bluuebunny/crossref_metadata_2025 huggingface dataset:
The social stigma of loneliness: A sociological approach to understanding the experiences of older people
Authors: Neves Barbara Barbosa , Petersen Alan
Published: June 2024

Loneliness, and its stigmatising nature, has long been of interest to sociology, with germinal contributions by writers such as Robert Weiss. Yet, the social stigma of loneliness remains under-theorised. Furthermore, recent scholarship on loneliness is dominated by psychological perspectives that often overlook the social role of stigma and its entanglement with factors like age-related norms and contexts. To address these gaps, we develop a conceptual understanding of the stigma of loneliness in later life. We focus on older people (65+) since loneliness is strongly linked with assumed age-related decline – illness, ‘uselessness’ and increasing isolation – which research suggests is more likely to be internalised in later life. In developing our conceptual lens, we creatively combine Erving Goffman and Imogen Tyler’s work on stigma. Such reconfiguration integrates relationality and power within micro and macro approaches, pushing forward sociological boundaries on stigma. It also foregrounds the connections between agentic and structural elements of stigma, which have been missing in loneliness studies. Through this lens, we derive key dimensions of the stigma of loneliness: enaction, reception and management. To apply our framework, we draw on interviews, diaries and ethnographic data capturing persistent loneliness among older people living alone and in care homes. Findings illuminate the complexity of loneliness stigma in later life contexts, offering new research and policy directions.
Using Community and Home Supports to Increase Student Achievement and Family Engagement Among Families of Color
Authors: Kea Cathy D. , Young Fanica , Sirgany Laura
Published: June 2024

Family engagement is pivotal to student development and academic achievement, particularly for students of color with disabilities and those from historically underserved culturally and linguistically diverse communities (Delale-O’Connor et al., 2020; Fehrer & Tognozzi, 2018; Impact of Family Engagement, n.d.). Unfortunately, the marginalization of diverse students and families is frequently reinforced within the education system, and educators are generally unprepared to effectively engage diverse families. This article illustrates how culture-centered learning using home and community supports, can facilitate successful family engagement and improve student achievement. The article provides practical, culturally responsive strategies for student success with vignettes modeling inclusive methods of family engagement.
Supporting Students’ Feelings About Learning: Attending to Negative Epistemic Emotions
Authors: Louick Rebecca , Emery Alyssa
Published: June 2024

Epistemic emotions are emotions that arise as students process the alignment or misalignment between new information and their existing knowledge or beliefs, or when they are engaged in learning tasks. Understanding how and why epistemic emotions are distinct from other types of affective experiences is important, because students cognitive and behavioral responses to these emotions strongly influence their engagement with those learning tasks and, subsequently, their achievement. In this article, we focus on two epistemic emotions that might be particularly powerful for students with learning disabilities: boredom and frustration. We explore how students with disabilities may experience these feelings in the classroom, and offer strategies that teachers can use to address these feelings.
The Pandemic Classroom and Supportive Relationships: Antidote to Neoliberalism in Higher Education? 2023 Hans O. Mauksch Address for Distinguished Contributions to Undergraduate Teaching
Authors: Senter Mary Scheuer
Published: June 2024

Research reviewed here reinforces earlier findings about the importance to higher education students of having supportive faculty. A 2022 faculty survey at a public Midwestern university demonstrates faculty awareness of student struggles during the pandemic coupled with a changing, more flexible and caring pedagogy to address student needs. Qualitative interviews in 2023 with students in the “pandemic cohort” suggest a desire for classrooms and student-faculty relationships that are at odds with the bureaucratic model of impersonality, rules and regulations, specialization, and a hierarchy of authority. What may be emerging from the pandemic is a kind of antidote to neoliberalism with an other-regarding rather than individualistic focus and a desire for connection rather than competition. Recommendations, implied by these data, for building these classrooms and supportive relationships and a discussion of the downsides of the “new normal” are presented.
Why Study the Seasons? Reflections on the Question of Urban Temporalities
Authors: Brantz Dorothee
Published: June 2024

This article will conclude the collection of essays for this special issue on urban seasonality, but rather than offering a summary, it will point toward future directions in the study of urban seasonality. Why should we more closely consider the impact of seasonal variation in the study of urban history? How do the seasons help us understand the concept of temporality in the analysis of urban environments, sociocultural landscapes, as well as institutional and infrastructural layouts? This contribution will also suggest how the seasons might help us bridge local specificities, transnational, global, and planetary concerns.
Diagnostic and Management Value of Multi-Slice Computed Tomography in Esophageal Jujube Pit Impaction
Authors: Liu Jun-Hua , Dong Zhong-Xing , Cui Jie , Yan Ru-Yi , Zheng Dong , Wang Xiao-Ying , Xu Kai , Zhao Yang
Published: June 2024

