bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparison of Doses to Parotid, Temporomandibular Joint, and Pharyngeal Constrictor Muscles Using Different Techniques in Radiotherapy for Oropharyngeal Cancer
Authors: Yamic Ferda , Koca Timur , Tuncel Nina , Aksoy Rahmi Atil , Korcum Aylin Fidan
Published: June 2024

Objective

The purpose of this research was to compare two treatment techniques for oropharyngeal cancers: conventional linac-based static intensity-modulated radiotherapy (sIMRT) and helical tomotherapy (HT). The study examined several parameters, including target coverage, organs at risk, integral dose, and beam on time. Additionally, the study evaluated the doses to the parotid, temporomandibular joint, and pharyngeal constrictor muscles, which are important for swallowing.

Method

The present study retrospectively analyzed the data of 13 patients with oropharyngeal cancer who underwent radiotherapy between 2019 and 2021. The treatment plans for each patient were regenerated using both sIMRT and HT treatment planning systems with the sequential boost method. The techniques were evaluated and compared based on dose-volume histogram, homogeneity index, and conformity index parameters. The target coverage and organs at risk were statistically compared for two techniques. Additionally, the doses received by the healthy tissue volume were obtained for integral dose evaluation. The beam on time for each technique was assessed.

Results

When considering planning target volume evaluation, there was no difference in Dmeans between the two techniques and sIMRT demonstrated higher D2% values compared to the HT. The HT technique had better results for all organs at risk, such as the parotid, temporomandibular joint, and pharyngeal constrictor muscle. As for integral dose, it has been shown that the sIMRT technique provides better protection compared to HT. In addition, the beam on time was also longer with the HT technique.

Conclusion

Both techniques may provide optimal target coverage for patients with oropharyngeal cancer. HT conferred notable advantages, especially with regard to critical structures implicated in swallowing, such as the parotid, temporomandibular joint, and pharyngeal constrictor muscle, in comparison to sIMRT.
A Novel Video-Based Methodology for Automated Classification of Dystonia and Choreoathetosis in Dyskinetic Cerebral Palsy During a Lower Extremity Task
Authors: Haberfehlner Helga , Roth Zachary , Vanmechelen Inti , Buizer Annemieke I. , Jeroen Vermeulen Roland , Koy Anne , Aerts Jean-Marie , Hallez Hans , Monbaliu Elegast
Published: June 2024

Background

Movement disorders in children and adolescents with dyskinetic cerebral palsy (CP) are commonly assessed from video recordings, however scoring is time-consuming and expert knowledge is required for an appropriate assessment.

Objective

To explore a machine learning approach for automated classification of amplitude and duration of distal leg dystonia and choreoathetosis within short video sequences.

Methods

Available videos of a heel-toe tapping task were preprocessed to optimize key point extraction using markerless motion analysis. Postprocessed key point data were passed to a time series classification ensemble algorithm to classify dystonia and choreoathetosis duration and amplitude classes (scores 0, 1, 2, 3, and 4), respectively. As ground truth clinical scoring of dystonia and choreoathetosis by the Dyskinesia Impairment Scale was used. Multiclass performance metrics as well as metrics for summarized scores: absence (score 0) and presence (score 1-4) were determined.

Results

Thirty-three participants were included: 29 with dyskinetic CP and 4 typically developing, age 14 years:6 months ± 5 years:15 months. The multiclass accuracy results for dystonia were 77% for duration and 68% for amplitude; for choreoathetosis 30% for duration and 38% for amplitude. The metrics for score 0 versus score 1 to 4 revealed an accuracy of 81% for dystonia duration, 77% for dystonia amplitude, 53% for choreoathetosis duration and amplitude.

Conclusions

This methodology study yielded encouraging results in distinguishing between presence and absence of dystonia, but not for choreoathetosis. A larger dataset is required for models to accurately represent distinct classes/scores. This study presents a novel methodology of automated assessment of movement disorders solely from video data.
How to improve epidemiological trustworthiness concerning abdominal aortic aneurysms
Authors: Zecca Fabio , Faa Gavino , Sanfilippo Roberto , Saba Luca
Published: June 2024

Background

Research on degenerative abdominal aortic aneurysms (AAA) is hampered by complex pathophysiology, sub-optimal pre-clinical models, and lack of effective medical therapies. In addition, trustworthiness of existing epidemiological data is impaired by elements of ambiguity, inaccuracy, and inconsistency. Our aim is to foster debate concerning the trustworthiness of AAA epidemiological data and to discuss potential solutions.

Methods

We searched the literature from the last five decades for relevant epidemiological data concerning AAA development, rupture, and repair. We then discussed the main issues burdening existing AAA epidemiological figures and proposed suggestions potentially beneficial to AAA diagnosis, prognostication, and management.

