bluuebunny/crossref_metadata_2025 huggingface dataset:
A Multicultural, Social Justice, and Peace Intervention for Interpersonal Violence
Authors: Sosin Lisa , Barend Ana , Bonta Jeremy , Kimonyi Daniel , Parrish-Martin Rachel
Published: April 2023

The Creative and Expressive Arts Personal Growth Group [CAPG] is a manualized intervention for interpersonal violence related to diversity factors [IV-D]. This article presents a Trinitarian-informed adaption of CAPG for Christians impacted by IV-D [CCAPG]. A pilot study exploring CCAPG’s potential to promote peace in the clinical setting and peace education in the research environment follows. Sixteen culturally diverse Christian psychotherapists and emerging counselor educators with a history of IV-D participated in the study. Qualitative data assessed with transcendental and heuristic phenomenological analyses informed by constructivist grounded theory resulted in a preliminary understanding of how CCAPG may promote Trinitarian-based peace and peace education. Thematic findings for the clinical setting included the salience of Incarnational Leadership, Trinitarian-Based Components, and Christian Community to receiving the Peace of God. In the research setting, themes were Valuing Social Justice, Multiculturalism, and Peace and Becoming an Instrument of Peace. The paper closes with discussion, implications, and recommendations for the field.
The Empirical Determinants of Violent Nonstate Actor Drone Adoption
Authors: Chávez Kerry , Swed Ori
Published: April 2023

Commercial drone advancements have enabled terrorists with crude airpower, challenging states’ aerial dominance. Today, many groups skillfully use drones for propaganda generation, surveillance and reconnaissance, command and control, and attacks. Despite their obvious value, there is wide variation in adoption begging questions about who is using drones and why. Prominent in practitioner and security provider circles, academics are just skimming the surface of this important phenomenon. The small existing literature suggests that violent nonstate actor drone use is little more than Iran-sponsored jihadist terrorists with territory in the Middle East. Using an original data set on characteristics across 998 armed nonstate groups from 1995 to 2019, we explore the empirical determinants of drone adoption. Although Iran-sponsorship is a significant factor, we find that network affiliations are the strongest predictors of adopting a drone program. We also demonstrate that groups with more intensive attack profiles and narco groups are more likely to pursue unmanned aerial systems. Our study provides the first quantitative probe of the drivers of armed nonstate drone use, putting academic assertions and policy prescriptions on firmer empirical ground.
Ontology is what makes data interesting: Interestingness framework for COVID-19 corpora
Authors: B Abhilash C , Mahesh Kavi
Published: April 2023

The COVID-19 pandemic has already shown to be a worldwide threat, demonstrating how susceptible humans may be. It has also inspired experts from a range of aspects and countries to find the potential solution to control the widespread. In line with this, our research proposes a novel framework for finding interesting facts from COVID-19 corpora using domain ontology. Since data mining with domain knowledge provides semantically rich facts, we use ontology in our proposed approaches. Most of the state-of-the-art methods rely on instance level or user intervention. These methods do not entirely exploit the richness of ontology. In this work, we demonstrate how to extract exciting rules from data at ontology’s schema and instance levels. Our experiments were carried out on two COVID-19 corpora that depict COVID-19 patients’ symptoms and drug information. The proposed framework outperformed the traditional methods by reducing the number of rules by 70% and generating semantic-rich rules that are more user-readable and quickly adopted by decision-makers. Furthermore, to support our claims, we compared the outcomes of the proposed framework with the most recent approach in the field. Also, statistically significant tests and domain expert evaluations are conducted to validate our framework.
Enjoying the Betwixt and Between: Liminoid identity construction on Twitter
Authors: Lê Patrick L. , Lander Michel W.
Published: April 2023

Prior research predominantly portrays states of ‘betwixt and between’ in identity construction as unsettling, given the ambiguity and uncertainty they raise. However, our study suggests that in-betweenness can be experienced with comfort. To characterize such process of identity construction, we appeal to Turner’s concept of liminoid, involving optionality, in contrast to the concept of liminal, involving obligation. Using an extensive dataset of interviews and observations on Twitter, we show how journalists comfortably construct online identities ‘betwixt and between’ as they exert autonomy in this process and learn to skilfully balance the freedom they enjoy with the constraints they still face. By reintroducing the underexplored concept of liminoid and extending it through the notion of autonomy, we clarify prior research conflating different identity construction processes with the concept of liminality. Furthermore, we provide a nuanced picture that takes into account structural constraints by showing that to ensure the comfort of their experience individuals must develop a liminoid competence.
Cooperative and Comprehensive Multi-Task Surveillance Sensing and Interaction System Empowered by Edge Artificial Intelligence
Authors: Liu Chenxi , Yang Hao , Ke Ruimin , Sun Wei , Wang Julia , Wang Yinhai
Published: April 2023