Objective: The diagnostic value of multi-slice computed tomography (MSCT) in esophageal jujube pit impaction was explored in this study. Methods: A retrospective analysis was performed on MSCT data obtained from a cohort of 40 patients experiencing esophageal jujube pit impaction. The study period encompassed the interval from December 2018 to November 2019. The analysis involved examining the age distribution of the patients, the location of the jujube pit impaction, its connection to the esophagus, associated complications, and the methods used for treatment. All imaging results were compared with the outcomes of surgical or endoscopic interventions. Results: (1) Out of 40 patients, 30 individuals were 58 years old or above, constituting 75% of the study sample. (2) In 80% of the instances (32 cases), the jujube pit was located in the initial segment of the esophagus, exhibiting a spindle shape with varying levels of central low density. (3) We examined the correlation between the angle of the impacted jujube pit and the esophageal longitudinal axis, categorizing 2 cases as longitudinal impaction, 16 as oblique impaction, and 22 as transverse impaction. Among the 40 cases, 28 displayed only slight thickening of the esophageal wall at the impaction site, while 9 cases exhibited heightened periesophageal fat density, and 3 showed small periesophageal air bubbles. (4) Endoscopic evaluation identified damage to the esophageal mucosa in 35 instances and the formation of esophageal perforation in 5 cases. Among patients with perforation, one or both ends of the jujube pit had penetrated the esophageal wall, accompanied by different levels of surrounding inflammatory encapsulation. Conclusion: MSCT is crucial for pinpointing jujube pit impaction and its relation to the esophageal wall and nearby structures, aiding in preoperative and postoperative complications. It is highly feasible for endoscopic cases but limited in complex ones needing thoracoscopy or open-heart surgery.
The Role of Telemedicine in Voice Therapy
Authors: Farsi Soroush , Brown Mary C. , Alsup Nickolas , Pickett Hylan , Petersen Hannah , Davis Kyle , King Deanne , Tulunay-Ugur Ozlem E.
Published: June 2024

Introduction: During the COVID-19 pandemic, our institution adopted telemedicine for voice therapy (VT) as an alternative to in-person sessions, which has been integrated into our routine practice following the pandemic. This study aims to explore factors influencing completion rates among the 2 methods. Method: A retrospective chart review at a single tertiary care institution between 2019 and 2021 was conducted. Patient zip codes were used to determine Neighborhood Atlas® Area Deprivation Index (ADI) scores and travel distance to our institution. Demographic data, Voice Handicap Index (VHI) scores, and completion status were extracted. Results: Between 2019 and 2021, 521 patients were referred to VT at our institution, with 29% opting for telemedicine VT (TVT) sessions and 71% choosing in-person sessions. Seventy-four percent was female, and average age was 57.1 years (range:10-89 years old). No statistically significant differences were observed between the 2 groups regarding sex, age, employment status, or insurance type. Participants in the TVT group demonstrated notably higher completion rates compared to the in-person group [70.0% vs 31.6% ( P < .001)]. The TVT group also comprised of a higher percentage of white patients, reported longer travel distances and times to reach therapy, but had comparable ADI scores to the in-person group. Moreover, there were no significant differences in pretreatment VHI scores between the 2 groups or between those who completed therapy versus those who did not ( P = .501). Conclusion: Our findings indicate that patients utilizing the telemedicine platform had significantly higher VT completion rates compared to patients appearing in person. These results highlight the importance of being able to offer telemedicine-based options in the management of voice patients.
Short Cilia, Immunodeficiency, and Cystic Fibrosis in a Mother-Daughter Pair
Authors: Dorling Marisa , Hernaiz-Leonardo Juan Carlos , Pascual Athenea , Nagy Anita , Javer Amin
Published: June 2024

Patients with chronic rhinosinusitis (CRS) that is refractory to maximal medical and surgical therapy should be evaluated for other primary conditions. Cystic fibrosis (CF), primary immunodeficiency (PID), and primary ciliary dyskinesia (PCD) are potential risk factors for refractory CRS. These conditions present with variable disease severity and diagnosis may be delayed into adulthood. We report a case of a mother-daughter pair with CRS refractory to maximal medical management. The patients were further evaluated and found to have features consistent with CF, PID, and PCD. All 3 are rare disorders and thought to cause CRS in isolation. Patients with refractory CRS should be further evaluated to identify alternative diagnoses and ensure proper management. Refractory CRS may be multifactorial, with different risk factors simultaneously contributing to its persistence.
Paternal Influence on Gifted High-Achieving Millennial Males
Authors: Hébert Thomas P.
Published: June 2024

The relationships of 10 gifted high-achieving Millennial males and their fathers were the focus of this qualitative research study. Through in-depth interviews, six significant themes were identified: father’s strong work ethic and self-sacrifice, father as teacher of skills and life lessons, father’s design and maintenance of father–son rituals, father’s quiet presence on the sidelines, father’s authenticity and comfort with self, and father’s respect for son’s talents, decision making, and developing independence. Implications for parents and educators of gifted high-achieving males are discussed.
Experimentation in Wicked Situations: How activists construct pragmatic action frames
Authors: Savaget Paulo , Roulet Thomas , Ventresca Marc
Published: June 2024

