age onward. Hypertensives had higher long-term BP levels than normotensives in race–sex groups. Although linear and nonlinear slope parameters of BP were race and sex specific, they differed consistently, significantly between hypertension and normotension groups. BP trajectories during young adulthood (20–35 years) were significantly greater in hypertensives than in normotensives; however, the trajectories during middle-aged adulthood (36–51 years) were significantly smaller in hypertensives than in normotensives. Level-independent linear slopes of systolic BP showed significantly negative associations (odds ratio=0.50≈0.76;
P
<0.001) during prepuberty period (4–11 years) but significantly positive associations (odd ratio=1.44≈2.80,
P
<0.001) during the puberty period (13–19 years) with adult hypertension, adjusting for covariates. These associations were consistent across race–sex groups. These observations indicate that adult hypertension originates in childhood, with different longitudinal BP trajectory profiles during young and middle-aged adulthood in black–white and sex groups. Puberty is a crucial period for the development of hypertension in later life.
Comparison and the Spectre of Perennialism: A Reply to Craig Martin
Authors: Blum Jason
Published: May 2017

Craig Martin accuses me of repeating the mistakes of perennialism, perpetuating an irresponsible and covertly theological approach to research that rushes to identify dubious “similarities” in religious experience across culture and history. While it is true that I identify cross-cultural similarities in the accounts of mystical experience that I examine inZen and the Unspeakable God, that argument is based on historical evidence, and does not imply the questionable theological conclusions for which classical perennialism has been criticized. Learning from the mistakes of perennialism does not mean dismissing comparison as an illegitimate enterprise or rejecting cross-cultural similarities asprima facieimpossible; it means insisting on evidentially-grounded and historically sensitive research that is willing and able to identify both differences and similarities. It also means resisting the temptation to oversimplify our task by reducing all research on religion to one preferred analytical category.
Note on the lectotypification of Adenocalymma paulistarum (Bignoniaceae)
Authors: ARBO MARIA M.
Published: May 2017

Adenocalymma paulistarum is a liana with yellow flowers that grows in semi-deciduous and humid forests from Southern South America. The study of Bignoniaceae type materials from species native to Argentina raised the need for a revision of the lectotypifications made by previous researchers in 2013 and 2014. Following ICN, the first lectotypification is to be superseded by the second one.
Analysis of the genus Sunamphitoe Spence Bate, 1857 (Amphipoda: Ampithoidae) with descriptions of eight new species
Authors: PEART RACHAEL A.
Published: May 2017

Sunamphitoe Spence Bate, 1857 is one of several ampithoid amphipod genera to be reasonably specific to its algal host. Sunamphitoe was recently shown to be a senior synonym of Peramphithoe Conlan & Bousfield, 1982 by both morphological and molecular phylogenetic analyses that included selected exemplars of both putative genera. Phylogenetic analysis considering all species of Sunamphitoe herein corroborates the validity of this synonymy and also delineates several morphological groups within the genus. Eight new species are descibed herein, Sunamphitoe angrox sp. nov., S. batavia sp. nov., S. dampierensis sp. nov., S. jonathani sp. nov., S. lehae sp. nov., S. mixtura sp. nov., S. naturaliste sp. nov., and S. stevesmithi sp. nov., all from Australia and New Zealand; the status of the problematic New Zealand species, Sunamphitoe aorangi is resolved.
Correction of existing generic and species concepts in Platyceroidini (Coleoptera: Lucanidae: Lucaninae) and the description of four new species of Platyceroides Benesh
Authors: PAULSEN M.J.
Published: May 2017

The endemic North American stag beetle tribe Platyceroidini Paulsen & Hawks (Coleoptera: Lucanidae: Lucaninae) is reviewed. All primary types were studied and the existing generic and species concepts are subsequently corrected. Based on study of the male genitalia and external morphology, the previously monotypic genus Platyceropsis Benesh is reduced to subgeneric status under Platyceroides Benesh, new status, and the species Platyceroides laticollis (Casey) and Platyceroides keeni (Casey) new combination are transferred to this subgenus. Praocerus, new subgenus, is created to contain the species Platyceroides latus (Fall), and P. viriditinctus (Benesh). In the nominal subgenus, confusion has resulted from the historic misapplication of the oldest available name, Platyceroides agassii (LeConte), resulting in significant underestimation of the number of extant taxa. Lectotypes are designated for four species-group names (listed in their original combinations): Platycerus latus Fall, Platycerus opacus Fall, Platycerus pacificus Casey, and Platycerus parvicollis Casey. Four new species (Platyceroides barrae, P. infernus, P. pampinatus, and P. umpquus) are described from California and Oregon, United States of America. The following species are valid and are removed from synonymy with P. agassii: P. pacificus (Casey), revised status, and P. californicus (Casey), revised status. The synonym Platycerus parvicollis Casey is transferred from Platyceroides agassii to P. californicus, new synonymy. With the addition of four new species and the correction of the mistaken synonymies the total number of species in the tribe Platyceroidini is now 16.
Three new species and one new subspecies of Deserticossus Yakovlev, 2006 (Lepidoptera: Cossidae) from Kazakhstan, Kyrgyzstan and Russia, with world catalogue of the genus
Authors: YAKOVLEV ROMAN V. , WITT THOMAS J.
Published: May 2017

