bluuebunny/crossref_metadata_2025 huggingface dataset:
Audience perceptions of a speaker who uses a smartphone as a public speaking aid: An experimental video vignette investigation
Authors: Hendrickson Blake , Goh Lucas Wen Jie
Published: October 2023

Individuals use their smartphones for an assortment of communication and functional activities and in a variety of contexts. Researchers analyzing smartphone use during interpersonal interactions have posed hypotheses and developed theories regarding the positive and negative influences that smartphones have on individuals and relationships. However, there is little research that examines the role smartphone use plays in a public speaking context. The current study uses a video vignette methodology to explore audience perceptions of a speaker who uses a smartphone as a presentation aid at a small university in Singapore. Overall, results suggest that the speaker’s smartphone use did not have a negative impact on perceptions of credibility (likeability/trustworthiness, competence, speaker ability), speaker immediacy, or persuasion. However, there was a small interaction effect when accounting for participants’ degree of smartphone acceptance. University students who reported lower smartphone acceptance perceived the speaker who used a smartphone as less credible (likable/trustworthy) than a speaker who delivered a speech from memory. Additionally, despite reporting significantly less smartphone use than students, staff and instructors did not perceive a speaker who uses a smartphone compared to a memorized presentation differently. This exploratory study carries implications for better understanding normative and appropriate smartphone use in public speaking contexts and provides recommendations for public speaking educators.
The after party: Cynical resignation in Adtech's pivot to privacy
Authors: McGuigan Lee , West Sarah Myers , Sivan-Sevilla Ido , Parham Patrick
Published: October 2023

Digital advertising and technology companies are resigned to a new privacy imperative. They are bracing for a world where third-party tracking will be restricted by design or by law. Digital resignation typically refers to how companies cultivate a sense of powerlessness about privacy among internet users. Our paper looks through this optic from the other end of the lens: How is the digital advertising industry coping with the increasing salience of privacy? Recent developments have forced companies to implement “privacy-preserving” designs—or at least promise some semblance of privacy. Yet, the industry remains dependent on flows of data and means of identification to enable still-desired targeting, measurement, and optimization. Our paper analyzes this contradiction by looking at systems that aim to replicate existing functionalities while protecting user “privacy.” We call this a form of “cynical resignation” and characterize its key maneuvers as follows: (a) sanitizing surveillance; (b) party-hopping; and (c) sabotage. We argue that this “cynical resignation” to a privacy imperative represents a policy failure. In the absence of decisive interventions into the underlying business models of data capitalism, companies offer techno-solutionism and self-regulations that seem to conform to new laws and norms while reinforcing commitments to data-driven personalization. This may benefit the largest tech companies, since their privileged access to first-party data will make more companies reliant on them, and their computational power will be even more valuable in a world where modeling is used to compensate for the loss of third-party data and traditional methods of personal identification.
Development and Validation of a Predictive Model to Evaluate the Risk of Dysphagia Following Anterior Cervical Discectomy and Fusion
Authors: Luan Haopeng , Liu Xiaokang , Liu Kai , Song Jiazhao , Peng Cong , Sheng Weibin , Deng Qiang
Published: October 2023

Study Design

A retrospective study

Objective

To investigate the potential risk factors of dysphagia after anterior cervical discectomy and fusion (ACDF) and to establish and validate a prediction model.

Methods

The clinical data of 252 patients who underwent anterior cervical discectomy and fusion in our hospital from January 2018 to October 2020 were retrospectively analyzed and divided into the dysphagia group and the non-dysphagia group according to whether dysphagia occurred after surgery. Age, gender, body mass index, smoking and drinking history, hypertension history, diabetes history, disease duration, placement of Hemovac negative pressure drain, number of segments involved in surgery, whether C4-5/C5-6 segment surgery, incision length, incision position, level of preoperative EAT-10 score, whether preoperative tracheal exercise, and changes in cervical curvature before and after surgery were recorded in both groups. Risk factors for postoperative dysphagia were identified and nomogram prediction models were developed.

Results

A total of 252 patients were included in the study, 115 of whom presented with dysphagia within 1 week after anterior cervical fusion. The results of multivariate logistic regression analysis indicated that male gender (OR = .045, 95% CI .223-.889) and whether preoperative tracheal exercise (OR = .260, 95% CI .107-.633) were independent risk factors associated with reduced incidence of postoperative dysphagia.

Conclusion

The incidence of dysphagia symptoms after anterior cervical decompression and fusion gradually decreased with the extension of follow-up time, and preoperative tracheal exercise and shortening the operation time may help to reduce the occurrence of postoperative dysphagia.
Social Media: An Elixir to Boost Student Engagement in Higher Education Learning
Authors: Koul Surabhi , Jasrotia Sahil Singh
Published: October 2023

The current study aims to evaluate the impact of Facebook integration on student engagement and academic performance on a business communication course taught in an Indian private university in an online teaching environment. A direct relationship was established between Facebook usage in an online learning environment and student engagement—both situational and personal factors. A quantitative data analysis using structured equation modeling was conducted to test the validity of the conceptualized model. The study reports that integration of contemporary social media tools in academia fosters communication, collaboration, and participation in online learning environment to develop discussion-oriented learning and cocreation.
Doing What We Do Best: Advancing Business Communication Instruction Into the Future With an Agenda for Training and Development
Authors: Frei Seth S. , Stephens Keri K. , Beebe Steven A.
Published: October 2023

