bluuebunny/crossref_metadata_2025 huggingface dataset:
O direito à internação psiquiátrica no sistema de saúde brasileiro: as representações sociais do Tribunal de Justiça de São Paulo
Authors: Salvatori Rachel Torres , Valdivino Francinele , Ventura Carla Aparecida Arena
Published: February 2023

Este artigo teve como objetivo analisar as representações sociais do Tribunal de Justiça de São Paulo sobre o direito à internação psiquiátrica no sistema de saúde brasileiro. Os dados foram coletados do sítio eletrônico do tribunal paulista, a partir de 184 acórdãos de ações julgadas em segunda instância, proferidos em razão de recursos de apelação e publicados no período de janeiro de 1998 a dezembro de 2012, referentes às internações psiquiátricas pleiteadas no Sistema Único de Saúde e no sistema de saúde suplementar. Os métodos empregados para análise dos resultados foram a estatística descritiva e o discurso do sujeito coletivo. Aplicou-se, ainda, a Teoria das Representações Sociais como referencial teórico de interpretação dos discursos elaborados. No Sistema Único de Saúde, a internação reclamada em juízo foi a compulsória, representada, majoritariamente, como medida de proteção da dignidade da pessoa com transtorno mental e, minoritariamente, como violência contra essa mesma dignidade. No sistema suplementar, a representação judicial assumiu o enfoque consumerista, consubstanciado na abusividade da cláusula limitativa da internação psiquiátrica e no direito superior à vida. O direito à saúde, vislumbrado nas decisões judiciais, resumiu-se ao direito de acesso aos serviços de saúde e ao direito à doença. A compreensão do Poder Judiciário, nos dois sistemas investigados, foi a do direito à saúde como o direito ao bem de saúde pleiteado em juízo, o que coloca muitos desafios para os sistemas de saúde e para o Poder Judiciário frente à consolidação dos ideais da reforma psiquiátrica estatuída pela Lei n. 10.216/2001.
Attachment-Related Anxiety and Religiosity as Predictors of Generalized Self-Efficacy and Dispositional Hope
Authors: Ecer Emrullah
Published: February 2023

Background. Attachment-related anxiety and avoidance have a significant impact on self-esteem, optimism, and hope. Moreover, previous studies have shown that religiosity can also be an important factor in promoting hope and emotional regulation. Objective. The first aim of this study was to explore the relationship between attachment-related anxiety, attachment-related avoidance, dispositional hope, generalized self-efficacy (GSE), future time perspective (FTP) as future time opportunities (FTO), and focus on limitations (FOL). The second purpose was to detect the effect of religiosity on hope, GSE, and FTP. Design. The study involved 153 Turkish participants (Females n = 81, 52.9%), between the ages of 18 and 66, who filled out the Dispositional Hope Scale, and the Experience in Close Relationship-Revised (ECR-R), FTP, and GSE inventories via a Google survey. A Pearson correlation test, multiple linear regression analysis, and an independent t-test were computed. Results. Attachment-related anxiety was inversely related to dispositional hope and GSE, while it was positively associated with FOL. Attachment-related avoidance was negatively related to dispositional hope and FTO, whereas it was positively correlated with FOL. FTO was positively correlated with GSE and dispositional hope. Religious participants had a higher level of dispositional hope and GSE than non-religious participants. A lower level of attachment-related anxiety and religiosity was associated with a higher level of GSE and hope. Females showed a higher level of makeup agency than men, whereas the men reported a higher level of FOL than the women. Conclusion. This study concluded that both attachment-related anxiety and religiosity were predictors of hope and GSE. Gender differences played a significant role in FOL and make-up agency. Moreover, it was found that attachment-related anxiety and avoidance have different functions in GSE and FTO.
‘He put darkness between you’: A version of the Deliverance at the Sea Narrative in Exodus 14:20 and Joshua 24:7
Authors: O’Hara Neil
Published: February 2023

My claim in this short paper will be that Ex 14:19-20 preserves a variant where YHWH uses a supernatural darkness alone, and not a cloud, to separate the two armies at the sea. This reading solves long perceived difficulties in the text of Ex 14:19-20, and coheres with the version of the incident related in Josh 24:6-7.
Urbanization and mental health: A perspective from Riyadh City, Kingdom of Saudi Arabia
Authors: Altwaijri Yasmin A , Al-Subaie Abdullah S , Al-Habeeb AbdulHameed , Galea Sandro , Akkad Marya , Naseem Mohammad Talal , Bilal Lisa
Published: February 2023

Background:

While global studies demonstrated that features of urban living are associated with the risk of developing mental disorders, there remains a significant knowledge gap surrounding this topic in the Middle East and North Africa region.

Aims:

This study aims to assess the prevalence, severity, correlates, and treatment of mental disorders in Riyadh City by examining certain aspects of urban living such as exposure to traumatic events, early exposure to urbanization, and seeking treatment.

Methods:

The Saudi National Mental Health Survey is a community epidemiological survey in a nationally representative sample of citizens aged 15 to 65 in KSA. The World Health Organization Composite International Diagnostic Interview (CIDI 3·0) was used to estimate the 12-month prevalence of common mental disorders.