Three new species and one new subspecies of the genus Deserticossus Yakovlev, 2006 are described: Deserticossus doroshkini Yakovlev & Witt sp. nov. from eastern Kazakhstan (Tarbagatai Mts.), D. selevini Yakovlev & Witt sp. nov. from southeastern Kazakhstan (Malye Boguty Mts.), D. kamelini Yakovlev & Witt sp. nov. from Kyrgyzstan (Fergana Valley), and D. tsingtauana didenkoi Yakovlev & Witt subsp. nov. from Russia (Southern Siberia, Buryatia Republic). The described species and subspecies of Deserticossus are listed, with notes on the type material, synonymies, and distribution for each taxon.
Maternal Self-Critical and Dependent Personality Styles and Mother-Infant Communication
Authors: Beebe Beatrice , Lachmann Frank
Published: May 2017

This study investigated mother-infant communication in relation to Blatt’s measures of adult personality organization, namely, interpersonal relatedness and self-definition, defining the higher ends of these two measures as dependency and self-criticism, respectively. A nonclinical sample of 126 mother-infant dyads provided the data. An evaluation of maternal self-criticism and dependency was made six weeks postpartum; four months postpartum, mother-infant self- and interactive contingencies during face-to-face play were studied and analyzed in conjunction with the earlier evaluation. Self- and interactive contingencies were defined by the predictability within, and between, the behaviors of each partner. This approach assesses the process of relating from moment to moment within a dyad. Self-contingency measures the degree of stability/variability of one person’s ongoing rhythms of behavior; interactive contingency measures the likelihood that one person’s behavior is influenced by the behavior of the partner. Infant and mother facial affect, gaze, and touch, and infant vocal affect, were coded second by second from split-screen videotape. Maternal self-criticism and dependency had strikingly different effects on mother-infant communication. Self-critical mothers showed lowered attention and emotion coordination, staying more “separate” from infants in these realms, compromising infant interactive efficacy. This finding is consistent with Blatt and colleagues’ descriptions of self-critical individuals as preoccupied with self-definition, compromising relatedness. Dependent mothers and their infants showed reciprocal emotional vigilance, consistent with Blatt and colleague’s description of dependent individuals as “empty” and “needy” of emotional supplies from their partner. The study documents that the influence of the mother’s personality organization operates through both infant and maternal contributions, a co-created process rather than a direct unilateral transmission from mother to infant.
Accurate Molecular Orientation Analysis Using Infrared p-Polarized Multiple-Angle Incidence Resolution Spectrometry (pMAIRS) Considering the Refractive Index of the Thin Film Sample
Authors: Shioya Nobutaka , Shimoaka Takafumi , Murdey Richard , Hasegawa Takeshi
Published: May 2017

Infrared (IR) p-polarized multiple-angle incidence resolution spectrometry (pMAIRS) is a powerful tool for analyzing the molecular orientation in an organic thin film. In particular, pMAIRS works powerfully for a thin film with a highly rough surface irrespective of degree of the crystallinity. Recently, the optimal experimental condition has comprehensively been revealed, with which the accuracy of the analytical results has largely been improved. Regardless, some unresolved matters still remain. A structurally isotropic sample, for example, yields different peak intensities in the in-plane and out-of-plane spectra. In the present study, this effect is shown to be due to the refractive index of the sample film and a correction factor has been developed using rigorous theoretical methods. As a result, with the use of the correction factor, organic materials having atypical refractive indices such as perfluoroalkyl compounds ( n = 1.35) and fullerene ( n = 1.83) can be analyzed with high accuracy comparable to a compound having a normal refractive index of approximately 1.55. With this improved technique, we are also ready for discriminating an isotropic structure from an oriented sample having the magic angle of 54.7°.
Evaluating Model Fit in Bayesian Confirmatory Factor Analysis With Large Samples: Simulation Study Introducing the BRMSEA
Authors: Hoofs Huub , van de Schoot Rens , Jansen Nicole W. H. , Kant IJmert
Published: May 2017

Bayesian confirmatory factor analysis (CFA) offers an alternative to frequentist CFA based on, for example, maximum likelihood estimation for the assessment of reliability and validity of educational and psychological measures. For increasing sample sizes, however, the applicability of current fit statistics evaluating model fit within Bayesian CFA is limited. We propose, therefore, a Bayesian variant of the root mean square error of approximation (RMSEA), the BRMSEA. A simulation study was performed with variations in model misspecification, factor loading magnitude, number of indicators, number of factors, and sample size. This showed that the 90% posterior probability interval of the BRMSEA is valid for evaluating model fit in large samples ( N≥ 1,000), using cutoff values for the lower (<.05) and upper limit (<.08) as guideline. An empirical illustration further shows the advantage of the BRMSEA in large sample Bayesian CFA models. In conclusion, it can be stated that the BRMSEA is well suited to evaluate model fit in large sample Bayesian CFA models by taking sample size and model complexity into account.
Back to Work: Parental Benefits and Mothers’ Labor Market Outcomes in the Medium Run
Authors: Kluve Jochen , Schmitz Sebastian
Published: May 2017