Numerous sensors were introduced to intelligent transportation systems (ITS) in the past decade. Consequently, new sensing technologies and the generated data attracted more and more attention, which brought new challenges, such as redundant sensors, huge maintenance costs, and data explosion, to ITS. To satisfy the core demands of traffic agencies in a more effective and efficient way, therefore, this paper proposes the idea of “Sensing as a Service” (SaaS) and implements it in the Cooperative and Comprehensive Smart Edge Node for Sensing and OpeRation (COCO SENSOR) system for practical deployments. COCO SENSOR is an innovative multi-task sensing system, which was developed to address key practical applications, including real-time vehicle counting and recognition, road-surface-condition classification, visibility estimation, and live communication among traffic controllers and road users in a single unit. COCO SENSOR introduced customized cooperative sensing and a parallel computation mechanism to increase perception accuracy and efficiency with limited computation resources on the edge device. In collaboration with the Washington State Department of Transportation and the City of Bellevue, a field experiment was conducted to test the system’s performance. The results of the experiment show that the COCO SENSOR effectively fills the gap between sensing and traffic services and that it successfully executed four practical applications, including traffic-volume counting by vehicle type, traffic-status detection, road-visibility estimation, and road-surface-condition classification, with high accuracy. Additionally, a mobile app was developed for both traffic managers and users to access comprehensive traffic information and live warning messages.
Coverage, Apparent Consumption, and Monthly Use of Packaged Maize Flour in Morogoro Region, Tanzania
Authors: Teachout Emily , Rosenthal Jorge , Smith Erin , Gwao Gwao Omari , Kawiche Paula , Assey Vincent , Brooks-Church Felix , Wanlund Anne , Moore Meredith , August Mary , Razzaghi Hilda , Cannon Michael , Kishimba Rogath , Williams Jennifer
Published: April 2023

Introduction:

Tanzania aimed to reduce micronutrient deficiencies and neural tube defects by introducing mandatory fortification of large-scale packaged wheat and maize flour but not for small- and medium-scale mills.

Objectives:

Ascertain the proportion of the population in Morogoro region, Tanzania, that consumes packaged maize flour from small-, medium- and large-mills; and understand the impact of monthly apparent purchase and consumption of packaged flour.

Methods:

In 2018, a regional, multistage cluster probability study was conducted among residents in Morogoro region living in households that reported consuming maize flour. Interviews collected information on sociodemographic factors and patterns of household flour consumption. Weighted medians estimated daily apparent flour consumption and the estimated average requirement (EAR), according to age.

Results:

Information was collected on 711 households. Packaged maize flour was purchased 10–12 months of the year by 22.9% of households, 6–9 months by 17.6% of households, 1–5 months by 25.1% of households, and 34.4% did not purchased maize flour. Median apparent daily consumption of maize flour was 209.7 g/d/adult male equivalent (AME). Apparent median daily consumption of maize flour was 230.1 g/d/AME in rural areas and 176.2 g/d/AME in urban areas; 228.7 g/d/AME among males and 196.4 g/d/AME among females. If all packaged maize flour were fortified according to standards, those consuming packaged maize flour 10–12 months of the year would apparently consume 199.9 µg folic acid/d representing 49.7% of daily EAR requirements.

Conclusions:

Fortifying packaged maize flour at small-, medium- and large-mills is a promising strategy for increasing access to micronutrients, including folic acid.
Liposomal ATM siRNA delivery for enhancing triple-negative breast cancer immune checkpoint blockade therapy
Authors: Yu Dianwen , Wang Hui , Liu Hui , Xu Rong
Published: April 2023

Triple-negative breast cancer (TNBC), which accounts for 10%–20% of breast cancer cases, is characterized by a higher metastasis rate, higher recurrence risk, and worse prognosis. Traditional treatments such as chemotherapy, surgery, and radiotherapy have limited therapeutic effects. Although immune checkpoint blockade (ICB) therapy represented by anti-programmed death 1 (aPD-1) antibody has made further progress in treating TNBC, its therapeutic effect is still not optimistic. Ataxia telangiectasia mutated (ATM) is a critical factor in the DNA damage response (DDR) pathway, which is associated with the development of tumors. Recent studies have found that it can regulate the tumor immune microenvironment, affecting ICB responsiveness. Inhibition of ATM could enhance ICB therapy by promoting mitochondrial DNA cytoplasmic leakage and activating the innate immune signaling pathway. To explore the effect of ATM siRNA(siATM) on the ICB responsiveness of TNBC, we designed and synthesized nanoparticles using 1,2-dioleoyl-glycero-3-phosphatidylcholine (DOPC) liposomes to deliver siATM. In vitro and in vivo experiments demonstrated that DOPC/siATM could enhance the ability of siRNA to enter tumor cells and effectively inhibit the expression of ATM protein. Our study found that nanoparticles carrying siATM could activate cytotoxic T lymphocytes and regulate the immunosuppressive tumor microenvironment (ITM) by activating the cGAS-STING pathway. Its combination with aPD-1 may be a potential way to improve the efficacy of TNBC.
Commonly Reported Mosquito-Borne Viruses in the United States: A Primer for Pharmacists
Authors: Drwiega Emily N. , Danziger Larry H. , Burgos Rodrigo M. , Michienzi Sarah M.
Published: April 2023

