bluuebunny/crossref_metadata_2025 huggingface dataset:
A review of nucleate pool-boiling heat transfer in different liquids and nanofluids
Authors: Zarrag Khudir Z , Ismail Firas B , Sann Tan E , Habeeb Laith J
Published: May 2023

The goal of this review is to examine the current state of the art in nucleate pool boiling heat transfer in a variety of different fluids. The review is divided into many sections that discuss heat transfer in pool boiling, such as pool boiling of nanofluids, boiling behavior of water–glycerin combinations, and operational parameters. With the appropriate mixes of hydrocarbons and other commercial liquids, higher heat transfer coefficients may be produced. Coatings of nanoparticles with varying layer thicknesses applied to the heater surface may be optimized to improve heat transfer from the pool to the surrounding water. The heat transfer hypothesis elucidates the peculiarities of each pool’s boiling regime. It is also possible to expand it to flow boiling by combining pool boiling liquid motion with external mechanical force. Other phase transitions, such as condensation, solidification, and melting, can also be described using boiling heat flow processes. Pool boiling performance can be improved by making a variety of adjustments to the heating surfaces as well as by using pure liquids in the water. Improvements can be made to boiling parameters such as the heat flux, the critical heat flux, the heat transfer coefficient, bubble development and departure, and so forth. A nanoparticle addition to a pure liquid or a surface coating on a heating surface can improve heat transfer and boiling properties by increasing the surface area of the liquid. Pool boiling critical heat flux was enhanced with Al2O3-water nano fluid. Authors used three different powder sizes of Al2O3which were 0.05, 0.3 and 1.0 μm. Addition of alumina particle in water increases the boiling heat flux. Critical heat flux (CHF) was significantly enhanced using Titania and Alumina nano particles in water as compared to pure water. Average size of nano particle used was 85 nm measured by scattering electron microscope. Enhancement in Critical heat flux is due to nano particle coating on heating surface. Characteristics of nucleate boiling are greatly affected by the operating pressure. Miniature flat heat pipe (MFHP) with evaporator having micro grooved heat transfer surface gives 50% increment in critical heat flux at atmosphere pressure whereas this value increases up to 150% at 7.4 kPa pressure. The addition of CNT (carbon nanotube) to the base liquid increases the critical heat flux. Transmission electron microscopy confirms the average size of a nanoparticle as 15 nm. Authors found that by decreasing pressure from atmosphere condition critical heat flux increases to 200% with CNT/water nano fluid as compared to deionized water. SiC-water nanofluids of 100 nm size were experimented with at volume concentrations of 0.001%, 0.001%, and 0.01%. The size of the nanoparticle was confirmed by a scattering electron microscope. Authors concluded that at 0.01% of nano particle enhances critical heat flux to 105%.
Factors Affecting Decision to Adopt Artificial Intelligence During COVID-19 Pandemic Period: Evidence from PLS-SEM and fsQCA
Authors: Khuong Nguyen Vinh , Anh Le Huu Tuan , Ha Le Thi Ngoc , Cuong Le Van , Ngan Nguyen Phan Thanh , Thu Hoang Thi Minh , Minh Le Kim
Published: May 2023

The study investigated the factors influencing the demand for Artificial Intelligence (AI) applications in Vietnam from the perspective of Accounting and Auditing. The data was gathered using a quantitative technique based on questionnaires to study a total of 206 accountants and auditors, and was analysed using the PLS-SEM method to determine influential factors and their relationships. In addition, we compare the PLS-SEM results with a recently established approach of panel data fuzzy-set qualitative comparative analysis (fsQCA). The results reveal that the components of finance, tasks, technology, epidemics, knowledge readiness and trust all have a favourable impact on the use of AI in Accounting and Auditing in Vietnam. Besides, the fsQCA results are consistent with the PLS-SEM method, which means that our findings are robust and valid. This study adds empirical evidence to the scientific literature on AI in Accounting and Auditing, which will be immensely beneficial for legislators and businesses looking to improve company efficiency. Besides, applying the fsQCA approach contributes significantly to the existing literature about the research method.
Repair of meniscus root tear – Is there a difference between medial meniscus root repair and lateral meniscus root repair? A systematic review and meta-analysis
Authors: Khoo Jun Ren , Yau WP
Published: May 2023

Purpose

Complete meniscus root tear is associated with meniscus extrusion; this causes a loss of meniscus function and accelerated osteoarthritis of the knee. Existing small-scale retrospective case–control studies suggested that the outcomes were different between medial and lateral meniscus root repair. This meta-analysis aims to study whether such discrepancies exist via a systematic review of the available evidence in the literature.

Methods

Studies evaluating the outcomes of surgical repair of posterior meniscus root tears, with reassessment MRI or second-look arthroscopy, were identified through a systematic search of PubMed, Embase, and Cochrane Library. The degree of meniscus extrusion, healing status of the repaired meniscus root, and functional outcome scores after repair were the outcomes of interest.

