bluuebunny/crossref_metadata_2025 huggingface dataset:
Kataraktoperationen bei Uveitis
Authors: Schweighofer Jakob , El-Shabrawi Yosuf
Published: September 2020

Die Katarakt stellt bis heute eine maßgebliche Ursache für Visusverlust bei Patienten mit einer Entzündung der Uvea dar. Mehrere Studien der letzten Jahre zeigten hier zwar, dass eine Kataraktoperation eine Verbesserung des Visus erzielen kann, die Prognose jedoch im Vergleich zu einer normalen Patientengruppe stark reduziert ist.
Re-conceptualising and accounting for examiner (cut-score) stringency in a ‘high frequency, small cohort’ performance test
Authors: Homer Matt
Published: September 2020

Variation in examiner stringency is an ongoing problem in many performance settings such as in OSCEs, and usually is conceptualised and measured based on scores/grades examiners award. Under borderline regression, the standard within a station is set using checklist/domain scores and global grades acting in combination. This complexity requires a more nuanced view of what stringency might mean when considering sources of variation of cut-scores in stations. This study uses data from 349 administrations of an 18-station, 36 candidate single circuit OSCE for international medical graduates wanting to practice in the UK (PLAB2). The station-level data was gathered over a 34-month period up to July 2019. Linear mixed models are used to estimate and then separate out examiner (n = 547), station (n = 330) and examination (n = 349) effects on borderline regression cut-scores. Examiners are the largest source of variation in cut-scores accounting for 56% of variance in cut-scores, compared to 6% for stations, < 1% for exam and 37% residual. Aggregating to the exam level tends to ameliorate this effect. For 96% of examinations, a ‘fair’ cut-score, equalising out variation in examiner stringency that candidates experience, is within one standard error of measurement (SEM) of the actual cut-score. The addition of the SEM to produce the final pass mark generally ensures the public is protected from almost all false positives in the examination caused by examiner cut-score stringency acting in candidates’ favour.
Measuring What Matters to Individuals with Angelman Syndrome and Their Families: Development of a Patient-Centered Disease Concept Model
Authors: Willgoss Tom , Cassater Daiana , Connor Siobhan , Krishnan Michelle L. , Miller Meghan T. , Dias-Barbosa Carla , Phillips Dawn , McCormack Julie , Bird Lynne M. , Burdine Rebecca D. , Claridge Sharon , Bichell Terry Jo
Published: September 2020

Angelman syndrome (AS) is a complex, heterogeneous, and life-long neurodevelopmental disorder. Despite the considerable impact on individuals and caregivers, no disease-modifying treatments are available. To support holistic clinical management and the development of AS-specific outcome measures for clinical studies, we conducted primary and secondary research identifying the impact of symptoms on individuals with AS and their unmet need. This qualitative research adopted a rigorous step-wise approach, aggregating information from published literature, then evaluating it via disease concept elicitation interviews with clinical experts and caregivers. We found that the AS-defining concepts most relevant for treatment included: impaired expressive communication, seizures, maladaptive behavior, cognitive impairment, motor function difficulties, sleep disturbance, and limited self-care abilities. We highlight the relevance of age in experiencing these key AS concepts, and the difference between the perceptions of clinicians and caregivers towards the syndrome. Finally, we outline the impact of AS on individuals, caregivers, and families.
The Effect of Perspective-Taking on Trust and Understanding in Online and Face-to-Face Mediations
Authors: Damen Debby , van der Wijst Per , van Amelsvoort Marije , Krahmer Emiel
Published: September 2020

This research investigates the perspective taking process in online and face-to-face mediations. In particular, it addresses the question whether a perspective taking technique—being asked circular questions—helps the establishment of mutual understanding and interpersonal trust between negotiators in online and face-to-face mediation settings. This question was studied in an experimental setting in which disputants had to solve a conflict face-to-face or online by the help of a professional mediator. During the interventions, the mediator either posed mainly circular (perspective-taking) or linear questions. It was expected that mediations in which circular questions were used would lead to a higher level of mutual understanding and interpersonal trust between the disputants, and—as a result—to a more satisfying, integrative agreement. Furthermore, this study examined whether the communication mode of the intervention (online, face-to-face) affected the re-establishment of disputants’ interpersonal trust and understanding. The results of the study show that disputants’ feelings of trust in and understanding of their interaction partner improved more in the face-to-face mediations than in the online mediations. These improved feelings of understanding and trust also predicted how satisfying and integrative disputants perceived the agreement to be. Moreover, disputants perceived their mediator to be more trustworthy and more professional in the face-to-face than in the online interventions. No effect was found for mediators’ questioning style on disputants’ improved interpersonal trust and mutual understanding. We discuss the effects of the questioning style of a mediator and conclude with reflections on reasons why these effects did not lead to differences in mutual understanding and interpersonal trust between the disputants.
Show me where the action is!
Authors: Callemein Timothy , Roussel Tom , Diba Ali , De Feyter Floris , Boes Wim , Van Eycken Luc , Van Gool Luc , Van hamme Hugo , Tuytelaars Tinne , Goedemé Toon
Published: September 2020