Mosquito-borne diseases are a public health concern. Pharmacists are often a patient’s first stop for health information and may be asked questions regarding transmission, symptoms, and treatment of mosquito borne viruses (MBVs). The objective of this paper is to review transmission, geographic location, symptoms, diagnosis and treatment of MBVs. We discuss the following viruses with cases in the US in recent years: Dengue, West Nile, Chikungunya, LaCrosse Encephalitis, Eastern Equine Encephalitis Virus, and Zika. Prevention, including vaccines, and the impact of climate change are also discussed.
Predictors of mobility among women engaged in commercial sex work in Uganda using generalized estimating equations model
Authors: Kiyingi Joshua , Witte Susan S , Nabunya Proscovia , Nsubuga Edward , Sensoy Bahar Ozge , Mayo-Wilson Larissa Jennings , Kizito Samuel , Nattabi Jennifer , Nabayinda Josephine , Ssewamala Fred M
Published: April 2023

Background

Women engaged in commercial sex work (WESW) are at a higher risk of acquiring and transmitting HIV. WESW are highly mobile, and their mobility may increase their economic status, and increased access to healthcare and other social services. However, it may also facilitate the spread of HIV infection from higher to lower prevalence regions. This study examined the predictors of mobility among WESW in Uganda using a generalized estimating equations model.

Methods

We defined and measured mobility as the change in residence by WESW between baseline, 6 months, and 12 months follow-up. Participants who changed places were considered mobile, and those who never changed were non-mobile. We used data from a longitudinal study, which recruited 542 WESW from Southern Uganda aged 18–55 years and constructed a Generalized Estimating Equations Model.

Results

Findings show that 19.6% of WESW changed residence between baseline and 6 months of follow-up and 26.2% (cumulative) between baseline and 12 months of follow-up. Older women (OR = 0.966, 95% CI = 0.935, 0.997) were associated with decreased odds of mobility, whereas WESW who were HIV positive (OR = 1.475, 95% CI = 1.078, 2.018) and those from large households (OR = 1.066, 95% CI = 1.001, 1.134) were associated with increased odds of mobility. WESW residing in rural areas (OR = 0.535, 95% CI = 0.351, 0.817) were associated with decreased odds of mobility compared to those from fishing sites.

Conclusion

The results indicate risk factors for mobility, further research is needed to determine the directionality of these factors in order to design interventions addressing mobility among WESW.
China's renewable energy and energy efficiency policies toward carbon neutrality: A systematic cross-sectoral review
Authors: Yang Yiqun , Lo Kevin
Published: April 2023

The ambitious targets of peaking CO2 emissions before 2030 and reaching carbon neutrality before 2060 (Goal 3060) have emerged as the driving force in the development of China's low-carbon energy policy. Adopting a systematic review approach, this article provides a timely analysis of key Chinese renewable energy and energy efficiency policies under Goal 3060 across five sectors: electricity, industry, transportation, buildings, and local governments. In addition, the review identifies challenges to be addressed and offers policy recommendations. There are five main conclusions: (1) expedite the development of market-based and network-based governance systems; (2) pursue the harmonization of policies by avoiding contradiction and fragmentation; (3) develop new policies, especially in the building and transportation sectors; (4) embrace surveillance technologies to improve implementation and compliance; and (5) ensure just transition by implementing policy to reduce the negative socioeconomic impacts on fossil fuels-based communities and workers. This review serves as a useful guide for scholars interested in China's clean and low-carbon energy transition.
Antidepressants and Risk of Liver Cancer: A Systematic Review and Meta-Analysis
Authors: Chen Xiaofeng , Wang Yifan , Lu Tiange , Ao Yutian , Wei Wei , Duan Wenzhe , Li Hongjun , Guo Rongjuan
Published: April 2023

Background:

Previous results regarding the association between the antidepressants use and risk of liver cancer are controversial.

Objective:

This study aimed to assess whether antidepressants use increases liver cancer risk.

Methods:

We systematically searched several English and Chinese databases, including the Cochrane Library, MEDLINE, Embase, PsycINFO, Web of Science, CNKI, CQVIP database, Wanfang database, and SinoMed, and 3 clinical trial registration platforms through May 2022. Observational studies evaluating liver cancer risk in patients on antidepressants use were included, and the quality of studies was assessed using the Newcastle-Ottawa scale. A random-effects model was used to calculate the pooled effect estimates and 95% confidence intervals (CIs).

Results:

We included 11 studies with a total of 132 396 liver cancer cases. The meta-relative risk (RR) for liver cancer associated with antidepressants use was 0.72 (95% CI 0.59-0.86). In subgroup analyses, only selective serotonin reuptake inhibitors were negatively correlated with risk of liver cancer (RR 0.64, 95% CI 0.51-0.79); both dose subgroups ≤365cDDD (RR 0.77, 95% CI 0.69-0.85) and >365cDDD (RR 0.57, 95% CI 0.40-0.81) were associated with lower liver cancer risk; only in patients with chronic viral hepatitis, the use of antidepressants reduced liver cancer risk (RR 0.70, 95% CI 0.54-0.90).

