bluuebunny/crossref_metadata_2025 huggingface dataset:
Negative Aging Stereotypes: Fear of Dependency Impact on Anxiety and Depression in Middle and Older Adults, Examined by Gender
Authors: Mackenstadt Darby , Adams-Price Carolyn
Published: March 2024

Negative stereotypes of aging, such as dependency, tend to paint a picture of older adults as frail or a burden on society. This study aimed to explore the relationship between the Fear of Dependency Scale and anxiety and depression, evaluating gender, age, and physical health as moderators. Findings suggest that age moderated the relationship between fear of dependency and depression and anxiety in women, with middle-aged women reporting the highest levels of depression and anxiety. Similarly, poor physical health in women with high fear of dependency was related to higher levels of depression and anxiety. Fear of dependency was related to higher levels of depression, but not anxiety in men. Age did not moderate the relationship between fear of dependency and mental health measures, but physical health did moderate the relationship. Men with poor perceived health and a high fear of dependency reported higher levels of depression.
Innate Health: A Novel Examination of What Explains Well-Being, Prosocial Behavior, and Aggression Among Men Living in a U.K. Prison
Authors: Catherine-Gray Jeanne L. , Denkers Adriaan J. M.
Published: March 2024

Evidence shows that well-being for mental health in prison is an important component of prison rehabilitation efforts—including notably lowering recidivism rates after release. While support for well-being initiatives in U.K. prisons has grown, few prison programs offer a health-promoting focus or invest in well-being interventions. Therefore, this study seeks to replicate and extend emerging data on an innate health intervention. Volunteers from HMP Nottingham ( N=127) participated in normal prison programming. The intervention group ( n=66) received an additional 3-day intensive. This study found higher levels of innate health, self-control, well-being, and prosocial behavior and lower levels of aggression within the intervention group and as compared with the control group. Next, we conducted a mediation analysis to test if innate health, self-control, and/or social desirability bias could explain these positive changes. Importantly, innate health did play a mediating role equivalent to and/or partnering with self-control, whereas social desirability bias did not.
Banal Socialism: The Role of Ideology in Late Soviet Era Urban Reconstruction—The Case of Vilnius
Authors: Rozene Rugile
Published: March 2024

The paper delves into the role of communist ideology in urban planning during the late Soviet era (1960s-1980s). It claims that the implementation of new urban plans, which aimed at the radical reconstruction of pre-war populated areas, was deeply rooted in socialist ideological stances. However, chronic housing shortages made the associated demolitions problematic and undesirable. By addressing this conflicting situation, the concept of “banal socialism” was introduced. The concept asserts that the decreasing prominence of overt ideology in the reconstruction of historic cities does not imply a weakening of its influence or the rationalization of the planning system. Instead, it suggests that Soviet ideology underwent a process of banalization, a transformation that involved the ideology adopting routinized, mundane, almost invisible form. By examining the case of Vilnius, the paper argues that this process not only significantly influenced late Soviet era urban planning but also played an important role in shaping a distinctive socialist landscape.
Criminological and Psychiatric Profiles of Immigrant and Refugee Offenders: A Retrospective Analysis of Cases in a Forensic Setting
Authors: Taşdemir Ilker , Boylu Muhammed Emin , Aslıyüksek Hızır , Saygılı Sefa , Karamustafalıoğlu Kayıhan Oğuz
Published: March 2024

This study aimed to scrutinize the characteristics of immigrant and refugee offenders within our institution, focusing on factors such as immigrant status, country of birth, duration of residence in Turkey, as well as psychiatric, socio-demographic, and criminal profiles. The data were obtained through a retrospective examination of case records referred to the Observation Department of the Council of Forensic Medicine for the assessment of criminal responsibility between 2017 and 2022. The study categorized the cases into two groups: refugees and immigrants, comprising 35 and 22 offenders, respectively. Significant differences in educational levels were identified between immigrants and refugees within our study group ( p < .001). Notably, drug use disorders were more prevalent among refugees, whereas alcohol use disorders were more common among immigrants, with statistical significance ( p < .005). During forensic psychiatric assessments, 57.1% of refugees and 54.5% of immigrants required interpretation services. The most prevalent offense in the refugee group was homicide (37.1%), followed by child sexual abuse (28.6%). In contrast, homicide (31.8%) and theft and extortion (22.7%) were the most common offenses for the immigrant group. Six cases (10.5%) were judged to have reduced or no criminal liability. Among the cases, 52.6% had a history of prior outpatient psychiatric referrals, with the most frequent diagnosis being atypical psychosis at 10.5%. The findings underscore the necessity for additional research and targeted interventions to address the mental health and criminological complexities confronted by this vulnerable population.
Interventions to support reproductive and mental health among care leavers: A systematic review
Authors: Bogen-Johnston Leanne , Edelman Natalie , Sellers Ruth
Published: March 2024