Results

Recent data suggest a heterogeneous scenario concerning AAA epidemiology with rates markedly varying by country and study cohorts. Overall, AAA prevalence seems to be decreasing worldwide while mortality is apparently increasing regardless of recent improvements in aortic-repair techniques. Prevalence and mortality are decreasing in high-income countries, whereas low-income countries show an increase in both. However, several pieces of information are missing or outdated, thus systematic renewal is necessary. Current AAA definition and surgical criteria do not consider inter-individual variability of baseline aortic size, further decreasing their reliability.

Conclusions

Switching from flat aortic-size thresholds to relative aortic indices would improve epidemiological trustworthiness regarding AAAs. Aortometry standardization focusing on simplicity, univocity, and accuracy is crucial. A patient-tailored approach integrating clinical data, multi-adjusted indices, and imaging parameters is desirable. Several novel imaging modalities boast promising profiles for investigating the aortic wall. New contrast agents, computational analyses, and artificial intelligence-powered software could provide further improvements.
Enhancing client engagement and alleviating period product insecurity: A cross-sectional study of community-based period supply banks’ distribution of free period products through intermediary partner agencies in the United States
Authors: Massengale Kelley EC , Comer Lynn H , Bowman Kelsey M , Van Ness Susan
Published: June 2024

Background:

Period products like pads, tampons, and a variety of disposable and reusable hygiene supplies constitute just one facet essential for effectively managing menstruation in a way that allows an individual to feel comfortable carrying out their daily routine. Given the absence of comprehensive public policies ensuring access to period products for economically disadvantaged menstruating individuals, community-based basic needs banks, particularly period supply banks, were established to alleviate the challenges faced by those experiencing period product insecurity. These initiatives specifically aim to furnish essential menstrual products to individuals in need.

Objectives:

This study aimed to assess any organizational benefits experienced by community-based organizations distributing period products on behalf of period supply banks.

Design:

This cross-sectional study is a formative evaluation of the distribution of free period products by period supply banks, which provide access to essential menstrual hygiene products for individuals in need through partnership with community-based partner agencies.

Methods:

Staff members at agencies distributing period products were invited to complete an anonymous web-based survey at two different time points about their agency’s experiences distributing free period products. All participants provided informed consent via the web-based survey.

Results:

Agency staff reported that since they started providing period products, clients were more likely to: start a conversation about other needs (66.7%), extend the length of their relationship with the agency (60.0%), keep scheduled appointments (62.1%), ask for assistance with another need (75.0%), communicate between visits (42.4%), participate in other agency programming (55.9%), and seek other agency services (73.5%). Due to a shortage of period products, 41% of agencies have had to turn away clients needing period supplies.

Conclusion:

Period supply banks, in collaboration with community-based partner agencies, enhance access to both menstrual products and the associated support, fostering engagement with diverse resources and opportunities among recipients. However, addressing unmet needs necessitates policies and additional funding to ensure universal access to essential hygiene supplies for everyone to thrive and actively participate in society.
Endoscopic resection for esophageal gastrointestinal stromal tumors: a multi-center feasibility study
Authors: Lian Jingjing , Ji Yingjie , Chen Tao , Wang Guoxiang , Wang Mizhu , Li Shengxi , Cao Jia , Shen Li , Lu Wei , Xu Meidong
Published: June 2024

Background:

Esophageal gastrointestinal stromal tumors (E-GISTs) are highly uncommon and have not been thoroughly examined.

Objectives:

The objective of this multi-center study was to assess the viability of endoscopic resection (ER) in the treatment of E-GISTs and to explore its clinical implications.

Design:

This was a multi-center retrospective study. Consecutive patients referred to the four participating centers.

Methods:

E-GISTs among the consecutive subepithelial tumors (SETs) treated by ER methods were enrolled from April 2019 to August 2022. Clinicopathological, endoscopic, and follow-up data were collected and analyzed.

Results:

A total of 23 patients with E-GISTs were included for analysis, accounting for 1.9% of all the esophageal SETs (1243 patients). The average size of the tumor lesions was 2.3 cm (range 1.0–4.0 cm). We observed that tumors larger than 2.0 cm were more likely to grow deeper, with a statistically significant difference ( p < 0.001). End bloc resection was achieved in all 23 patients. The mean operation time was 53.6 min (range 25–111 min). One patient experienced significant intraoperative bleeding, which was promptly managed endoscopically without necessitating surgery. The average hospital stay was 4.5 days (range 3–8 days). The overall median follow-up period was 31 months (range 13–47 months). No tumor recurrence, residual tumor, distal metastasis, or death was observed during the follow-up period.