Reality TV shows have gained popularity, motivating many production houses to bring new variants for us to watch. Compared to traditional TV shows, reality TV shows have spontaneous unscripted footage. Computer vision techniques could partially replace the manual labour needed to record and process this spontaneity. However, automated real-world video recording and editing is a challenging topic. In this paper, we propose a system that utilises state-of-the-art video and audio processing algorithms to, on the one hand, automatically steer cameras, replacing camera operators and on the other hand, detect all audiovisual action cues in the recorded video, to ease the job of the film editor. This publication has hence two main contributions. The first, automating the steering of multiple Pan-Tilt-Zoom PTZ cameras to take aesthetically pleasing medium shots of all the people present. These shots need to comply with the cinematographic rules and are based on the poses acquired by a pose detector. Secondly, when a huge amount of audio-visual data has been collected, it becomes labour intensive for a human editor retrieve the relevant fragments. As a second contribution, we combine state-of-the-art audio and video processing techniques for sound activity detection, action recognition, face recognition, and pose detection to decrease the required manual labour during and after recording. These techniques used during post-processing produce meta-data allowing for footage filtering, decreasing the search space. We extended our system further by producing timelines uniting generated meta-data, allowing the editor to have a quick overview. We evaluated our system on three in-the-wild reality TV recording sessions of 24 hours (× 8 cameras) each taken in real households.
Exploring doctorate holders’ perceptions of the non-academic labour market and reputational problems they relate to their employment
Authors: Suomi Kati , Kuoppakangas Päivikki , Kivistö Jussi , Stenvall Jari , Pekkola Elias
Published: September 2020

Doctoral employment outside universities has been increasing, as universities cannot employ all doctorate holders. Nevertheless, it has been argued that the shift from doctoral programs to the non-academic labour market has been limited. In this qualitative study, more than 800 verbal answers given by doctorate holders to a pair of open-ended questions were content-analysed to explore doctorate holders’ perceptions of the non-academic labour market and the reputational problems they relate to their employment. The study identifies four reputational problems which doctorate holders relate to their employment: the oversupply problem, the overeducation problem, the consistency problem and the communication problem. By identifying potential reputational problems on the doctorate holders level, this research contributes novel information in terms of both theory development and practitioner insights.
Competitive Adsorption of As(III), As(V), and PO4 by an Iron Oxide Impregnated Activated Carbon: Surface Complex Modeling
Authors: Ngantcha-Kwimi T. Angele , Reed Brian E.
Published: September 2020

The objective of this study was to predict the competitive adsorption of As(III), As(V), and PO4 by an iron oxide impregnated carbon (L-Act, 9% Fe(III) amorphous iron oxide) over a range of environmental conditions using the surface complexation modeling (SCM) approach. L-Act surface complexation constants determined from a single pH-adsorption edge were used to predict pH-dependent competitive removal in singular, binary, and tertiary adsorbate systems. As(III), As(V), and PO4 complexes were modeled as bidentate binuclear species at low pH and monodentate species at high pH using the two monoprotic surface site/diffuse electric double layer model (2MDLM). F values determined based on 2MDLM predictions were close to those calculated by FITEQL (a statistical optimization program) demonstrating the effectiveness of the 2MDLM in describing adsorption behavior. F values were generally in the recommended range of 0.1–20 indicating a good fit between the data and the model. The 2MDLM also successfully predicted As(III)/As(V)/PO4 adsorption data of hydrous ferric oxide and goethite adsorbents from the literature.
Work and Stay: Explaining Perceived Discrimination Among Romanian Labor Migrants
Authors: Gherghina Sergiu
Published: September 2020

Research dealing with perceptions of discrimination among migrants investigated its consequences on their daily lives. However, little systematic attention had been paid to the determinants of perceived discrimination among migrants. This article aims to explain the causes for which migrants see themselves discriminated against in their country of residence. The statistical analysis uses individual-level data from an original survey conducted in 2018 among Romanian migrants. The results indicate that poor relations with natives, a job below capabilities, and the temporary status of migration contribute to higher perceptions of discrimination.
Characteristics of Liparis loeselii (L.) Rich. populations in selected Natura 2000 areas in eastern Poland
Authors: Urban Danuta , Sender Joanna , Tokarz Ewelina , Różycki Andrzej
Published: September 2020

In view of the sensitivity of Liparis loeselii to changes in habitat conditions, we carried out a study with the aim to monitor population numbers, identify the individual features of the Liparis loeselii population, analyse habitat conditions, identify threats and propose conservation measures to preserve the species. The investigations were conducted in seven unmanaged objects located in three Natura 2000 areas in eastern Poland. The results of this study provide a new insight into Liparis loeselii ecology. The analysed populations inhabited some habitat types: extremely poor fen, transitional mire, rich fen, calcareous fen, spring-fed fen. The content of nutrients was similar in all the habitats. A CCA analysis revealed that the total carbon content, pH, and redox potential of the substrate determine differences between the habitats analysed. Juvenile individuals represented a maximum of 12% of the analysed populations and were the least abundant group of these plants. The flowering was primarily influenced by hydrological conditions. Based on the long-term observations reported in this article, it can be assumed that the species stands a chance of surviving at the localities analysed, provided that the habitat conditions do not change dramatically.
Large giraffids (Mammalia, Ruminantia) from the new late Miocene fossiliferous locality of Kemiklitepe-E (Western Anatolia, Turkey)
Authors: Xafis Alexandros , Mayda Serdar , Alçiçek Mehmet Cihat , Kaya Tanju , Halaçlar Kazım , Grímsson Friðgeir , Nagel Doris
Published: September 2020