Compared to other teenagers, young care leavers tend to have poorer sexual/reproductive and mental health; mental health difficulties may increase risk for poor sexual/reproductive health. This systematic review addresses a gap in knowledge regarding the effectiveness of existing interventions that support care leavers’ sexual/reproductive health (e.g., contraception, pregnancy choices, early parenting). Eight published articles spanning six interventions were eligible. Interventions were associated with improvements in a range of sexual/reproductive health measures (e.g., sexual health knowledge; knowledge of where to get support; attitudes to sexual health practices), with some indicative improvements in self-esteem. However, some studies suggested these improvements may not be sustained. Interventions tended to include a broad age range, with limited programmes specifically aimed at care leavers. While some programmes focused on attitudes toward reproductive health and pregnancy (i.e., contraception), we identified no programme focusing on parenthood choice. We also identified no sexual/reproductive health programme that targeted or assessed associated mental health problems, despite evidence of associations between sexual health and mental health difficulties. Findings suggest that care leavers may benefit from specific sexual/reproductive health supports, but further evidence is needed. Findings also indicate a need for more holistic supports that integrate mental health supports with reproductive/sexual health and consider care leaver decision-making.
Effect of Fitness-To-Drive and Metacognition on Road Traffic Injury Among Older Taxi Drivers: Hierarchical Modeling
Authors: Laosee Orapin , Sritoomma Netchanok , Rattanapan Cheerawit , Wamontree Phanida
Published: March 2024

Age-related cognitive and somatic motor skills changes have been linked to impaired driving abilities. Taxi drivers play an important role in providing public transportation services and security. This study aimed to examine the level of fitness-to-drive (FTD) and identify the predictors of self-reported traffic injury among the older taxi drivers. Taxi drivers 60 years and older in Bangkok and the metropolitan area were enrolled. Hierarchical regression models were carried out to examine the effects of demographics, FTD, and metacognition towards self-reported road traffic injury. Totally, 46.1% of the respondents were classified as at-risk drivers. Drivers with alcohol consumption and low risk perception toward road safety were more likely to experience road traffic injury. Regular assessment of physical and psychometric capacity among older taxi drivers could provide another empirical basis to improve public safety transport.
Breaking Climate Change Polarization
Authors: Cakanlar Aylin
Published: March 2024

Climate change has become an increasingly polarizing issue in the United States and across the globe, a divide reflected in the sustainable behaviors of liberals and conservatives. Previous studies have investigated the psychological underpinnings of this polarization in the sustainability domain; however, findings have been fragmented across disciplines. The current work aims to integrate and synthesize academic research at the intersection of political ideology and sustainable behavior to propose a framework that explains polarized responses to climate change. This framework, represented by the acronym BREAK, suggests that several key factors can shed light on the underlying causes of the division regarding climate change. These factors include Balance, Reactance, Essence of the problem, Adherence to ingroup norms, and Knowledge. The author also employs this framework to propose strategies for reducing climate change polarization and outline potential avenues for future research. Overall, this review can help policy makers, practitioners, and academics in their endeavors to increase sustainable behavior across the political spectrum.
Patient-oriented research: An essential driver of learning health system capacity development
Authors: Strosher Heather , Hainstock Taylor , Karsten Sharon , Whyte Barbara , Hauschildt Christopher , McMillan Tara , Sboto-Frankenstein Uta , Trytten Cindy
Published: March 2024

Canada’s health system faces a lag in implementing high-quality evidence and research-driven innovation into service delivery, while demonstrating accountability and benefit to the public. To address these challenges, Patient-Oriented Research (POR) builds teams that engage researchers, healthcare providers, decision-makers, and most importantly, patients (people with lived and living experience) in the process of generating and applying evidence to inform health services and decision-making. A Learning Health System (LHS) systematically integrates external evidence with internal data and experience and puts that knowledge into practice in a continuous cycle. Using a POR/LHS example from a BC health authority, we describe nine enablers required to support LHS capacity development. The LHS case study, Walk With Me, addresses a health system high-priority topic: the toxic drug crisis. Understanding the value of learning health systems, along with the enablers required to support and implement them, will empower health leaders to champion and orchestrate positive change.
A Mixed-Methods, Multimedia Pilot Study to Investigate Sleep Irregularity Determinants Among Undergraduate Students
Authors: Marquardt Matthew , Pontis Sheila
Published: March 2024

Purpose

To pilot a novel approach investigating the interplay of social and institutional determinants influencing university undergraduate student sleep patterns.

Design

A two-part, three-phase mixed-methods approach.

Setting

A mid-size US university conducted in spring and fall 2020.

Participants

191 undergraduate students (69 first-years, 43 second-years, 48 third-years, 31 fourth-years).