Experimentation is key in wicked situations; it provides small wins while keeping several options open for the future. The literature is, however, scarce on how experimentation is framed, a crucial aspect to the understanding of how actors identify and pursue experiments in situations that are constantly changing and lack a clear resolution. We address this gap by drawing on the concept of ‘action frames’ and deploying a comparative case study of nine cases in diverse contexts in which activists experimented with wicked problems. We find that activists pragmatically shy away from pursuing a permanent solution to focus instead on achieving small wins, diagnosing ‘symptoms’ rather than ‘root causes’ of problems, and ‘working around’ institutional constraints instead of directly ‘confronting’ them. This pragmatic action frame prompts them to initiate pilot experiments that involve trial-and-error and collective learning, and that sometimes scaffold into cumulative small wins. Reflecting on our findings, we build a model of how pragmatic action frames fuel distributed possibilities to experiment in wicked situations. Our model contributes to the literature on wicked problems by revealing how activists ‘welcome’ complexity instead of ‘taming’ it. We contribute to the literature on action frames by demonstrating how multiple viable pragmatic action frames are constructed iteratively without threatening an alternative, dominant frame. Lastly, we contribute to the literature on robust action by demonstrating how pragmatic action frames pave the way for distributed experimentation and by unpacking the core attributes that make ‘robust actors’ accepting of open-ended wayfinding journeys.
Deliberative forums in fragile contexts: Challenges from the field
Authors: Curato Nicole , Calamba Septrin
Published: June 2024

What does it actually take to run a deliberative mini-public (DMP)? This article unmasks the taken-for-granted assumptions of one of the most popular democratic innovations in the past decade by applying their design features in fragile political contexts. Drawing on 3 years of fieldwork in communities recovering from armed conflict and police brutality in the Philippines, we identify foundational challenges to DMPs in relation to their core design features: sortition and long-form deliberation. Our goal in documenting these challenges is not to devalue DMPs but to spotlight limitations that cannot be overcome despite the best intentions. In so doing, this article hopes to advance an honest conversation about what these DMPs can reasonably achieve, as well as the harms they can potentially cause, especially in societies where precarity is the norm rather than the exception.
Impact of visual impairment on physical function, activities of daily living, and length of hospital stay in patients with Phase I cardiac rehabilitation: A cohort study
Authors: Ogura Asami , Izawa Kazuhiro P , Kanejima Yuji , Kitamura Masahiro , Ishihara Kodai , Kubo Ikko , Brubaker Peter H , Nagashima Hitomi , Tawa Hideto , Matsumoto Daisuke , Shimizu Ikki
Published: June 2024

The number of patients with visual impairment (VI) is increasing rapidly around the world, and its negative effects are becoming a problem. There is a strong relationship between VI and cardiovascular disease, and patients with cardiovascular disease have a higher prevalence of VI. The aim of this study was to examine the effects of VI on physical function, activities of daily living, and length of hospital stay in Phase I cardiac rehabilitation (CR) patients. This prospective multicenter cohort study included patients who underwent Phase 1 CR from October 2020 to March 2023 at four affiliated Regional Medical Care Support Hospitals in Japan. VI was assessed by a self-reported questionnaire. Linear mixed model analysis was performed to evaluate the association between VI and walking speed, short physical performance battery (SPPB), functional independence measure (FIM), and length of hospital stay, respectively. Of the 3608 patients with a hospital stay of at least 5 days and who underwent Phase 1 CR, 565 were included in this study. VI was reported by 23.9%. The VI group had slower walking speed (0.89 vs. 1.01 m/s, p < .001), lower SPPB (11.0 vs. 12.0 points, p < .001), and lower FIM (122.0 vs. 125.0 points, p < .001) than the non-VI group. There was no significant difference in length of hospital stay between the two groups. Multivariate linear regression analysis adjusted for confounding factors showed that VI was significantly associated with walking speed ( p = .030) and length of hospital stay ( p = .017), whereas VI was not associated with SPPB and FIM. This study revealed Phase 1 CR patients with VI decreased walking speed, which corresponds to sarcopenia. Furthermore, VI was independently associated with walking speed and length of hospital stay in Phase 1 CR patients.
The longitudinal correlates of breakup distress in early young adulthood: Future distress and future benefits
Authors: Shulman Shmuel , Yonatan-Leus Refael
Published: June 2024

Objectives: Existing research on romantic breakups focused on the predictors of breakup, or on its emotional and behavioral sequelae. The current study examines the longitudinal correlates of a breakup experience over a period of eight years, and questions whether breakup experiences may also have negative and positive outcomes. Methods: Data were collected from 124 Israeli emerging adults (mean age 20.22 years; 79 females). Participants were approached again at ages 23, 25, and 28. Breakup distress was assessed at each wave. At age 28, participants’ well-being, as well as their romantic capacities, were evaluated. Results: The intensity of breakup distress at age 20 was not found to be associated with future well-being. However, increased accumulating distress explained a greater number of depressive and anxiety symptoms, and reports of feeling insecure about a partner’s availability and responsiveness, at age 28. In-depth interviews with participants about their romantic relationships at age 28 showed that breakup distress at age 20 was associated with greater romantic competence at age 28, explaining better capacity to learn from past romantic experiences and draw lessons for future behavior. In addition, earlier breakup distress was associated with more coherent accounts of romantic relationships at age 28. Conclusions: Findings suggest that young adults are likely to experience a number of breakup events during their twenties, and the accumulating breakup experiences can affect future well-being. The experience of a breakup might not necessarily associate with negative future outcomes, while an earlier breakup experience could also serve as a positive learning arena for future relationships. Social policy: Perception of romantic dissolution in a comprehensive manner could be helpful for understanding that breakups are probably part of the normative development of romantic relationships among young adults, and should not be perceived only from a deficit perspective.
Measurement properties of the Foot Function Index (FFI) questionnaire: A systematic review
Authors: Cervera-Garvi Pablo , Galan-Hurtado Maria Hermas , Ortega-Avila Ana Belen , Marchena-Rodriguez Ana , Lopezosa-Reca Eva , Castillo-Dominguez Alejandro , Diaz-Miguel Salvador
Published: June 2024