Results:

The prevalence of any mental disorder in Riyadh City was 29.2%. The most common disorders were anxiety disorders and mood disorders. Female, young, and previously married respondents were at higher risk for developing mental disorders. Exposure to traumatic events was associated with all types of mental disorders. Only 2.9% of those with any mental disorder sought mental health treatments.

Conclusions:

We found a high prevalence of mental disorders in Riyadh City that could be attributed to certain features of urban living. These results may point to potential interventions in urban areas that can mitigate the adverse consequences of urban living and promote the salutogenic aspects of cities.
The burden of caregivers of schizophrenia outpatients during the COVID-19 pandemic: A same-sample comparison with the pre-pandemic burden
Authors: Di Sarno Elaine , Louzã Mario Rodrigues
Published: February 2023

Background:

The coronavirus disease 2019 (COVID-19) has affected the vulnerable Brazilian population. In this study, we investigated the burden of COVID-19 on caregivers for patients with schizophrenia.

Objective:

This study assessed objective and subjective burden of caregivers for patients with schizophrenia during the COVID-19 pandemic and compared the measurements obtained in the study to that before the pandemic.

Methods:

The study included 50 caregivers who were assessed using the Sociodemographic Questionnaire, and the Family Burden Interview Schedule, Brazilian version (FBIS-BR). An adaptation of the Clinical Global Impression-Improvement (CGI-I) was made, in which caregivers evaluated their ‘clinical’ impression about the patient during the COVID-19 pandemic in comparison to pre-pandemic mental status.

Results:

Most caregivers were female, aged between 24 and 80 years, who were in contact with the patient for about 88.56 hours/week. In relation to caregiver burden, there was a significant increase in the total subjective burden ( p < .001), but not in the total objective burden. The following subjective domains of the burden showed a significant increase: assistance in daily life ( p < .001) and worries about patients’ present and future life ( p = .033). There was a decrease in the objective burden related to supervision of patients’ problematic behaviors ( p = .031). Although the caregiver’s income did not change significantly during the COVID-19 pandemic, there was an increase in the percentage of caregivers who perceived the frequency of financial burden imposed by the patient as ‘very frequent’ and ‘always or almost always’; conversely there was a significant decrease in the subjective perception of the caregiver that the patient imposed financially ‘no burden’ or a ‘seldom burden’ (from 34% to 4%).

Conclusion:

Although the objective burden of the caregivers, during the pandemic, was similar the pre-pandemic levels, caregivers’ subjective burden increased reinforcing the need for special attention to the caregiver in this global emergency.
On the Foibles of Indian Sociology: Some Suggestions Towards Their Rectification
Authors: Oommen T. K.
Published: February 2023

Evolving a clear conception of Indian society is the primary task of Indian sociologists. This can be achieved by avoiding the conflation of polity and society. Several components of Indian society remain excluded or inadequately analysed. These are Adivasis, Dalits, Dravidians, religious minorities, women, etc. The differentiation between sociology and social/cultural anthropology, an extension of the Euro-American practice, inadequate internalisation of professional values by a section of Indian sociologists, the excessive academic significance attributed to a handful of sociologists, the persistence of the traditional guru–shishya relationships, reluctance on the part of some ‘eminent’ sociologists to accept professional responsibilities, reluctance to undertake analysis of new areas of research and employ new techniques of data collection, resistance to accept criticisms of the ‘nation,’ etc., are some of the major foibles which prevent sociology from flourishing in India.
A method for approximating weave diagrams under heald frame constraint
Authors: Yoshida Tetsuya
Published: February 2023

Woven fabric is produced by interlacing the warp yarn and the weft yarn, and their relationship on woven fabric is represented as a weave diagram. In order to produce woven fabric with looms, the necessary number of heald frames can be calculated based on the weave diagram for the woven fabric. However, when the number of available heald frames is limited, it is difficult to produce complex woven fabric. To alleviate this problem, this article proposes a method for approximating weave diagrams under heald frame constraint in terms of the alternating optimization in machine learning. By defining the objective function based on the matrix representation of weave diagram, an alternating optimization method is proposed to generate an approximate weave diagram under the specified number of heald frames. The proposed method is implemented with R language, and evaluated in terms of the performance of the proposed algorithm and woven fabric. Experimental results indicate that the proposed method is effective in generating approximate weave diagrams so that they can be fabricated using looms with a limited number of heald frames.
Electrical properties and electromagnetic shielding effectiveness of cotton/antistatic polyester knitted fabrics treated with antibacterial finish
Authors: Asfand Norina , Daukantienė Virginija
Published: February 2023