Method

For Part A, participants texted their activities and emotions in real time, producing a data-rich, weeklong diary of comprehensive activity logs, emoticons, multimedia submissions, and juxtapositions of ideal vs real schedules. Semi-structured contextual interviews were also conducted. For Part B, a one-time survey examined Part A insights across all class years. These diverse datasets were triangulated using thematic, comparative, and content analyses through MAXQDA software and visual mapping methods.

Results

Three preliminary themes were identified as encouraging an irregular sleep schedule: a prevailing academic ethos emphasizing busyness, time management challenges, and the rhythm of institutional schedules and deadlines. An overarching theme suggests that perceptions of peer sleep habits and academic prioritization above all else could be influential across factors.

Conclusion

This pilot study indicates that sleep regularity among undergraduates is potentially shaped by individual choices combined with broader institutional paradigms. While it is limited by its exploratory nature, timing, and small sample size, the results highlight the promise of this methodology for more extensive studies and suggest that future interventions should emphasize systemic changes that prioritize sleep.
Vulnerability Index to COVID-19 for Brazilian States
Authors: Filho Claudiomar Matias Rolim , Tessmann Mathias Schneid
Published: March 2024

This present article brings a vulnerability index to COVID-19 for Brazilian states. The COVID-19 pandemic is the largest since the great flu of 1918, and Brazil, which already has major supply limitations in health provision, is experiencing additional stress on the health system caused by the excess demand caused by the pandemic. Thus, this index is composed of a weighted average of state indicators, which are human development index (HDI), net current revenue per capita, health expenditure per capita, percentage of households with more than six residents, percentage of elderly population, access to basic sanitation, total population, the number of ICUs and the number of doctors and respirators per hundred thousand inhabitants. The results indicate that the states best placed in the vulnerability ranking are the Federal District and São Paulo, while the states with the worst ranking are Alagoas and Amapá. In the medium term, there is an association between the number of accumulated cases and the hospital vulnerability index. The same association exists, although at a lower level, between the hospital vulnerability index and the number of deaths per capita.
Leveraging Digital Technology to Improve Monitoring and Planning in Public Sector Supply Chains: Evidence From India’s Food Security Program
Authors: Ganesh Maya , Deo Sarang , Devalkar Sripad K
Published: March 2024

Governments across the developing world are adopting digital technologies to improve the performance of public sector supply chains. However, empirical evidence regarding the impact of these technologies on performance is mixed. In this paper, we evaluate the impact of using biometric authentication (BA) devices on the performance of India’s food security program. The program aims to deliver subsidized food grains to nearly 160 million low-income households through approximately 500,000 fair price shops (FPSs). Nearly half of those grains do not reach the beneficiaries and are diverted to the open market for private benefit. We estimate the impact of installing BA devices on reducing diversion in more than 3,300 FPSs in the Indian state of Karnataka between 2013 and 2015 using a difference-in-differences approach. We find that BA devices reduce up to 4% of the current diversion at the last mile. We argue that this relatively low impact is due to the presence of a workaround mechanism which results in imperfect monitoring and validate the decrease in diversion mechanism by estimating the differential impact of BA devices. We complement the empirical analysis with a simulation exercise to estimate the additional value that can be unlocked by using the BA devices. We find that the value of better replenishment planning using sales and inventory information captured by BA devices can be significant. The value of better planning can be as high as six times the value of reduction in diversion, depending on the preintervention levels of demand from genuine beneficiaries and diversion at the FPSs.
Swimming With the Shark: The Effects of Platform Price Promotion and In-Platform Advertising on Third-Party Retailer Performance in Hybrid Online Retailing
Authors: Sun Haoyan , Fang Eric (Er) , Dong Beibei , Li Xiaoling
Published: March 2024

Hybrid retailing is an emerging business model that melds traditional reselling with the newer platform approach. A platform owner resells directly to consumers (the reselling model) and also allows third-party retailers (TPRs) to sell on the platform for a commission (the platform model). Given the integral role of TPRs in the hybrid retailing ecosystem, research is imperative to understand how the strategic actions of the platform owner could affect the performance and activities of TPRs. Using a longitudinal dataset of an online platform that adopts a hybrid-retailing structure, the research proposes that the platform owner's strategies, specifically price promotion and in-platform advertising, can affect TPR sales performance directly (through positive spillover effects and negative crowding-out effects) and indirectly (by prompting TPRs to respond with their price promotion and in-platform advertising). Further, such direct and indirect effects depend on TPR size. The findings indicate significant direct effects: the platform owner's price promotion has a positive spillover effect on TPR sales, and more so for larger TPRs; the platform owner's in-platform advertising has a negative crowding-out effect on TPR sales and more so for smaller TPRs. The paper also reports indirect effects: TPRs tend to use price promotion to respond to both strategies of the platform owner, and TPR's price promotion also has positive consequences for TPR sales, and the effects are stronger for larger TPRs. Given the unique coopetition relationship between the platform owner and TPRs in the hybrid retailing context, this research provides firsthand empirical evidence that the platform owner's strategies can significantly affect TPR performance through direct and indirect effects, shows larger TPRs benefit the most from the platform owner's price promotion, while smaller TPRs suffer the most from the platform owner's in-platform advertising, and TPRs favor price promotion regardless what strategies the platform owner uses. These results indicate that both platform owners and policymakers should consider the differential implications for TPRs of different sizes in terms of the social welfare of the platform ecosystem.
Strategy Typology and Cost Structure: A Textual Analysis Approach
Authors: Banker Rajiv D , Huang Rong , Li Xiaorong , Yan Yan
Published: March 2024