The authors estimate policy impacts of a generous parental benefit in Germany by using a natural experiment and German census data. They estimate policy effects for the short run (first two years after childbirth) as well as for the medium run (that is, three to five years after childbirth). Although the results confirm the evidence from previous studies for the short run, pronounced patterns emerge for the medium run. First, effects on mothers’ employment probability are positive, significant, and large, ranging up to 10%. These gains are driven primarily by increases in part-time employment and working hours but also by full-time employment for high-income mothers. Moreover, mothers return to their previous employers at significantly higher rates, and employers reward this by raising job quality. The overall positive and sizeable impacts of the reform are centered on mothers from the medium and high terciles of the income distribution; low-income mothers do not benefit.
Inspiring hope through social work practice
Authors: Boddy Jennifer , O’Leary Patrick , Tsui Ming-sum , Pak Chui-man , Wang Duu-Chiang
Published: May 2017

Hope has dynamic features that look to the future and motivate people. Yet despite being synonymous with social work, psychological terms have tended to define hope’s perimeters. Its role in social work is often heralded, yet its unique, critical and temporal role has not been well mapped in social work theory. This article explores the use of hope in social work practice. A conceptual framework highlights the richness of hope, its application in social work practice and its position in social work relationships. The implications for direct practice, further research and professional education are also discussed.
Dental Decay Phenotype in Nonsyndromic Orofacial Clefting
Authors: Howe B.J. , Cooper M.E. , Wehby G.L. , Resick J.M. , Nidey N.L. , Valencia-Ramirez L.C. , Lopez-Palacio A.M. , Rivera D. , Vieira A.R. , Weinberg S.M. , Marazita M.L. , Moreno Uribe L.M.
Published: May 2017

Although children with oral clefts have a higher risk for dental anomalies when compared with the general population, prior studies have shown conflicting results regarding their dental decay risk. Also, few studies have assessed dental decay risk in unaffected relatives of children with clefts. Thus, the question of increased risk of dental decay in individuals with oral clefts or their unaffected relatives is still open for empirical investigation. This study characterizes dental decay in the largest international cohort to date of children with nonsyndromic clefts and their relatives, as compared with controls, and it addresses whether families with oral clefts have a significantly increased risk for dental decay versus the general population. A total of 3,326 subjects were included: 639 case probands, 1,549 unaffected relatives, and 1,138 controls. Decay was identified from in-person dental examinations or intraoral photographs. Case-control differences were tested with regression analysis. No significant differences were shown in percentage decayed and filled teeth and decayed teeth in the primary dentition (dft, dt) and permanent dentition (DFT, DT) in cases versus controls. In the cleft region, no significant differences were seen in primary or permanent decay (dt, DT) when compared with controls. No difference was found with regard to cleft type and percentage dft, dt, DFT, and DT in case probands. Nonsignificant differences were found in unaffected siblings and parents versus controls (primary and permanent dentitions). Collectively, these findings indicate that individuals with nonsyndromic oral clefts and their families do not have a higher dental decay risk as compared with the general population. These results suggest that either genetic or environmental factors underlying a higher susceptibility for dental anomalies do not increase caries risk or that the seemingly higher risk for dental decay associated with increased dental anomalies in case probands may be superseded by possible greater access to dental care.
Granulomatous epididymo-orchitis: diagnosis by fine needle aspiration
Authors: Handa Uma , Kundu Reetu , Raghubanshi Gunjan , Bhalla Vidur
Published: May 2017

Tuberculosis is the leading cause of chronic granulomatous epididymo-orchitis in the Asian population. A retrospective analysis of 40 patients diagnosed with granulomatous or tubercular epididymo-orchitis on fine-needle aspiration (FNA) was carried out. May Grünwald giemsa, haematoxylin and eosin and Ziehl Neelsen stained smears were evaluated. Of 40 patients studied, aspiration smears showed epithelioid cell granulomas with caseation in 17, granulomas alone in 19 and caseation only in four. Acid fast bacilli were seen in 15. Cytologic diagnoses rendered were tubercular epididymo-orchitis in 15, granulomatous inflammation suggestive of tuberculosis in six and granulomatous inflammation in 19. FNA may readily diagnose tubercular epididymo-orchitis and may avoid unnecessary orchidectomy in a good number of patients.
The internal structure of the Work-related Risk and Integrity Scale
Authors: van Zyl Casper JJ , de Bruin Gideon P
Published: May 2017