Conclusion:

Based on our limited data, our study indicates that ER may be a feasible and effective option for treating esophageal GISTs measuring 4 cm or less. We suggest submucosal tunnel endoscopic resection as the preferred approach, as all E-GISTs in our study were situated in the muscularis propria layer. Additionally, tumors larger than 2 cm were more prone to deeper growth or extraluminal extension.
Advanced technology in shoulder arthroplasty surgery: Artificial intelligence, extended reality, and robotics
Authors: Barreto Vega Akasha , Ramkumar Prem N , Kassam Hafiz , Navarro Ronald A
Published: June 2024

The purpose of this review is to provide an overview of the integration of technological advancements in orthopedic shoulder surgery. Recent technological advancements in orthopedic shoulder surgery include predictive analytics, computer-navigated instrumentation for operative planning, extended reality, and robotics. Separately, these advancements provide distinct methodological attempts to improve surgical experiences and outcomes. Together, these technologies can provide orthopedic surgeons with the tools and capabilities to improve patient care and communication in shoulder arthroplasty. From artificial intelligence-generated predictive analytics to extended reality and robotics, technical innovations may lead to improvements in patient education, surgical accuracy, interdisciplinary communication, and outcomes. A comprehensive narrative review was conducted to explore the technological advancements of orthopedic shoulder arthroplasty. Our findings emphasized the impact of these advancements, exemplified by early enhancements in efficacy and safety. However, certain challenges remain, such as a lack of reproducibly improved outcomes and cost considerations. While the reviewed studies indicate hope for improving shoulder arthroplasty, the true cost-effectiveness and applicability remains to be determined, indicating the need for further research.
Understanding the impact of social and academic factors on sense of belonging in higher education: A study from the Georgian educational landscape
Authors: Khojanashvili Lasha , Tsereteli Mzia , Labadze Lasha
Published: June 2024

This study examines the link between students’ sense of belonging (SSB) in higher education and their socioeconomic characteristics. Using data from the 2019 EUROSTUDENT VII survey, we analyze 5,266 bachelor’s degree students across 50 Georgian higher education institutions. Our findings indicate: (1) Nontraditional students report lower SSB compared to their traditional peers. (2) Underrepresented students from low-income or first-generation backgrounds experience heightened SSB, while those from ethnic minority groups exhibit decreased SSB. (3) SSB correlates positively with lecturer satisfaction and negatively with study program intensity. (4) Private university attendees demonstrate higher SSB than their public university.
Getting hooked on mobile games: Strengthening purchase intentions towards mobile games using investment model and parasocial interactions
Authors: Gong An-Di , Huang Yi-Ting , Liu Keren , Sugiura Kazunori
Published: June 2024

Free-to-play has become a common business strategy in the game market, the associated microtransactions of which have attracted academic attention. In recent years, gacha games have gathered a considerable consumer base in the mobile gaming market, and these players have demonstrated strong purchasing power with regard to additional game resources. Within the framework of parasocial interaction and the investment model, this study explored factors influencing players’ game commitment and purchase intentions. This study used structural equation modeling and moderation analysis to examine data collected from 2,045 Chinese mobile game players. Satisfaction and investment size were positively correlated with game commitment and in-game purchase intention. Perceived alternatives were negatively correlated with game commitment. Furthermore, parasocial interaction was positively correlated with satisfaction, investment size, and game commitment and negatively correlated with perceived alternatives. The results indicate that these correlations were moderated by game genre.
Effects of virtual reality on anxiety and pain in adult patients undergoing wound-closure procedures: A pilot randomized controlled trial
Authors: Ko SY , Wong Eliza ML , Ngan TL , Leung HK , Kwok Kennis TY , Tam HF , Chan CC
Published: June 2024

Background

In emergency departments, suturing is a typical procedure for closing lacerated wounds but is invasive and often causes anxiety and pain. Virtual reality (VR) intervention has been reported as a relaxing measure.

Objective

The study aims to examine the effects of VR intervention on anxiety, pain, physiological parameters, local anesthesia requirements and satisfaction in Chinese adult patients undergoing wound closure in emergency departments in Hong Kong.

Methods

Adult patients who had lacerated wounds and were undergoing wound closure by suturing can communicate in Chinese and were hemodynamically stable were invited for this trial. Eighty patients were randomly assigned to the VR group, which received VR intervention and standard care, or to the control group, which received standard care only. The primary outcome was anxiety, and the secondary outcomes included pain, blood pressure, pulse rate, satisfactory with pain management, service satisfactory, and extra local analgesia requirement. Outcomes were conducted at baseline, during the procedure and 5 min after the procedure.

Results

The VR group had a significantly greater reduction in anxiety ( p < 0.001), pain ( p < 0.001), systolic blood pressure ( p < 0.001), diastolic blood pressure ( p < 0.001), pulse rate ( p = 0.003) and requested less amount of additional local anesthesia ( p = 0.025). The satisfactory level with pain management ( p = 0.019) and service ( p = 0.002) were significantly higher in participants who received VR intervention. In addition, most participants preferred to have VR in the future, and no major adverse events associated with the use of VR were reported.