This study investigates the impact of firms’ strategic positioning on cost structure. Using textual analysis based on 10-K filings, we capture business strategy along three dimensions: product leadership, customer intimacy, and operational excellence. Firms pursuing the product leadership strategy emphasize innovation and confront high congestion risk caused by rapid growth. We find that these firms display a more rigid cost structure by incurring higher strategic fixed investments in R&D and choosing higher committed capacity to reduce congestion risk. We also document that firms following the other two strategies on average exhibit a less rigid cost structure. This is possibly because customer-intimate firms tend to invest in specialized resources in small chunks and take on-demand inputs to tailor offerings, while operational-excellence firms may adopt real options and flexible models to achieve production efficiency and mitigate default risk. Our results are robust to using a difference-in-difference approach based on a quasinatural shock caused by the Inevitable Disclosure Doctrine adoption and a change analysis based on firms’ internal strategic shifts. Our findings suggest that organizational strategy has a significant impact on firms’ resource commitments and capacity choices.
Clinical activity, pharmacokinetics, and pharmacodynamics of oral hypomethylating agents for myelodysplastic syndromes/neoplasms and acute myeloid leukemia: A multidisciplinary review
Authors: Haumschild Ryan , Kennerly-Shah Julie , Barbarotta Lisa , Zeidan Amer M.
Published: March 2024

Objective

To review the pharmacokinetic (PK)–pharmacodynamic (PD) profiles, disease setting, dosing, and safety of oral and parenteral hypomethylating agents (HMAs) for the treatment of myelodysplastic syndromes/neoplasms (MDS) and acute myeloid leukemia (AML), and to provide a multidisciplinary perspective on treatment selection and educational needs relating to HMA use.

Data Sources

Clinical and real-world data for parenteral decitabine and azacitidine and two oral HMAs: decitabine–cedazuridine (DEC-C) for MDS and azacitidine (CC-486) for AML maintenance therapy.

Data Summary

Differences in the PK–PD profiles of oral and parenteral HMA formulations have implications for their potential toxicities and planned use. Oral DEC-C (decitabine 35 mg and cedazuridine 100 mg) has demonstrated equivalent systemic area under the concentration-time curve (AUC) exposure to a 5-day regimen of intravenous (IV) decitabine 20 mg/m2 and showed no significant difference in PD. The AUC equivalence of oral DEC-C and IV decitabine means that these regimens can be treated interchangeably (but must not be substituted within a cycle). Oral azacitidine has a distinct PK–PD profile versus IV or subcutaneous azacitidine, and the formulations are not bioequivalent or interchangeable owing to differences in plasma time-course kinetics and exposures. Clinical trials are ongoing to evaluate oral HMA combinations and novel oral HMAs, such as NTX-301 and ASTX030.

Conclusions

Treatment with oral HMAs has the potential to improve quality of life, treatment adherence, and disease outcomes versus parenteral HMAs. Better education of multidisciplinary teams on the factors affecting HMA treatment selection may help to improve treatment outcomes in patients with MDS or AML.
Slippages in the Application of Hegemonic Masculinity: A Case Study of Incels
Authors: Lucy Stu
Published: March 2024

Although an important theoretical tool within the field of critical study of men and masculinities, mishandling of Connell’s theory of multiple masculinities and subsequent developments frequently overlooks the relational and legitimizing components central to the hegemonic masculine construct, producing conceptual ‘slippage’. This case study demonstrates such misapplication, examining four investigations within the emerging field of research concerning the antifeminist masculine performances and ideological constructs associated with involuntary celibates (incels). Each study lacks acknowledgement and demonstration of the political mechanics of relational legitimacy that define hegemonic masculinity, producing, instead, trait analyses of non-hegemonic dominant or dominating masculine behaviour resting on fixed, often toxic character types. As novel and emergent communities of men receive scholarly attention, it is important researchers heed repeated attempts to guide correct use of theory by engaging with the history and evolution of employed concepts.
Performativity: Model and meaning in a post-Austinian frame
Authors: Strand Michael , Leonard Samantha
Published: March 2024