Results

Among the 732 studies identified, 20 studies were included in this systematic review. 624 knees and 122 knees underwent MMPRT and LMPRT repair, respectively. The amount of meniscus extrusion following MMPRT repair was 3.8 ± 1.7 mm, which was significantly larger than the 0.9 ± 1.2 mm observed after LMPRT repair ( p < 0.001). Significantly better healing outcomes were observed on reassessment MRI after LMPRT repair ( p < 0.001). The postoperative Lysholm score and IKDC score was also significantly better after LMPRT than MMPRT repair ( p < 0.001).

Conclusions

LMPRT repairs resulted in significantly less meniscus extrusion, substantially better healing outcomes on MRI, and superior Lysholm/IKDC scores, when compared to MMPRT repair. This is the first meta-analysis we are aware of that systematically reviews the differences in the clinical, radiographic, and arthroscopic results of MMPRT and LMPRT repair.
The (De)normalisation of Smoking Among Apprentices: Plurality of Settings, Norms and Vulnerability Levels
Authors: Saetta Sébastien , Frohlich Katherine L. , Le Dref Gaelle , Kivits Joëlle , Minary Laetitia
Published: May 2023

When it comes to smoking, apprentices are considered a ‘vulnerable’ population. They have been the subject of targeted approaches based on the assumption of common characteristics. In contrast to most public health studies, that assume homogeneity of vulnerable groups, this article, based on Lahire’s ‘theory of the plural individual’, aims to examine inter- and intra-individual variability in relation to tobacco exposure. It is based on a secondary analysis of 30 interviews with apprentices in France on the stigma attached to their use in their different living environments. Our study confirms that the family and the Centre de Formation des Apprentis, as a whole, encourage smoking. It also provides a better understanding of the mechanisms by which inequalities are perpetuated (permissive rules, loans and gifts of cigarettes, spillover effects, lack of incentives to quit). Nevertheless, it allows us to observe that, in some families and in some companies, smoking is denormalised, even stigmatised. Several apprentice profiles emerge: those who are protected from tobacco and seem to be able to quit easily; those who are permanently confronted with it and for whom it is difficult to consider quitting or reducing; and those who are confronted with a plurality of norms, who seem ambivalent and whose consumption varies significantly. These results will allow us to adapt the interventions according to the profile of the apprentices and by including their entourage. In particular, it will be necessary to propose a ‘go-to’ approach that goes beyond the school setting and involves the family and the workplace.
Knowledge Gaps in End-Of-Life Family Caregiving for Persons Living With Dementia: A Study of Hospice Clinician Perspectives
Authors: McDarby Meghan , Russell David , King Lori , Kozlov Elissa , Luth Elizabeth A.
Published: May 2023

Introduction

More than 35% of hospice care recipients 65 and older have a dementia diagnosis. Yet family care partners of persons living with dementia report feeling unprepared to address their hospice recipient’s changing needs nearing end of life. Hospice clinicians may have unique insight into the knowledge needs of family care partners and strategies for end-of-life dementia caregiving.

Methods

Semi-structured interviews were conducted with 18 hospice physicians, nurse practitioners, nurses, and social workers. Interview transcripts were deductively analyzed using thematic analysis to examine clinicians’ perspectives on gaps and strategies related to family care partner knowledge about end-of-life dementia caregiving.

Results

We identified 3 themes related to gaps in family care partners’ knowledge: dementia is a progressive, fatal disease; end-of-life symptoms and symptom management in persons living with advanced dementia; and understanding hospice goals and guidelines. Three themes related to clinicians’ strategies to increase knowledge included: providing education; teaching strategies to facilitate coping and preparedness for end-of-life care; and communicating with empathy.

Discussion

Clinicians perceive gaps in knowledge specific to dementia and end of life among family care partners. These gaps include a lack of understanding of Alzheimer’s symptom progression and strategies to manage common symptoms. Recommendations for approaches to reduce knowledge gaps include providing education and strategies delivered with empathy toward the family care partner experience.

Conclusion

Clinicians who work with persons living with dementia receiving hospice care have valuable insights regarding family care partners’ gaps in knowledge. Implications on the training and preparation of hospice clinicians working with this care partner population are discussed.
A Psychometric Evaluation of the Expanded Version of the Inventory of Depression and Anxiety Symptoms (IDAS-II) in Children and Adolescents
Authors: Cervin Matti , Martí Valls Carla , Möller Stefan , Frick Andreas , Björkstrand Johannes , Watson David
Published: May 2023

The expanded version of the Inventory of Depression and Anxiety Symptoms (IDAS-II) is a self-report measure of 18 empirically derived internalizing symptom dimensions. The measure has shown good psychometric properties in adults but has never been evaluated in children and adolescents. A Swedish version of the IDAS-II was administered to 633 children and adolescents ( Mage =16.6 [ SD = 2.0]) and 203 adults ( Mage = 35.4 [ SD = 12.1]). The model/data fit of the 18-factor structure was excellent in both samples and measurement invariance across age groups was supported. All scales showed good to excellent internal consistency and psychometric properties replicated in the younger youth sample (< 16 years). Among youth, good convergent validity was established for all scales and divergent validity for most scales. The IDAS-II was better at identifying youth with current mental health problems than an internationally recommended scale of internalizing symptoms. In conclusion, the IDAS-II shows promise as a measure of internalizing symptoms in youth.
Out-of-Pocket Medical Expenditures in the Redesigned Current Population Survey: Evaluating Improvements to Data Processing
Authors: Jackson Heide , Keisler-Starkey Katherine
Published: May 2023