Kemiklitepe is a well-known locality with four recognised fossiliferous horizons, KTA to KTD, which have yielded a plethora of mammalian remains. Previous taxonomic studies indicate the presence of three giraffid taxa:Samotherium majorandPalaeotragus roueniifrom the uppermost three horizons, KTA, KTB and KTC, as well asPalaeotragus roueniiandSamotherium? sp. from the lowermost KTD horizon. In this study a new locality, Kemiklitepe-E, is presented for the first time. Kemiklitepe-E is located approximately 350 m NW of the classic Kemiklitepe locality. The fossiliferous sedimentary rocks at Kemiklitepe-E occur at the same stratigraphic level as localities KTA, KTB and KTC. The preliminary faunal list includes representatives of Proboscidea, Chalicotheriidae, Equidae, Bovidae and Giraffidae. Comprehensive descriptions and comparisons of the Kemiklitepe-E Giraffidae specimens suggest the co-occurrence of two large giraffids:Samotherium majorandHelladotherium duvernoyi.Samotherium major, previously documented from this region, is the most common taxon at Kemiklitepe.Helladotherium duvernoyiis rare at Kemiklitepe and here reported for the first time. The two taxa coexisted during the middle Turolian in Greece and Western Anatolia. In addition, it is suggested that specimens ofSamotherium? sp described from KTD possibly belong toSamotherium neumayri. Based on the stratigraphic position of fossiliferous rocks, as well as the faunal data presented herein, the newly discovered locality is considered to be of middle Turolian (MN12) age.
Correction to: America’s Marine Highway stakeholders: a system-scale analysis of influence in decision-making
Authors: Mokashi Amit J. , Becker Austin , Corbett James J.
Published: September 2020

The article “America’s Marine Highway stakeholders: a system-scale analysis of influence in decision-making” written by Amit J. Mokashi, Austin Becker, and James J. Corbett, was originally published electronically on the publisher’s internet portal on July 24, 2020, without open access.
The Belief in Divine Control and the Mental Health Effects of Stressful Life Events: A Study of Education-Based Contingencies
Authors: Upenieks Laura , Schieman Scott
Published: September 2020

One of the most widely replicated findings within the mental health literature is that the experience of stressful life events (e.g., the death of a loved one, serious illness, divorce, loss of a job) are consistently associated with higher depressive symptoms. However, the magnitude of these effects varies such that some people invariably experience negative mental health consequences following the experience of significant life stressors, but many others do not. We consider why some individuals become more distressed than others following stressful life events by focusing on one particular religious belief: the sense of divine control. We examine how divine control changes in response to stress, and how this influences mental health differently across education levels. We analyze two waves of data from the Work, Stress, and Health Study (2005 and 2007) (N = 1279) using lagged dependent variable regression models. Results suggest that the moderating effect of changes in divine control associated with exposure to stressful life events are contingent on education level, depending on the stressful life event considered. In general, decreases in divine control after the experience of stress were found to be harmful for the mental health of the less educated, while increases in divine control were beneficial for the well-educated. We interpret our findings in terms of two differing perspectives on the relationship between changes in religious beliefs and mental well-being across education level after stressful life events (deprivation compensation versus enhanced resources). Taken together, this study contributes to knowledge about the social patterning (and influence) of beliefs about divine control and how changes in these beliefs may influence the mental health of individuals dealing with specific challenging circumstances.
Handlungsempfehlung: Stärkung der Resilienz von Behandelnden und Umgang mit Second Victims im Rahmen der COVID-19-Pandemie zur Sicherung der Leistungsfähigkeit des Gesundheitswesens
Authors: Strametz R. , Raspe M. , Ettl B. , Huf W. , Pitz A.
Published: September 2020