This article proposes a post-Austinian approach to performativity by drawing from Peircean semeiotics. The argument proceeds on three fronts. First, we establish how the performativity approach of John L. Austin has served as a model case for performativity research, but the problems of this are currently being seen in the fragmentation and nominalism of the field. Second, we argue that the problem with Austin’s ‘doing things with words’ approach to performativity is that it cannot account for performativity on its own terms as sui generis. Third, using Peircean semeiotics, we reconstruct certain post-Austinian tendencies in performativity research and propose a formal model of performativity that draws especially from what Peirce called an Immediate interpretant. We conclude the article by discussing three distinct performativities not related by a model case but as examples of the same objective possibility.
Mapping social protection coverage for platform workers: A comparative analysis of Belgium, Italy and the Netherlands
Authors: De Becker Eleni , Seo Hyojin , Pulignano Valeria , Schoukens Paul
Published: March 2024

The aim of this paper is to examine if and how the reclassification of platform workers from self-employment status to employment status can provide them with adequate social security protection. Little is known about how this transition would guarantee platform workers adequate social protection within the social protection scheme for employees. National social security schemes, in particular income replacement benefit schemes, often (still) depart from the standard employment relationship, leading to lower protection for atypical work forms. Platform workers combine several of the characteristics of atypical forms of work, such as low earnings, irregular working patterns and working. Integrating platform workers into employee social security schemes faces additional challenges due to the online nature of their work, algorithmic management, high levels of unpaid labor, and employer identification difficulties. This paper focuses on unemployment protection, as EU Member States struggle to provide adequate protection for workers with irregular work patterns and income fluctuations, in the case of (short term) income replacement benefits. By constructing nine ideal work patterns reflective of diverse nature of platform work and current practices among platform work, we analyse how different types of ‘employed’ platform workers may fare within the legislation of three EU countries (Belgium, Italy, and the Netherlands). This approach allows us to assess the applicability of unemployment protection to different working patterns among 'employed' platform workers, considering formal, effective, and adequate access to unemployment schemes as outlined in the Council Recommendation on access to social protection for workers and the self-employed (2019).
Literary reading as a web of relationships: Implications for pedagogy at a South African university
Authors: Prozesky Maria , Nkealah Naomi
Published: March 2024

We teach English literature in South Africa, to third- or fourth-language English speakers. Increasingly dissatisfied with the effectiveness of our pedagogy under conditions of massification, we seek to agitate propositions about our students’ reading and what these propositions means for our pedagogy. Drawing on narrative theory we analyse our students’ written responses to a portfolio assessment designed to scaffold their reading of a setwork novel, Lauren Beukes’ Zoo City. Six patterns emerge, around paraphrase, compensation strategies that replace literary reading, repertoires of knowledge and how these relate to access, personal salience and dissonance, reader discomfort, and decolonial opportunities. Understanding the students’ reading for our course as a complex web of material, social and affective relations opens avenues for pedagogy and assessment design that frames literary reading as communal encounter.
Jean Améry’s reconceptualization of resentment: Reflections on a political pedagogy of resistance to oblivion and indifference
Authors: Zembylas Michalinos
Published: March 2024

This essay examines Jean Améry’s account of resentment as protest against oblivion and indifference and explores its implications in invoking a political pedagogy that attempts to find moral and political virtue in resentment. Exploring the pedagogical implications of resentment through the lens of Améry’s account reveals something important about how resentment is understood today and used to “pedagogize” individuals and groups into a particular affective politics. More importantly, this exploration creates openings for a different conceptualization of resentment that does not “reject” resentment for its “negativity” but rather reclaims it as a politically and pedagogically value-laden concept that operates, under certain conditions, as a productive form of resistance against efforts to put the painful past under the carpet. The analysis argues that it is crucial to reframe resentment in education from an existential pathology to a political pedagogy that affirms a different orientation towards time and violence.
Developing Community-Level Implementation Networks to Connect Older Adults to Evidence-Based Falls Prevention Programs
Authors: Ashida Sato , Hellem Abby , Bucklin Rebecca , Carson McKyla , Casteel Carri
Published: March 2024

Background: Evidence-based falls prevention programs are available in many communities, but participation in such programs remains low. This study aimed to develop community-based referral networks of organizations to facilitate the uptake of evidence-based falls prevention programs through engaging older adults at risk for falls with the RememberingWhen™ program and connecting them to evidence-based programs in Midwestern communities. Methods: Guided by the Practical, Robust Implementation and Sustainability Model (PRISM), referral networks were developed in two Midwestern communities (urban and micropolitan) through a seven-step community engagement plan: establishing and operationalizing the State-level Advisory Board (SAB), identifying falls prevention resources, conducting community assessments, developing Local Advisory Groups (LAG), operationalizing the LAG, developing referral network and protocols, and implementing the network. Semistructured interviews guided by the RE-AIM framework were conducted with members of the SAB, LAG, administrators and staff from organizations that participated in networks, and older adult participants. Results: After participating in the development of referral networks, participants felt they learned important skills that they can use to develop additional collaborations and networks in the future, emphasized the benefits of building community capacity among organizations with common missions. Interview data yielded strategies on enhancing the referral network’s reach, impact, adoption, implementation efficiency, and maintenance. Conclusion: Future sustainability studies of such networks should explore identified challenges and strategies to sustain efforts. Results highlight the importance of ongoing funds to support the efforts of organizational networks in communities.
Representation of marginalised populations in digital surveillance for notifiable conditions in Australia: a systematic review
Authors: Dias-Karunaratne N , Whop L , Ward J , Vujovich-Dunn C , Amin J , Dakiniewich A , Dyda A
Published: March 2024