Instruction about teaching business communication skills has been a long-established tradition in the communication discipline. Recent trends in teaching communication training and development extend a long-held emphasis on business communication skill instruction. Given the classical roots of the communication discipline and the current focus on communication skill instruction, this article suggests that future communication theory and research should focus greater attention on behavioral learning outcomes—specifically communication training. This review identifies relevant communication theory that informs a renewed research agenda focused on enhancing behavioral learning outcomes. In proposing this research agenda, we discuss opportunities to apply our current knowledge of intrapersonal, interpersonal, group, public, organizational, mediated, and intercultural communication to advance the discipline through theoretically driven research about business communication skills.
Assessment of Vestigial Auriculomotor Activity to Acoustic Stimuli Using Electrodes In and Around the Ear
Authors: Schroeer Andreas , Andersen Martin Rune , Rank Mike Lind , Hannemann Ronny , Petersen Eline Borch , Rønne Filip Marchman , Strauss Daniel J. , Corona-Strauss Farah I.
Published: October 2023

Recently, it has been demonstrated that electromyographic (EMG) activity of auricular muscles in humans, especially the postauricular muscle (PAM), depends on the spatial location of auditory stimuli. This observation has only been shown using wet electrodes placed directly on auricular muscles. To move towards a more applied, out-of-the-laboratory setting, this study aims to investigate if similar results can be obtained using electrodes placed in custom-fitted earpieces. Furthermore, with the exception of the ground electrode, only dry-contact electrodes were used to record EMG signals, which require little to no skin preparation and can therefore be applied extremely fast. In two experiments, auditory stimuli were presented to ten participants from different spatial directions. In experiment 1, stimuli were rapid onset naturalistic stimuli presented in silence, and in experiment 2, the corresponding participant’s first name, presented in a “cocktail party” environment. In both experiments, ipsilateral responses were significantly larger than contralateral responses. Furthermore, machine learning models objectively decoded the direction of stimuli significantly above chance level on a single trial basis (PAM: [Formula: see text] 80%, in-ear: [Formula: see text] 69%). There were no significant differences when participants repeated the experiments after several weeks. This study provides evidence that auricular muscle responses can be recorded reliably using an almost entirely dry-contact in-ear electrode system. The location of the PAM, and the fact that in-ear electrodes can record comparable signals, would make hearing aids interesting devices to record these auricular EMG signals and potentially utilize them as control signals in the future.
Association of organizational culture and climate with variation in the clinical outcomes of collaborative care for maternal depression in community health centers
Authors: Williams Nathaniel J. , Russo Joan , Vredevoogd Melinda , Grover Tess , Green Phillip , Proctor Enola , Bhat Amritha , Unützer Jürgen , Bennett Ian M.
Published: October 2023

Background

Organizational factors may help explain variation in the effectiveness of evidence-based clinical innovations through implementation and sustainment. This study tested the relationship between organizational culture and climate and variation in clinical outcomes of the Collaborative Care Model (CoCM) for treatment of maternal depression implemented in community health centers.

Method

Organizational cultures and climates of 10 community health centers providing CoCM for depression among low-income women pregnant or parenting were assessed using the organizational social context (OSC) measure. Three-level hierarchical linear models tested whether variation in culture and climate predicted variation in improvement in depression symptoms from baseline to 6.5-month post-baseline for N = 468 women with care ±1 year of OSC assessment. Depression symptomology was measured using the Patient Health Questionnaire (PHQ-9).

Results

After controlling for patient characteristics, case mix, center size, and implementation support, patients served by centers with more proficient cultures improved significantly more from baseline to 6.5-month post-baseline than patients in centers with less proficient cultures (mean improvement = 5.08 vs. 0.14, respectively, p = .020), resulting in a large adjusted effect size of dadj = 0.78. A similar effect was observed for patients served by centers with more functional climates (mean improvement = 5.25 vs. 1.12, p < .044, dadj = 0.65). Growth models indicated that patients from all centers recovered on average after 4 months of care. However, those with more proficient cultures remained stabilized whereas patients served by centers with less proficient cultures deteriorated by 6.5-month post-baseline. A similar pattern was observed for functional climate.

Conclusions

Variation in clinical outcomes for women from historically underserved populations receiving Collaborative Care for maternal depression was associated with the organizational cultures and climates of community health centers. Implementation strategies targeting culture and climate may improve the implementation and effectiveness of integrated behavioral health care for depression.
Infective endocarditis in octogenarians. A retrospective study in a single, high-volume surgical centre
Authors: Scheggi Valentina , Menale Silvia , Tonietti Barbara , Giovacchini Jacopo , Del Pace Stefano , Zoppetti Nicola , Alterini Bruno , Stefàno Pier Luigi , Marchionni Niccolò
Published: October 2023

Background

Infective endocarditis (IE) is a severe disease associated with high morbidity and mortality. Little is known about the best management of elderly patients with IE. In these patients, surgery may be challenging. Our study aimed to describe IE’s features in octogenarians and to identify the independent predictors of mortality, focusing on the prognostic impact of disability.