Der Begriff Second Victim beschreibt eine an der Patientenversorgung beteiligte Person, die durch eine außergewöhnliche Situation in der Patientenversorgung selbst traumatisiert wird. Dieses in der Öffentlichkeit noch weitgehend unbekannte, aber weit verbreitete Phänomen wird durch die COVID-19-Pandemie verschärft und birgt das Risiko, durch eine ausgeprägte psychische Überlastung der Behandelnden Gesundheitssysteme zusätzlich unter Druck zu setzen. Dies stellt sowohl für die Patienten als auch für die Mitarbeitersicherheit eine ernstzunehmende Gefahr dar. Das Second-Victim-Phänomen ist gut erforscht und bedarf einer zweigleisigen Strategie. Einerseits müssen Second Victims in einem flächendeckenden, möglichst niederschwellig erreichbaren gestuften System schnell, persönlich und vertraulich unterstützt werden. Andererseits kommt der Stärkung der Resilienz aller Behandelnden besondere Bedeutung zu. Die Resilienz und damit die langfristige Leistungsfähigkeit der Behandelnden kann durch eine besondere Berücksichtigung im Führungsverhalten und in der Krisenkommunikation nachhaltig unterstützt werden. Sie leistet somit sowohl kurzfristig als auch nachhaltig einen positiven Beitrag für die Patientensicherheit und damit die Überlebenschancen vieler Patienten während und nach der COVID-19-Pandemie.
TAXATION OF A GMWB VARIABLE ANNUITY IN A STOCHASTIC INTEREST RATE MODEL
Authors: Molent Andrea
Published: September 2020

Modeling taxation of Variable Annuities has been frequently neglected, but accounting for it can significantly improve the explanation of the withdrawal dynamics and lead to a better modeling of the financial cost of these insurance products. The importance of including a model for taxation has first been observed by Moenig and Bauer (2016) while considering a Guaranteed Minimum Withdrawal Benefit (GMWB) Variable Annuity. In particular, they consider the simple Black–Scholes dynamics to describe the underlying security. Nevertheless, GMWB are long-term products, and thus accounting for stochastic interest rate has relevant effects on both the financial evaluation and the policyholder behavior, as observed by Goudenège et al. (2018). In this paper, we investigate the outcomes of these two elements together on GMWB evaluation. To this aim, we develop a numerical framework which allows one to efficiently compute the fair value of a policy. Numerical results show that accounting for both taxation and stochastic interest rate has a determinant impact on the withdrawal strategy and on the cost of GMWB contracts. In addition, it can explain why these products are so popular with people looking for a protected form of investment for retirement.
Evaluation of Risk Perception of COVID-19 Disease: A Community-Based Participatory Study
Authors: Samadipour Ezat , Ghardashi Fatemeh , Aghaei Nahid
Published: September 2020

Objective:

How people behave in a crisis depends on their understanding and evaluation of risk and vulnerability. Therefore, this study was conducted to investigate the Iranians’ risk perception of coronavirus disease (COVID-19).

Methods:

An online survey was applied, which resulted in the collection of information on demographics, the 5 dimensions of risk perception (cognitive, political, social, cultural, and emotional), and trust in the government among the Iranian users of social networks. Data were analyzed by descriptive and analytical tests of SPSS (IBM Corp, Armonk, NY) software, and confirmatory factor analysis of Amos software.

Results:

A total of 364 persons from 20 provinces completed the questionnaire during February 25 to March 2, 2020. More than 80% of the participants believed that negligence and lack of close supervision of the authorities have led to the spread of COVID-19. The mean (SD) risk perception was 58.77 (± 10.11), indicating the medium level of risk perception of people. The second-order confirmatory factor analysis also indicated that cultural dimension had the highest positive correlation (0.96), emotional dimension had the highest negative correlation (-0.65), and social dimension had the least correlation with the risk perception model (0.08).

Conclusion:

Iranians’ risk perception of the COVID-19 outbreak is not optimal, and it seems necessary to improve it.
COVID-19 Drive-Through Point of Screening and Testing (POST) System: A Safe, Efficient, and Adaptable Model for Nasopharyngeal Swab Collection
Authors: Evans Lauran K. , Shinagawa Austin , Sutton Sarah , Calvo Lisa
Published: September 2020

Objective:

The authors aim to demonstrate that the current drive-through testing model at a health district was improved in certain parameters compared with a previous testing protocol, and to provide the methodology of the current model for other coronavirus disease (COVID-19) testing sites to potentially emulate.

Methods:

Initially, a small drive-through site was constructed at a converted tuberculosis clinic, but due to an increase in testing needs, an expanded point of screening and testing (POST) system was developed in an event center parking lot to administer tests to a higher volume of patients.

Results:

An average of 51.1 patients was tested each day (2.0 tests per personnel in personal protective equipment [PPE] per hour) at the initial tuberculosis clinic drive-through site, which increased to 217.8 patients tested each day (5.9 tests per personnel in PPE per hour) with the new drive-through POST system (P < 0.001). Mean testing time was 3.4 minutes and the total time on-site averaged 14.4 minutes.

Conclusions:

This POST drive-through system serves as an efficient, safe, and adaptable model for high volume COVID-19 nasopharyngeal swabbing that the authors recommend other COVID-19 testing sites nationwide consider adopting for their own use.
A Rapid Systematic Review Exploring the Involvement of Medical Students in Pandemics and Other Global Health Emergencies
Authors: Martin Anastasia , Blom Iris Martine , Whyatt Gemma , Shaunak Raghav , Viva Maria Inês Francisco , Banerjee Lopamudra
Published: September 2020

Objectives:

The role of medical students in the current coronavirus disease 2019 (COVID-19) pandemic is rapidly evolving. The aim of this review is to explore the involvement of medical students in past global health emergencies, to help inform current and future scenarios.