Conclusions and Relevance:

The result of the current meta-analysis shows antidepressants use is not associated with increased risk of liver cancer and appears to be correlated with decreased risk. However, the observed association needs to be verified by more powerful evidence from prospective, methodologically rigorous studies.
Platelet-Derived Growth Factor-D Fusion-Positive Dermatofibrosarcoma Protuberans: Case Report of an Atypical Breast Mass and Literature Review
Authors: Chandler Blake , Jing Frank , David Marjorie Parker , Nazarullah Alia
Published: April 2023

Dermatofibrosarcoma protuberans (DFSP) is a rare, CD34+ mesenchymal neoplasm that classically involves the dermis. A COL1A1::PDGFB t(17;22) translocation is present in 91.4% to 96% of cases, resulting in aberrant proliferation due to tyrosine kinase hyperactivity. Here, we present a postmenopausal woman with a CD34-positive spindle cell neoplasm of the breast without cutaneous involvement, lacking muscle marker expression, STAT6 expression, and 13q14 deletion by fluorescence in situ hybridization (FISH). Although the classic PDGFB translocation was not detected by FISH, the overall features were highly suspicious for DFSP. Subsequent RNA-based next-generation sequencing revealed an EMILIN2::PDGFD fusion. A literature review showed that PDGFD fusions can be detected in up to 55% PDGFB FISH negative cases, with EMILIN2::PDGFD fusion highly associated with fibrosarcomatous transformation. This holds important diagnostic and prognostic information as fibrosarcomatous-DFSP is associated with higher recurrence and metastatic potential. The tumor was completely resected with clear margins, showed no fibrosarcomatous areas, and no evidence of recurrence is documented 2 years since resection. This review and case report adds to the literature regarding PDGFD-translocation positive DFSP as a differential diagnosis of CD34-positive spindle cell tumors of the breast, while emphasizing the prognostic importance of EMILIN2::PDGFD fusions.
Expanding on Behavioral Outcomes in the Risk Information Seeking and Processing Model: Socio-Cognitive Factors Predicting Information Seeking, Sharing, and Discussion
Authors: Leong Alisius D. , McComas Katherine A. , Balog-Way Dominic H. P. , Schuler Krysten L.
Published: April 2023

We employed the risk information seeking and processing (RISP) model to identify socio-cognitive factors motivating hunters’ information seeking, sharing, and discussion of the risks of using lead ammunition for hunting. Values, risk perceptions, and informational insufficiency similarly predicted individual- and societal-level informational behavioral intentions. In contrast, knowledge and explicated informational subjective norms (descriptive, dynamic, and injunctive norms) differentially influenced them. Interestingly, there were discrepancies found between theoretical predictions of information sharing and self-reported willingness to share a risk communication video on lead ammunition for hunting, which offers insights about the utility value of the RISP model for practitioners.
A Descriptive Model of Voyeuristic Behavior
Authors: Lister Victoria P. M. , Gannon Theresa A.
Published: April 2023

Over the last 50 years, there has been a plethora of research exploring sexual offending with a recent focus on online offending. However, little research has focused on voyeurism despite convictions and media awareness growing rapidly. Currently, there is sparse theoretical or empirical literature to guide research and practice for individuals engaging in voyeuristic behaviors. As such, 17 incarcerated men with a conviction of voyeurism in the UK were interviewed on the cognitive, affective, behavioral, and contextual factors leading up to and surrounding their offense(s). Grounded theory analyses were used to develop a temporal model from background factors to post-offense factors; the Descriptive Model of Voyeuristic Behavior (DMV). The model highlights vulnerability factors for men engaging in voyeuristic behaviors in this sample. Following this, the same 17 men were plotted through the model and three key pathways were identified: Sexual Gratification, Maladaptive Connection Seeking, and Access to Inappropriate Person(s). The characteristics of each pathway are discussed, and treatment implications considered.
YouTube’s Yoga with Adriene as a somametamnemata: Exploring experiences of self-care and wellness in times of crisis
Authors: Navazhylava Kseniya , Peticca Harris Amanda , Elias Sara R.S.T.A.
Published: April 2023

Drawing on the Foucauldian technologies of the self, this study explores how individuals re-envision practices of wellbeing outside of traditional organizational contexts during extreme events. Based on a thematic analysis of 7234 comments posted on the Yoga with Adriene YouTube channel in 2020, this study unpacks a technologically mediated practice of self-care, which we conceptualize as somametamnemata. Our findings illustrate three entangled aspects of somametamnemata relating to yoga, a form of bodywork: Caring about self through practicing yoga online; caring about self and others through sharing about yoga in written comments; and caring about self and others through responding to shared verbalizations of yoga. This study distinguishes somametamnemata from known practices of self-care, advancing existing literature on technologies of self by overcoming the dichotomy between negative views of ill-being and positive views of wellbeing. By situating the potentiality of individual wellbeing within ill-being, we shift debates and discussions of “corporate wellness” beyond organizational boundaries.
Hiding in plain sight: Exploring the complex pathways between tactical concealment and relational wellbeing
Authors: Jones David Raymond , Wall Tony , Kenworthy Amy , Hurd Fiona , Dyer Suzette , Hedges Peggy , Sankaran Shankar
Published: April 2023