Conclusion

This pilot study provides insight into the use of VR and the direction of future studies. It may effectively improve psychological and physiological outcomes in adult patients during wound-closure procedures in emergency departments.
Proposal for A Set of Standards and Indicators for JCI, SKS, and HIMSS EMRAM Quality Assessment Models
Authors: Cece Sinem , Köse İlker
Published: June 2024

Objective

The Joint Commission International (JCI) and the Health Information Management System Society (HIMSS) are global accreditation groups for healthcare. JCI focuses on overall care quality, while HIMSS-Electronic Medical Record Adoption Model (EMRAM) looks at digital processes. Meanwhile, the Health Quality Standards (SKS) is Turkey's own system. It aligns with JCI and evaluates healthcare similarly. When a health institution wants to be accredited with one of these models, similar scope, process and criteria are repeatedly reviewed from different perspectives. However, it is not known whether the scope, process and criteria included in these models are related to the postmodern management approach (PMMA), which is one of today's business approaches. It is observed that today's businesses are dominated by PMMAs. Similarly, healthcare organizations are also influenced by PMMAs since they are qualified as businesses.

Methods

This study investigated the compatibility of the concepts, processes and criteria covered by SKS, JCI and HIMSS-EMRAM models with PMMAs. Using the Delphi technique, PMMAs were explained to subject-matter experts (SMEs) in the form of written texts delivered. SMEs evaluated whether the standards/criteria are compatible with PMMAs. During this evaluation, they examined whether the standard/criteria included in the relevant model are directly or indirectly indicative of these approaches. SMEs developed their standards/criteria for the approaches which no standards/criteria could be matched with. The binary pairwise comparison method was used to determine the weighted value of the proposed standards/criteria.

Results

SMEs proposed a total of 24 standards and 18 indicators for nine postmodern organizational management approaches.

Conclusion

The literature presented a proposal for new standards and indicators. They would be unique. They would address how well these three models fit the PMMA.
Automated facial recognition system using deep learning for pain assessment in adults with cerebral palsy
Authors: Sabater-Gárriz Álvaro , Gaya-Morey F Xavier , Buades-Rubio José María , Manresa-Yee Cristina , Montoya Pedro , Riquelme Inmaculada
Published: June 2024

Objective

Assessing pain in individuals with neurological conditions like cerebral palsy is challenging due to limited self-reporting and expression abilities. Current methods lack sensitivity and specificity, underlining the need for a reliable evaluation protocol. An automated facial recognition system could revolutionize pain assessment for such patients. The research focuses on two primary goals: developing a dataset of facial pain expressions for individuals with cerebral palsy and creating a deep learning-based automated system for pain assessment tailored to this group.

Methods

The study trained ten neural networks using three pain image databases and a newly curated CP-PAIN Dataset of 109 images from cerebral palsy patients, classified by experts using the Facial Action Coding System.

Results

The InceptionV3 model demonstrated promising results, achieving 62.67% accuracy and a 61.12% F1 score on the CP-PAIN dataset. Explainable AI techniques confirmed the consistency of crucial features for pain identification across models.

Conclusion

The study underscores the potential of deep learning in developing reliable pain detection systems using facial recognition for individuals with communication impairments due to neurological conditions. A more extensive and diverse dataset could further enhance the models’ sensitivity to subtle pain expressions in cerebral palsy patients and possibly extend to other complex neurological disorders. This research marks a significant step toward more empathetic and accurate pain management for vulnerable populations.
Navigating moral and ethical dilemmas in digital transformation processes within healthcare organizations
Authors: Naamati-Schneider Lior , Arazi-Fadlon Mirit , Daphna-Tekoah Shir
Published: June 2024

Objective

Healthcare systems around the world face a turbulent and unstable global and local ecosystem that changes daily and impacts the healthcare organization and its workforce. This challenging environment, coupled with economic pressures, is forcing healthcare systems to change and adopt strategic and technological processes to adapt to change at all levels of the system (macro-holistic multi-systemic, mezzo-organizational, and micro-personal).

Methods

In this study, through 32 in-depth, semi-structured interviews with healthcare professionals working in public general hospitals in central Israel, we examined, mapped, and highlighted the conflicts and moral dilemmas they have faced in recent years, alongside the processes of strategic, technological, and digital changes that the healthcare system has undergone.

Results

The findings from both a categorical–deductive approach and an inductive approach analysis reveals four main themes: innovation paradox, quality and treatment conflict, information and knowledge conflict, and personal needs and values. The themes and sub-themes are sorted across the three levels of the healthcare system.

Conclusions

These findings represent a wide range of conflicts and moral dilemmas that arise from the implementation of strategic change and digital transformation, adding to the already numerous ethical issues and moral dilemmas in healthcare and bioethics that are associated with three levels of the system. These challenges and moral conflicts can be barriers to implementing the necessary changes, as well as challenging individuals’ internal values, potentially leading to burnout and moral distress. Given the importance of this issue and the intensification of change processes over the next few years, it is up to the management and key stakeholders to implement these processes in a way that addresses the conflicts and challenges that health professionals face. Minimizing the level of challenges and moral distress in the health sector will be to the benefit of the system, its workers, and the patients it serves.
Effectiveness of an interprofessional assessment and management approach for people with chronic low back disorders delivered via virtual care: A randomized controlled trial pilot intervention
Authors: Lovo Stacey , Imeah Biaka , Sari Nazmi , O’Connell Megan E , Milosavljevic Steve , Angarita-Fonseca Adriana , Bath Brenna
Published: June 2024

Objective

Virtual care for chronic conditions has seen uptake due to COVID-19. Evaluation of virtual models is important to ensure evidence-based practice. There is a paucity of research in the use of virtual care for management of chronic back disorders. The objective of this study was to evaluate effectiveness of a team-based virtual care model for back disorder assessment where a physical therapist uses virtual care to join a nurse practitioner and patient in a rural Saskatchewan, Canada community.