Personality-based integrity tests are used in selection procedures to reduce the chance of hiring employees who are likely to engage in counterproductive work behaviour. This study reports the internal psychometric properties of a personality-based measure developed for this purpose. Data collected from 1353 working adults were used to investigate the internal consistency reliability and to examine construct validity with confirmatory factor analysis and Rasch analysis. Results showed that the reliability estimates for all the scales of the assessment were satisfactory. For the confirmatory factor analysis, inspection of the incremental (comparative fit index and Tucker–Lewis index) and absolute (root mean square error of approximation) goodness-of-fit values found strong support for the construct validity of all the scales. Infit statistics from Rasch analysis provided further support for construct validity, with items from all the scales fitting the Rasch model. The confirmatory and Rasch analysis demonstrated that unidimensional, coherent, and meaningful latent constructs are being measured on the Work-related Risk and Integrity Scale. Overall, results found excellent support for the internal psychometric properties of the instrument in a culturally diverse context.
Civic Engagement of Older Adults in Mainland China
Authors: Chen Haiping , Adamek Margaret
Published: May 2017

Due to great challenges resulting from China’s rapid population aging, Chinese elders are mobilized to address problems caused by this demographic trend through civic engagement. Based on an integrative review of policy, research, and practice, this article reveals that today’s Chinese elders have a higher level and wider scope of civic engagement than previous cohorts. A set of factors contributing to such improvement are further identified, including the reform of the national economy, transformation of governmental functions, and the use of effective strategies applied to concrete programs. However, several constraints limiting Chinese elders’ equal, active engagement in civic life remain, including the social stratification of older adults, preferential selection of participants due to the nation’s socioeconomic development strategy, and family care work competing with other types of civic activities. Finally, future directions for policy, research, and practice are proposed in order to increase Chinese elders’ civic engagement.
The Economic Consequences of Expanding Accounting Recognition
Authors: Li Wei , Liang Pierre Jinghong , Wen Xiaoyan
Published: May 2017

This article investigates the economic consequences of including more hard-to-measure future activities in a firm’s accounting measurements. Using a simple model of endogenous investment in which payoffs are measured by either a restrictive or expanded recognition rule, we show that, in the process of expanding accounting recognition, firms’ internal investment efficiency and external share-price risk premium may not necessarily be a trade-off. In particular, we show that the consequences of an accounting scope expansion depend on the investment environment (e.g., growth prospects) and the inherent measurement characteristics (e.g., measurement noise). For example, even with a higher measurement noise, an expanded accounting recognition may generate a lower risk premium in the share price. More surprisingly, it may lead to a higher investment efficiency and a lower risk premium at the same time. The underlying driving force is that different accounting regimes can affect the risk premium indirectly through their impacts on the investment level, beyond directly through the different measurement noise levels they bring.
Thinking Globally, Acting Locally: Formalizing Informal Solid Waste Management Practices in Ghana
Authors: Oteng-Ababio Martin , Owusu-Sekyere Ebenezer , Amoah Samuel Twumasi
Published: May 2017

The changing volume and content of municipal waste has overwhelmed the containment capacities of city authorities to remediate the problem. This elusive enterprise has sparked as much dissatisfaction with the mad rush for foreign-based models as with the new conceptual interventions. Many have questioned why a monumental challenge still lingers on in spite of the “much-acclaimed” potentials of the new interventions. Our article extends the debate by focusing on the politics of solid waste management, and how it shapes environmental safety. Based on content analysis of earlier studies, complemented with key informant interviews, the article raises issues with emerging models, which overemphasize the role of foreign-based approaches against indigenously derived practices. Using our study outcomes, we argue that the development trajectories of most Ghanaian cities create specific contestations, which configure the informal sector and the built environment in unique ways. We demonstrate that the new models have hardly had visible success stories after two decades of experimentation because they are incompatible with the local development trajectories. Concluding, we caution that the problem will persist and potentiate a cyclical state of dissolution, unless those who eke out livelihood from the sector informally are recognized, valued, and taken into account in local economic development.
Democratization of Knowledge: Vernacular Education Planning in the Indian Context
Authors: Singh Rajarshi
Published: May 2017

This article explores the challenges of elementary education in India in view of its linguistic-cultural heterogeneity. The historical context leading to mother tongue as the ideal medium of instruction is presented, followed by a discussion on why a large number of mother tongues still remain outside the school system creating problems for the “No Child Left Behind” policy. The paradox faced by a heterogenous country that also needs language standardization or homogenization is raised to highlight the mismatch between school and home languages. Sapir-Whorf’s linguistic relativity hypothesis and Paulo Freire’s critical pedagogy framework are discussed to outline a model of present and alternate education pathways of Universal Primary Education.
Intranasal Steroid Use for Otitis Media with Effusion: Ongoing Opportunities for Quality Improvement
Authors: Wang David E. , Lam Derek J. , Bellmunt Angela M. , Rosenfeld Richard M. , Ikeda Allison K. , Shin Jennifer J.
Published: May 2017

Objectives

Our objectives were (1) to assess patterns of intranasal steroid administration when otitis media with effusion (OME) has been diagnosed in children, (2) to investigate whether usage varies according to visit setting, and (3) to determine if practice gaps are such that quality improvement could be tracked.

Study Design

Cross‐sectional analysis of an administrative database.

Subjects and Methods

National Ambulatory and Hospital Ambulatory Medical Care Surveys, 2005 to 2012; univariate, multivariate, and stratified analyses of intranasal steroid usage were performed. The primary outcome was intranasal steroid administration, and the primary predictor was a diagnosis of OME. The impact of location of service was also analyzed.