Household surveys are an important source of information on medical spending and burden. We examine how recently implemented post-processing improvements to the Current Population Survey Annual Social and Economic Supplement (CPS ASEC) affected estimates of medical expenditures and medical burden. The revised data extraction and imputation procedures mark the second stage of the CPS ASEC redesign and the beginning of a new time series for studying household medical expenditures. Using data for the calendar year 2017, we find that median family medical expenditures are not statistically different from legacy methods; however, updated processing does significantly reduce the percentage of families estimated to have a high medical burden (medical expenses are at least 10% of family income). The updated processing system also changes the characteristics of families with high medical spending and is primarily driven by changes in imputation of health insurance and medical spending.
Examining Foster Care Outcomes for American Indian Children in the Context of the Indian Child Welfare Act
Authors: Francis Annie M. , Hall William J. , Ansong David , Lanier Paul , Albritton Travis J. , McMillan Ashley
Published: May 2023

The history of the child welfare system and related institutions with American Indian children and families has been marked by numerous atrocities, including unnecessary separations, assimilation, and trauma. The Indian Child Welfare Act (ICWA) was enacted in 1978 to promote the stability and security of American Indian tribes and families. For children involved in the child welfare system, ICWA prioritizes the placement of American Indian children with family or tribal members. This paper examines placement outcomes for American Indian children using recent national data over 3 years from the Adoption and Foster Care Analysis and Reporting System. Multivariate regression analyses showed that American Indian children were significantly less likely to be placed with same-race/ethnicity caretakers than their non-American Indian counterparts. In addition, American Indian children were not more likely to be placed with relatives or have trial home placement compared to non-American Indian children. These findings suggest that ICWA is not reaching its intended objectives regarding placement goals specified in the law regarding American Indian children. These policy shortcomings have significant implications for American Indian children, families, and tribes in terms of well-being, family connection, and cultural loss.
A Missense p.Q>R234 Mutation in the Osteopontin Gene Is Associated With the Prolificacy of Iraqi Awassi Ewes
Authors: Al-Thuwaini Tahreer M , Al-Shuhaib Mohammed Baqur S , Kadhem Ahmed F , Alkhammas Ahmed H
Published: May 2023

One of the most valuable traits in production and breeding is a sheep’s prolificacy which is influenced by several genes, one of which is the osteopontin ( OPN) gene. Thus, this study aimed to determine the effect of genetic variation within the OPN gene on Awassi ewe prolificacy. Genomic DNA was extracted from 123 single-progeny ewes and 109 twin ewes. Polymerase chain reaction (PCR) was used to amplify 4 sequence fragments (289, 275, 338, and 372 bp), representing exons 4, 5, 6, and 7 of the OPN gene. A 372 bp amplicon was identified with 3 different genotypes: TT, TC, and CC. Sequence analysis revealed a novel mutation in TC genotypes p.Q>R234. Statistical analysis revealed that the single nucleotide polymorphism (SNP) p.Q>R234 was associated with prolificacy. Ewes carrying the p.Q>R234 SNP had significantly ( P ⩽ .01) lower litter sizes, twinning rates, and lambing rates, and more days to lambing than those with the TC and TT genotypes. The p.Q>R234 SNP was confirmed to be responsible for lower litter size through logistic regression analysis. From these results, we can conclude that the missense variant p.Q>R234 adversely affects the traits of interest and shows that the p.Q>R234 SNP negatively influences the prolificacy of Awassi sheep. Based on this study, it is evident that ewes in this population carrying the p.Q>R234 SNP have a lower litter size and are less prolific.
‘Even if the algorithm is a terrible workmate, you just need to learn to live with it’: Perceptions of data analytics among game industry professionals
Authors: Sotamaa Olli , Tyni Heikki , Myöhänen Taina
Published: May 2023

The digital game industry has actively integrated data-driven methods into its core processes. This interview-based study shows how game industry professionals perceive the role of data as part of their everyday work. Analysing the data-related notions and negotiations helps to explicate how mainstream data imaginaries are both reproduced and challenged in the different phases and contexts of game making. The analysis is divided into the following themes: data is everywhere, data is messy, data is constructed and data redefines creativity. The qualitative inquiry shows how the meaning of game data cannot be reduced to individual metrics or analytics services, or new positions like data analysts. Data-driven development is based on particular values and assumptions, and it creates new practices, working cultures and conflicting forms of agency.
Humorous parodies of popular culture as strategy in Boris Johnson’s populist communication
Authors: Beck Daniel
Published: May 2023