The electrical properties and electromagnetic shielding effectiveness of raw, dyed and softened, and treated with an antibacterial finish polygiene VO-600 cotton/antistatic polyester fabrics of two knit patterns, such as 1 × 1 rib and half-Milano rib, giving a very similar appearance for the fabric surface and having four polyester percentages (10%, 20%, 30%, and 35%) were investigated. Surface and the volume resistivity were measured according to EN 1149, and the effectiveness of electromagnetic shielding was determined according to ASTM D4935-18. The effect of individual factors (fiber composition, knit pattern, technical side, and treatment) and their complexity on the electrical properties of fabrics was evaluated by applying analysis of variance. The research revealed that the fiber composition of fabrics as an individual factor has the greatest influence on electrical properties. Electrical resistance decreased with the increasing percentage of polyester. Half-Milano rib fabrics were significantly more resistant than 1 × 1 rib fabrics. Raw fabrics were less electrically resistant than dyed and softened fabrics, and treated with antibacterial finish fabrics. Antibacterial finished fabrics were more electrically resistant than dyed and softened fabrics. The analysis of variance revealed that the complexity of investigated factors, such as fiber composition, knit pattern, and treatment, has a significant impact on fabric resistivity for both technical sides. Therefore, when selecting knitted fabrics with a very similar appearance for final applications in daily clothing, not only the impact of individual factors on their performance must be evaluated. The shielding effectiveness of the fabrics was too low to protect against electromagnetic waves.
The Moderating Role of Self-Rated Oral Health on the Association Between Oral Health Status and Subjective Well-Being: Findings From Chinese Older Adults in Hawaiʻi and Taiwan
Authors: Zhang Keqing , Wu Bei , Tsay Ruey-Ming , Wu Li-Hsueh , Zhang Wei
Published: February 2023

This paper aims to address the research questions of whether individual’s oral health status is associated with subjective well-being, as well as if there is possible moderating role of self-rated oral health among two groups of Chinese older adults (≥55 years old) in Honolulu, Hawaiʻi and Taichung, Taiwan. Using survey data collected in 2018 ( N = 430, Honolulu) and in 2017 ( N = 645, Taichung), ordinary least square regressions were applied. Results showed that, for both samples, oral health status was negatively and significantly associated with subjective well-being, and both associations were moderated by self-rated oral health. In addition, the moderating effects were more salient for the Honolulu sample, who enjoyed higher levels of self-rated oral health and life satisfaction. These results suggest the significant associations of both oral health status and self-rated oral health on individual health and well-being for Chinese older adults residing in different cultural contexts.
The importance of the supervisory relationship during adverse and unprecedented times
Authors: Buxton Sarah , Scudder Rae
Published: February 2023

The article explores supervision during a time of adversity during a global, unforeseen pandemic - Covid 19. This has led to times of extreme struggle, creating an unknown and fearful world for many, ultimately impacting both the therapists and client’s worlds as modes of working are restructured and a ‘new normal’ is sought. The article investigates, through lived experience, how supervision can be used effectively during the health pandemic through using a duoethnography approach. An exploration of working from a position of perceived disempowerment and the challenges of overcoming barriers in an increasingly unsteady socio-political landscape is presented. Vignettes and images of the lived experiences of the supervisor and supervisee are provided, alongside the main body of content, highlighting the importance of the supervisory relationship. Supervision, and the consistency of its practice in this instance, is shown to enable the exploration of the client world and ‘meaning making’ despite the global pandemic crisis. It is demonstrated that through effective stability within the supervisory relationship, supervisees’ can be empowered to continue providing therapeutically sound services for clients through times of national crisis. Supervision is now, more than ever, needed to support therapists in this brash, destructive, uncertain world.
Wade in the waters! A critical reflection of supervision: The perspective of a Dramatherapist of African Caribbean decent
Authors: Williams Clancy
Published: February 2023

Until the lion learns to tell their side of the story, the hunter will always be glorified! Zimbabwean proverb!

The lion’s recount of its history will always read different to that of the hunter; one thing that I have learnt over the years of my engagement with Dramatherapy and its clinical therapies, frameworks and practices rooted in historical Eurocentric psychologies, ideologies and practices predominantly based on the notion of ‘whiteness and all offshoots of that whiteness being ‘right’. Black therefore, is deemed as ‘other’ and all offshoots of that ‘other’ and Black ‘being inferior’. It would make perfect sense that one day I would, ‘affi mek sense owta dis yah nonsense!’ (Caribbean Proverb: you have to make sense out of this here nonsense), if I was going to remain safe and sane throughout my journey as a Clinical Supervisor and practitioner. I had been asked for many years to consider becoming a Clinical Supervisor, but the thought of re-entering any educational institution filled me with dread. However, if I was going to help the many students, supervisees and clients; particularly from African and African Caribbean heritage to gain a sense of identity and perspective in relation to their own negative experiences within institutions, then I was going to have to decide to use this opportunity to give voice to the challenges I encountered. With the support of my own Clinical supervisor and the lecturers on the Diploma in African Centred Psychology and African Psychotherapeutic Practice, I took courage as I began to tell my side of my story from being trained, practicing and becoming a Clinical Supervisor.
Policing rights in the UK 2022: an audit
Authors: Webber Frances
Published: February 2023