Results

Data representing 1,943,177,903 visits demonstrated that intranasal steroids were administered in 10.0% of visits in which OME was diagnosed, in comparison to 3.5% of visits in which OME was not diagnosed (univariate odds ratio, 3.07; 95% confidence interval [CI], 1.85‐5.08; P <. 001). After adjusting for age, sex, race/ethnicity, and other confounding conditions, multivariate analysis demonstrated that OME remained associated with an increase in intranasal steroid usage (odds ratio, 3.58; 95% CI, 1.60‐8.01; P =. 002). This practice pattern was more prevalent in the ambulatory office setting (risk difference 6.6%, P <. 001) and less seen in a hospital‐based office or emergency department.

Conclusion

Despite randomized controlled trials showing a lack of efficacy for isolated OME, nasal steroids continue to be used in treating children with OME in the United States. Related quality improvement opportunities to prevent usage of an ineffective treatment exist.
Tympanostomy Tube Placement vs Medical Management for Recurrent Acute Otitis Media in TRICARE‐Insured Children
Authors: Raol Nikhila , Sharma Meesha , Boss Emily F. , Jiang Wei , Scott John W. , Learn Peter , Weissman Joel S.
Published: May 2017

Objective

To compare number of infections and health care utilization in children insured by TRICARE with recurrent acute otitis media (RAOM) managed surgically with tympanostomy tube (TT) placement compared with those managed medically.

Study Design

Retrospective matched cohort study.

Setting

TRICARE claims database from 2006 to 2010.

Subjects and Methods

We matched TRICARE beneficiaries ≤5 years of age diagnosed with RAOM who underwent TT placement with those managed medically using 1:1 coarsened‐exact matching on age, sex, race, sponsor rank, and region. We used multivariable negative binomial regression to compare number of infections and health care utilization at 1 and 2 years. Outcomes were adjusted for rate of infection before treatment for RAOM, season of either TT placement or establishment of candidacy for TT placement, and comorbidities.

Results

Among 6659 pairs identified at 1‐year follow‐up, the TT group had fewer infections (1.96 vs 2.18, P <. 001) and oral antibiotic prescriptions (1.52 vs 1.67, P <. 001) but more visits to primary care physicians (4.36 vs 4.06, P <. 0001) and otolaryngologists (1.21 vs 0.44, P <. 0001) compared with the medically managed group. At 2‐year follow‐up, the benefits of TT placement were no longer seen.

Conclusion

TT placement for RAOM is associated with fewer infections and oral antibiotic prescriptions in the first year after surgery but more doctor visits. Benefits of TT placement do not appear to extend through the second year. Future research should investigate costs associated with TT placement vs medical management, as well as real‐time health care utilization with impact on patient symptoms and quality of life.
Factors affecting recovery from anaesthesia with propofol–remifentanil target-controlled infusion in laparoscopic surgery
Authors: Liu Shao-hua , Tian Ming
Published: May 2017

Objective

This study was performed to analyse factors influencing the effect-site concentration (Ce) of propofol at return of consciousness (ROC) with target-controlled infusion of propofol–remifentanil after laparoscopic surgery.

Methods

In total, 112 patients who underwent laparoscopic surgery under general anaesthesia were given propofol at the target concentration of 3.5 µg/ml. Remifentanil (Ce: 4.0 ng/ml) and 0.9 mg/kg of rocuronium were administered when the Observer’s Assessment of Alertness/Sedation score reached 1. Two minutes after injection of rocuronium, tracheal intubation was initiated. The bispectral index (BIS) was maintained between 45 and 55.

Results

Ce values of propofol at loss of consciousness (LOC) and ROC were significantly correlated. Age was significantly correlated with Ce of propofol at ROC. At LOC, propofol Ce values of patients aged 65–80, 45–64, and 20–44 years were 1.8 ± 0.8, 2.2 ± 0.7, and 2.3 ± 0.8 µg/ml, respectively, and the BIS was 70 ± 10, 68 ± 7, and 69 ± 10, respectively. At ROC, the propofol Ce values of the three groups were 1.2 ± 0.3, 1.4 ± 0.3, and 1.5 ± 0.3 µg/ml, respectively, and the BIS was 80 ± 5, 82 ± 6, and 83 ± 6, respectively.

Conclusions

The concentration of propofol at ROC was significantly affected by age, and ROC of propofol–remifentanil anaesthesia after laparoscopic surgery was well predicted by the concentration at LOC.
Chlorhexidine and silver sulfadiazine coating on central venous catheters is not sufficient for protection against catheter-related infection: Simulation-based laboratory research with clinical validation
Authors: Choi Yoon Ji , Lim Jae Kwan , Park Jeong Jun , Huh Hyub , Kim Dong-Joo , Gong Chang-Hoon , Yoon Seung Zhoo
Published: May 2017

Objective

The efficacy of chlorhexidine- and silver sulfadiazine-coated central venous catheters (CSS-CVC) against catheter-related infection remains controversial. We hypothesized that the loss of silver nanoparticles may reduce the antibacterial efficacy of CSS-CVCs and that this loss could be due to the frictional force between the surface of the CVC and the bloodstream. The objective of this study was to investigate whether the antimicrobial effect of CSS-CVCs decreases with increasing exposure time in a bloodstream model and quantitatively assay the antimicrobial effect of CSS-CVCs compared with polyurethane and antiseptic-impregnated CVCs.