Methods

Sixty-four rural adults with chronic back disorders were randomly allocated to receive either: (1) team-based virtual care ( n = 24); (2) care from an urban physical therapist travelling to community ( n = 20); or (3) care from a rural nurse practitioner ( n = 20). The team-based care group involved a nurse practitioner located with a rural patient, and a physical therapist joining using virtual care. The physical therapist alone and the nurse practitioner alone groups received in-person assessments. Groups with a physical therapist involved had follow-up treatments by in-person physical therapy. Outcomes over six months included pain, disability, back beliefs, satisfaction, quality-adjusted health status and management-related costs.

Results

There were no significant differences for pain, disability, back beliefs and satisfaction between groups. The average cost per patient for implementing in-person physical therapist assessment ($135) was higher compared with the team over virtual care ($118) and NP care ($59).

Conclusion

Primary outcomes were not different by group. Physical therapist alone was more costly than other groups. Future research should include more participants, longer follow-up time and refined cost parameters.

Trial Registration

ClinicalTrials.gov NCT02225535; https://clinicaltrials.gov/ct2/show/NCT02225535 (Archived by WebCite at http://www.webcitation.org/6lqLTCNF7 ).
Tracing the Origin and Creating the Future to Find the Lost Dimension of Nature in Modern Education: The Second Follow-up Study of Life-Practice Educology
Authors: Ye (叶澜) Lan
Published: June 2024

Purpose

This paper focuses on the relationship between nature and education, which is crucial to educology and educational reform yet has not received much attention in educology or educational reform efforts or research in China.

Design/Approach/Methods

Through retrospection and analysis of the history, this study attempts to sort out the emergence of views of nature in China and changes in them over time as a preliminary to reconceptualizing the relationship between contemporary education and nature from a theoretical perspective and advancing the research on relevant themes in practice.

Findings

This paper is divided into three parts. Part 1 elaborates on the evolution of classical views of nature in ancient China, from the beginning of Chinese civilization. Part 2 examines how classical views of nature were changed or even lost in social upheavals. Part 3 explores the intricate process of “stepping out from the shadow” and “shaping the future” and discusses its characteristics.

Originality/Value

This work attempts to recover and reconstruct the long-lost dimension of nature in education and educology. Only if we retrieve the lost dimension of nature in society, educational systems and schools can we achieve a holistic change in Chinese education from modern to contemporary.
Total Elbow Arthroplasty Versus Open Reduction and Internal Fixation for Distal Humerus Fractures: A Propensity Score Matched Analysis of 30-Day Postoperative Complications
Authors: Sandoval Luke A. , Reiter Charles R. , Wyatt Phillip B. , Satalich James R. , Ernst Brady S. , O’Neill Conor N. , Vanderbeck Jennifer L.
Published: June 2024

Introduction

Open reduction and internal fixation (ORIF) is an established surgical procedure for distal humeral fractures; however, total elbow arthroplasty (TEA) has become an increasingly popular alternative for elderly patients with these injuries. Using a large sample of recent patient data, this study compares the rates of short-term complications between ORIF and TEA and evaluates complication risk factors.

Methods

Patients who underwent primary TEA or ORIF from 2012 to 2021 were identified by Current Procedural Terminology codes in the American College of Surgeons National Surgical Quality Improvement Program database. Propensity score matching controlled for demographic and comorbid differences. The rates of 30-day postoperative complications were compared.

Results

A total of 1539 patients were identified, with 1365 (88.7%) and 174 (11.3%) undergoing ORIF and TEA, respectively. Patients undergoing TEA were older on average (ORIF: 56.2 ± 19.8 years, TEA: 74.3 ± 11.0 years, P < .001). 348 patients were included in the matched analysis, with 174 patients in each group. TEA was associated with an increased risk for postoperative transfusion (OR = 6.808, 95% CI = 1.355 – 34.199, P = .020). There were no significant differences in any adverse event (AAE) between procedures ( P = .259). A multivariate analysis indicated age was the only independent risk factor for the development of AAE across both groups (OR = 1.068, 95% CI = 1.011 – 1.128, P = .018).