We argue that the current environment in higher education is one of the primary drivers for the widespread adoption of concealment tactics with the aim of enhancing wellbeing. To explore the relationship between concealment and wellbeing, we draw upon Scott’s conceptualization of “hidden transcripts” and Keyes’s five dimensions of social wellbeing. Using a collaborative ethnographic approach, we examine a 2-year period of individual and collective inquiry by an eclectic multidisciplinary, international group of academics. Our empirical and theoretical contributions expose a complex and, at times, seemingly contradictory relationship between tactical concealments and relational wellbeing, with variously generative and destructive pathways between them. Our research offers a lens through which we can critically explore and extend our understanding of alternative pathways to wellbeing in organizational life.
Re-organising wellbeing: Contexts, critiques and contestations of dominant wellbeing narratives
Authors: Watson David , Wallace James , Land Christopher , Patey Jana
Published: April 2023

Wellbeing has emerged as an important discourse of management and organisation. Practices of wellbeing are located in concrete organisational arrangements and shaped by power relations built upon embedded, intersecting inequalities and therefore require critical evaluation. Critical evaluation is essential if we are to reorganise wellbeing to move beyond critique and actively contest dominant wellbeing narratives in order to reshape the contexts in which wellbeing can be fulfilled. The COVID-19 pandemic under which this special issue took shape, provides various examples of how practices continue to be shaped by existing narratives of wellbeing. The pandemic also constituted a far-reaching shock that gave collective pause to consider to the extent to which work is really organised to realise wellbeing and opened up potential to think differently. The seven papers included in the special issue reveal the problematic and uneven way in which wellbeing is pursued and examine possibilities to imagine and realise more radical practices of wellbeing that can counter the way in which ill-being is produced by the organisation of labour.
Argumentative patterns based on pragmatic argumentation at China’s diplomatic press conferences
Authors: Wu Peng , Zhou Tian-bao
Published: April 2023

Within the theoretical framework of Pragma-Dialectics, this research investigates prototypical argumentative patterns based on pragmatic argumentation that manifest themselves in the spokespersons’ argumentative replies at the regular press conferences of China’s Ministry of Foreign Affairs. As is shown by the research results, constrained by the institutional point of the communicative activity type (justifying China’s attitude and actions regarding controversial issues) and its institutional preconditions, argumentative patterns based on pragmatic argumentation prototypically occur in three variants, viz. the ‘solvency type’, the ‘maintenance type’, and the ‘counter-plan type’; it can be observed that in complex pragmatic argumentation each of these three variants may also occur in combination with other variants.
Experiences of social workers who witness mistreatment as captured in drawing and narrative
Authors: Lev-Wiesel Rachel , Barhon Ella , Itzkovich Yariv , Eliraz Chana , Shimony Dar , Goldenberg Hadar , Dori-Egozy Noa , Orly Tal
Published: April 2023

The current study attempted to find out how the Bystander’s role and response are reflected in the drawings and narratives of social workers. The sample consisted of 32 social workers aged 25 to 55 who were asked to draw two drawings: “draw a work mistreatment you witnessed at work” and “draw your reaction to that event” narrative to each drawing was given following the drawing activity. In addition, a self-report questionnaire that included demographics was administered. The drawings and the narratives were analyzed according to a phenomenological method.

Findings

Two main themes emerged from the drawings and narratives: Loneliness and aloneness and the bystander role. Whereas most drawings were figurative, the bystander response and role were already exhibited within the first drawing.

Applications

Most participants emotionally responded to the situation passively and in private. This study seems to raise awareness of this issue within social workers’ services.
Riding the global wave of elite English private schools
Authors: Gross Ian
Published: April 2023

Demand for elite English private schools overseas is increasing and their numbers have risen rapidly in the first two decades of this century. With little research focussed on this type of international school, Bunnell (2008) discusses their first ten years, and the reasoning behind their initial appearance in Thailand. In this paper I examine Bunnell’s work and explore different views of these international elite English private schools. I reflect on the growth since Bunnell’s research and, using Kapferer’s model of globalisation (2005), re-position the globalised elite English private schools in relation to different school groups and their business models. I follow their progress and development over their second decade and argue how their primary task may have shifted focus, before discussing the increasing use by these international schools of accreditation and affiliations for the purpose of legitimisation. I conclude that these newer, globalised international schools have shifted from an ideological base to one of capitalism, noting how the globalised elite English private schools have branded themselves to support their longevity in an increasingly crowded market.
Dosimetric and Hematologic Implications of Prostate-Only Versus Whole Pelvic Radiotherapy: Results of the Multicentric Phase 3 PROPER Study
Authors: Fonteyne Valérie , Danckaert Willeke , Ost Piet , Berghen Charlien , Vandecasteele Katrien , Vanneste Ben , Rans Kato , Liefhooghe Nick , Wallaert Steven , Paelinck Leen
Published: April 2023