As the UK economy unravels and collective action in defence of livelihood and life spreads, the author explains how 2022 reveals the way the government is reacting to an expanding list of ‘enemies’, heedless of legal and moral restraints. Boris Johnson, Liz Truss and Rishi Sunak have pursued authoritarian responses on many fronts: with increasingly brutal policing of racialised minorities, migrants, asylum seekers and protesters, and ‘crackdowns’ announced or promised on investigative journalists; university campuses; striking nurses, ambulance workers, teachers, rail and postal workers; and ‘human rights’ – against a background of an impoverished and anxious population and a public sector in shreds. This review, though not exhaustive, highlights key aspects of the policing of society and particularly the introduction of new pieces of legislation in the past year.
Numerical investigation on the role of out-of-plane fiber direction on impact resistance of composite target
Authors: Ramagiri Bhaskar , Yerramalli Chandra Sekher
Published: February 2023

In high-velocity projectile impacts, the contact duration is very short and the response of the target is governed by the local behavior of the material in the impact zone. On impact, a compressive stress wave is generated in the target, which travels in the thickness direction. This compressive stress wave plays a significant role in the failure of thick composite targets. In conventional laminates, the out-of-plane (transverse) compressive strength of composite resists the generated compressive stress wave which is not efficient since out-of-plane compressive strength is significantly lower than the fiber direction strength value. In the current numerical study, a non-conventional approach has been adopted by orienting the fibers in the impact direction to utilize the high compressive strength in the fiber direction to resist the projectile impact. In this regard, unidirectional composite rod segments are considered with fiber aligned in the projectile impact direction. The resulting effect on the impact energy absorption and the overall mechanical impact response is numerically studied and compared with conventional woven fabric laminates. Several configurations of these unidirectional fiber rod segments and the role of lateral confinement are also studied to understand their effect on the impact energy absorption. The numerical simulation results indicate an advantage for the proposed arrangement of composite (segments) rods with fiber in impact direction over the conventional woven fabric laminates.
Agitated Saline Contrast Injection in Patients with Severe Hypoxemia
Authors: Millington Scott J. , Mayo-Malasky Henry , Koenig Seth
Published: February 2023

The use of agitated saline contrast (ASC) during echocardiographic examinations is a well-established practice, most commonly performed to identify atrial septal abnormalities in the context of stroke. In the intensive care unit, this technique may be employed to identify anatomic right-to-left shunts (either intracardiac or transpulmonary) that may be contributing to hypoxemic respiratory failure. This narrative review will describe the technique of ASC injection, summarize clinical scenarios where it may be useful, and review the strengths and limitations of the tool.
New Obesity Guidance for Pediatrics: Medicalizing Obesity or Acquiescing to Our Obesogenic Culture?
Authors: Terry Paul E.
Published: February 2023

The publication of the American Academy of Pediatrics report on a “Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity” has been met with considerable debate about the merits of taking a more aggressive treatment approach. Supporters of the new guidance argue that the time has come to treat childhood obesity with more intensive behavior therapy along with, as needed, weight loss medications and bariatric surgery. Detractors of the report believe that medicalizing this condition will lead to greater stigma and increase health disparities. Critics of the new guidance favor a “healthy at every size” approach. This editorial examines the reasoning behind these arguments. Given obesity is a complex issue that demands both clinical and societal solutions, this commentary advocates for multi-disciplinary cooperation and understanding in order to achieve an effective balance between prevention and treatment.
Estimating glucocorticoid-related morbidity in lupus nephritis using the glucocorticoid toxicity index
Authors: Usiskin Ilana M , Kyttaris Vasileios C
Published: February 2023

Objective

Lupus nephritis (LN) is often treated with high doses of glucocorticoids (GCs). The glucocorticoid toxicity index (GTI) was developed by expert consensus to quantify GC toxicity. To date, the GTI has not been shown to correlate with GC exposure in patients with LN.

Methods

We performed a retrospective cohort study of patients with biopsy-confirmed LN between 2006 and 2016. Cumulative GC exposure and GTI scores were determined via medical record review. Both the aggregate improvement score (GTI-AIS) and the cumulative worsening score (GTI-CWS) were calculated. We performed linear regression to determine the association between GC exposure and GTI scores at 1 year and 5 years following kidney biopsy.

Results

This study included 49 patients with a mean age of 33.3 (SD 9.5) years. Mean GC exposure was 23.0 mg prednisone-equivalents per day through year 1 and 9.9 mg prednisone-equivalents per day through year 5. At 5 years, higher GC exposure was associated with higher GTI-AIS ( p < 0.001) and GTI-CWS ( p = 0.002), and this association persisted in multivariate analysis adjusting for age, sex, race, induction medication, and nephritis class ( p = 0.026 for AIS, p = 0.012 for CWS). At 1 year, GC exposure was not associated with GTI scores ( p = 0.70 for AIS; p = 0.58 for CWS).