Objective

Large numbers of people are subject to alterations and pathologies in the foot. To quantify how these problems of foot function affect the quality of life, clinicians and researchers have developed measures such as the Foot Function Index (FFI). Our aim is to determine the methodological quality of the FFI including adaptations to other languages.

Data sources

The studies considered in this review were extracted from the PubMed, Embase and CINAHL databases. The inclusion criteria were followed: (1) studies of patients with no previous foot or ankle pathology and aged over 18 years; (2) based on English-language patient-reported outcome measures that assess foot function; (3) the patient-reported outcome measures should present measurement properties based on COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) criteria.

Review methods

The systematic review was conducted following the COSMIN criteria to establish the methodological quality of the original FFI, together with its variants and adaptations. The last search was carried out in May 2024.

Results

Of the 1994 studies obtained in the preliminary search, 20 were eligible for inclusion in the final analysis. These results are the validations and cross-cultural adaptations to the following languages: the original FFI has cross-cultural adaptation in 13 languages and the FFI-Revised Short Form has been adapted and validated for use in 2 languages.

Conclusion

In terms of methodological quality, the FFI-Revised Short Form questionnaire is a valuable instrument for evaluating ankle and foot function and could usefully be expanded to be available in more languages.
Unified Denovo Multipurpose Analyzer
Authors: Naik Navami , Gowdara Shivaprakash , Dixit Ayush
Published: June 2024

Tooth movement is affected by various factors like magnitude, direction, and the duration of the forces applied; the direction of force plays the most pivotal part. Orthopedic appliances have long been used to apply extraoral traction forces to entirely limit or redirect the growth of the maxilla and mandible. Here, we present a very simple and efficient device. The multipurpose analyzer (MPA) is used to locate the center of resistance of maxilla and maxillary dentition, giving a more accurate direction of force vector in facemask and headgear cases. It is also used as chairside device clinically to measure facial heights, nasolabial angle, mentolabial angle, and mandibular plane (MP), as well as to measure cephalometrically MP, Frankfort horizontal (FH)–MP, palatal plane (PP)–MP, occlusal plane (OP), and MP during analysis.
Metallurgical insight of premature failure of a Blast Furnace copper stave
Authors: Kayal Nandita , Adhikary Manashi , Rao K Ramakrishna , Kundu Subhashish , Kumar Anup
Published: June 2024

Present study investigates the premature failure (leakage) of copper (Cu) cooling staves placed at the lower stack region of a Blast Furnace (BF). This failure resulted in an increased frequency of make-up/ reserve water compensation every 10 h instead of average 24hrs. Detailed macro and microstructural analysis were carried out to understand the mechanism of failure in the Cu stave using phenomena observations, dial gauge measurements, metallographic investigation, and chemical analysis. Directional accretion of burden fines and puncture (leakage) profile were observed macroscopically. Puncture occurred from outer surface to inner surface of the channels of the stave. Micrographs of puncture location revealed non-uniform microstructure and grain deformation. Analysis suggested surface wear of the Cu stave due to a combined effect of continuous accretion of burden along with hot gas flow. Wear led to reduction in thickness and subsequent puncture/ leakage took place at the channel locations having a minimum cross-sectional thickness. With the help of this study, a failure mechanism of BF Cu Stave, a process critical component, has been explored. Recommendations such as insert modification, using more wear-resistant material or protective layer and conducting intermittent ultrasonic thickness measurements have been proposed to get an early warning of any untoward damages and process delays.
Navigating Massive Text Reports: An Automated Approach to Aviation Safety Reporting System Safety Event Detection
Authors: Dou Zhi , Keller Julius , Gao Yi
Published: June 2024

In response to the increasing report intake and the need for more efficient and effective safety event detection and monitoring in the national airspace system (NAS), this work proposes an automated and sustainable workflow that collectively applies natural language processing (NLP) techniques to the Aviation Safety Reporting System (ASRS) report narratives. The proposed workflow uses latent Dirichlet allocation (LDA), a probabilistic model for uncovering hidden topics within text documents, to perform topic modeling and constructs topic trajectories based on Document Frequency – Inverse Document Frequency [Formula: see text]. By applying spectral analysis to the constructed trajectories, we identify multiple periodic and aperiodic topics in unfiltered ASRS report narratives from 2011 to 2021 with minimal human input. Through validation, we confirm that the periodic and aperiodic topics detected can be linked to actual safety events trending in the aviation community and are valuable for safety improvement. Beyond existing topic modeling applications on ASRS reports, this work could deliver more relevant and practical information to safety management experts, not only filling the gap between the topic model output and practical applications but also providing safety management experts with a holistic view of the entire report intake to oversee commonalities. The proposed workflow, with appropriate modifications, has the potential to be adapted to other safety reporting systems.
Classification of Driver Cognitive Load in Conditionally Automated Driving: Utilizing Electrocardiogram-Based Spectrogram with Lightweight Neural Network
Authors: Shi Wenxin , Wang Zuyuan , Wang Ange , He Dengbo
Published: June 2024