Objectives: The aim is to evaluate the incidental dose to the lymphatic regions in prostate-only radiotherapy (PORT) and to compare hematological outcome between PORT and whole pelvic radiotherapy (WPRT) in node-positive prostate cancer (pN1 PCa), in the era of modern radiotherapy techniques. Methods: We performed a prospective phase 3 trial in which a total of 64 pN1 PCa patients were randomized between PORT (ARM A) and WPRT (ARM B) delivered with volumetric-modulated arc therapy (VMAT). The lymph node (LN) regions were delineated separately and differences between groups were calculated using Welch t-tests. Hematological toxicity was scored according to common terminology criteria for adverse events (CTCAE) version 4.03. To evaluate differences in the evolution of red blood cell (RBC), white blood cell (WBC), and platelet count over time between PORT and WPRT, 3 linear mixed models with a random intercept for the patient was fit with model terms randomization group, study time point, and the interaction between both categorical predictors. Results: Except for dose to the obturator region, the incidental dose to the surrounding LN areas was low in ARM A. None of the patients developed severe hematological toxicity. The change in RBC from time point pre-external beam radiotherapy (EBRT) to month 3 and for WBC from time point pre-EBRT to months 3 and 12 was significantly different with ARM B showing a larger decrease. Conclusion: The incidental dose to the lymphatic areas becomes neglectable when PORT is delivered with VMAT. Hematological toxicity is very low after WPRT with VMAT and when bone marrow constraints are used for planning, although WPRT causes a decrease in RBC and WBC count over time.
Perioperative Complications Associated With Limited Surgical Fasciectomy After Collagenase Clostridium Histolyticum for Dupuytren Contracture
Authors: Golinvaux Nicholas S. , Zhang Dafang , Benavent Kyra A. , Earp Brandon E. , Blazar Philip E.
Published: April 2023

Background:

The purpose of this study was to determine the perioperative complication rate of surgical fasciectomy following previous treatment with collagenase clostridium histolyticum (CCH) treatment in patients with Dupuytren disease.

Methods:

A retrospective review of all patients at a large health system undergoing CCH treatment and subsequent limited surgical fasciectomy for recurrence on the same digit between 2010 and 2020 was performed. Fifty-two patients with 62 affected digits met inclusion criteria, and cases were reviewed for preoperative demographics, treatment characteristics, clinical outcomes, and perioperative complications.

Results:

Fifty-five digits in 48 patients were treated with CCH and underwent subsequent limited surgical fasciectomy. Of all digits in the present study, 3 (6.3%) had a documented surgical complication following open surgical fasciectomy. There were zero postoperative infections, vascular injuries, or tendon injuries. The rate of nerve injury was 2.1%. The rate of postoperative skin necrosis was 4.2%. These rates were comparable or lower than those of historical published data.

Conclusions:

The rate of perioperative complications in patients undergoing limited surgical fasciectomy after previous CCH treatment is low. The findings of this study will aid the counseling of Dupuytren patients in deciding whether to pursue treatment with CCH versus open surgical fasciectomy.
‘The Obstacle is the Way’: Methodological Challenges and Opportunities for Video-Reflexive Ethnography During COVID-19
Authors: Gionfriddo Michael R , Dadich Ann
Published: April 2023

The COVID-19 pandemic greatly impacted research. In this article, we explore the opportunities and challenges presented by the pandemic to a group of researchers using video-reflexive ethnography (VRE) – a methodology used to understand practices, grounded in: exnovation, collaboration, reflexivity, and care. To understand how the pandemic impacted researchers using VRE, we facilitated two focus groups with 12 members of the International Association of Video-Reflexive Ethnographers. The findings suggest the pandemic exacerbated existing methodological challenges, yet also provided an opportunity reflect on our own practices as researchers, namely: accessing sites, building relationships, facilitating reflexive sessions, and cultivating care. Due to public health measures, some researchers used insiders to access sites. While these insiders shouldered additional burdens, this shift might have empowered participants, increased the salience of the project, and enabled access to rural sites. The inability to access sites and reliance on insiders also impeded researcher ability to build relationships with participants and generate the ethnographic insights often associated with prolonged engagement at a site. In reflexive sessions, researchers had to learn how to manage the technological, logistical, and methodological challenges associated with either themselves or participants being remote. Finally, participants noted that while the transition to more digital methodologies might have increased project reach, there needed to be a mindfulness around cultivating practices of care in the digital world to ensure psychological safety and protect participants data. These findings reflect the opportunities and challenges a group of researchers using VRE had during the pandemic and can be used to stimulate future methodologic discussions.
Thermal error compensation method of truss robot beam structure based on mechanism and data drive
Authors: Li Long , Chen Binyang , Sha Dan , Wang Chengjun
Published: April 2023