Methods

Each CVC was subjected to 120 hours of saline flow and analyzed at intervals over 24 hours. The analyses included energy-dispersive X-ray spectroscopy, scanning electron microscopy, and optical density after a Staphylococcus aureus incubation test.

Results

The weight percentage of silver in the CSS-CVCs significantly decreased to 56.18% (44.10% ± 3.32%) with 48-hour catheterization and to 18.88% (14.82% ± 1.33%) with 120-hour catheterization compared with the initial weight percentage (78.50% ± 6.32%). In the S. aureus incubation test, the antibacterial function of CSS-CVCs was lost after 48 hours [3 (N/D) of OD]. Similar results were observed in a pilot clinical study using 18 CSS-CVCs.

Conclusions

We found that the efficacy of CSS-CVCs decreased over time and that the antibacterial function was lost after 48 hours of simulated wear-out. Therefore, antibiotic-impregnated CVCs may be a better option when longer (>48 hours) indwelling is needed.
Gender Asymmetry in the Construction of American National Identity
Authors: Van Berkel Laura , Molina Ludwin E. , Mukherjee Sahana
Published: May 2017

Dominant groups (e.g., White U.S. citizens) are more associated with “American” identity and they feel greater ownership over American national identity compared to ethnic minority groups. We extended this perception to gender and tested whether American national identity is constructed in masculine, versus feminine, terms. We examined whether U.S. men feel greater symbolic ownership over the nation and represent what it means to be a prototypical American, more than U.S. women. In Study 1, men and women considered male-associated traits more American than female-associated traits and listed more men as examples of “true” Americans than women. In Study 2, men reported higher levels of nationalism than women. Women’s nationalism was moderated by their conception of male-associated traits as American—women who viewed American identity as more masculine were less nationalistic. Men showed a stronger correlation between gender identity and American identity compared to women. However, correlations between gender identity and nationalism did not differ by participant gender. Results suggest men and masculinity are considered more American than are women and femininity. We provide support for the subgroup asymmetry hypothesis through the novel lens of gender. We discuss means of attenuating the gendered construction of national identity in terms of media, policy, and education. Additional online materials for this article, including study materials, a podcast interview with the author, and slides for instructors who want to use this article for teaching, are available on PWQ’ s website at http://journals.sagepub.com/doi/suppl/10.1177/0361684317707710
Career Development of Sexual Minority Men Living With HIV
Authors: Dispenza Franco , Murphy Thomas M. , Zeligman Melissa
Published: May 2017

HIV is a diagnosis that disproportionally affects sexual minority (e.g., gay, bisexual, and queer) men living in the United States. Expansive treatment options have allowed those living with HIV to live longer life spans, indicating that sexual minority men living with HIV are remaining engaged in the workforce longer. Yet, there remains a dearth of literature exploring the career trajectories of this specific population. This qualitative study aimed to understand what factors keep sexual minority men ( N = 10) living with HIV actively engaged in the workforce. Through in-depth individual interviews, a central category of psychosocial motility was constructed. Three subsequent categories were also constructed: affirmative support systems, intrinsic and extrinsic incentives, and intrapersonal endowments. Findings are discussed, along with implications for practice, limitations, and future research.
Controlling bridge vibrations using a viscoelastic waveguide absorber
Authors: Zhao Caiyou , Wang Ping
Published: May 2017

The study aims to mitigate the impact of structure-borne noise from existing elevated railway bridges on residents living along the line. In the study, a viscoelastic waveguide absorber mounted on a track slab was proposed based on waveguide vibration absorption techniques by proceeding from the vibration transmitting path and using the track slab as the carrier. First, a dynamic model for the slab-mounted viscoelastic waveguide absorber was constructed, in which a vibration equation was derived and an energy consumption mechanism was obtained. Then, a Chinese railway track style II (CRTS II) ballastless track slab most widely used in Chinese elevated railways was modelled as the primary vibration system, on which an experimental modal analysis was performed. Additionally, a parameterized analysis was performed on the dynamic performance of the slab-mounted viscoelastic waveguide absorber based on the vibration absorption and energy consumption mechanism of the absorber to determine the optimum parameter configuration for the dissipater. Furthermore, the most suitable installation positions for the energy waveguide links were defined using a response surface method. Finally, a bridge vibration response control effectiveness under train loads was also investigated, and it indicated that the waveguide absorbers had a favourable effect in reducing the vibration and structure-borne noise from the elevated railway bridge.
The immunological personality of close relatives of SLE patients
Authors: Salaman M R , Isenberg D A
Published: May 2017