With the development of conditionally automated driving, drivers will be allowed to perform non-driving-related tasks. Under such circumstances, continuous monitoring of driver cognitive load will play an increasingly important role in ensuring that drivers have sufficient mental resources to take over control of the vehicle should the driving automation fail. However, estimation of cognitive load is challenging because of the difficulties in identifying high-level feature representation and accounting for interindividual differences. Physiological measures are believed to be promising candidates for cognitive load estimation in partially automated vehicles. However, current estimation methods are mainly based on the manual feature extraction of time- or frequency-domain indicators from physiological signals, which may not adapt to dynamic driving conditions. With the development of deep learning, the neural network has shown good performance in automatically capturing high-level features from input data. Inspired by this, we adopted a novel approach to classify driver cognitive load based on electrocardiogram (ECG) spectrograms, in which the driver’s ECG signal was collected and transformed into a 2D spectrogram by a short-time Fourier transform. A squeeze-and-excitation network-based deep-learning framework that can capture high-level features and pays more attention to the cognition-related features of the spectrogram was proposed for classification. Experiments on a publicly available dataset demonstrated that our model achieved an accuracy of 96.76% in differentiating two levels of cognitive load for a within-subject evaluation and 71.50% accuracy with an across-subjects evaluation. The results demonstrated the feasibility of detecting drivers’ cognitive load through deep learning using ECG spectrogram alone.
Fire-induced flows for complex fire scenarios in a mechanically ventilated two-storey structure
Authors: Prétrel Hugues , Vaux Samuel
Published: June 2024

This work deals with smoke propagation through a multi-compartment assembly in case of a fire event in a nuclear installation. The scientific issues are the understanding of flows involving two modes of propagation (vent and doorway), together with the role of mechanical ventilation and oxygen backflows to the fire. The study is based on the analysis of two scenarios reproduced experimentally at large scale and simulated numerically. The main outcomes concern the comparison of the flow at a doorway and at a vent, the consequence of the smoke propagation for thermal stratification and the combined effect of the fire heat release rate and mechanical ventilation. The results highlight the performance of computational fluid dynamics simulations in predicting these complex scenarios. Low-velocity flow zones are identified, enabling the structure of these flows and their amplitudes to be quantified. This information provides new insights to improve fire risk assessment in nuclear facilities.
Computational study on the glowing combustion of a wooden ember landing on a non-reacting substrate
Authors: Yang Jiuling , Peng Xiaofeng , Urban James , Huang Wei , Wang Haoliang , Wang Shaojia , Hu Yuqi
Published: June 2024

Despite the increasing frequency in spot ignition by embers in wildfires, research on the multiple physicochemical processes intrinsic to ember combustion is limited. In this study, a two-dimensional computational model was proposed to study the glowing combustion of a wooden ember. A global char oxidation reaction was used to represent the glowing combustion of the ember. A parametric study showed that the porosity, heat of reaction, and oxygen concentration were the most influential parameters on the ember combustion. Then, the model was compared to a series of bench-scale experiments in terms of glowing time and thermal response of a non-reacting substrate when exposed to a hot ember. The simulation results showed that ember combustion was mostly diffusion-controlled rather than kinetic-controlled. Thus, given the ember diversities in spotting fire, modelers should pay more attention to the difference in the physical properties instead of the kinetics between ember species.
Do Cybervictimizations Predict Suicide-Related Behaviors in Adolescents? Mediating Role of the “Escaping” Coping Strategy
Authors: Planellas Kirchner Irina , Calderon Garrido Caterina
Published: June 2024

The high prevalence of suicide-related behaviors (SRB) among adolescents is a concerning issue that calls for the identification of explanatory and mediating factors involved. This study examines, by gender: (1) the percentage of adolescents reporting SRB, cyberbullying, and cybersexual harassment; (2) the association between cyberbullying and cybersexual harassment with SRB; (3) the predictive power of cybervictimization in SRB; and (4) the mediating role of Escaping coping strategy between cybervictimization and SRB. One thousand and twenty-seven adolescents (62.5% girls) aged 13 to 18 years ( M = 15.59, SD = 1.28) participated in the study and completed the Youth Self Report (for SRB), Juvenile Victimization Questionnaire (for cybervictimization), and Adolescent Coping Orientation for Problem Experiences, Spanish (for coping). About 16% of respondents (19% of girls and 8.9% of boys) reported SRB, about 18% reported Cyberbullying (20.8% of girls and 13.0% of boys), and near 23% reported Cybersexual harassment (28.7% of girls and 12.5% of boys). There is a significant association between cybervictimization and SRB, with the presence of cybervictimization increasing the likelihood of SRB by three to four times (especially in boys), and significantly predicting SRB. Escaping coping strategy partially mediates the relationship between cybervictimization and SRB only in girls. The findings that cybervictimization predicts SRB and that Escaping coping mediates this relationship provide insights for the implementation of prevention and intervention policies.
Breastfeeding Measurement - Teleological Considerations: Human Milk Collection for Research
Authors: Baumgartel Kelley
Published: June 2024