As the main supporting component of the truss robot, the thermal deformation of the beam often has a great influence on the overall thermal error of the truss robot due to its large span. In order to improve the thermal error prediction accuracy of long-span truss robot, a thermal error prediction method based on multiple linear regression and long short-term memory network is proposed based on mechanism and data drive. Firstly, the multiple linear regression model is used to predict the thermal error, and the prediction error data processing. Secondly, the long short-term memory network is established. In order to improve the performance of the long short-term memory network more effectively, an improved particle swarm optimization algorithm is proposed to optimize the hyper-parameters of the long short-term memory network. Finally, the improved particle swarm optimization–long short-term memory network is used to correct the prediction error of the multiple linear regression model. The experimental results show that the combined thermal error prediction model based on multiple linear regression and improved particle swarm optimization–long short-term memory algorithm has higher prediction accuracy than multiple linear regression model and long short-term memory network. The method has stable prediction accuracy and can provide a basis for thermal error compensation.
‘That’s good’: An industrial, ethics-focused analysis of the televised works of Anthony Bourdain
Authors: Beattie Melissa
Published: April 2023

Despite critical and popular acclaim, the travel/food television series of Anthony Bourdain have not received much academic attention. This paper examines the negotiations required of the series’ production team with regard to industry and ethics, including engagement with multiple forms of ‘quality’ to acquire audience share, which can exist in tension with the ethical requirements of veracity and protecting factual media subjects from harm. Ultimately, this paper shows that, while the series did negotiate both industrial and ethical requirements with regard to the places and cultures they represented, they were prone to ethical slippage with regard to practitioner/subject Bourdain himself.
Topical steroid withdrawal syndrome in a mother and son: A case report
Authors: Feschuk Aileen M , Pratt Michelle E
Published: April 2023

Topical corticosteroids are first-line treatment for many dermatoses, and are generally considered safe and effective. However, topical steroid withdrawal syndrome can result from use of topical corticosteroids, and this condition is not well-known among physicians. This article reports a mother and son whose presentations of topical steroid withdrawal syndrome following the discontinuation of prolonged, high-potency topical corticosteroid use were nearly identical. This report adds to the growing body of evidence that topical steroid withdrawal syndrome is its own entity, rather than an exacerbation of the underlying dermatosis, and adds to the few pediatric reports of topical steroid withdrawal syndrome. Management for both patients involved topical corticosteroid discontinuation; however, it took approximately 2 years before the majority of their topical steroid withdrawal syndrome manifestations resolved. Increased awareness surrounding this condition is essential to facilitate topical steroid withdrawal syndrome prevention and diagnosis and to decrease topical corticosteroid phobia and increase patient–physician trust.
Area postrema syndrome: Intractable hiccups and vomiting as a result of neuromyelitis Optica Spectrum disorder
Authors: Prabhu Kiran , Woodman Marc
Published: April 2023

A 31 year old woman was referred to the medical team for further investigation of intractable hiccups and vomiting. Initial investigations including blood tests, endoscopy and CT imaging did not identify any cause of symptoms. Following multidisciplinary team review, serial MRI Head imaging was arranged, which revealed progressive posterior fossa signal abnormality with involvement of the area postrema. In combination with a positive serum Aquaporin-4 antibody result, this helped establish a diagnosis of Neuromyelitis Optica Spectrum Disorder (NMOSD). Treatment included high dose steroids, plasma exchange and immunomodulatory therapy, and led to a marked improvement in symptoms. This case highlights the importance of utilising specialty team input and broadening lines of investigation, when managing patients with intractable hiccups and vomiting in whom an initial workup has not established a clear diagnosis. While NMOSD is rare, early identification can inform treatment strategies that may lead to a significant improvement in clinical outcome.
Nurses’ Environmental Practices in Northern Peruvian Hospitals
Authors: Rojas-Perez Heydi L. , Díaz-Vásquez Maribel A. , Díaz-Manchay Rosa Jeuna , Zeña-Ñañez Sandra , Failoc-Rojas Virgilio E. , Smith Daniel
Published: April 2023

Background:

Decreasing emissions of the global healthcare sector will be an important tool for decreasing the magnitude of climate change. The environmental practices of nurses can have a positive environmental impact. The purpose of this study is to identify environmental practices performed by nurses while at work and home along with their associated factors.

Methods:

This study is a cross-sectional descriptive study conducted by surveying nurses from two public hospitals in Lambayeque, Peru. We utilized the Nurses’ Environmental Awareness Tool to collect information about nurses’ knowledge on environmental impacts, their risk to health, and environmental behaviors at both work and home.

Results:

Of the 106 participants who responded, the average age was 41 years, and 29 (28%) worked in surgical services. A little more than half of nurses reported appropriate energy use (51%) and recycling (53%) at work, while 94 (89%) implemented environmental biosafety. There was an observed association between age and years of employment with appropriate energy use, recycling, implementation of environmental biosafety, appropriate chemical substance use, and preventing medication waste.