Conclusion

In this cohort study, the GTI was associated with cumulative steroid exposure at 5 years after diagnosis. In patients with LN, the GTI may serve as a useful outcome measure in future LN trials evaluating the steroid sparing effect of novel therapies.
1950 India–Nepal Treaty of Peace and Friendship and Regional Mobilisations in Eastern India
Authors: Sharma Samir
Published: February 2023

Regional demands for statehood in India have had an aspiration towards a ‘nationalisation’ of their issues in the hopes of accommodation. In the case of the Gorkhaland movement for separate statehood in northern West Bengal, the competition among regional forces to occupy and share a ‘national political space’ from the ‘margins’ has fuelled the increasing employment of debates regarding international treaty obligations. While there are numerous factors that are the causes of regional political mobilisation, the demand for the abrogation of Article VII of the India–Nepal Treaty of Peace and Friendship (1950) has nevertheless remained as one of its central themes. This symbolises an accentuation in the anxieties of citizenship and belonging to the nation. Examining these amid the important issues relating to unsuccessful invocations from Nepal for a Brihat Nepal (Greater Nepal), and the constitution of the Eminent Persons Group (EPG) for India–Nepal relations, the article concludes that there will not be any radical change in the status quo of India’s international treaty obligations with Nepal despite repeated demands by regional actors in India. This is indicated in an elusive ‘permanent political solution’ declared by the ruling party in India as a response to the regional political mobilisation that will possibly depart from the debates that invoke and demand transformations to India’s treaty obligations with Nepal.
Somatic symptoms associated with mental distress during the COVID-19 pandemic: a systematic review
Authors: Theocharis Andreas , Antonopoulos Victor , Christodoulou Nikos G
Published: February 2023

Objective

The primary objective of this article was to systematically review the prevalence of somatic symptoms in patients, healthcare workers and general population during the COVID-19 pandemic. The secondary objectives were to record the association between somatic symptoms and indices of mental distress and to record the qualitative characteristics of such somatic complaints.

Methods

Following the PRISMA methodology we systematically searched PubMed, Scopus and Google Scholar for primary research reporting on somatic symptoms in association with mental distress. We specifically sought papers reporting on bodily distress disorder, somatic symptoms disorder or medically unexplained symptoms.

Results

1569 papers were retrieved, which yielded 36 relevant studies after screening. 15 studies referred to healthcare workers, 13 to general population, 5 to COVID-19 patients, 2 compared medical with non-medical professionals and 1 was studying COVID-19 patients some of which were also healthcare workers. The reported prevalence of somatic symptoms ranged from 7.4% to 67.8%. Commonly seen symptoms were shortness of breath, dyspnea, palpitations and pain in arms, legs and joints.

Conclusions

Our systematic review suggests that somatic symptoms are very frequent during the pandemic and are often linked to mental distress. All three population groups are affected.
Using Data Mining and Time Series to Investigate ME and CFS Naming Preferences
Authors: Bhatia Shaun , Jason Leonard A.
Published: February 2023

There have been numerous iterations of naming convention specified for myalgic encephalomyelitis (ME) and chronic fatigue syndrome (CFS). As health care turns to “big data” analytics to gain insights, the Google Trends database was mined to ascertain worldwide trends of public interest in several ME- and CFS-related search categories between 2004 and 2019. Time series analysis revealed that though “chronic fatigue syndrome” remains the predominant search category in the ME and CFS field, the interest index declined at a rate of 2.77 per month during the 15-year study period. In the same time period, the interest index in “ME/CFS Hybrid” terms increased at a rate of 3.20 per month. Potential causal mechanisms for these trends and implications for patient sentiment analysis are discussed.
Empowering Cancer Survivors in Managing Their Own Health: A Paradoxical Dynamic Process of Taking and Letting Go of Control
Authors: Avery Jonathan , Thomas Roanne , Howell Doris , Dubouloz Wilner Claire-Jehanne
Published: February 2023

In cancer care, gaps in support to help patients manage and live with the side-effects from cancer treatments have increased the emphasis on empowering patients to be more active and involved in managing their own health. However, empowerment in relation to promoting self-management behaviors is not well understood. Using the social constructivist grounded theory approach, our goal was to develop a theoretical understanding of this phenomenon in relation to the self-management behaviors of post-treatment cancer patients. Twenty-two post-treatment cancer patients participated in a semi-structured focused interview to co-construct with us how empowerment is defined, described, and experienced in relation to their capacity to self-manage. Through this co-construction, we defined empowerment as a process of personal growth, a display of fortitude and strength when participants confronted the impact of their illness that emerged in two dynamic and paradoxical ways: 1) establishing control over the impact of the illness as a means to maintain normalcy and to circumvent change over an eroding and changing sense of self and 2) relinquishing control over aspects of the illness deemed irrepressible and acknowledging and accepting change. When successful at establishing and/or relinquishing control, participants no longer viewed cancer as a threat, but re-interpreted their illness as also having a beneficial “empowering” experience and more capable of managing. Findings will guide the development of self-management interventions that use empowerment as a core construct.
Periductal Stromal Tumor of the Breast with a TERT Promoter Mutation: First Case Report with Comprehensive Molecular Analysis
Authors: Anderson Blaire , Marotti Jonathan D. , Lefferts Joel A. , Muller Kristen E.
Published: February 2023