Aim:

This study aims to establish whether digital surveillance methods for notifiable diseases in Australia collect and report data in relation to marginalised populations.

Methods:

The literature was systematically reviewed to identify primary research studies published between January 2005 and July 2023. Studies were included if they described an Australian digital surveillance system for notifiable conditions. The results were synthesised with a focus on evaluating the collection and reporting of data in relation to marginalised populations.

Results:

A total of 13 articles reporting on seven surveillance systems were identified. Influenza and adverse events following immunisation were the two most common notifiable conditions monitored. A total of six surveillance systems encompassing 16 articles reported information on sub-populations. Of these, three surveillance systems (nine articles) included data on marginalised populations.

Conclusion:

The data collected or reported in relation to sub-groups that characterise diversity in terms of health care needs, access, and marginalised populations are minimal. It is recommended that a set of equity and reporting principles is established for the future creation and use of any digital surveillance system.
Mitigating Intensive Care Unit Noise: Design-Led Modeling Solutions, Calculated Acoustic Outcomes, and Cost Implications
Authors: Jonescu Emil E. , Farrel Benjamin , Ramanayaka Chamil Erik , White Christopher , Costanzo Giuseppe , Delaney Lori , Hahn Rebecca , Ferrier Janet , Litton Edward
Published: March 2024

Objectives, Purpose, or Aim:

The study aimed to decrease noise levels in the ICU, anticipated to have adverse effects on both patients and staff, by implementing enhancements in acoustic design.

Background:

Recognizing ICU noise as a significant disruptor of sleep and a potential hindrance to patient recovery, this study was conducted at a 40-bed ICU in Fiona Stanley Hospital in Perth, Australia.

Methods:

A comprehensive mixed-methods approach was employed, encompassing surveys, site analysis, and acoustic measurements. Survey data highlighted the importance of patient sleep quality, emphasizing the negative impact of noise on work performance, patient connection, and job satisfaction. Room acoustics analysis revealed noise levels ranging from 60 to 90 dB(A) in the presence of patients, surpassing sleep disruption criteria.

Results:

Utilizing an iterative 3D design modeling process, the study simulated significant acoustic treatment upgrades. The design integrated effective acoustic treatments within patient rooms, aiming to reduce noise levels and minimize transmission to adjacent areas. Rigorous evaluation using industry-standard acoustic software highlights the design’s efficacy in reducing noise transmission in particular. Additionally, cost implications were examined, comparing standard ICU construction with acoustically treated options for new construction and refurbishment projects.

Conclusions:

This study provides valuable insights into design-based solutions for addressing noise-related challenges in the ICU. While the focus is on improving the acoustic environment by reducing noise levels and minimizing transmission to adjacent areas. It is important to clarify that direct measurements of patient outcomes were not conducted. The potential impact of these solutions on health outcomes, particularly sleep quality, remains a crucial aspect for consideration.
Sizing Up General Practice Environments for Big-Bodied Patients: An Environmental Assessment of Three Facilities in Aotearoa New Zealand
Authors: Morgan Sonya , Mihlar Sheharazade , Wood Emily , McKinlay Eileen , Gibbs Helen , Parker George , Gray Lesley
Published: March 2024

Objectives:

This research describes the physical environments of and equipment in Aotearoa New Zealand (NZ) general practices in relation to available standards for big-bodied people (BBP) seeking healthcare.

Background:

The prevalence of BBP both in NZ and globally has increased over the last 30 years and is expected to increase further. As the first and most utilized point of contact for patients in NZ and many countries, it is essential that general practices provide suitable environments to cater for and meet the needs of big-bodied patients seeking healthcare.

Methods:

An exploratory study utilizing an environmental investigation was undertaken in three diverse general practices. Data collection consisted of direct observation and physical measurements of practice layout and equipment. Findings were compared to the existing guidelines or standards for the healthcare of BBP.

Results:

The analysis identified most environmental facets and equipment in all three general practices did not meet published guidelines for the care of BBP.