Conclusion:

Nurses reported a favorable tendency toward adequate environmental practices at work and at home. However, more studies are needed to identify the factors that increase nurses’ use of these practices.

Applications to Practice:

As one of the most trusted professions, professional nurses have an opportunity to play a pivotal role in promoting environmental health and practices in both the workplace and their personal lives. This study highlights areas of potential intervention in the workplace to develop and promote appropriate environmental practices by nurses to decrease pollution by the healthcare sector.
A Bibliometric Analysis of Research Trends in Goods Transportation Using the Scopus Database
Authors: Vengadesh S. , Chinna P. Rajan , Aravindaraj K.
Published: April 2023

In our study, we applied bibliometric analysis techniques to explore the research trends in goods transportation. The Scopus database is selected for our research works. Since the extracted datasets from the Scopus database are effectively useful for bibliometric and descriptive analysis using VOSVIEWER software and MS-EXCEL. This study used six research contributions to find out descriptive statistics such as year—wise publications trend, document type, publisher contribution summary, percentage of articles vs subject category, the contribution of authors and their countries based on the total number of publications and their corresponding total citations, the reputation of documents and journals according to the total citations that occurred over the period by performing citation analysis, the intellectual structures of goods transportation by performing co-citation analysis with co-cited authors, to identify the trends involving goods transportation by performing keywords co-occurrence analysis, and to know the research gaps and further research directions on goods transportation. This research study has found gradual results of goods transportation from 2000 to 2021 and performed network analysis to get the intellectual structure and emergent themes in goods transportation, such as dangerous goods transportation, railway goods transportation, technology enhancement in goods transportation, and sustainability perspectives. This study was limited to documents that were retrieved from the largest database Scopus. Those which are not incorporated here are not part of the study, which may or may not affect our research findings. To the best of our knowledge, this is the first attempt at the evolution of documents about goods transportation by using bibliometric tools.
U.S. Population Data on Hearing Loss, Trouble Hearing, and Hearing-Device Use in Adults: National Health and Nutrition Examination Survey, 2011–12, 2015–16, and 2017–20
Authors: Humes Larry E.
Published: April 2023

The National Health and Nutrition Examination Survey (NHANES) data on audiometric hearing loss, self-reported trouble hearing, and the use of hearing aids and assistive listening devices (ALDs) for the three most recent surveys (2011–12, 2015–16, and 2017–20) were analyzed for adults ranging in age from 20 to 80-plus years. Complete audiograms were available for a total of 8,795 adults. The prevalence of hearing loss, measured audiometrically and self-reported, is provided for males and females by age decade. Logistic-regression analyses identified variables affecting the odds of having an audiometrically defined hearing loss or self-reported trouble hearing. As in previous reports, males were more likely than females to have audiometric hearing loss and the prevalence of hearing loss increased steadily with advancing age. The same trends were observed for self-reported hearing difficulty, although the effects of age and sex were smaller for self-reported trouble hearing compared to audiometric hearing loss. The agreement between the audiometric classification of hearing loss severity and the amount of trouble reported on the self-report measure was moderate ( r = 0.61). The prevalence of hearing-aid and ALD use differed for males and females of the same age, females generally using these devices less frequently than males, but both showing increased prevalence of device use with advancing age. Unmet hearing-healthcare need, defined as the percentage of those with identified hearing loss or trouble hearing who were not current hearing-aid users or had never tried hearing aids or ALDs, was about 85%.
Human Rights in the Gulf Cooperation Council (GCC) States: Prospects for Positive Change
Authors: Walker Scott
Published: April 2023

The six Gulf Cooperation Council (GCC) countries have received criticism for being slow to conform to global human rights norms. They have lagged in signing global treaties and covenants and have not enforced many of the laws they have on the books. However, for three key reasons, hope exists that continued engagement with these countries on human rights issues may lead to progress. First, despite a lack of progress in some areas, such as political and civil rights, the region has made great progress overall in just a few decades, especially regarding economic and social rights. Second, GCC countries have begun incorporating human rights language into domestic legislation and their own local discourse. Third, economic and social changes are on the horizon for the region in the medium to long term, which may lead to political changes in the next few decades.
Sex Differences in Gastroesophageal Reflux Disease (GERD)
Authors: Scheese Daniel , Chehab Mohamad , Puig Carlos A.
Published: April 2023

Gastroesophageal reflux disease (GERD) is the most commonly diagnosed digestive disorder in the United States. Higher rates of non-erosive reflux disease (NERD) are found in females while higher rates of erosive reflux disease (ERD) are found in males. Pre-menopausal females appear to be protected from esophageal mucosal damage, as they demonstrate lower rates of ERD, Barrett’s esophagus, and esophageal adenocarcinoma. A protective effect of estrogen on the esophageal mucosa is thought to contribute to this decreased prevalence. A better understanding of sex-related differences in GERD may help alleviate the reported differences in outcomes between sexes regarding medical and surgical management.