The molecular pathogenesis of breast fibroepithelial tumors continues to be elucidated. Recently, highly recurrent MED12 mutations arising in exon 2 at codon 44 were discovered in fibroadenomas and phyllodes tumors. In addition, a high prevalence of TERT promoter mutations in two hotspots (124 and 126 bp upstream from the translation start site) was discovered in up to 65% of phyllodes tumors. Breast periductal stromal tumors are a potentially distinct category of fibroepithelial lesions that are exceptionally rare with controversial classification and pathogenesis. Herein, we report the first comprehensive molecular genetic workup of a breast periductal stromal tumor that harbored a TERT promoter −124C > T mutation, supporting a relation to phyllodes tumors.
Mind the Age Gap! How Problematic Internet Use Affects Adults’ and Emerging Adults’ Well-Being and Prosocial Consumer Behavior
Authors: Raggiotto Francesco , Mazzoni Elvis , Benassi Mariagrazia , Panesi Sabrina , Vacondio Martina , Filippi Silvia , Turati Alice , Benvenuti Martina
Published: February 2023

While much has been reported about the negative consequences of the pervasive presence of information and communications technologies in consumers’ everyday lives, the present research enriches the literature on problematic internet use by applying the cognitive-behavioral model in a consumer context, creating a bridge between marketing and psychology research, with novel insights and directions for future research. By means of a moderated mediation model tested on hundreds of consumers, the authors explore whether problematic internet use influences well-being through the mediation of prosocial consumer behavior and the moderation of online-social support. The results show that problematic internet use can indirectly affect individual well-being by affecting consumer choice. Managerial and theoretical implications are addressed.
Association Between Sex Hormone-Binding Globulin, Atherogenic Indices of Plasma Among Young Sedentary Males
Authors: Mohammadrezaei Ali , Mokhtari Ardekani Abnoos , Abbasalizad-Farhangi Mahdieh , Mesgari-Abbasi Mehran , Mousavi Reihaneh
Published: February 2023

Background:

Males are more likely than females to suffer from cardiovascular disease (CVD). So, sex hormones may modify these variations and affect the lipid profile. We examined the relationship between sex hormone-binding globulin (SHBG) and CVD risk factors among young males in this study.

Methods:

Using a cross-sectional design, we measured total testosterone, SHBG, lipids, glucose, insulin, antioxidant parameters, and anthropometric factors in 48 young males in the age range of 18 to 40 years. Atherogenic indices of plasma were calculated. In this study, a partial correlation analysis was carried out to assess the relationship between SHBG and other variables after adjustment for confounders.

Results:

According to the results of multivariable analyses adjusted for age and energy, SHBG had a negative correlation with total cholesterol ( r = −.454, P =.010), low-density lipoprotein cholesterol ( r = −.496, P =.005), quantitative insulin-sensitivity check index, and positive correlation with high-density lipoprotein cholesterol ( r = .463, P =.009). No significant correlation was observed between SHBG and triglycerides ( P >.05). Several atherogenic indices of plasma have a negative correlation with SHBG levels. These include Atherogenic Index of Plasma ( r = −.474, P = .006), Castelli Risk Index (CRI)1 ( r = −.581, P < .001), CRI2 ( r = −.564, P = .001), and Atherogenic Coefficient (r = −.581, P < .001).

Conclusion:

Among young men, high plasma SHBG was associated with reduced CVD risk factors, modified lipid profile and atherogenic ratios, and better glycemic markers. Therefore, reduced SHBG concentrations could be a prognostic marker of CVD among young sedentary males.
The End of the Séance: “Master’s” Tools and Modes of Bodily Practices for Complex Times
Authors: Bayley Annouchka
Published: February 2023

Lorde’s “call” lies at the heart of the article I propose to present, engaging with the question, “How can notions of glitch, many-worlds, intra-activity and entanglement contribute to the creation of ‘new tools’—tools that offer alternatives to binary forms of thinking and doing research—in practice?” “We” researchers, scholars, and practitioners engaged here, now, wanting to rethink emancipatory practices for complex times, will need to interrogate what “haunts” our research material-discursively, right down to our very atoms.
Storying the Repertoire: Performing a Slow and Queer Backwardness at the Upstairs Lounge
Authors: Schares Evan Mitchell
Published: February 2023

In this essay, I theorize my 2022 site-specific performance at 604 Iberville Street in New Orleans as a case study in slow and backward queer storytelling performance. In my performance, I embody logics of intimacy to story the 1973 arson attack at the Upstairs Lounge which resulted in the death of 32 queer people, which at the time was the largest single loss of queer life on U.S. soil. I champion queer storytelling performance as a viable and world- and history-making form of documentation, historicity, and communion.
Cultural Repertoires and Situated Selections as an Alternative Framework to Hegemonic Masculinities: Findings From Eswatini
Authors: Berner-Rodoreda Astrid , Vandormael Alain , Bärnighausen Kate , Mavuso Mxolisi , Dlamini Phiwayinkhosi , Matse Sindy , Hettema Anita , Bärnighausen Till , McMahon Shannon A.
Published: February 2023