Methods:

A rapid systematic review was undertaken, including articles from online databases discussing the roles, willingness and appropriateness of medical student involvement in global health emergencies. Data were extracted, appraised and written up as a narrative synthesis. This study was registered with PROSPERO (CRD42020177231).

Results:

Twenty-eight articles were included. Medical students played a wide variety of clinical and nonclinical roles including education and logistics, although medical assistance was the most commonly reported role. Challenges included a lack of preparedness and negative mental health impacts. A total of 91.7% of included articles about willingness found medical students were more willing to be involved than not.

Conclusions:

This review shows medical students are capable and willing to be involved in global health emergencies. However, there should be clear protocols for the roles that they play, taking into account the appropriateness. As a rapid review, there were study limitations and more research is required regarding the impact of these roles on medical students and the system.
Rehabilitation During COVID-19 Pandemic: An Indian Perspective
Authors: Uppal Harleen , Rai Siddharth
Published: September 2020

It has been noted that as high as 20.3% of patients hospitalized for coronavirus disease 2019 (COVID-19) require intensive care unit (ICU) admission. This has most commonly been attributed to the development of acute respiratory distress syndrome. These patients require prolonged periods of ICU stay, averaging approximately 20 days. As people recover and are discharged, there will be a new pandemic of critical illness survivors. These patients would present with impairments and disabilities arising because of prolonged ICU stay as well as consequences of severe respiratory illness. The longer the duration of ICU stay, the higher is the risk for long-term physical, cognitive, and emotional impairments needing comprehensive and early rehabilitation. This article focuses on the indispensable role of early and interdisciplinary rehabilitation in effective disaster management, restoring functions, and improving quality of life in COVID survivors. It outlines how to practically expand rehabilitation services in a resource-limited country, such as India, and lists the limitations being faced that prevent the uniform application of rehabilitation services in India. This would help to deal with the rapid increase in demand of postacute care facilities, be it in hospital services, in the form of inpatient or outpatient rehabilitation or home care facilities, including telemedicine.
Hegel's Organizational Account of Biological Functions
Authors: Maraguat Edgar
Published: September 2020

Two concepts have polarized the philosophical debates on functions since the 1970s. One is Millikan's concept of ‘proper function’, meant to capture the aetiology of biological organs and artefacts. The other is Cummins's concept of ‘dispositional function’, designed to account for the real work that functional devices perform within a system. In this paper I locate Hegel's concept of biological function in the context of those debates. Admittedly, Hegel's concept is ‘etiological’, since in his account the existence of purposive organs is explained by appeal to their purpose, yet, against Millikan's concept, Hegel's does not presuppose the phenomenon of natural selection nor derives the function of tokens from the function of types. So, my aim is, first, to present Hegel's approach to biological functions as one neither purely etiological nor purely dispositional. It will appear rather as an example of an organizational account (as those advocated today by McLaughlin, Mossio and others), that attributes function according to present performances (unlike etiological accounts) and emphasizes the role of functional parts in their self-production within the system they belong to (unlike dispositional accounts). Finally, I briefly discuss how Hegel's concept performs against common objections to organizational accounts.
External Teleology and Functionalism: Hegel, Life Science and the Organism–Environment Relation
Authors: Scholz Maximilian
Published: September 2020

In the chapter on Observing Reason in the Phenomenology, as well as in §368 of the Philosophy of Nature, Hegel deals with the life sciences of his time. There, he labels the methodology of its representatives, namely zoology and comparative anatomy, as external teleology. In this paper I want to show that by doing so he is actually discussing a general kind of functionalism. Thereby, I want to highlight a line of thought in Hegel's texts which represents a productive reading of external teleology contrary to a destructive reading on which scholars have mainly focussed.
Safety, effectiveness and sustainability of a laboratory intervention to de-adopt culture of midstream urine samples among hospitalized patients
Authors: Mozafarihashjin Mohammad , Leis Jerome A. , Maze dit Mieusement Lorraine , McCreight Liz , Poutanen Susan , Shrivastava Ananya , So Jannice , Soong Christine , van Horne Liz , Wong Louis , McGeer Allison
Published: September 2020

Objective:

To assess the safety, sustainability, and effectiveness of a laboratory intervention to reduce processing of midstream urine (MSU) cultures.

Design:

Prospective observational cohort.

Setting:

Medical and surgical inpatients in a tertiary-care hospital.

Participants:

The study included 1,678 adult inpatients with an order for MSU culture.

Methods:

From 2013 to 2019, ordered MSU cultures were not processed unless the laboratory was called. Patients were interviewed on days 0 and 4; from 2017 to 2019, day-30 follow-up was added. Primary outcome was serious adverse events due to not processing MSU cultures. Secondary outcomes were nonserious adverse events due to not processing MSU cultures, rates of MSU cultures submitted, proportion of MSU cultures processed, proportion of patients prescribed urinary tract infection (UTI)–directed antibiotics, and laboratory workload.