Conclusions:

In the global context of increasing and sustained prevalence of BBP, this exploratory study highlights it is crucial that general practices and similar community-based facilities review their physical environments and equipment and consider modifications to improve accessibility, inclusivity, and comfort for BBP.
To be called forth by a speck of dust
Authors: Nassar Aya
Published: March 2024

Less a response, this commentary is a conversation with Anna Secor's ‘Spacetimeunconscious’, riffing off its offering. I trace one of the playful characters in Secor's article, the speck of dust that shapeshifts across the paper's 18 pages, folding and dispersing geographies and temporalities. I am wrestling with how to make sense of geographies that I care about, exactly at the same moment when these geographies are blown up into shards all over my screen. And I would like to think of Secor's paper as a companion for me, and for those who might be trying to figure a way to face the slow and fast breakdown of the surfaces of the present; a supplement, rather than an answer, to the question of where do we go from here, now?
Navigating data governance challenges in healthcare
Authors: Williams Katie , Axelsen Micheal , Brea Edgar
Published: March 2024

This teaching case study delves into the journey of a public sector healthcare organisation in Australia, Vitality Alliance Queensland (VAQ), as they strive to future-proof the organisation’s data governance framework. Drawing from a real-world scenario, the case describes three key governance challenges faced by the organisation: data accessibility, data sensitivity, and data democratisation and empowerment. The rich narrative allows students to gain a deep understanding of the tensions that arise within and across these challenges and insights into how diverse stakeholders must navigate complexities to create and realise value from organisational data.
Navigating the ethical landscape behind ChatGPT
Authors: Peng Lizhi , Zhao Bo
Published: March 2024

In this commentary, we examine the key ethical concerns arising from the rapid penetration and proliferation of generative artificial intelligence (AI), with ChatGPT as a prominent case study. Our analysis is structured around four pivotal themes: the debates on plagiarism and authorship in AI-generated content; the underlying power dynamics that shape biases in AI development; the dynamic, complex relationships between humans and machines; and the growing concerns over unchecked progress and the absence of accountability in the rapidly intensifying AI “Arms Race.” Recognizing the necessity for ethical alignment in AI, yet without a clear consensus of “human interests,” gives room for further exacerbating global inequalities, we advocate for enhanced transparency and increased public involvement in AI development and deployment processes. This article underscores the importance of engaging a diverse range of voices, especially those from communities traditionally uninvolved or excluded from the dialogue on AI development. By doing so, we aim to foster a more inclusive and multidisciplinary approach to understanding and shaping the trajectory of AI technologies, ensuring that their benefits are equitably shared, and their risks carefully managed.
Evaluating the advantages of passive exoskeletons and recommendations for design improvements
Authors: Rafique Sajid , Rana Shaikh Masud , Bjorsell Niclas , Isaksson Magnus
Published: March 2024

Construction and manufacturing workers undertake physically laborious activities which put them at risk of developing serious musculoskeletal disorders (MSDs). In the EU, millions of workers are being affected by workplace-related MSDs, inflicting huge financial implications on the European economy. Besides that, increased health problems and financial losses, severe shortages of skilled labor also emerge. The work aims to create awareness and accelerate the adoption of exoskeletons among SMEs and construction workers to reduce MSDs. Large-scale manufacturers and automobile assemblers are more open to adopt exoskeletons, however, the use of exoskeletons in small and medium enterprises (SMEs) is still not recognized. This paper presents an experimental study demonstrating the advantages of different exoskeletons while performing workers’ tasks. The study illustrates how the use of certain upper and lower body exoskeletons can reduce muscle effort. The muscle activity of the participants was measured using EMG sensors and was compared while performing designated tasks. It was found that up to 60% reduction in human effort can be achieved while performing the same tasks using exoskeletons. This can also help ill workers in rehabilitation and putting them back to work. The study concludes with pragmatic recommendations for future exoskeletons.
The Lived Experience of Family Support Among Women During and After Childbirth in Jordan: A Phenomenological Study
Authors: Ababneh Amal MT. , Alrida Nour , Abu-Abbas Manar , Rayan Ahmad , Abu Sumaqa Yasmeen , Alhamory Sajeda , Al-Zu’bi Basheer
Published: March 2024

Introduction

Many studies highlight the importance of family support in enhancing the experience of childbirth among women.

Objective

This qualitative study aimed to describe the lived experience of family support from the perspective of women during and after childbirth in the Jordanian context

Methods

A qualitative descriptive phenomenological approach was used to explore the experiences of women's family support in the context of their childbirth experiences. A total of 11 Jordanian women participated in the study. Face-to-face semi-structured interviews were conducted to collect data.

Results

Four major themes emerged from the data describing family support provided to women during and after childbirth. These themes were family support during childbirth, family support in the postpartum period, importance of family support during and after childbirth, and challenges related to receiving family support. Supportive family members primarily included the husband, the woman's family, and the family-in-law, according to the traditions inherited in the Jordanian context and culture.