Immunological abnormalities seen in relatives of patients with autoimmune disorders can be useful in understanding the pathogenesis of the disease since, unlike in patients, they cannot result from the disease process or drug treatment. In this article we present a brief overview of our studies of the basic immunological status of close relatives of SLE patients. We looked at blood levels of IgG, IgM and antibodies to double-stranded DNA, as well as at NK cell numbers and cytotoxic activity and the levels of NKT, B and T cells. As many as 60% of relatives showed one or more abnormalities in these assays. Most notably there were increased levels of IgG in male and female relatives and a reduction of IgM in females. IgG correlated inversely with NKT cell numbers adding strength to the concept that the presence of IgG autoantibodies in patients is due to impaired regulation by NKT cells. IgM, on the other hand, correlated inversely with NK cells which may thus have a role in bringing about the reduced IgM seen in some patients. Immunological abnormalities were found to be more often associated with parents and offspring of patients than with their siblings, pointing to the involvement of environmental or epigenetic influences in lupus pathogenesis.
Increased risk of hepatitis B virus reactivation in systemic lupus erythematosus patients receiving immunosuppressants: a retrospective cohort study
Authors: Lin W T , Chen Y M , Chen D Y , Lan J L , Chang C S , Yeh H Z , Yang S S
Published: May 2017

Objective

We aimed to investigate risk of hepatitis B virus reactivation in systemic lupus erythematosus patients with different hepatitis B virus infection statuses receiving immunosuppressive therapy.

Methods

We retrospectively analyzed systemic lupus erythematosus patients with positive hepatitis B surface antigen or anti-hepatitis B core IgG antibody who underwent immunosuppressive therapies from January 2001 to December 2012 at a medical center in Taiwan for evidence of hepatitis B virus reactivation.

Results

During this period, 906 out of 3125 patients who were diagnosed with systemic lupus erythematosus received screening tests for hepatitis B virus. Thirty-eight patients were identified as hepatitis B surface antigen-positive. Fifteen of 38 (39.5%) hepatitis B surface antigen-positive patients developed hepatitis B virus reactivation, and 53.3% of these patients experienced severe hepatitis flare. Three of 157 hepatitis B surface antigen-negative/anti-hepatitis B core IgG antibody-positive patients (1.9%) experienced hepatitis B surface antigen seroreversion after immunosuppressive therapy. Five patients received prophylactic or preemptive antiviral therapy and none of them developed hepatitis B virus flares. A daily dose of prednisolone greater than 5 mg was a risk factor for hepatitis B reactivation by multivariate logistic analysis.

Conclusions

The risk of hepatitis B virus reactivation is high in lupus patients receiving immunosuppressive therapy. Antiviral prophylaxis or preemption can effectively reduce the incidence of hepatitis B virus reactivation in lupus patients.
Evaluating the American Nurses Association’s arguments against nurse participation in assisted suicide
Authors: Vogelstein Eric
Published: May 2017

This discussion paper critically assesses the American Nurses Association’s stated arguments against nurse participation in assisted suicide, as found in its current (2013) position statement. Seven distinct arguments can be gleaned from the American Nurses Association’s statement, based on (1) the American Nurses Association’s Code of Ethics with Interpretive Statements and its injunction against nurses acting with the sole intent to end life, (2) the risks of abuse and misuse of assisted suicide, (3) nursing’s social contract or covenant with society, (4) the contention that nurses must not harm their patients, (5) the sanctity of life, (6) the traditions of nursing, and (7) the fundamental goals of nursing. Each of these arguments is evaluated, and none are found to be convincing. This is crucial because the American Nurses Association’s official stance on nurse participation in assisted suicide can have significant consequences for the well-being of nurses who care for patients in jurisdictions in which assisted suicide is legally available. The American Nurses Association should therefore have a strong and convincing justification for opposing the practice, if it is to take such a position. That it fails to evince such a justification in its official statement on the matter places a burden on the American Nurses Association to more strongly justify its position, or else abandon its stance against nurse participation in assisted suicide.
Food Consumption Pattern and Dietary Diversity in Nepal: Implications for Nutrition Security
Authors: Kumar Anjani , Kumar Praduman , Joshi P. K.
Published: May 2017

This article examines the status, progress and challenges of managing food and nutrition security in Nepal, one of the least developed countries, by using data from the national living standards surveys conducted jointly by Government of Nepal and World Bank. Nepal, like many other developing countries, is struggling to ensure food and nutrition security. This study analyses the dimensions of food security in terms of availability, access and utilization (nutritional outcome). The analysis shows that the trends in food consumption pattern and nutritional intake have changed significantly overtime. The diversity in dietary pattern has become more apparent over time and the dietary diversity depicts a positive impact on nutritional outcome.
Some Dimensions of Vulnerability: A Study of the Urban Poor in Kolkata
Authors: Chaudhuri Saswati
Published: May 2017