Results:

Among 912 and 459 patients followed to days 4 and 30, respectively, no serious adverse events attributable to not processing MSU cultures were identified. However, 6 patients (0.66%) had prolonged urinary symptoms potentially associated with not processing MSU cultures. We estimated that 4 patients missed having empiric antibiotics stopped in response to negative MSU cultures, and 99 antibiotic courses for asymptomatic bacteriuria (ASB) and 8 antibiotic-associated adverse events were avoided. The rate of submitted MSU samples and proportion of patients receiving empiric UTI-directed antibiotics did not change. The proportion of MSU cultures processed declined from 59% to 49% (P < .0001), and total laboratory workload was reduced by 185 hours.

Conclusions:

De-adopting the processing of MSU cultures from medical and surgical inpatient units is safe and sustainable, and it reduces antibiotic prescriptions for ASB at a cost of prolonged urinary symptoms in a small proportion of patients.
Transforming state–civil society relations: centralization and externalization in refugee education
Authors: Nimer Maissam
Published: September 2020

In the context of the arrival of Syrians as of 2011 and the subsequent humanitarian assistance received in light of the EU–Turkey deal in 2016, there has been increased control over civil society organizations (CSOs) in Turkey. Through the case study of language education, this paper examines the relationship between the state and CSOs as shaped by the presence of Syrian refugees and how it evolved through the autonomy of state bureaucracy. It demonstrates that increased control led to the proliferation of larger projects, the deterrence of smaller CSOs, and a hierarchy between organizations prioritizing those that are aligned with the state. It argues that this policy is not only the result of the increased lack of trust between state and civil society but also an attempt to channel funds through state institutions to handle an unprecedented number of refugees while externalizing some of its functions. At the same time, this emerging relationship effectively allows the state to avoid making long-term integration policies and facing growing tensions among the public. This study is based on a qualitative study encompassing interviews with state officials as well as stakeholders in different types of CSOs that deliver language education for adults.
Island divertor configuration design for a quasi-axisymmetric stellarator CFQS
Authors: Okamura S. , Liu H. , Shimizu A. , Kinoshita S. , Isobe M. , Xiong G. , Xu Y.
Published: September 2020

A magnetic field configuration of an island divertor for a quasi-axisymmetric stellarator (CFQS) is proposed. The configuration incorporates large islands surrounding the core confinement region. The interface between the core region and the peripheral region of the island divertor is a clear magnetic separatrix similar to a tokamak divertor. The structure of divertor magnetic field lines is very regular without stochasticity and the connection length is sufficiently long for good divertor performance. Such a divertor configuration is produced in the magnetic field configuration for the CFQS device, which is now under construction in China.
“The Constant Companion of Virtue”: On the Dilemma and Political Implications of Kantian Honor
Authors: Liu Antong
Published: September 2020

This article provides a reinterpretation of Kantian honor to resolve an ongoing debate concerning Kant's mixed attitude toward honor and to clarify the political implications of honor. Kant develops two distinct types of honor in his practical philosophy: natural honor as a human desire and ethical honor as a transcendental virtue. The conflict between these two types of honor can be resolved not in Kant's ethics but in his political theory, which tolerates nonmoral motivations owing to their positive impact on politics and which presumes an imperfect world where political authority has difficulties in properly punishing disrespect. As a viable motivation for citizens to fight disrespect in a principled way, a reformed Kantian honor that combines the normative content of ethical honor and the motivating power of natural honor into a single whole can be conducive to the politics of mutual respect.
Lingering misinterpretation in native and nonnative sentence processing: Evidence from structural priming
Authors: Fujita Hiroki , Cunnings Ian
Published: September 2020

Native (L1) and nonnative (L2) speakers sometimes misinterpret temporarily ambiguous sentences like “When Mary dressed the baby laughed happily.” Recent studies suggest that the initially assigned misinterpretation (“Mary dressed the baby”) may persist even after disambiguation, and that L2 speakers may have particular difficulty discarding initial misinterpretations. The present study investigated whether L2 speakers are more persistent with misinterpretation compared with L1 speakers during sentence processing, using the structural priming and eye tracking while reading tasks. In the experiment, participants read prime followed by target sentences. Reading times revealed that unambiguous but not ambiguous prime sentences facilitated processing of the globally correct interpretation of ambiguous target sentences. However, this priming effect was only observed when the prime and target sentence shared the same verb. Comprehension accuracy rates were not significantly influenced by priming effects but did provide evidence of lingering misinterpretation. We did not find significant L1/L2 differences in either priming effects or persistence of misinterpretation. Together, these results suggest that initially assigned misinterpretations linger in both L1 and L2 readers during sentence processing and that L1 and L2 comprehension priming is strongly lexically mediated.
Online composition: strategies and processes during collaborative electroacoustic composition
Authors: Biasutti Michele , Concina Eleonora
Published: September 2020