Conclusion

The risk of short-term complications within 30-days of ORIF or TEA procedures are similar when patient characteristics are controlled. TEA, however, was found to increase the risk of postoperative transfusions. Risks associated with increasing patient age should be considered prior to either procedure. These findings suggest that long-term functional outcomes can be prioritized in the management of distal humerus fractures.
Enhancing the Online Learning Experience of Performing Arts Students in the Post-Pandemic Era: A Large-Scale Empirical Study in Hong Kong
Authors: Li Qingyun , Tian Zhen , Li Zihao (Michael) , Han Jie , Zhang Zhongyang , Zhang Yanjun
Published: June 2024

Performing arts education has been significantly affected by the COVID-19 pandemic crisis around the world since early 2020. Educators had to adapt the classes with remote learning when face-to-face instruction had been suspended during the pandemic. Although frustrations and confusion continued to abound with the implementation of new pedagogies, online teaching, and learning spurred new practices, innovative ideas, and breakthroughs. Some performing arts educators took this opportunity to explore new skills and strategies and provided performing arts students with more impactful learning experiences. Presently, with the COVID-19 pandemic gradually showing a sign of easing, many Hong Kong schools have returned to in-person instruction. Meanwhile, the impactful learning feedback from students triggered calls for redesigning the pedagogy of performing arts education. This study placed the impact of COVID-19 on performing arts education into context and drilled down into the delivery of performing arts education in the post-pandemic era. This study reviewed teaching and learning experiences of performing arts education, with the following three research questions addressed: (a) What is the correlation between performing arts students’ academic traits and their proficiency in utilizing technology during the COVID-19 pandemic? (b) What are the influential factors impacting the hybrid learning experience and outcomes of performing arts students during the COVID-19 pandemic? (c) What are the anticipated expectations of performing arts students regarding future models of arts education? Furthermore, practical solutions and insights for performing arts educational delivery in the post-pandemic era are provided in this study.
Exploring the Impact of Device System Quality on Mobile Shopping Adoption among University Students: Symmetrical and Asymmetrical Approaches
Authors: Emmanuel Cousté Philippe , Qin Su , Hossain Syed Far Abid , Rashed Md.
Published: June 2024

Mobile shopping (m-shopping) adoption has been significantly touted in the contemporary era; however, the adoption of m-shopping is still under shadow in many developing countries. The aim of this study is to discover the impact of device system quality on m-shopping adoption among university students with the support of UTAUT and UTAUT2 theories. The study employed PLS-SEM (symmetric) and fsQCA (asymmetric) analysis simultaneously using survey data from 530 respondents who are primarily university students. PLS-SEM results found positive significant relation between device system quality and m-shopping adoption. The study contributes with an extention of earlier studies that combine PLS-SEM (symmetric methods) and fsQCA (asymmetric methods). The study is limited among the university students that may affect the generalizability of the study. The casual recipes in this research aid policymakers to achieve their strategic objectives in implementing positive m-shopping behavior among the university students.
Information and Communication Technology (ICT) as a Panacea for Overcoming the Challenges of COVID-19 Pandemic: A Study of Academic Staff Performance in Tertiary Institutions in Enugu State, Nigeria
Authors: Onah Celestine Chijioke , Chikeleze Francis Okechukwu
Published: June 2024

The sudden outbreak of COVID-19 and its consequential lockdown led to the closure of tertiary institutions across the globe. The closure had severe implications by stopping academic staff from going to work and performing their jobs. However, to navigate the implication of the closure of tertiary institutions on teaching and learning, ICT and its accessories were leveraged to enable the academic staff to work remotely. Therefore, this study aimed to investigate the adoption of ICT in cushioning the effect of the pandemic on the performance of academic staff in tertiary institutions, using Enugu State as a study base. Technological determinism theory was employed in the analysis. The methodology used is a cross-sectional survey that leveraged qualitative and quantitative approaches. Data were collected using both primary and secondary sources. The population of the study is 8,034, with a sample size of 381. However, 312 questionnaires were used after retrieval from the respondents; sorting, cleaning, and scoring. We coded and analyzed the data using descriptive statistics from the IBM SPSS version 28.0, leveraging tables, percentages, and content analysis. The study adopted a Chi-Square (X2) test of hypotheses. Findings revealed that tertiary institutions leveraged ICT to cushion the effects of COVID-19 on academic staff performance, work-life balance, training and development, and safety during the pandemic. The study recommends full digitization of tertiary institutions, staff training and re-training, adequate funding, constant power supply, and development of indigenous capacity in ICT.
A Worksite Intervention Program for Obese Sedentary Women Using Wearable Technology
Authors: Cebrick-Grossman Joan A. , Fetherman Debra L.
Published: June 2024

Background:

The sedentary aspects of work have been associated with increased health risks. The purpose of this study was to compare the effects of high intensity interval training (HIIT) and increased steps on anthropometric, body mass, and body composition changes over a 12-week period.

Methods:

12 sedentary, obese, body mass index (BMI) = 32.98 ± 3.21 kg/m2, adult (46.10 ± 9.56 years), females volunteered for the study and were randomly assigned into one of the two groups, the HIIT group and the STEP group. During the 12-week study, all participants’ movements were monitored during their workday, via an accelerometer, a Movband™, 5 days/week.