Methods

We retrospectively analyzed 551 consecutive patients admitted to a single surgical centre with a definite diagnosis of non-device-related infective endocarditis; of these, 97 (17.6%) were older than 80 years.

Results

In patients under eighty, males were mostly involved with a sex ratio exceeding 2:1. This ratio was inverted in older people, where the female gender represented 53.6% of the total. Enterococci (29.8 vs. 17.4%, p = 0.005) were significantly more frequent than in younger people. Comorbidities were more frequent in elderly patients; consequently, EuroSCORE II was higher (median ± IQR 16.4 ± 21.1 vs. 5.0 ± 10.3, p = 0.001). In octogenarians, IE was more frequently left-sided (97.9 vs. 89.8%, p = 0.011). Octogenarians were more often excluded from surgery despite indication (23.7 vs. 8.1%, p = 0.001) and had higher three-year mortality (45.3 vs. 30.6%, p = 0.005) than younger patients. In elderly patients, age did not independently predict mortality, while exclusion from surgery and a high grade of disability did.

Conclusions

Octogenarians with IE have specific clinical and microbiological characteristics. Older patients are more often excluded from surgery, and the overall prognosis is poor. Age per se should not be a reason to deny surgery, while disability predicts futility.
Perspectives on pregnant women’s educational needs to prevent TB complications during pregnancy and the neonatal period. A qualitative study
Authors: Khoza LB , Mulondo SA , Lebese RT
Published: October 2023

Background

Tuberculosis (TB) during pregnancy could confer a high risk for maternal and infant morbidity. Literature indicates that the global burden of active TB disease among pregnant women is not well researched. Statistics for South Africa from WHO give an estimated incidence of 360, 000 cases of TB in 2019; 14,000 people became ill with multidrug-resistant TB in 2019, with a rate of 615 per 100,000 population, implying that the cohorts included pregnant women with and without a diagnosis of TB infection. Therefore, the study aims to increase the understanding of the educational needs required to prevent TB complications during pregnancy and the neonatal period in women diagnosed with TB infection.

Methods

The study used cross-sectional qualitative and descriptive designs to collect data in the clinical setting of the primary health care services of Limpopo Province, South Africa. The population comprised pregnant women diagnosed with TB infection. A non-probability purposive sampling technique was used to sample 2 health centers and 5 clinics in each of the three sampled districts. The targeted sample size was 63 and it was achieved even though data saturation was observed. Individual interviews were conducted, audiotaped, and transcribed. Guided by the study questions, a thematic content analysis of the findings was used. Ethical considerations were also observed.

Results

Despite that pregnant women have general knowledge about TB disease, the knowledge and awareness regarding the prevention of TB complications in pregnancy and the neonatal period, information on TB/HIV and COVID-19 co-infections, and participants’ knowledge about other non-infectious diseases that may affect the mother with TB infection and foetus showed a deficit.

Conclusion

Pregnant women with TB disease need to be educated on the negative effects of non-adherence to TB treatment during pregnancy and the neonatal period. There is a need to educate pregnant women about the variant signs and symptoms of TB, HIV and COVID-19 infections since there is a misconception that the three diseases are similar. It is important that pregnant mothers diagnosed with TB should start treatment as soon as possible.
Access to basic sanitation facilities reduces the prevalence of anaemia among women of reproductive age in sub-saharan Africa
Authors: Chanimbe Benamba , Issah Abdul-Nasir , Mahama Abraham Bangamsi , Yeboah Daudi , Kpordoxah Mary Rachael , Shehu Nura , Chukwu Ngozi Mabel , Boah Michael
Published: October 2023

Background

The prevalence (≈ 30%) of anaemia among women of reproductive age in Sub-Saharan Africa (SSA) is a significant concern. Additionally, less than half of households in the region have access to basic sanitation facilities, raising questions about the potential role of poor sanitation in increasing anaemia prevalence. To address this, we examined the relationship between access to basic sanitation facilities and the prevalence of anaemia among women of reproductive age in SSA.

Methods

The study analysed cross-sectional household-level Demographic and Health Survey data from selected SSA countries. A total of 100,861 pregnant and non-pregnant women aged 15 to 49 from 27 countries were analysed. Access to basic sanitation and haemoglobin (Hb) levels were classified using WHO and UNICEF standards. To examine the link between access to basic sanitation facilities and the prevalence of anaemia, a multilevel regression analysis was conducted, which adjusted for country fixed-effects to ensure that the findings were not biassed by variations in country-level factors.

Results

Nearly 37% (95% CI: 36.4, 37.9) of households had access to basic sanitation facilities, and 41% (95% CI: 40.8, 42.1) of women had Hb levels that indicated anaemia. Women with access to basic sanitation had a lower risk of anaemia than those without access (AOR = 0.95; 95% CI: 0.93, 0.98, p < 0.01). Factors, including maternal age, education, marital status, breastfeeding, health insurance enrollment, and wealth group, were also associated with anaemia prevalence.