We discuss the evolution and composition of breast milk and briefly describe how mammalian evolution resulted in lactation, which played a crucial role in infant growth and development. We focus on three teleological factors that significantly contribute to breast milk composition: (1) biological sex at birth, (2) gestational age, and (3) circadian rhythms. We also explain how these factors lead to variability in human milk composition. We emphasize the importance of standardizing the definitions of “preterm” and “term” to accurately study the effects of gestational age on milk composition. Finally, we discuss the role of the circadian clock in regulating lactation and the impact of breast milk on fetal and infant sleep. Investigators may integrate these critical factors when designing a research study that involves the collection of breast milk samples. Teleological factors greatly influence milk composition, and these factors may be considered when designing a study that requires breast milk. We provide both the rationale and application of solutions to address these factors.
A missing meal of reconciliation: The consumption of food as deficient motif in the Joseph story and its resolution in Jubilees and Josephus
Authors: Rabel Magnus
Published: June 2024

Food plays an important role in the Joseph story. Although other themes offer valuable insights as well, the theme of table fellowship is at the heart of the story’s main theme because sharing a table and what is on it shows mutual recognition and signifies thus much more than the mere consumption of food. In the Joseph story, we have two occurrences of joint meals: Gen 37:25 and Gen 43:31–34. Whereas the first is a clear sign of Joseph’s isolation and the rupture of the brothers’ relationship, the second meal cannot be understood as an actual meal of reconciliation as some do. In order to make table fellowship a coherent theme from isolation to inclusion, the Joseph story in Genesis lacks a third meal of peace and reconciliation at which the brothers are reunited. However, if we look across canonical boundaries, we find that Jubilees as well as Josephus’s Antiquities incorporate this third meal into the story. In this way, the biblical story is continued productively, and the theme of table fellowship, which is anticipated in Genesis, is expanded into a comprehensive motif.
Condyloma lata of the umbilicus: A case report highlighting the present syphilis emergency
Authors: Taha Mohamad R , Burningham Kevin M , Kelly Brent C , Tyring Stephen K
Published: June 2024

Syphilis is an ancient sexually transmitted infection that plagues communities across the United States and the world. Cutaneous syphilis has a wide variety of manifestations and presentations, and is notoriously difficult to identify clinically as a result. In this report, we describe the case of a 30-year-old patient with condyloma lata on the umbilicus, an extremely rare site for the presentation of these lesions. With the recent surge in syphilis infections nationwide, including congenital infections, this case underscores the urgent necessity for heightened syphilis awareness and suspicion among clinicians.
The role of new energy vehicles battery recycling in reducing China's import dependance on lithium resources
Authors: Liu Bingchun , Liu Fan
Published: June 2024

China's lithium mines are highly dependant on imports, and the mitigating role of recycling new energy vehicle (NEV) batteries is not yet clear. In this research, a multifactor input GRA-BiLSTM forecasting model for NEV sales is proposed to predict the sales of NEVs under three scenarios from 2023 to 2030, and the number of end-of-life batteries in each year is calculated by the Weibull distribution. The results show that NEV sales in 2030 will reach 15.49 million units in the base scenario, with up to 10.5 Mt of lithium resources recovered from 2023 to 2030, reducing import dependance to 63% overall. Under each scenario, recycled batteries could play a role in reducing the value of lithium import dependance by at least 16%.
The additional role of anti-nucleosome antibodies in the prediction of renal damage in systemic lupus erythematosus based on CSTAR (XXV)
Authors: Ding Yufang , Zhou Yangzhong , Zhao Jiuliang , Wu Chanyuan , Zhang Shangzhu , Jiang Nan , Qian Junyan , Zhang Li , Li Jing , Xu Dong , Leng Xiaomei , Wang Qian , Tian Xinping , Li Mengtao , Zeng Xiaofeng
Published: June 2024

Objectives

The predominant determinant of an unfavorable prognosis among Systemic Lupus Erythematosus (SLE) patients resides in the irreversible organ damage. This prospective cohort study aimed to identify the additional value of anti-nucleosome antibodies on organ damage accumulation in SLE patients.

Methods

Based on the Chinese SLE Treatment and Research group (CSTAR) registry, demographic characteristics, autoantibodies profiles, and clinical manifestations were collected at baseline. Follow-up data were collected by reviewing clinical records.

Results

Of 2481 SLE patients with full follow-up data, 663 (26.7%) were anti-nucleosome antibodies positive and 1668 (68.0%) were anti-dsDNA antibodies positive. 764 (30.8%) patients developed new organ damage during a mean follow-up of 4.31 ± 2.60 years. At baseline, patients with positive anti-nucleosome antibodies have a higher rate of lupus nephritis (50.7% vs 36.2%, p < .001). According to the multivariable Cox regression analysis, both anti-nucleosome (HR = 1.30, 95% CI, 1.09-1.54, p < .001) and anti-dsDNA antibodies (HR=1.68, 95% CI, 1.38-2.05, p < .001) were associated with organ damage accumulation. Anti-nucleosome (HR = 2.51, 95% CI, 1.81-3.46, p < .001) and anti-dsDNA antibodies (HR = 1.69, 95% CI, 1.39-2.06, p < .001) were independent predictors for renal damage. Furthermore, the combination of the two antibodies can provide more accurate information about renal damage in overall SLE patients (HR = 3.19, 95% CI, 2.49-4.10, p < .001) and patients with lupus nephritis at baseline (HR = 2.86, 95% CI, 2.29-3.57, p < .001).