Findings:

The HIIT group ( n = 5) engaged in structured exercise (~15.0 ± 3.5 minutes), defined as total body moves which consisted of eight different routines: upper and lower extremity, two cardio segments, two total body, yoga, and abdominal exercises. The STEP group ( n = 7) averaged ~7,000 steps/day throughout 12 weeks. Pre- and post-program measurements included: five anthropometric measurements (biceps, waist, abdomen, hips, and thigh), along with body mass and body composition measures: relative (%) body fat via dual x-ray absorptiometry (DEXA) scan, fat mass, fat-free mass, and lean mass.

Conclusions:

Statistical significance was determined among participants for biceps, hips, and thigh measurements along with body mass and body composition changes for improved health.

Application to Practice:

This work is suggestive that a physical activity intervention integrated into the workplace via work processes and/or structured exercise is supportive in reducing anthropometric and body composition measurements, while changing body mass, to increase health and reduce obesity-related chronic disease risks in sedentary women.
MRI Features That Contribute to Decision-Making for Treatment of Capitellar OCD Lesions: An Expert Consensus Using the Delphi Method
Authors: Kostyun Regina O. , Nguyen Jie C. , Chhabra Bobby , Todd R. Lawrence J. , Polousky John D. , Saper Michael , Uquillas Carlos , Nissen Carl W. ,   Members of the ROCKET Group, Kostyun Regina O. , Albright Jay , Bae Donald , Bohn Deb , Chan Charles , Crepeau Allison , Edmonds Eric , Fabricant Peter , Ganley Theodore , Little Kevin , Lee Pace James , Pacicca Donna , Pennock Andrew , Saluan Paul , Shea Kevin , Wall Eric , Wilson Philip , Nissen Carl W.
Published: June 2024

Background:

Most healthcare providers utilize magnetic resonance imaging (MRI) to assist in diagnosing and treating osteochondritis dissecans (OCD) of the capitellum. However, consensus on imaging features that portend clinically relevant information in the care of these lesions has not been determined.

Purpose:

To conduct a survey on the MRI features of a capitellar OCD that are salient for clinical decision-making using a classic Delphi protocol.

Study Design:

A consensus statement.

Methods:

Invitations to participate were sent to 33 healthcare providers identified as capitellar OCD experts. A classic 3-round survey method was used to gather agreement and consensus on the level of importance for clinical decision-making on 33 MRI features. A concise list of features that guide decision-making on the stability of an OCD lesion and the ability of an OCD lesion to heal with nonoperative care was also identified. Agreement and consensus were determined a priori as ≥66%.

Results:

Of the 33 identified experts, 20 agreed to participate, and 17 (52%) completed all 3 rounds. Of the 33 MRI features evaluated, 17 reached agreement as important for clinical decision-making by the experts. Consensus was reached for a concise list of MRI features that were significant to decision-making (94%), suggestive of a stable lesion (100%), had the potential to heal with nonoperative treatment (94%), were suggestive of an unstable lesion (100%), and had low potential to heal with nonoperative treatment (88%).

Conclusion:

This 3-round Delphi process produced consensus on clinically relevant MRI features that contribute to clinical decision-making for capitellar OCD. The results of this study will be used as the basis for an interrater reliability assessment of the identified salient features, creating the foundation for developing a reliable MRI assessment tool rooted in clinical experiences. The development of a standardized assessment of capitellar OCD is intended to improve clinical practice and patient outcomes.
Unpacking HPV Stigma: Assessing Healthcare Workers’ Knowledge and Stigma Towards HPV While Exploring the Connection Between the Two
Authors: Ziaee Arash , Ziaee Masood , Asghari Arghavan , Elhamirad Samira , Azarkar Ghodsiyeh
Published: June 2024

Objectives

Human Papillomavirus (HPV) is a leading cause of cervical cancer, yet existing social stigmas and unequal access to healthcare compromise its preventability through screening and vaccination. Understanding healthcare professionals’ knowledge and perceptions of HPV is pivotal in enhancing the quality and effectiveness of preventive healthcare strategies. This article aims to explore and understand the relationship between healthcare workers’ knowledge and stigma towards HPV.

Design and Methods

A questionnaire of 27 stigma and 24 knowledge questions was provided for healthcare personnel. Demographic questions were also included. Stigma levels were determined based on a total median score. Fully adjusted multinomial logistic regression models were used to find the correlation between knowledge regarding HPV and the stigma level.

Results

Five hundred fifty-two healthcare workers answered the questionnaire. The findings showed that while most participants had adequate to moderate knowledge about the prevention and complications of HPV, they lacked knowledge about symptoms and treatment. Stigma towards HPV disease was evident in some participants, with attitudes varying depending on demographic factors and knowledge level. The model indicated that age, gender, and specific knowledge questions were significantly associated with stigma levels. Interestingly, the presence of knowledge in some areas increased the stigma level.