Conclusions

Anaemia is a severe public health problem among women of reproductive age across all 27 SSA countries analysed, with nearly four in ten being affected. Access to basic sanitation facilities was associated with a reduced anaemia risk. However, only slightly over a third of households had access to such facilities. Further research is required to examine the underlying mechanisms and inform effective interventions.
The association of body composition and fat distribution with hypertension in community-dwelling older adults: the Bushehr Elderly Health (BEH) program
Authors: Khaleghi Mohammad Mehdi , Jamshidi Ali , Afrashteh Sima , Emamat Hadi , Farhadi Akram , Nabipour Iraj , Jalaliyan Zahrasadat , Malekizadeh Hasan , Larijani Bagher
Published: October 2023

Background

A significant proportion of the global burden of disability and premature mortality has caused by hypertension. It seems that the relationship between obesity and hypertension is not only associated with excessive body fat mass (FM) but also with body adipose distribution patterns. The present study investigated the association between regional fat distribution using dual-energy X-ray absorptiometry and hypertension in older adults.

Methods

This cross-sectional study was performed using the data from Bushehr Elderly Health Program (BEH) on a total of 2419 participants aged 60 and over. Hypertension was defined as SBP of at least 140 mmHg and/or DBP of at least 90 mmHg. SBP between 120 and 139 mmHg and/or a DBP between 80 and 89 mmHg were considered prehypertension. Participants underwent body composition measurement by dual-energy x-ray absorptiometry to analyze FM, fat-free mass (FFM) in trunk and extremities composition.

Results

The results showed that 460 (19.02%) of participants had prehypertension, and 1,818 (75.15% ) had hypertension. The odds of having prehypertension (OR: 1.06, 95%CI: 1.01–1.12) and hypertension (OR: 1.08, 95%CI: 1.03–1.13) increased with a rise in total body FM percentage. Moreover, people with a higher FM to FFM ratio had increased odds of being prehypertensive (OR: 9.93, 95%CI: 1.28–76.99) and hypertensive (OR: 16.15, 95%CI: 2.47-105.52). Having a higher android to gynoid FM ratio was related to increased odds of being prehypertensive and hypertensive.

Conclusions

This study showed that a higher body FM, particularly in the android region, is associated with higher odds of having hypertension in older adults.
Effectiveness and safety of omalizumab in patients with allergic bronchopulmonary aspergillosis with or without allergic rhinitis: a retrospective chart review
Authors: Cai Cuihong , Qu Jingjing , Zhou Jianying
Published: October 2023

Background

Omalizumab is a valuable alternative treatment for allergic bronchopulmonary aspergillosis (ABPA). The effectiveness and safety of this medication have not been confirmed. The main purpose of this study was to evaluate the effectiveness and safety of omalizumab for ABPA.

Methods

This study involved a retrospective chart review. The main indicators used were asthma control test (ACT) scores, lung function parameters, doses of corticosteroids, acute exacerbation, hospitalization rates, total serum immunoglobulin E (IgE) levels, and blood eosinophil counts. Related adverse events were also reviewed to evaluate the safety of omalizumab.

Results

Fourteen patients with ABPA were included, of whom 10 (71%) concurrently had allergic rhinitis (AR). There were improvements in the mean percentages of the forced vital capacity, percentages of the forced expiratory volume in 1 s, and ACT score after omalizumab administration (p < 0.05, p < 0.01, and p < 0.01, respectively). After the initiation of omalizumab administration, the median corticosteroid dose, acute exacerbation rate, hospitalization rate, and mean blood eosinophil count decreased when compared with the baseline values (p < 0.05, p < 0.05, p < 0.01, and p < 0.05, respectively). A reduction in the total serum IgE level was observed in patients with ABPA without AR compared with that in patients with AR (p < 0.05). One patient reported a concurrent skin rash, which spontaneously resolved without medication.

Conclusion

It is safe and effective to prescribe omalizumab to patients with ABPA, irrespective of whether they have AR. Dose adjustment of omalizumab is safe after disease control. The total serum IgE level might be a predictor of the effectiveness of omalizumab in patients without AR.
Construction and validation of a predictive model for postoperative urinary retention after lumbar interbody fusion surgery
Authors: Tian Dong , Liang Jun , Song Jia-Lu , Zhang Xia , Li Li , Zhang Ke-Yan , Wang Li-Yan , He Li-Ming
Published: October 2023

Background

Postoperative urine retention (POUR) after lumbar interbody fusion surgery may lead to recatheterization and prolonged hospitalization. In this study, a predictive model was constructed and validated. The objective was to provide a nomogram for estimating the risk of POUR and then reducing the incidence.

Methods

A total of 423 cases of lumbar fusion surgery were included; 65 of these cases developed POUR, an incidence of 15.4%. The dataset is divided into a training set and a validation set according to time. 18 candidate variables were selected. The candidate variables were screened through LASSO regression. The stepwise regression and random forest analysis were then conducted to construct the predictive model and draw a nomogram. The area under the curve (AUC) of the receiver operating characteristic (ROC) curve and the calibration curve were used to evaluate the predictive effect of the model.