This article examines the role of parodic humour in Boris Johnson’s populist communication. Populist parties and conservative politicians have increasingly drawn humorous connections to films and entertainment in their political communication. But, despite the increasing research on populism, the role of humour in political communication is not yet at the centre of populism research. The article shows how professionally designed humour can dominate discourses and bring immense amounts of media attention to specific details while distracting attention from other political issues. The argument of the article is illustrated by analysing humorous communication of the former British PM Boris Johnson in 2019 and 2020. Among others, Johnson compared himself to Marvel’s Hulk, a parody that echoed through the news media. The article provides a very specific and new insight into the means by which populist strategies make use of parodic humorous elements in their communication.
Does the COVID-19 Pandemic Increase or Decrease the Global Cyberbullying Behaviors? A Systematic Review and Meta-Analysis
Authors: Huang Ning , Zhang Shan , Mu Yakun , Yu Yebo , Riem Madelon M. E. , Guo Jing
Published: May 2023

Although cyberbullying is an emerging public health problem, it is unclear how the COVID-19 pandemic affects cyberbullying. This systematic review and meta-analysis aimed to examine the effect of the COVID-19 pandemic on cyberbullying, to estimate the global cyberbullying prevalence and to explore factors related to cyberbullying during the COVID-19 pandemic. We searched the Medline, Embase, PubMed, Scopus, Eric, PsycINFO, Web of Science, Cochrane Library, Wanfang, Chinese CNKI, and EBSCO databases to identify relevant empirical studies published between 2019 and 2022. A total of 36 studies were included. Quality assessment, meta-analyses, and subgroup analyses were conducted. The pooled prevalences were 16% for overall cyberbullying, 18% for victimization and 11% for perpetration during the COVID-19 pandemic, which were lower than before the COVID-19 pandemic. The pooled prevalence of postpandemic cyberbullying perpetration is lower in children than in adults. In addition, both virus- and lockdown-related stressors were the main factors contributing to cyberbullying. The COVID-19 crisis may reduce cyberbullying, and the pooled prevalence of cyberbullying during the pandemic in adults is higher than in children and adolescents. In addition, the transient-enduring factor model of postpandemic cyberbullying built in this review could help identify people at high risk of cyberbullying during public health emergencies.
Video Call Usage in Older Adults With or Without Dementia Impacted by the COVID-19 Pandemic
Authors: Yoon Si On , Paek Eun Jin
Published: May 2023

The usage of video calls for social connection generally increased during the COVID-19 pandemic. It remains unclear, how individuals with dementia (IWD), many of who already experienced isolation in their care settings, use and perceive video calls, what barriers and benefits exist, and how the COVID-19 pandemic impacted their use of video calls. An online survey was conducted to healthy older adults (OA) and people surrounding IWD as proxies. Both OA and IWD showed increased use of video calls after COVID-19 and the severity of dementia was not correlated with the video call usage among IWD during this period. Both groups perceived significant benefits in using video calls. However, IWD exhibited more difficulties and barriers to using them compared to OA. Given the perceived benefits of video calls to the quality of life in both populations, education and support by family, caregivers, or healthcare professionals are necessary for them.
Association of COVID-19-Related Restrictions With Changes in Functional Skills of Adults With Intellectual Disabilities in Day Programs of an Israeli Non-Profit Organization
Authors: Ben David Nophar , Lotan Meir , Moran Daniel Sender
Published: May 2023

Intellectual disability (ID) is assumed to be a dynamic phenomenon influenced by personal and environmental factors. During the 18 months of the coronavirus disease (COVID-19) pandemic, most day centers remained open for adults with ID who lived with their families (most of them with severe/profound [S/P] ID) but were closed to those who lived in group homes (with moderate and mild ID). Owing to the fewer participants in day centers, adults with S/P ID received more hours of therapy than before the pandemic. Using a functional screening tool, functional and environmental changes were mapped and discussed in team meetings. As expected, the pandemic caused environmental and personnel changes that affected all groups. The moderate ( n = 29) and mild ( n = 31) groups deteriorated over the 18 months of the study, especially the senior ones. However, the functional state of the S/P group ( n = 16) improved. These results support the understanding that ID is truly dynamic throughout the lifespan. Functional improvements for S/P ID can occur during adulthood with intense and individually adapted interventions.
From compensation to competition: The impact of graphicons on language use in a Chinese context
Authors: Zhang Yiqiong , Herring Susan C , Tan Rongle , Zhang Qingwen , Shi Dingxu
Published: May 2023

This study examines the impact of graphicons (emoticons, emojis, and stickers) on the use of sentence-final particles (SFPs) in Chinese based on a 13-year longitudinal corpus of 941,020 comments posted on the popular Chinese social media platform Bilibili. Quantitative analysis shows that graphicon frequencies increase while SFP frequencies decrease over time, and that the correlation between these two trends is statistically significant. However, the more an SFP encodes a grammatical function or has a negative connotation, the less likely it is to be replaced by graphicons. Qualitative analysis suggests that the relationship between graphicons and SFPs is evolving from syntagmatic, where the two co-occur in the same sentence, to paradigmatic, where either can fulfill the function of expressing (positive) attitude or sentiment. This suggests that the functions of graphicons are shifting from compensation to competition with language, as an alternative to SFPs.
Diversity Intelligence: Is This the Solution Human Resource Development Needs?
Authors: May Maricela
Published: May 2023