Conclusions

In conclusion, the study sheds light on the stigmatization and knowledge gaps regarding HPV disease among healthcare personnel and, intriguingly, that increased knowledge does not necessarily correlate with decreased stigma. The findings highlight the need for targeted education and training programs to improve healthcare providers’ knowledge in these specific areas.
Decolonizing blockades: Settler-citizen solidarities with Indigenous blockades
Authors: Nyers Peter
Published: June 2024

In the Winter 2020, Canada witnessed an extraordinary number of blockades and solidarity protests in support of the Wet’suwet’en First Nation. The Wet’suwet’en had for years been fighting against the construction of an oil pipeline across their traditional territories. After a police raid dismantled their blockade, the traditional chiefs of the Wet’suwet’en issued a call for solidarity and support. The response was overwhelming with an enormous number of solidarity actions, including blockades of critical infrastructure, organized across Canada and internationally. This paper critically examines how settler-citizens engaged in acts of solidarity with Indigenous people, with a particular focus on how these acts of solidarity can contribute to the decolonization of Canadian citizenship. Since the Wet’suwet’en struggle involved the assertion of Indigenous sovereignty, the solidarity actions of Canadians raise important questions about the meaning of settler forms of citizenship. This paper takes a relational and decolonial perspective on solidarity blockades. Such an approach allows us to ask questions that are outside the scope of assessments concerned with the efficacy of a particular blockading action. The paper investigates the forms of solidarity found at the blockades, noting that a wide range of antagonistic, agonistic, and spatio-temporal relations were enacted at the various blockading actions. These relations allowed for a contentious production of new political subjectivities, collectivities, and citizenships.
Residential mobility and new forms of spatial inequality in the settlement system: A comparative study of Estonia and Lithuania
Authors: Ubarevičienė Rūta , Kalm Kadi , van Ham Maarten , Žinys Tautvydas , Kliimask Jaak , Tammaru Tiit
Published: June 2024

This study examines how socio-spatial inequalities are associated with population concentration and de-concentration processes shaped by residential mobility. The study explores whether the patterns of residential mobility vary in different settlement system contexts. It reviews the cyclical urbanization models and the inequality of opportunities they provide in urban, suburban, and counter-urban contexts for individuals in various life stages. The theoretical models are tested by analysing individual-level data covering the entire populations of Estonia and Lithuania – two countries with similar social but different settlement system contexts. The study utilizes linked individual-level data from the 2011 and 2021 censuses, and harmonized variables in the two countries. The results show that individuals engaging in concentration, suburbanization, or de-concentration have distinct characteristics, with little differences between countries characterized with different settlement systems. While the life-course approach assumes that young people are most likely to urbanize (concentrate), those in family ages shift towards suburbanization, and older individuals tend to counter-urbanize (de-concentrate), our findings challenge these assumptions, demonstrating that young adults have a high likelihood of migration in all three directions. These findings call for more in-depth studies on the interplay between age and migration patterns that would go beyond the life-course approach and delve deeper into the residential decision-making of young people.
Antecedents and Consequences of Relationship Motivation in Reward-Based Crowdfunding
Authors: Ryu Sunghan
Published: June 2024

This study aims to identify the antecedents and consequences of relationship motivation in the reward-based crowdfunding context. The findings from analyzing transaction data and survey responses from 302 contributors suggest the significant effects of the engagement and interactivity of a campaign on the formation of relationship motivation. This study also finds that relationship motivation is related to higher funding amounts and that the association is stronger during the campaign’s earlier stages. This study contributes to the literature by examining the drivers and roles of relationship motivation in a crowd-driven platform context. It also provides practical implications to guide the relationship-building strategies of creators.
Connectedness Between Gold-Backed Cryptocurrencies and the G7 Stock Market Indices During Global Crises: Evidence From the Quantile Vector Autoregression Approach
Authors: Snene Manzli Yasmine , Jeribi Ahmed
Published: June 2024

The recent global crises have heightened financial market instability, surging the need for diversification, hedging, and safe haven assets to mitigate stock market risks. This study employs a Quantile Vector Autoregression (Q-VAR) approach to analyze the interconnectedness between gold-backed cryptocurrencies and G7 stock market indices during crises spanning from December 1, 2020, to July 5, 2023. Our findings indicate a robust association between digital gold and financial assets, with a total connectedness index (TCI) of 58.64%. Remarkably, G7 stock indices emerge as significant contributors to market fluctuations compared to digital assets, exerting influence ranging from 24% to 37%, thereby underscoring the potential of gold-backed cryptocurrencies for effective diversification strategies. Dynamic analysis during crises indicates the pivotal role of DGX as a safe haven, alongside identifying NIKKEI as a significant net receiver. Furthermore, the total net directional connectedness examination corroborates the status of gold-backed cryptocurrencies as net receivers, reaffirming their safe-haven abilities. Intriguingly, an in-depth examination across quantiles validates symmetrical dynamic connectedness, with G7 indices predominantly functioning as net transmitters of spillover. Our empirical findings underscore the compelling safe-haven potential in gold-backed cryptocurrencies, offering valuable insights for investors, policymakers, and portfolio optimization during turbulent market conditions.