Results

The best lambda value in LASSO was 0.025082; according to this, five significant variables were screened, including age, smoking history, surgical method, operative time, and visual analog scale (VAS) score of postoperative low back pain. A predictive model containing four variables was constructed by stepwise regression. The variables included age (β = 0.047, OR = 1.048), smoking history (β = 1.950, OR = 7.031), operative time (β = 0.022, OR = 1.022), and postoperative VAS score of low back pain (β = 2.554, OR = 12.858). A nomogram was drawn based on the results. The AUC of the ROC curve of the training set was 0.891, the validation set was 0.854 in the stepwise regression model. The calibration curves of the training set and validation set are in good agreement with the actual curves, showing that the stepwise regression model has good prediction ability. The AUC of the training set was 0.996, and that of the verification set was 0.856 in the random forest model.

Conclusion

This study developed and internally validated a new nomogram and a random forest model for predicting the risk of POUR after lumbar interbody fusion surgery. Both of the nomogram and the random forest model have high accuracy in this study.
Effect of bleaching treatments on the adhesion of orthodontic brackets: a systematic review
Authors: Boccuzzi Michela , Nota Alessandro , Cosola Saverio , De Simone Giada , Iozzo Rosa , Pittari Laura , Hwang Myoung Hwan , Bosco Floriana , Polizzi Elisabetta , Tecco Simona
Published: October 2023

Background

Nowadays bleaching procedures have gained popularity in orthodontic patients. Peroxide and Carbamide acids are the common agents which are used in in-office and at home bleaching techniques.

Consequently, the Bonding adhesion to the enamel can be influenced by the orthodontic phase and the residual peroxide might interfere with the polymerization and the adhesion of the brackets.

Frequent debonding of the brackets from teeth after the bleaching procedure could cause the lengthening of the therapy and promote irregularities on enamel surface derived from an additional bonding phase of the brackets.

The aim of this systematic review is to appraise the influence regarding the effect of the bleaching procedure on the bond strength of orthodontic brackets.

Methods

An electronic database search was performed. Search terms included: bleaching, brackets, adhesion; data were extracted and summarized. Risk of bias was assessed using the Chocrane risk of bias tool, adapted for in vitro studies.

Results

A total of 8689 articles were screened and 11 studies met the inclusion criteria of this systematic review.

1000 teeth of human and bovine origin were analyzed for the shear bond strength (SBS) of stainless and ceramic brackets after the bleaching treatments. All the authors divided the groups in different subgroups with different bleaching agents and in different concentration.

The SBS value allowed to demonstrate the necessity to delay the bonding of the brackets for two weeks after a bleaching treatment and its improvement when tooth mousse or antioxidants agents are used.

Conclusions

The SBS values and the delay of the bonding procedure must be considered in dental practice and clinical strategies are necessary in order to avoid drawbacks which could cause the debonding of the brackets after bleaching due to the alterations of the dental substrate, thus interfering with the orthodontic treatments.
Burnout and quality of life in Portuguese healthcare professionals working in oncology and palliative care—a preliminary study
Authors: Gonçalves Florbela , Gaudêncio Margarida
Published: October 2023

Background

Palliative care is an approach that improves the quality of life of patients and their families who are facing challenges associated with life-threatening illness, through the prevention and relief of suffering. Palliative care health professionals are considered a risk group for the development of burnout, since they live with severe disease and death, on a daily basis. With this work, the authors intend to evaluate the quality of life and risk of burnout in a group of health professionals, who work in a tertiary hospital dedicated to cancer patients.

Material and methods

The authors conducted a quantitative, descriptive, correlational and transversal study on palliative care professionals working with cancer patients. The evaluation protocol used to collect data included a sociodemographic questionnaire, WHO Quality of life Assessment instrument and Maslach Burnout Inventory. Statistical analysis was performed using the SPSS®Statistics program.

Results

In the sample, there is a predominance of female gender (79,4%) with a mean age of 43,2 ± 10,8 years. The most representative professional group was nursing (47,1%). The sample response rate was 91.9%. Analyzing Maslach Burnout Inventory score, it appears that physicians and nurses have higher levels of exhaustion when compared to the other groups. In relation to quality of life (QoL), it was observed that in all dimensions, there was a homogeneous distribution of responses. It was verified that it was not possible to establish any relationship between the dimensions of burnout and QoL. Thus, the various dimensions behaved independently.

Discussion

Physicians and nurses had the highest burnout levels in the most dimensions of Burnout score, in which they were followed by the operational assistants, who had moderate scores. Despite hight prevalence of Burnout, there is no correlation between Burnout and quality of life in this population. The perception of QoL is very satisfactory in the sample studied may result from the fact that these individuals have developed adequate self-protection strategies, thus preventing QoL from being affected by Burnout.