Conclusion

Besides anti-dsDNA antibodies, anti-nucleosome antibodies can also provide information about organ damage accrual during follow-up. The ability of co-positivity of anti-nucleosome and anti-dsDNA antibodies in predicting renal damage may lead to additional benefits in the follow-up of these patients.
T-Cell Posttransplant Lymphoproliferative Disorders After Allogeneic Hematopoietic Stem Cell Transplantation: Case Series and Systemic Review
Authors: Jiang Chuanhe , Huang Jingtao , Shao Jie , Yang Tingting , Zhao Ye , Huang Meijuan , Yi Hongmei , Shi Jimin , Wan Liping , Chen Feng , Cao Yang , Hu Xiaoxia
Published: June 2024

Posttransplant lymphoproliferative disorder (PTLD) is a rare lymphoid and/or plasmocytic proliferation that occurs after allogeneic hematopoietic stem cell transplantation (allo-HSCT). We aimed to identify the pathologic features and clinical outcomes of T-cell PTLD, an extremely rare subtype of PTLD, after allo-HSCT. In this study, six allo-HSCT recipients with T-cell PTLD from five transplant centers in China were enrolled. All the T-cell PTLD were donor-derived, and three patients were with monomorphic and three with polymorphic types, respectively. All patients received cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP)-based chemotherapy. Five patients achieved complete response (CR), and one experienced progressive disease (PD). The median time from HSCT to onset was 4 (range: 0.6-72) months, analyzed in combination with the other 16 patients with T-cell PTLD identified from previous reports. About 56.3% of the T-cell samples (9/16) were positive for in situ hybridization with an Epstein–Barr virus (EBV)-encoded small nuclear early region (EBER ISH). CHOP-based chemotherapy might be the optimal strategy for patients who showed no response to empiric therapy with a CR rate of 87.5%. In conclusion, our study observed that T-cell PTLD has distinct clinical manifestations and morphological features, which characterized by less relation to EBV, later occurrence, and poorer prognosis when compared with B-cell PTLD.
A gendered security dispositif: Mobilizing gender in Mexico City
Authors: Emerson R Guy
Published: June 2024

This article concerns the security governance of gender in Mexico City. It begins by juxtaposing the alleged rape of a 17-year-old female by security officials against the policy responses that ensued: policies designed to make it safer for women to navigate dangerous streets. The article explores this radical turnaround: how an episode in violent opposition to security governance would ultimately sustain its implementation. It does so through what is called a gendered security dispositif – a dispositif consistent with the original formulation of Michel Foucault, albeit configured to an official account of gender-based violence that is confined to women. A gendered security dispositif renders a violent event intelligible to government by locating it in existing statistical and surveillance technologies, thereby reducing the alleged rape to citywide rates of violence and areas of high risk. Policy initiatives then target these high-risk areas, as practices of subjectification turn on the behavior of female inhabitants. The result is an official appreciation of gender-based violence that reduces the very matter of a violent event and its female victim to an administrative plane. What began as an episode contrary to security governance opens onto the production of gender and security in a manner derivative of rule.
Health care workers’ qualitative descriptions of ethically challenging situations evoking moral distress during Covid-19
Authors: Glad Kristin Alve , Wøien Hilde , Stensland Synne Øien , Reitan Solveig Klebo , Zwart John Anker Henrik , Atar Dan , Dyb Grete , Bondjers Kristina
Published: June 2024

Background

The high public demand for healthcare services during the COVID-19 pandemic and strict infection control measures, coupled with threat of severe illness and death, and limited resources, led to many healthcare workers (HCWs) experiencing ethically challenging situations (ECSs).

Objective

To systematically explore first-hand accounts of ECS-evoking moral distress among HCWs during this public health emergency.

Research design

This was an open cohort study. All participants were asked whether they had been in ECS-evoking moral distress during the pandemic. Those who had were asked to describe these situations. Answers were systematically analyzed according to three levels of root causes for ECSs, using thematic analysis.

Participants and research context

In January 2022, 977 HCWs from four Norwegian university hospitals participated.

Ethical considerations

The study received ethical approval from the Norwegian Ethical Review Authority (No. 130944).

Results

In total, 508 participants (52%) reported that they had experienced ECS-evoking moral distress during the pandemic, whereof 323 provided a qualitative description. We found that while a few reported ECSs caused at the patient level, and some described situations at the unit/team level, the vast majority reported situations caused at the system level, predominantly related to resource scarcity, particularly poor staffing.