To create an equitable and inclusive workplace environment, organizations have implemented diversity training for their employees. In some instances, diversity training has been hindered by creating diversity resistance and backlash in the workplace. This essay will explore diversity training and how HRD has responded to diversity resistance and backlash because of diversity training. A call for empirical research using Claretha Hughes’s diversity intelligence framework is proposed as a potential solution to bring about organizational change to ultimately create equitable and inclusive practices in the workplace.
Appropriate Use of Preoperative Imaging in Feminization Cranioplasty
Authors: Brody-Camp Sabrina , Shehan Jennifer , Kariveda Rohith , Spiegel Jeffrey
Published: May 2023

Study Design

Retrospective chart review

Objective

The objective of this study was to determine if proceeding with feminization frontal cranioplasty without preoperative imaging adversely affected patient outcomes.

Methods

This study retrospectively reviewed all patients undergoing frontal cranioplasty for facial feminization at a single tertiary care center between 2013 and 2019. All procedures were performed by a single surgeon (JS), who operated at multiple sites. The site selected is where the majority of these procedures were performed during this time. Type of cranioplasty (I vs III) was recorded. Primary outcomes included postoperative cerebrospinal fluid (CSF) leak, entering the cranium, or dural exposure or injury.

Results

422 subjects underwent cranioplasty for facial feminization between 2013 and 2019. No preoperative imaging was performed. Zero patients had CSF leak. 334 subjects (79%) had type III cranioplasty, while the remaining 88 subjects (21%) had type I cranioplasty. No subjects had documented episodes of dural injury, or postoperative brain or cranial concerns.

Conclusions

This study demonstrates that frontal cranioplasty for facial feminization does not require routine preoperative imaging. The authors recommend preoperative imaging for patients with a history of congenital cranial abnormality, prior significant head trauma affecting the frontal bone, and in some cases where the patient has had prior surgery or a history of sinus disease or extensive polyposis. Routine preoperative computed tomography is therefore not indicated for patients undergoing feminizing cranioplasty.
Trends in Maxillomandibular Fixation Technique at a Single Academic Institution
Authors: Schopper Heather , Krane Natalie A. , Sykes Kevin J. , Yu Katherine , Kriet J. David , Humphrey Clinton D.
Published: May 2023

Study Design

Retrospective chart review.

Objective

Restoration of premorbid occlusion is a key goal in the treatment of mandibular fractures. Placement of the patient in maxillomandibular fixation (MMF) is performed during mandibular fracture repair to help establish occlusion. A number of techniques are available to achieve MMF. We sought to examine trends in MMF technique at our institution.

Methods

A retrospective chart review was conducted to evaluate patients who underwent surgical treatment of mandibular fractures between January 1, 2011 and March 31, 2021. Data including fracture characteristics, mechanism of injury, patient demographics, complication rates, and MMF technique utilized were collected.

Results

One hundred sixty-three patients underwent MMF (132 males). The most common etiology of fracture was assault (34%). There was an increasing preference for rapid MMF techniques over time, as opposed to standard Erich arch bars. No significant difference in obtaining adequate fracture reduction as determined by postoperative imaging or complications were noted between those who underwent MMF with newer rapid techniques vs traditional MMF techniques.

Conclusions

Our institution has demonstrated changing trends in the technique utilized for establishing occlusion intraoperatively, more recently favoring rapid MMF techniques, with similar rates of complications and ability to adequately reduce fractures.
Adolescents’ Sexual Orientation and Behavioral and Neural Reactivity to Peer Acceptance and Rejection: The Moderating Role of Family Support
Authors: Clark Kirsty A. , Pachankis John E. , Dougherty Lea R. , Katz Benjamin A. , Hill Kaylin E. , Klein Daniel N. , Kujawa Autumn
Published: May 2023

Sexual-minority adolescents frequently endure peer rejection, yet scant research has investigated sexual-orientation differences in behavioral and neural reactions to peer rejection and acceptance. In a community sample of adolescents approximately 15 years old (47.2% female; same-sex attracted: n = 36, exclusively other-sex attracted: n = 310), we examined associations among sexual orientation and behavioral and neural reactivity to peer feedback and the moderating role of family support. Participants completed a social-interaction task while electroencephalogram data were recorded in which they voted to accept/reject peers and, in turn, received peer acceptance/rejection feedback. Compared with heterosexual adolescents, sexual-minority adolescents engaged in more behavioral efforts to ingratiate after peer rejection and demonstrated more blunted neural reactivity to peer acceptance at low, but not medium or high, levels of family support. By using a simulated real-world social-interaction task, these results demonstrate that sexual-minority adolescents display distinct behavioral and neural reactions to peer acceptance and rejection.
Daily Emotion Regulation in Major Depression and Borderline Personality Disorder
Authors: Zetsche Ulrike , Bürkner Paul-Christian , Bohländer Julian , Renneberg Babette , Roepke Stefan , Schulze Lars
Published: May 2023