Conclusion

Prevention, diagnosis and intervention at burnout level is an important measure to be taken in health organizations, since the consequences that come from the experiences experienced by professionals will be reflected both in the quality of services provided to patients and in the QoL and well-being of professionals. Interventions are needed to promote better coping mechanisms when dealing with stress in this population. After this study, a Burnout Consultation was created at the Institution, to support professionals at risk or already affected.
Equine-assisted therapy effectiveness in improving emotion regulation, self-efficacy, and perceived self-esteem of patients suffering from substance use disorders
Authors: Souilm Nagwa
Published: October 2023

Substance Use Disorders (SUD) is a universal overwhelming public health problem and is associated with other psychological and mental health ailments such as emotion regulation, perceived self-esteem, and self-efficacy problems. Complementary and alternative medicine may be beneficial. The aim of this study was to assess the effectiveness of equine-assisted therapy in improving emotion regulation, self-efficacy, and perceived self-esteem among patients suffering from substance use disorders. It was carried out using a randomized controlled trial design at Behman hospital, Cairo, Egypt. It included 100 patients suffering from SUD attending the setting, equally randomized into an intervention group to receive the equine assisted therapy and a control group to receive the regular care. Data were collected using a self-administered questionnaire with standardized tools for assessment of emotion regulation, General Self-Efficacy (GSE), and perceived self-esteem. The intervention group received weekly equine-assisted therapy sessions over 6 weeks in addition to their standard regular therapy. Patients in both groups had similar demographic and SUD characteristics, as well as baseline scores of reappraisals, suppression, GSE and perceived self-esteem. At post-intervention, the intervention group had significant improvements in all these scores in comparison with the control group, as well as their baseline. The multivariate analysis identified the study intervention as a significant positive predictor of the reappraisal and GSE scores, and a negative predictor of the suppression and perceived self-esteem negative score. In conclusion, equine assisted-therapy as a complementary treatment in patients suffering from SUD is effective in improving their emotion regulation, self-efficacy, and perceived self-esteem. A wider use of this approach is recommended in SUD patients along with provision of needed facilities and resources, and training nurses in its administration. Further research is proposed to assess its long-term effectiveness. The clinical trial was registered in the “Clinical Trials.gov Protocol Registration and Results System (PRS);” registration number is (05632185/2022) and the full date of first registration is 10/11/2022.
Effects of emotion coaching group programme for mothers of preschool children with smart device overdependence: a mixed methods study
Authors: Lee Gumhee , Kim Sungjae
Published: October 2023

Background

Smart device overdependence adversely affects the overall development of preschool children. This study aimed to provide an emotion coaching group programme to mothers raising preschool children who are overly dependent on smart devices and to confirm the programme’s effectiveness.

Methods

This concurrent embedded mixed methods study used a non-equivalent control group pre-post design to verify the quantitative effect of the programme, and a descriptive research design to verify the qualitative effect. The study collected data from June 2019 to March 2021 from 51 (25 experimental, 26 control) mothers raising children aged 3–6 years in South Korea. The quantitative study examined the effects of an eight-session programme, conducted once a week for two hours, on mothers’ emotional intelligence, parenting behaviour, and their children’s attachment stability and smart device overdependence using a non-equivalent control group pre-post design. The analysis used a generalized estimate equation. For qualitative research, focus group interviews were used as a descriptive research design method, and content analysis was used for analysis.

Results

Quantitatively, the results showed significant differences between the experimental and control groups in terms of changes in maternal emotional intelligence (χ2 = 14.99, p = .001), maternal positive parenting behaviour (χ2 = 9.32, p = .009), children’s unstable attachment to their mothers (χ2 = 9.49, p = .009), and children’s overdependence on smart devices (χ2 = 14.48, p = .001). Qualitatively, the study derived five themes for the experiences of mothers who participated in the programme: “hope for desirable parenting without emotional difficulties,” “feelings touched by reflection,” “warm but authoritative parenting,” “children who became responsible by gaining psychological stability,” and “changed view of my home.”

Conclusions

The emotion coaching group programme was effective in improving the emotional intelligence and parenting behaviour of mothers raising preschool children. The programme also improved preschool children’s attachment stability to their mothers and overdependence on smart devices. The programme can be useful in community practice, and the present study can be used as evidence for education and research related to device overdependence.
Prospective and Mendelian randomization analyses on the association of circulating fatty acid binding protein 4 (FABP-4) and risk of colorectal cancer
Authors: Nimptsch Katharina , Aleksandrova Krasimira , Pham Thu Thi , Papadimitriou Nikos , Janke Jürgen , Christakoudi Sofia , Heath Alicia , Olsen Anja , Tjønneland Anne , Schulze Matthias B. , Katzke Verena , Kaaks Rudolf , van Guelpen Bethany , Harbs Justin , Palli Domenico , Macciotta Alessandra , Pasanisi Fabrizio , Yohar Sandra Milena Colorado , Guevara Marcela , Amiano Pilar , Grioni Sara , Jakszyn Paula Gabriela , Figueiredo Jane C. , Samadder N. Jewel , Li Christopher I. , Moreno Victor , Potter John D. , Schoen Robert E. , Um Caroline Y. , Weiderpass Elisabete , Jenab Mazda , Gunter Marc J. , Pischon Tobias
Published: October 2023

Background

Fatty acid binding protein 4 (FABP-4) is a lipid-binding adipokine upregulated in obesity, which may facilitate fatty acid supply for tumor growth and promote insulin resistance and inflammation and may thus play a role in colorectal cancer (CRC) development. We aimed to investigate the association between circulating FABP-4 and CRC and to assess potential causality using a Mendelian randomization (MR) approach.