This pilot study analysed the learning strategies of advanced students and professional electroacoustic composers engaged in creating new musical pieces through online collaboration. The participants were divided into three groups and interacted in a virtual setting using synchronous (chat and Skype) and asynchronous tools (forum, compositional software) to perform the compositional activities. A multiple case study design was used to describe and interpret the actions of the participants. Forum discussions, Skype dialogues and e-mail exchanges were examined to explore the participants’ interactions and understand their actions during the online activities. Individual semi-structured interviews focusing on the processes and working approaches were conducted. The following themes were considered for the analysis of the collaborative compositional activity: working approach, relational model, leadership, organisation and compositional process. The participants effectively completed the compositional activities on the online platform, and based on the results, the following phases emerged as: (a) context definition; (b) planning/organising; (c) experimenting/generating musical ideas; (d) constructing and (e) evaluating. The findings are discussed regarding the educational implications of developing didactic activities based on collaborative composition.
The Anglo-Cornish dialect is ‘a performance, a deliberate performance’
Authors: Sandow Rhys J.
Published: September 2020

Situated at the extreme south west periphery of the British Isles, Cornwall's territorial isolation bred cultural isolation which has been construed and reconstrued over time, giving Cornwall a distinctive cultural flavour. Initially borne out by facts of geography, Cornwall, or ‘Kernow’, experiences a dynamic yet enduring peripheral existence (see Payton, 1992). This article explores how Anglo-Cornish dialect words can be used as a means of identity construction, that is, how a Cornish way of speaking is used to construct identities associated with a Cornish way of being. I hypothesise that those who desire greater Cornish autonomy are more likely to use Anglo-Cornish dialect lexis than those who favour further socio-cultural assimilation with England.
Jargon of Hadoop MapReduce scheduling techniques: a scientific categorization
Authors: Hanif Muhammad , Lee Choonhwa
Published: September 2020

Recently, valuable knowledge that can be retrieved from a huge volume of datasets (called Big Data) set in motion the development of frameworks to process data based on parallel and distributed computing, including Apache Hadoop, Facebook Corona, and Microsoft Dryad. Apache Hadoop is an open source implementation of Google MapReduce that attracted strong attention from the research community both in academia and industry. Hadoop MapReduce scheduling algorithms play a critical role in the management of large commodity clusters, controlling QoS requirements by supervising users, jobs, and tasks execution. Hadoop MapReduce comprises three schedulers: FIFO, Fair, and Capacity. However, the research community has developed new optimizations to consider advances and dynamic changes in hardware and operating environments. Numerous efforts have been made in the literature to address issues of network congestion, straggling, data locality, heterogeneity, resource under-utilization, and skew mitigation in Hadoop scheduling. Recently, the volume of research published in journals and conferences about Hadoop scheduling has consistently increased, which makes it difficult for researchers to grasp the overall view of research and areas that require further investigation. A scientific literature review has been conducted in this study to assess preceding research contributions to the Apache Hadoop scheduling mechanism. We classify and quantify the main issues addressed in the literature based on their jargon and areas addressed. Moreover, we explain and discuss the various challenges and open issue aspects in Hadoop scheduling optimizations.
The importance of distinguishing COVID-19 from more common respiratory illnesses
Authors: Zhao Wei , Xie Xingzhi , Liu Jun
Published: September 2020

We recruited 1591 patients who presented to our fever clinics from 23 January 2020 to 16 February 2020. The different imaging findings between COVID-19 pneumonia and influenza A viruses, influenza B virus pneumonia were also investigated. Most patients were infected by influenza A and B viruses in the flu-season. A laboratory kit is urgently needed to test different viruses simultaneously. Computed tomography can help early screen suspected patients with COVID-19 and differentiate different virus-related pneumonia.
The spatio-temporal epidemic dynamics of COVID-19 outbreak in Africa
Authors: Gayawan Ezra , Awe Olushina O. , Oseni Bamidele M. , Uzochukwu Ikemefuna C. , Adekunle Adeshina , Samuel Gbemisola , Eisen Damon P. , Adegboye Oyelola A.
Published: September 2020

Corona virus disease 2019 (COVID-19), caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was first detected in the city of Wuhan, China in December 2019. Although, the disease appeared in Africa later than other regions, it has now spread to virtually all countries on the continent. We provide early spatio-temporal dynamics of COVID-19 within the first 62 days of the disease's appearance on the African continent. We used a two-parameter hurdle Poisson model to simultaneously analyse the zero counts and the frequency of occurrence. We investigate the effects of important healthcare capacities including hospital beds and number of medical doctors in different countries. The results show that cases of the pandemic vary geographically across Africa with notably high incidence in neighbouring countries particularly in West and North Africa. The burden of the disease (per 100 000) mostly impacted Djibouti, Tunisia, Morocco and Algeria. Temporally, during the first 4 weeks, the burden was highest in Senegal, Egypt and Mauritania, but by mid-April it shifted to Somalia, Chad, Guinea, Tanzania, Gabon, Sudan and Zimbabwe. Currently, Namibia, Angola, South Sudan, Burundi and Uganda have the least burden. These findings could be useful in guiding epidemiological interventions and the allocation of scarce resources based on heterogeneity of the disease patterns.
Extensional constructive real analysis via locators
Authors: Booij Auke B.
Published: September 2020