More than one billion people worldwide are mired in extreme and inescapable poverty, while millions of others are on the brink of poverty. They face risks which are further exacerbated by natural hazards and ill-health. However, those who are poor today may not necessarily be poor tomorrow. Again, many of those who are non-poor today face a high chance of becoming poor after experiencing an adverse shock. Thus, a better understanding of the vulnerability concept is pressing, particularly in the context of the Third World cities like Kolkata. This article attempts an analysis of the vulnerability, and its impact on the livelihoods of the people living in slums in Kolkata. A simple bifurcation of the sampled households in terms of poor and non-poor is examined in terms of a constructed vulnerability index. As many of our surveyed slum households are found to be “vulnerable” (although they may not necessarily be “poor”), the government should assess the levels of vulnerability of households and use that as a yardstick (instead of income alone) at the time of distribution of various benefits so as to avoid “targeting error.”
Understanding “It Depends” in Organizational Research
Authors: Gardner Richard G. , Harris T. Brad , Li Ning , Kirkman Bradley L. , Mathieu John E.
Published: May 2017

The study of interaction effects is critical for creating, extending, and bounding theory in organizational research. Integrating and extending prior work, we present a taxonomy of two-way interaction effects that can guide organizational scholars toward clearer, more precise ways of developing theory, advancing hypotheses, and interpreting results. Specifically, we identify three primary interaction types, including strengthening, weakening, and reversing effects. In addition, we explore subcategories within these interaction types. Our review of articles published in leading management and applied psychology journals from 2009 to 2013 supports the generalizability of this framework. We offer specific recommendations for using this taxonomy to deliver more precise development, testing, and interpretation of interaction hypotheses.
Primer in Genetics and Genomics, Article 4—Inheritance Patterns
Authors: Aiello Lisa B. , Chiatti Beth Desaretz
Published: May 2017

Since the completion of the Human Genome Project, much has been uncovered about inheritance of various illnesses and disorders. There are two main types of inheritance: Mendelian and non-Mendelian. Mendelian inheritance includes autosomal dominant, autosomal recessive, X-linked, and Y-linked inheritance. Non-Mendelian inheritance includes mitochondrial and multifactorial inheritance. Nurses must understand the types of inheritance in order to identify red flags that may indicate the possibility of a hereditary disorder in a patient or family.
Tourists’ spatial behaviour in urban destinations
Authors: Caldeira Ana Maria , Kastenholz Elisabeth
Published: May 2017

Tourism implies movement. This study tests the effect of past experience on tourists’ spatiotemporal behaviour in the context of urban multi-attraction visitation. Differences between first-time and repeat visitors are examined using global positioning systems technology and a post-visit survey of tourists staying at 10 different hotels in Lisbon. The impact of prior destination experience is assessed regarding intra-destination movements as well as multi-attraction visitation patterns, within a systematic framework in order to assess tourists’ intra-destination spatiotemporal behaviour. Hypothesis testing confirmed destination familiarity as an influential factor of urban tourists’ behaviour in space and time.
Dual career couples in academia, international mobility and dual career services in Europe
Authors: Tzanakou Charikleia
Published: May 2017

The number of dual career couples in academia is growing due to the increasing proportion of women with a doctoral degree and the greater propensity of women to choose another academic as their partner. At the same time, international mobility is required for career advancement in academia, creating challenges for dual career couples where both partners pursue careers. This paper has two objectives: (a) to raise the increasingly important issue of dual career couples in academia and the gendered effect that the pressure for mobility has on career advancement and work–life interference; and (b) to present examples of recently established dual career services of higher education institutions in Germany, Denmark and Switzerland, responding to the needs of the growing population of dual career couples. Due to long established practices of dual career services in the USA, the European examples will be compared with US practices. This paper raises the significance of considering dual career couples in institutional policies that aim for an internationally excellent and diversified academic workforce. It will appraise dual career services according to whether they reinforce or address gender inequalities and provide recommendations to higher education institutions interested in developing services and programmes for dual career couples.
Feasibility Pilot Study of a Teaching Kitchen and Self-Care Curriculum in a Workplace Setting
Authors: Eisenberg David M. , Righter Allison C. , Matthews Benjamin , Zhang Weimin , Willett Walter C. , Massa Jennifer
Published: May 2017

Objective. To examine the feasibility of a prototype Teaching Kitchen (TK) self-care intervention that offers the combination of culinary, nutrition, exercise, and mindfulness instruction with health coaching; and to describe research methods whereby the impact of TK models can be scientifically assessed. Design. Feasibility pilot study. Subjects were recruited, screened, and consented to participate in 14- or 16-week programs. Feasibility was assessed through ease of recruitment and attendance. One-sample t tests and generalized estimating equation models were used to compare differences in groups. Setting. Workplace. Subjects. Two cohorts of 20 employees and their partners. Results. All 40 participants completed the program with high attendance (89%) and response rates on repeated assessments. Multiple changes were observed in biomarkers and self-reported behaviors from baseline to postprogram including significant (  P < .05) decreases from baseline to postprogram in body weight (−2.8 kg), waist circumference (−2.2 in.), systolic and diastolic blood pressure (−7.7 and −6.3 mm Hg, respectively), and total cholesterol (−7.5 mg/dL). While changes in all of the aforementioned biomarkers persisted over the 12-month follow-up (n = 32), only changes in waist circumference and diastolic blood pressure remained statistically different at 12 months. Conclusions. These study findings suggest that a TK curriculum is feasible within a workplace setting and that its impact on relevant behavioral and clinical outcomes can be scientifically assessed.