Methods

The association between pre-diagnostic plasma measurements of FABP-4 and CRC risk was investigated in a nested case-control study in 1324 CRC cases and the same number of matched controls within the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. A two-sample Mendelian randomization study was conducted based on three genetic variants (1 cis, 2 trans) associated with circulating FABP-4 identified in a published genome-wide association study (discovery n = 20,436) and data from 58,131 CRC cases and 67,347 controls in the Genetics and Epidemiology of Colorectal Cancer Consortium, Colorectal Cancer Transdisciplinary Study, and Colon Cancer Family Registry.

Results

In conditional logistic regression models adjusted for potential confounders including body size, the estimated relative risk, RR (95% confidence interval, CI) per one standard deviation, SD (8.9 ng/mL) higher FABP-4 concentration was 1.01 (0.92, 1.12) overall, 0.95 (0.80, 1.13) in men and 1.09 (0.95, 1.25) in women. Genetically determined higher FABP-4 was not associated with colorectal cancer risk (RR per FABP-4 SD was 1.10 (0.95, 1.27) overall, 1.03 (0.84, 1.26) in men and 1.21 (0.98, 1.48) in women). However, in a cis-MR approach, a statistically significant association was observed in women (RR 1.56, 1.09, 2.23) but not overall (RR 1.23, 0.97, 1.57) or in men (0.99, 0.71, 1.37).

Conclusions

Taken together, these analyses provide no support for a causal role of circulating FABP-4 in the development of CRC, although the cis-MR provides some evidence for a positive association in women, which may deserve to be investigated further.
The impact of COVID-19 government policy on the international wine trade
Authors: Macedo Anthony , Rebelo João , Gouveia Sofia
Published: October 2023

To control the health impact of the COVID-19 pandemic, governments implemented various restrictive policies, such as stay-at-home orders and restrictions on internal movement, which had adverse effects on consumption and, consequently, on international trade. This was observed even for products intensively traded and minimally impacted in terms of production, such as wine. Thus, to work towards a better awareness of future crises, this study assesses the impact of government policy responses to COVID-19 on the international wine trade. A gravity model, a benchmark approach for studying the determinants of trade, is estimated using monthly data for 20 exporting countries and 214 potential importing countries. The findings suggest that, ceteris paribus, the value of wine export flows was inversely related to the intensity of government policy response in importing countries due to lower demand provoked by restrictive measures. This effect was considerably reduced, however, concerning wines coming from the Old World, which are inferred to be more resilient, a factor primarily attributed to their higher share of wines exported with geographical indications. On the other hand, only the exports from Old World countries were negatively influenced by restrictions on internal movements in the exporting country, which reflects a business model with a complex supply chain in which several intermediaries are involved, thus weakening the direct linkage between wine producers and consumers.
Childhood hyperactivity, eating behaviours, and executive functions: Their association with the development of eating-disorder symptoms in adolescence
Authors: Dufour Rachel , Breton Édith , Morin Alexandre J. S. , Côté Sylvana M. , Dubois Lise , Vitaro Frank , Boivin Michel , Tremblay Richard E. , Booij Linda
Published: October 2023

Background

Cross-sectional studies have shown that hyperactivity and impaired executive functioning are associated with symptoms of eating disorders in adolescence and adulthood. Whether hyperactivity and executive functions in early life can prospectively predict the emergence of eating disorder symptoms in adolescence remains unknown. The present study relies on a longitudinal design to investigate how hyperactivity at age 3, eating behaviours at age 3.5 and cognition at ages 3–6 were associated with the development of eating-disorder symptoms from 12 to 20 years old.

Methods

Using archival data collected since 1997 from the Quebec Longitudinal Study of Child Development cohort (N = 2, 223), we used Latent Curve Models to analyse predictors of youth’s trajectories of eating-disorder symptoms at four timepoints.

Results

A quadratic (curvilinear) trajectory of eating-disorder symptoms was found to be most representative of the data. Higher hyperactivity at age 3 was associated with higher levels of eating-disorder symptoms at age 12, and this association was partially mediated by higher levels of overeating and cognitive inflexibility in childhood. Cognitive inflexibility in childhood also mediated the association between hyperactivity at age 3 and increases in eating-disorder symptoms during adolescence. Furthermore, working memory was indirectly related to eating-disorder symptoms via the mediational role of cognitive flexibility.