Emotional disturbances are an inherent aspect of most mental disorders and possibly driven by impaired emotion regulation. In the present study, we examined how exactly affected individuals differ from healthy individuals in regulating their emotions and whether individuals suffering from different mental disorders face similar or distinct difficulty in emotion regulation. We overcome earlier methodological constraints by using a 7-day experience sampling assessing the employment and effectiveness of six regulation strategies real time in 55 individuals with current major depressive disorder, 52 individuals with borderline personality disorder (BPD), and 55 healthy individuals. All participants were female. Both clinical groups employed rumination and suppression more often and acceptance less often than healthy individuals. Depressed individuals ruminated even more often than individuals with BPD. Expressive suppression and rumination showed negative effects on subsequent emotions in all groups. Remarkably, both clinical groups were able to benefit from adaptive regulation strategies if they did select them.
Major Apparel Exporting Countries in Asia: A Study of Technical Efficiency and Its Determinants
Authors: Gambhir Dhwani
Published: May 2023

Asia has many significant players in the global apparel market, contributing more than half of the apparel output. There is stiff competition between eight countries within the region to capture the market share—China, Bangladesh, India, Pakistan, Sri Lanka, Vietnam, Cambodia and Indonesia. Using raw data from the World Bank Enterprise Surveys, a two-stage analysis was conducted for each country—in the first stage efficiency scores were computed using data envelopment analysis, and in the second stage factors influencing efficiency were identified using tobit regression and disaggregate comparison. The results revealed a poor efficiency performance across countries, but the drivers varied between them. It was observed that smaller firms performed better and there was a need to revamp quality certification and training modules to promote competitiveness.
Chronic Intrathoracic Gastric Volvulus Management: Could Less Be More?
Authors: Khalifa Ali , Tawadros Augustine , Broder Arkady
Published: May 2023

Gastric volvulus is a rare medical condition that necessitates a high suspicion index to diagnose. Acute gastric volvulus will often present with nonspecific but severe symptoms of abdominal pain, nausea, vomiting, and in some instances, evidence of organ ischemia. In this case report, we present an 88-year-old woman who was admitted after a mechanical fall. On the third day of hospitalization, she complained of new-onset epigastric pain, nausea, and vomiting. Imaging demonstrated nonobstructed intrathoracic organo-axial gastric volvulus. Given the patient’s significant comorbidities, surgical and endoscopic interventions were deemed high-risk (high risk of anesthesia and gastric perforation, respectively). This report evaluates the role of noninterventional conservative management in high-risk surgical patients with symptomatic acute and acute-on-chronic intrathoracic gastric volvulus. The present case and the current literature review suggest that supportive management may be appropriate to control disease symptoms, although it does not alter the disease’s natural history, progression, and recurrence.
Gender Egalitarianism and Attitudes Toward Parental Leave
Authors: Kaufman Gayle , Petts Richard J. , Mize Trenton D. , Wield Taryn
Published: May 2023

This paper examines the relationship between gender ideology and attitudes toward parental leave. We use data from two original survey experiments with a total analytic sample of 3332 respondents. Using an experimental design where participants evaluate a new parent’s decision about taking parental leave in light of the employer’s leave policies, and answer attitudinal questions about leave and gender ideology, we assess the associations between gender ideology and (a) desired weeks of parental leave for mothers and fathers, as well as (b) perceptions of whether the new parent described in the experiment took too little or too much leave. We find that participants think fathers should receive 10.5 weeks of paid paternity leave, whereas mothers should receive 16 weeks of paid maternity leave. In general, those with egalitarian gender ideals support longer paternity leave and more equal periods of leave for mothers and fathers—and are more likely to think that men workers take too little leave. However, those who support mothers as financial providers are more likely to think that women workers take too much leave, demonstrating the complexities between dimensions of gender ideology, the gender of the parent taking leave, and views of parental leave.
Factors Affecting Urbanisation in Iraq: A Historical Analysis from 1921 to the Present
Authors: Hassan M. Khalis Raouf
Published: May 2023

This article conducts a historical analysis of urbanisation in Iraq and identifies three factors for its unsustainability—political instability, rapid population growth and oil discovery—which are discussed and analysed. In 1930, only 25 per cent of Iraq’s population lived in urban areas. This figure rose to 71 per cent in 2020 due to rural to urban migration, forced migration and internal displacement due to ethnic and sectarian conflicts and wars. Oil has brought economic development, but it has also led to militarisation and wars, which diverted authorities’ attention from the rapid urbanisation and led them to miss opportunities to deal with it in a timely manner. A reversal of the unsustainable urbanisation in Iraq would require genuine political reform, ending corruption and preparing a national development plan that deals with the crucial challenges brought on by urbanisation.
Physical activity monitoring-based interventions in geriatric patients: a scoping review on intervention components and clinical applicability
Authors: Trumpf Rieke , Schulte Laura Elani , Schroeder Henning , Larsen Rasmus Tolstrup , Haussermann Peter , Zijlstra Wiebren , Fleiner Tim
Published: May 2023

Objective

To identify and analyze the components applied in interventions using physical activity (PA) monitoring in geriatric patients and determine their feasibility and applicability.