Real numbers do not admit an extensional procedure for observing discrete information, such as the first digit of its decimal expansion, because every extensional, computable map from the reals to the integers is constant, as is well known. We overcome this by considering real numbers equipped with additional structure, which we call a locator. With this structure, it is possible, for instance, to construct a signed-digit representation or a Cauchy sequence, and conversely, these intensional representations give rise to a locator. Although the constructions are reminiscent of computable analysis, instead of working with a notion of computability, we simply work constructively to extract observable information, and instead of working with representations, we consider a certain locatedness structure on real numbers.
Examining taste testing and point-of-purchase prompting as strategies to promote healthier food selection from food trucks
Authors: Bleasdale Jacob , Kruger Jessica S , Gampp April , Kurtz Kelsey , Anzman-Frasca Stephanie
Published: September 2020

Objective:

To examine the feasibility of taste testing and point-of-purchase prompting to promote healthier food choices at a food truck event.

Design:

A pre-/post-study was conducted where food trucks provided samples of healthy food items to patrons and implemented point-of-purchase prompting (promotional signage; verbal cues). Implementation fidelity, acceptability and initial effectiveness were assessed via observation, patron surveys and sales data. A linear mixed model with a random effect for subject (food truck) and fixed effect for time point (baseline, intervention and post-intervention) was used to assess changes in relative sales of promoted healthy items as a percentage of food items sold.

Setting:

Weekly food truck event in Buffalo, New York.

Participants:

Seven food trucks; 179 patrons.

Results:

Implementation fidelity data illustrated that all food trucks complied with manualised procedures. Approximately one-third of surveyed patrons accepted a healthy sample, with the majority rating the sample positively. There was no main effect of time when examining changes in relative sales of promoted healthy items across all periods (P = 0·32); however, effect sizes representing changes between individual time points are consistent with an increase from baseline to intervention (d = 0·51), which was maintained through post-intervention (d = 0·03). The change from baseline to post-intervention corresponded to a medium effect size (d = 0·55).

Conclusions:

Findings generally support the feasibility of implementing taste testing and point-of-purchase prompting to increase the selection of healthy food items from food trucks; implications for future research in this novel setting are discussed.
Indiscipline in Nigeria: Causes, Patterns, Interventions and Implications for National Development
Authors: Ukaegbu Chikwendu Christian
Published: September 2020

The concept, ‘discipline’ has two broad meanings, namely, discipline as a field of knowledge, and discipline as order. The latter is the focus of this paper. Discipline as order has several sub-categorizations. These include the order by conduct and action which results from training, instruction, and education; the order maintained and observed by persons under control or command; a system of rules of conduct. Discipline is also used to denote control gained by enforcing obedience or compliance especially by use of punishment. In sum, discipline implies controlled and orderly behavior. By contrast, indiscipline means absence or lack of order. Simplistically defined, it implies unruly, wild, undomesticated and uncontrolled behavior. But when defined moralistically, indiscipline encompasses more serious violations such as crimes. Therefore, indiscipline refers to deviation from prescribed norms whether such norms are mere folkways, matters of etiquette or serious crimes.
Übersicht über Auswirkungen der Corona-Pandemie auf das Versorgungs- und Behandlungssystem für suchtkranke Menschen
Authors: Weissinger Volker
Published: September 2020

Zusammenfassung. Hintergrund: Das Suchthilfe- und -behandlungssystem in Deutschland ist mit Beginn der Corona-Pandemie massiv in Mitleidenschaft gezogen worden, und die Sorge um die aktuelle und zukünftige Aufrechterhaltung der vielfältigen Angebote für suchtkranke Menschen wuchs mit Ausbreitung der Pandemie. Es entschlossen sich viele Suchtberatungsstellen angesichts des Lockdowns, nur noch online oder per Telefon zur Verfügung zu stehen. Entzugsbehandlungen wurden deutlich heruntergefahren, Treffen von Selbsthilfegruppen fanden nicht mehr statt. Die Inanspruchnahme der Suchtrehabilitation ging zurück. Parallel dazu zeigte sich ein erheblicher Mehraufwand für die Einrichtungen aufgrund der Hygienevorschriften und entsprechender Abstandsregelungen. Mittlerweile befinden wir uns in einer Phase der Öffnung der Angebote, wenngleich häufig noch auf einem eingeschränkten Level. Ziel: Behandelt werden im Artikel die Entwicklungen und deren Auswirkungen auf unterschiedlichen Ebenen: Bundespolitik, Erlasse auf Länderebene, Empfehlungen und Aktivitäten der Leistungsträger sowie Aktivitäten im Bereich der Einrichtungen der Suchtkrankenhilfe und -behandlung. Abschließend werden Perspektiven entwickelt und aufgezeigt, was wir aus der Corona-Pandemie lernen können. In diesem Zusammenhang wird etwa auf die strukturelle Verankerung des Bereiches „Drogen und Sucht“ in der Politik, die Erstellung von Krisenplänen, die notwendige Dialogbereitschaft der verantwortlichen Organisationen und Personen sowie ein lösungsorientiertes Vorgehen verwiesen.