Conclusions

Hyperactivity, overeating, cognitive inflexibility, and working memory early in life might precede the onset of eating-disorder symptoms in adolescence. Early behavioural and cognitive screening may help to identify children who are most at risk for eating disorders. This, in turn, could guide preventive interventions.
Discovery of a conical feature in Halmahera waters, Indonesia: traces of a late-stage hydrothermal activity
Authors: Alodia Gabriella , Nurhidayat  , Sobarudin Dyan P. , Adrianto Dian , Dwinovantyo Angga , Solikin Steven , Hanafi Mustafa , Pamumpuni Astyka , Kurniawan Idham A. , Poerbandono  , Green Chris M. , McCaig Andrew M.
Published: October 2023

An expedition to confirm the presence of underwater hazards was carried out in Halmahera waters, Indonesia, to the west of Halmahera Island from August to September 2021. The expedition carried out a multibeam survey, surface-towed magnetic survey, and seafloor sampling. A ~ 615-m-tall conical feature with traces of hydrothermal activity was discovered. The feature is bounded on the southeastern (SE) side by a series of normal faults at the peak, with possible dextral strike-slip faults traced west of the feature. The feature displays the potential presence of volcanic rocks based on the observed contrasting magnetic anomaly signature of down to − 100 nT, which at the magnetic equator corresponds to the presence of highly magnetised material. Four 2.5-D magnetic models were built to test various scenarios on the subsurface structure of the feature, mainly focusing on the presence of volcanic rocks at different epochs and a possible presence of serpentinisation. X-ray diffraction (XRD) of the silt and clay sediments sampled confirms traces of late-stage hydrothermal activity, indicated by a high percentage of quartz (53.87%), followed by calcite (34.56%), kaolinite (6.54%), and illite minerals (5.04%). Non-carbonate materials are yet to be found in the sampled sand and gravel sediments, which mainly consist of shell and coral fragments. The discovery of the conical feature, now termed the Yudo Sagoro Hill, provides new information on the structure and activities on the seafloor of Halmahera waters.
Subgrade soil stabilization using the Quicklime: a case study from Modjo- Hawassa highway, Central Ethiopia
Authors: Regasa Hailu , Jothimani Muralitharan , Oyda Yonas
Published: October 2023

This study examined the index properties, strength, and swelling pressure by mixing the Quicklime with five soil samples taken from the Meki-Abossa road section part of the Modjo- Hawassa highway. The main goal of this study was to provide more insight into the effects of Quicklime stabilization on the Atterberg limit like (LL, LP, and PI), OMC, MDD, CBR, and CBR swell percent of subgrade soil along the selected route alignment. Five disturbed samples were collected from the Meki-Abossa Road section to achieve the objectives. The samples were collected using the open pit sampling method with an average 1-1.5 m depth. Laboratory works were carried out for natural sub-grade soil and soil mixed with Quicklime. The natural sub-grade soil was classed as A-7-5 (38) by AASHTO and MH & CH by USCS, with a maximum LL of 75, PI of 41.6, MDD of 1.59, and OMC of 28, with CBR values less than five and CBR swell > 2%. The recommended lime (4%, 6%, and 8%) was mixed with the subgrade material. The result shows that the soil treated with Quicklime 4%, 6%, and 8% improved or lowered the untreated expansive soil plasticity index by 18.5%, 28.9%, and 23.8%, respectively, and increased OMC by 15.2% and reduced MDD by 18.23%. On the other hand, CBR values of the treated soil were increased by an average of 56.9%, with lower swelling potential decreases by 93.3%, higher workability, and stabilized soils were feasible to be used as subgrade material.
Challenging management of a baby with congenital multiple intestinal atresia, trisomy 18 and extremely low birth weight: a case report
Authors: Okamoto Mitsumasa , Fukushima Sachiyo , Okada Satoshi , Tsuruno Yudai , Fukuzawa Hiroaki , Ioroi Tomoaki , Kugo Masaaki
Published: October 2023

Background

Extremely low birth weight (< 1000 g) still influences postsurgical prognosis in the neonatal and infantile periods. Additionally, the life expectancy of neonates with trisomy 18 is extremely poor owing to various comorbidities. Therefore, it takes courage to perform laparotomy for the purpose of treatment of congenital multiple intestinal atresia in a baby with an unpredictable life prognosis.

Case presentation

Fetal ultrasonography revealed cardiac malformation, intestinal dilation, and physical characteristics suggestive of a chromosomal abnormality in this case. The patient was diagnosed with trisomy 18 after birth, with an extremely low birth weight. An atrial septal defect, ventricular septal defect, dilated jejunum, and a very thin collapsed small intestine were found on ultrasonography. With a diagnosis of congenital small intestinal atresia, a challenging laparotomy was done at 3 days of age, with jejunal atresia and multiple distal small intestinal atresia were observed. The jejunal end and distal small intestinal stump were separated into stomas at the wound edge. Hypertrophic pyloric stenosis developed at the age of 3 months and resolved with medication. The patient gained weight (2 kg) by daily stool injection into anal side of the intestine and decompression against poor peritonitis of dilated jejunum using enteral feeding tube for the long period. Finally, we could perform intestinal reconstruction safely and successfully at the age of 9 months.

Tracheotomy was performed due to difficulty in extubation associated with chronic lung disease. The patient was discharged at the age of 1 year and 3 months, and no major problems were noted at the age of 2 years.

Conclusions

We treat congenital intestinal atresia in extremely low birth weight infants with severe chromosomal abnormalities and severe cardiac malformations as follows: Stoma creation is performed quickly to avoid deterioration of the patient's hemodynamics. After that, while continuing enteric management, palliative cardiovascular surgery is performed as necessary, and the patient's body weight and intestinal tract status are determined to allow safe intestinal reconstruction.