Methods

A systematic search in six databases (PubMed, Embase, SPORTDiscus, CINAHL, Web of Science, and GeroLit) was conducted to identify studies reporting interventions that included the application of a PA monitor in adults aged ≥ 60 years with a clinical diagnosis. PA monitor interventions were analyzed regarding their feedback, goal-setting and behavior change technique (BCT) components. To determine the feasibility and applicability of interventions, the participants’ adherence to the intervention, their experience as well as adverse events were analyzed.

Results

Seventeen eligible studies, applying 22 interventions, were identified. Studies included a total of 827 older patients with a median age of 70.2 years. In thirteen interventions (59%), the PA monitor was embedded in a structured behavioral intervention, an indication-specific intervention or usual care. Most frequently applied intervention components were goal setting and self-monitoring (n = 18), real-time PA monitor feedback complemented by feedback from the study team (n = 12), use of further BCTs (n = 18), and regular counseling with the study team (n = 19). Comprehensive information on the participants’ intervention adherence and experience were reported for 15 (68%) and 8 (36%) interventions, respectively.

Conclusion

The components included in PA monitoring-based interventions varied considerably especially regarding the extent, frequency, and content of feedback, goal setting and BCTs counseling. Future research should evaluate which components are most effective and clinically applicable to promote physical activity in geriatric patients. To be able to precisely analyze the effects, trials should seek to report details on intervention components, adherence and adverse events, while future reviews may use the findings of this scoping review to conduct analyses with less heterogeneity in study characteristics and intervention strategies.
Integration of ATAC-Seq and RNA-Seq reveals FOSL2 drives human liver progenitor-like cell aging by regulating inflammatory factors
Authors: Ding Min , Huang Weijian , Liu Guifen , Zhai Bo , Yan Hexin , Zhang Yong
Published: May 2023

Background

Human primary hepatocytes (PHCs) are considered to be the best cell source for cell-based therapies for the treatment of end-stage liver disease and acute liver failure. To obtain sufficient and high-quality functional human hepatocytes, we have established a strategy to dedifferentiate human PHCs into expandable hepatocyte-derived liver progenitor-like cells (HepLPCs) through in vitro chemical reprogramming. However, the reduced proliferative capacity of HepLPCs after long-term culture still limits their utility. Therefore, in this study, we attempted to explore the potential mechanism related to the proliferative ability of HepLPCs in vitro culture.

Results

In this study, analysis of assay for transposase accessible chromatin using sequencing (ATAC-seq) and RNA sequencing (RNA-seq) were performed for PHCs, proliferative HepLPCs (pro-HepLPCs) and late-passage HepLPCs (lp-HepLPCs). Genome-wide transcriptional and chromatin accessibility changes during the conversion and long-term culture of HepLPCs were studied. We found that lp-HepLPCs exhibited an aged phenotype characterized by the activation of inflammatory factors. Epigenetic changes were found to be consistent with our gene expression findings, with promoter and distal regions of many inflammatory-related genes showing increased accessibility in the lp-HepLPCs. FOSL2, a member of the AP-1 family, was found to be highly enriched in the distal regions with increased accessibility in lp-HepLPCs. Its depletion attenuated the expression of aging- and senescence-associated secretory phenotype (SASP)-related genes and resulted in a partial improvement of the aging phenotype in lp-HepLPCs.

Conclusions

FOSL2 may drive the aging of HepLPCs by regulating inflammatory factors and its depletion may attenuate this phenotypic shift. This study provides a novel and promising approach for the long-term in vitro culture of HepLPCs.
Structure and number of mating pheromone genes is closely linked to sexual reproductive strategy in Huntiella
Authors: Wilson Andi M. , Wingfield Michael J. , Wingfield Brenda D.
Published: May 2023

Background

Huntiella resides in the Ceratocystidaceae, a family of fungi that accommodates important plant pathogens and insect-associated saprotrophs. Species in the genus have either heterothallic or unisexual (a form of homothallism) mating systems, providing an opportunity to investigate the genetic mechanisms that enable transitions between reproductive strategies in related species. Two newly sequenced Huntiella genomes are introduced in this study and comparative genomics and transcriptomics tools are used to investigate the differences between heterothallism and unisexuality across the genus.

Results

Heterothallic species harbored up to seven copies of the a-factor pheromone, each of which possessed numerous mature peptide repeats. In comparison, unisexual Huntiella species had only two or three copies of this gene, each with fewer repeats. Similarly, while the heterothallic species expressed up to 12 copies of the mature α-factor pheromone, unisexual species had up to six copies. These significant differences imply that unisexual Huntiella species do not rely on a mating partner recognition system in the same way that heterothallic fungi do.