Conclusion

Our findings strongly indicate that efforts to mitigate moral distress among HCWs should be targeted at the system level. More specifically, the study findings highlight resource limitations, particularly poor staffing, as a major cause of moral distress during the pandemic.
Framing Environmental Issues of Bangladesh in International Media: A Topic Modelling Analysis on the Guardian Newspaper
Authors: Razib Mehedy Hassan , Pinky Farzana Tasnim , Al Banna Md Hasan , Muktadir Md Golam , Biswas Anirudha
Published: June 2024

Journalism has emerged as a crucial avenue for creating awareness of the increasing importance of addressing environmental risks that transcend national boundaries. This study examines the Guardian newspaper’s coverage of environmental issues in Bangladesh, a country profoundly affected by climate change and natural disasters. Through analysing 345 news articles from 2011 to 2021, this research employs topic modelling to explore the international framing of climate concerns. The findings reveal thematic framing across various topics, including occupational environment, health and safety in the ready-made garment (RMG) industry, flooding along transboundary rivers, and Bangladesh’s stance on the Paris Agreement and its approach to climate change. The Guardian emphasises ethical and sustainable practices in the fashion industry. It sheds light on the impact of flooding on vulnerable communities and discusses Bangladesh’s energy policies in the context of global climate goals. Nevertheless, the study also highlights some limitations, such as the absence of comprehensive coverage of Bangladesh’s diplomatic efforts at global climate forums and a lack of emphasis on developed nations’ responsibility.
End-Of-Life Symptoms and Symptom Management in Older Adults With Stroke Versus Cancer
Authors: Ramsburg Hanna , MacKenzie Greenle Meredith , Hinkle Janice L.
Published: June 2024

Background: Little is known about the end-of-life (EOL) experience in older adults with stroke or how similar the EOL experience is in older adults with stroke when compared to those with cancer. Purpose: We utilized data from the National Health and Aging Trends Study (NHATS) to compare symptoms, symptom management, and overall rating of care in the last month of life between older adults diagnosed with stroke and those diagnosed with cancer. Methods: Logistic regression was used to examine the associations between diagnosis and symptom prevalence, symptom management, and overall care quality, adjusting for care intensity, place of death, and demographic covariates. Results: A total of 747 NHATS participants diagnosed with stroke or cancer were identified. Diagnosis of stroke was associated with whether the symptoms of pain (OR .46, 95% CI .26-.83), dyspnea (OR .32, 95% CI .17-.64), and emotional distress were documented (OR .57, 95% CI .33-.98). Diagnosis was not associated with pain management (OR .85, 95% CI .48-1.48), dyspnea management (OR .97, 95% CI .47-2.03), or emotional distress management (OR 1.02, 95% CI .53-1.97). Correlates of overall care quality included place of death and diagnosis, with patients with stroke more likely to report poorer care quality (OR 1.77, 95% CI 1.03-3.04) as well as those who died in the hospital (OR 2.18, 95% CI 1.26-3.77). Conclusions: Older adults with stroke are at risk for inadequate symptom assessment and documentation, as well as poorer symptom management and poorer overall care quality.
Compressive Strength of Midfoot Fusion Nail vs Midfoot Fusion Bolt and Role of Subtalar Fusion in Midfoot Charcot Fixation Model
Authors: Anciano Victor , Barcel Anthony , Kaiser Philip , Habet Nahir , Wang Shangcheng , Duemmler Marc , Edwards Campbell , Irwin Todd A. , Jones Carroll
Published: June 2024

Background:

Operative management of midfoot Charcot arthropathy often involves an extended midfoot arthrodesis with intramedullary bolts for fixation, a method called “beaming.” Recently intramedullary nails have been introduced for the same indication, presumably providing stronger fixation. This study compares midfoot fusion nails to bolts with regard to stiffness and compressive ability. Additionally, we assessed how the addition of a subtalar fusion affects the construct.

Methods:

Medial column fusions were performed on 10 matched cadaver foot specimens with either a midfoot fusion nail or bolt. Specimens underwent cyclical compression loading, and displacement was measured. Separately, compressive forces produced were compared between the 2 fixation constructs using a synthetic bone block model. Lastly, another 10 matched specimens with midfoot fusion nails were evaluated with or without subtalar fusions.

Results:

No differences in stiffness were found in comparing matched specimens between nail vs bolt or comparing nail only without subtalar fusion (STF) vs nail with STF. The compressive force produced by the nail specimens was significantly and substantially greater than the bolted specimens (751.7 vs 139.0 N, P = .01). The accumulated height drop at the midfoot after cycling was 0.5 mm more in the nail group than in the bolt group (1.72 vs 1.22 mm, P = .008). The nail with STF group had greater initial height drop at the midfoot than the nail-only group (0.68 vs 0.34 mm, P = .035) with similar initial height drop at the ankle. However, there were no differences in strength among the matched pairs of midfoot nail-only vs midfoot nail with STF as measured by displacement after fatigue or maximum force at load to failure.

Conclusion:

The overall cadaveric comparisons between matched pairs of nails vs bolts, and nail-only vs nail with STF, did not provide noteworthy differences between the groups with regard to strength or stiffness. However, the compressive force of the midfoot fusion nail was far superior to the bolt in a synthetic bone model. These data provide valuable insight comparing implants used in Charcot midfoot arthrodesis.