Conclusion

The study findings could help maternal health professionals screen pregnant women who are at risk of receiving low family support, contribute to developing effective interventions regarding family-centered care, and enhance the overall childbirth experience for women in Jordanian cultural contexts.
University Students’ Physical Activity: Perceived Barriers and Benefits to Physical Activity and Its Contributing Factors
Authors: Alkhawaldeh Abdullah , Abdalrahim Asem , ALBashtawy Mohammed , Ayed Ahmad , Al Omari Omar , ALBashtawy Sa’d , Suliman Mohammad , Oweidat Islam Ali , Khatatbeh Haitham , Alkhawaldeh Hasan , Dameery Khloud Al , Alsaraireh Mahmoud , Alhroub Nisser
Published: March 2024

Introduction

In general, undergraduate university students in the north of Jordan have a low level of physical activity.

Objectives

To examine the physical activity level, perceived barriers and benefits to physical activity, and the contributing factors among university students in north of Jordan.

Methods

A cross-sectional study design was used, and data was collected from 235 university students through a self-reported questionnaire. The International Physical Activity Questionnaire (IPAQ) was utilized to calculate the amount of physical activity, while the exercise benefits and barriers scale (EBBS) was used to measure the perceived benefits and barriers of physical activity.

Results

According to the findings, less than half of the students (48.1%) reported engaging in physical activity. Several factors were found to be significantly related to higher levels of physical activity, including being younger, single, having a normal body weight, and reporting excellent health status. Logistic regression analysis revealed that overweight (OR = −0.068, 95% CI 0.025–0.183) and obese (OR = −0.250, 95% CI 0.068–0.924) were less likely to be physically active, while those who rated their health as excellent had higher rates of physical activity (OR = 3.590, 95% CI 1.263–10.201). The students agreed most strongly with the perceived benefit item “Exercise improves the way my body looks,” while the perceived barrier item they identified most strongly with was “There are too few places for me to exercise.”

Conclusion

This study provides important data for health promotion programs aimed at supporting physical activity among university students.
Association of Disability Status and Type With Binge Drinking and Prescription Opioid Misuse Among Adults From a 3-State Sample
Authors: Adams Rachel Sayko , Corrigan John D. , Ritter Grant A. , Pringle Zoe A. , Zolotusky Galina , Blayney Rachel , Reif Sharon
Published: March 2024

Background:

Research examining at-risk substance use by disability status is limited, with little investigation into differences by disability type. We investigated binge drinking and prescription opioid misuse among adults with and without disabilities, and by type of disability, to inform need for assessment and intervention within these populations.

Methods:

Secondary analyses of adults who completed the disability, alcohol, and prescription opioid misuse items in the 2018 Ohio, Florida, or Nebraska Behavioral Risk Factor Surveillance System surveys (n = 28 341), the only states that included prescription opioid misuse in 2018. Self-reported disability status (yes/no) relied on 6 standardized questions assessing difficulties with: vision, hearing, mobility, cognition, self-care, and independent living (dichotomous, nonmutually exclusive, for each disability). Logistic regression models estimated the association of disability status and type with (1) past 30-day binge drinking and (2) past-year prescription opioid misuse. Additional models were restricted to separate subsamples of adults who: (a) currently drink, (b) received a past-year prescription opioid, and (c) did not receive a past-year prescription opioid.

Results:

One-third reported at least one disability, with mobility (19.5%), cognitive (11.5%), and hearing (10.2%) disability being the most common. Disability status was associated with lower odds of binge drinking (adjusted odds ratio [AOR] = 0.74, 95% confidence interval [CI] 0.68-0.80, P ≤ .01). However, among adults who currently drink, people with disabilities had higher odds of binge drinking (AOR = 1.11, 95% CI 1.01-1.22, P ≤ .05]. Disability was associated with higher odds of past-year prescription opioid misuse (AOR = 2.51, 95% CI 2.17-2.91, P ≤ .01).

Conclusions:

Adults with disabilities had higher odds of prescription opioid misuse, and among adults who currently drink, higher odds for binge drinking were observed. The magnitude of the association between disability status and prescription opioid misuse was particularly concerning. Providers should be trained to screen and treat for substance use problems for people with disabilities.
The Power(lessness) of Flexibility in Public–Private Partnerships: Two Capital Projects From the National Capital Region
Authors: Wang Yu , Kwak Young Hoon , Cui Qingbin
Published: March 2024

This article draws on the new stakeholder theory to examine the role of flexibility in the decision process within capital-intensive public–private partnerships (PPPs). It highlights that successful PPPs rely on the project sponsor’s ability to effectively utilize market stakeholders’ critical resources (i.e., information and expertise) to maximize economic value creation, and to gain nonmarket stakeholders’ critical resources (i.e., support) through equitable social value identification and distribution. Drawing on two case studies in the national capital region of the United States, this article proposes a theoretical view to understand flexibility and stakeholder management for capital-intensive PPPs.