Conclusion

While it is suspected that mating type-independent pheromone expression is the mechanism allowing for unisexual reproduction in Huntiella species, our results suggest that the transition to unisexuality may also have been associated with changes in the genes governing the pheromone pathway. While these results are specifically related to Huntiella, they provide clues leading to a better understanding of sexual reproduction and the fluidity of mating strategies in fungi more broadly.
Plasmid-mediated quinolone resistance genes detected in Ciprofloxacin non-susceptible Escherichia coli and Klebsiella isolated from children under five years at hospital discharge, Kenya
Authors: Kariuki Kevin , Diakhate Mame Mareme , Musembi Susan , Tornberg-Belanger Stephanie N. , Rwigi Doreen , Mutuma Timothy , Mutuku Elizabeth , Tickell Kirkby D. , Soge Olusegun O. , Singa Benson O. , Walson Judd L. , Pavlinac Patricia B. , Kariuki Samuel
Published: May 2023

Background

The increasing spread of fluoroquinolone resistant enteric bacteria is a global public health concern. Children recently discharged from the hospital are at high risk of carriage of antimicrobial resistance (AMR) due to frequent exposure to antimicrobials during inpatient stays. This study aimed to determine the prevalence, correlates of ciprofloxacin (CIP) non-susceptibility, and distribution of plasmid-mediated quinolone resistance (PMQR) genes in Escherichia coli (E. coli) and Klebsiella spp isolated from children under five years being discharged from two Kenyan Hospitals.

Methods

E. coli and Klebsiella spp were isolated from fecal samples from children discharged from hospital and subjected to antimicrobial susceptibility testing (AST) by disc diffusion and E-test. CIP non-susceptible isolates were screened for seven PMQR genes using multiplex polymerase chain reaction (PCR). Poisson regression was used to determine the association between the carriage of CIP non-susceptible isolates and patient characteristics.

Results

Of the 280 CIP non-susceptible isolates: 188 E. coli and 92 Klebsiella spp isolates identified among 266 discharged children, 195 (68%) were CIP-non-susceptible with minimum inhibitory concentrations (MICs) of ≥ 1 µg/mL. Among these 195 isolates, 130 (67%) had high-level CIP MIC =  ≥ 32 µg/mL). Over 80% of the isolates had at least one PMQR gene identified: aac(6’)lb-cr (60%), qnrB (24%), oqxAB (22%), qnrS (16%), and qepA (6%), however, qnrA was not identified in any isolates tested. Co-carriage of qnrB with acc(6’)-lb-cr was the most predominant accounting for 20% of all the isolates. Ceftriaxone use during hospital admission and the presence of extended spectrum beta-lactamase (ESBL) production were significantly associated with the carriage of CIP non-susceptible E. coli and Klebsiella spp.

Conclusion

CIP non-susceptibility is common among E. coli and Klebsiella spp isolated from hospital discharged children in Kenya. Carriage and co-carriage of PMQR, including the newly identified qepA gene, were frequently observed. These findings suggest that children leaving the hospital may serve as an important reservoir for transmission of resistant E. coli and Klebsiella spp to the community. Enhanced surveillance for AMR determinants is critical to inform interventions to control antimicrobial-resistant bacteria.
HbA1c as a shared treatment goal in type 2 diabetes? A secondary analysis of the DEBATE trial
Authors: Santos Sara , Pentzek Michael , Altiner Attila , Daubmann Anne , Drewelow Eva , Helbig Christian , Löffler Christin , Löscher Susanne , Wegscheider Karl , Abholz Heinz-Harald , Wilm Stefan , Wollny Anja
Published: May 2023

Background

Type 2 diabetes mellitus (T2DM) is a major health problem in the western world. Despite a widespread implementation of integrated care programs there are still patients with poorly controlled T2DM. Shared goal setting within the process of Shared Decision Making (SDM) may increase patient’s compliance and adherence to treatment regimen. In our secondary analysis of the cluster-randomized controlled DEBATE trial, we investigated if patients with shared vs. non-shared HbA1c treatment goal, achieve their glycemic goals.

Methods

In a German primary care setting, we collected data before intervention at baseline, 6, 12 and 24 months. Patients with T2DM with an HbA1c ≥ 8.0% (64 mmol/mol) at the time of recruitment and complete data at baseline and after 24 months were eligible for the presented analyses. Using a generalized estimating equation analysis, we analysed the association between the achievement of HbA1c goals at 24 months based on their shared vs. non-shared status, age, sex, education, partner status, controlled for baseline HbA1c and insulin therapy.

Results

From N = 833 recruited patients at baseline, n = 547 (65.7%) from 105 General Practitioners (GPs) were analysed. 53.4% patients were male, 33.1% without a partner, 64.4% had a low educational level, mean age was 64.6 (SD 10.6), 60.7% took insulin at baseline, mean baseline HbA1c was 9.1 (SD 1.0). For 287 patients (52.5%), the GPs reported to use HbA1c as a shared goal, for 260 patients (47.5%) as a non-shared goal. 235 patients (43.0%) reached the HbA1c goal after two years, 312 patients (57.0%) missed it. Multivariable analysis shows that shared vs. non-shared HbA1c goal setting, age, sex, and education are not associated with the achievement of the HbA1c goal. However, patients living without a partner show a higher risk of missing the goal (p = .003; OR 1.89; 95% CI 1.25–2.86).

Conclusions

Shared goal setting with T2DM patients targeting on HbA1c-levels had no significant impact on goal achievement. It may be assumed, that shared goal setting on patient-related clinical outcomes within the process of SDM has not been fully captured yet.

Trial registration

The trial was registered at ISRCTN registry under the reference ISRCTN70713571.