Since the 1980s studies on men have frequently utilized Connell’s framework of hegemonic masculinities. We critically appraise this framework in the context of a population-based HIV pre-exposure prophylaxis study in Eswatini. Our findings highlight that men confidently show variation in their behavior and choices, which manifest across different men and within the same men acting in particular situations and over the life course. This led us to interrogate the hegemonic masculinities framework on the following grounds: Men’s choices and behavior do not seem to fit the model of aspiring to a hegemonic ideal; the delineation of masculine traits as hegemonic or subordinate remain vague in terms of “responsibility,” “fidelity,” and “consideration for others”; the binary gender concept underpinning hegemonic masculinities seems outdated. Building on the work of Hirsch and Kachtan, we propose cultural repertoires as an alternative framework which also bridges the gender divide.
Short-term outcome prediction for myasthenia gravis: an explainable machine learning model
Authors: Zhong Huahua , Ruan Zhe , Yan Chong , Lv Zhiguo , Zheng Xueying , Goh Li-Ying , Xi Jianying , Song Jie , Luo Lijun , Chu Lan , Tan Song , Zhang Chao , Bu Bitao , Da Yuwei , Duan Ruisheng , Yang Huan , Luo Sushan , Chang Ting , Zhao Chongbo ,   The Pan-Yangtze River Delta Alliance for Neuromuscular Disorders (PYDAN)
Published: February 2023

Background:

Myasthenia gravis (MG) is an autoimmune disease characterized by muscle weakness and fatigability. The fluctuating nature of the disease course impedes the clinical management.

Objective:

The purpose of the study was to establish and validate a machine learning (ML)–based model for predicting the short-term clinical outcome in MG patients with different antibody types.

Methods:

We studied 890 MG patients who had regular follow-ups at 11 tertiary centers in China from 1 January 2015 to 31 July 2021 (653 patients for derivation and 237 for validation). The short-term outcome was the modified post-intervention status (PIS) at a 6-month visit. A two-step variable screening was used to determine the factors for model construction and 14 ML algorithms were used for model optimisation.

Results:

The derivation cohort included 653 patients from Huashan hospital [age 44.24 (17.22) years, female 57.6%, generalized MG 73.5%], and the validation cohort included 237 patients from 10 independent centers [age 44.24 (17.22) years, female 55.0%, generalized MG 81.2%]. The ML model identified patients who were improved with an area under the receiver operating characteristic curve (AUC) of 0.91 [0.89–0.93], ‘Unchanged’ 0.89 [0.87–0.91], and ‘Worse’ 0.89 [0.85–0.92] in the derivation cohort, whereas identified patients who were improved with an AUC of 0.84 [0.79–0.89], ‘Unchanged’ 0.74 [0.67–0.82], and ‘Worse’ 0.79 [0.70–0.88] in the validation cohort. Both datasets presented a good calibration ability by fitting the expectation slopes. The model is finally explained by 25 simple predictors and transferred to a feasible web tool for an initial assessment.

Conclusion:

The explainable, ML-based predictive model can aid in forecasting the short-term outcome for MG with good accuracy in clinical practice.
Perceptions of effective policy interventions and strategies to address antibiotic misuse within primary healthcare in India: A qualitative study
Authors: Nair Mohit , Engel Nora , Zeegers Maurice P , Burza Sakib
Published: February 2023

Objectives

Antimicrobial resistance poses a major public health threat. Despite Indian retail sector antibiotic consumption per capita increasing by approximately 22% between 2008 and 2016, empirical studies that examine policy or behavioural interventions addressing antibiotic misuse in primary healthcare are scarce. Our study aimed to assess perceptions of interventions and gaps in policy and practice with respect to outpatient antibiotic misuse in India.

Methods

We conducted 23 semi-structured, in-depth interviews with a variety of key informants with diverse backgrounds in academia, non-government organisations, policy, advocacy, pharmacy, medicine and others. Data were charted into a framework matrix and analysed using a hybrid, inductive and deductive thematic analysis. Themes were analysed and organised according to the socio-ecological model at various levels ranging from the individual to the enabling environment.

Results

Key informants largely focused on the importance of adopting a structural perspective to addressing socio-ecological drivers of antibiotic misuse. There was a recognition that educational interventions targeting individual or interpersonal interactions were largely ineffective, and policy interventions should incorporate behavioural nudge interventions, improve the healthcare infrastructure and embrace task shifting to rectify staffing disparities in rural areas.

Conclusions

Prescription behaviour is perceived to be governed by structural issues of access and limitations in public health infrastructure that create an enabling environment for antibiotic overuse. Interventions should move beyond a clinical and individual focus on behaviour change with respect to antimicrobial resistance and aim for structural alignment between existing disease specific programs and between the informal and formal sector of healthcare delivery in India.
Fatal toxicity due to locally produced unlabeled alcohol consumption: An illustrative case series from Nepal
Authors: Subedi Nuwadatta , Pandey Deb P. , Wagle Abhishesh , Bhandari Shankar , Paudel Sabita , Karn Mitesh
Published: February 2023

Locally prepared liquor, which is not standardized or regulated, though cheap can contain various toxic ingredients and even may be fatal. We report a case series of four adult males who died within 18.5 h due to the effect of local liquor consumption in a hilly district of Gandaki Province of Nepal. Methanol toxicity due to illicitly produced alcohol consumption should be managed with adequate supportive care and administration of specific antidotes such as ethanol or fomepizole. Liquor production should be standardized, and quality checks should be done before the sale for consumption.
Complex Repair of Anomalous Left Coronary Artery From the Pulmonary Artery in a 55-Year-Old Patient
Authors: Lee Timothy , Cohen Jennifer L. , Chan Alice , Zaidi Ali N. , Boateng Percy , Murthy Raghav A.
Published: February 2023

Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a congenital malformation that classically presents within the first year of life. Few patients survive into adulthood, and initial presentation after the fourth decade of life is rare. We describe a 55-year-old woman who presented after cardiac arrest. She initially refused surgery and underwent automated implantable cardioverter defibrillator placement, followed later by surgical repair involving reimplantation of the left coronary artery to the aorta and pulmonary artery reconstruction using interposition grafts. We report this late presentation of ALCAPA and successful surgical management.
Successful Management of a Very Unusual Coronary Pattern in Transposition of the Great Arteries
Authors: Mishra Anand K , Raja Javid , Bansal Vidur , Kumar Nitish , Rohit Manoj Kumar , Bhatia Anmol
Published: February 2023

Coronary artery anatomy is the key to a successful arterial switch operation in transposition of the great arteries. We came across an unusual coronary pattern in a child with transposition in which the three major coronary arteries were seen arising from all three aortic sinuses. This coronary pattern is the first of its kind in transposition, and this case report emphasizes the difficulty in translocating such a rare coronary pattern while performing an arterial switch operation.
Multicenter Analysis of the Epidemiology of Injury Patterns and Return to Sport in Collegiate Gymnasts
Authors: Trikha Rishi , Greig Danielle E. , Shi Brendan Y. , Schroeder Grant G. , Chernoff Daniel J. , Jones Kristofer J. , Kremen Thomas J.
Published: February 2023

Background:

Gymnastics requires intense year-round upper and lower extremity strength training typically starting from an early age. As such, the injury patterns observed in these athletes may be unique.

Purpose:

To characterize the types of injuries and provide return-to-sport data in male and female collegiate gymnasts.

Study Design:

Descriptive epidemiology study.

Methods:

A conference-specific injury database was utilized to perform a retrospective review of injuries for male and female National Collegiate Athletic Association (NCAA) Division I gymnasts within the Pacific Coast Conference between 2017 and 2020 (N = 673 gymnasts). Injuries were stratified by anatomic location, sex, time missed, and injury diagnoses. Relative risk (RR) was used to compare results between sexes.

Results:

Of the 673 gymnasts, 183 (27.2%) experienced 1093 injuries during the study period. Injuries were sustained in 35 of 145 male athletes (24.1%) as compared with 148 of 528 female athletes (28.0%; RR, 0.86 [95% CI, 0.63-1.19]; P = .390). Approximately 66.1% (723/1093) of injuries occurred in a practice setting, compared with 84 of 1093 injuries (7.7%) occurring during competition. Overall, 417 of 1093 injuries (38.2%) resulted in no missed time. Shoulder injuries and elbow/arm injuries were significantly more common in male versus female athletes (RR, 1.99 [95% CI, 1.32-3.01], P = .001; and RR, 2.08 [95% CI, 1.05-4.13], P = .036, respectively). In total, 23 concussions affected 21 of 673 athletes (3.1%); 6 concussions (26.1%) resulted in the inability to return to sport during the same season.

Conclusion:

For the majority of musculoskeletal injuries, the gymnasts were able to return to sport during the same season. Male athletes were more likely to experience shoulder and elbow/arm injuries, likely because of sex-specific events. Concussions occurred in 3.1% of the gymnasts, highlighting the need for vigilant monitoring. This analysis of the incidence and outcomes of injuries observed in NCAA Division I gymnasts may guide injury prevention protocols as well as provide important prognostic information.
Neurocritical Patients: Review of the Scope of Nursing Diagnoses and Care in the Intensive Care Unit
Authors: Peixoto Brito Maria Luiza , Reis Macedo Luis Fernando , Siqueira Coelho Lisboa Kenya Waléria de , Santos Sales Valterlúcio dos , Lima Pinto Sarah de , Felix Silva Darly Suyane
Published: February 2023

Objective

To identify the diagnoses and nursing care for neurocritical patients in the intensive care unit.

Method

This is a scope review study, based on the Joanna Briggs Institute, led by the following guiding question: what are the diagnoses and nursing care for neurocritical patients in the intensive care unit? Data collection was carried out in February 2022 in a paired manner, in the following databases: EMBASE, MEDLINE, PubMed, and SCOPUS. For sample selection, the following search strategy was used: “Neurology” AND “Nursing Care” OR “Nursing Diagnosis” AND “Critical Care.” Studies were independently selected, blinded by two reviewers.

Result

It was possible to identify 854 studies, which after analysis by title and abstract, only 27 articles passed the eligibility, of which 10 were part of this review.

Conclusion

According to the analysis of the studies, it was found that nursing care, combined with a care plan for neurocritical patients, allows for better results, with a view to the quality of life and health promotion.
Comments on “Triage Knowledge and Practice and Associated Factors Among Emergency Department Nurses”
Authors: Mirhaghi Amir
Published: February 2023

It is to be hoped that much more attention should be drawn toward properly constructing scenarios to ensure the accuracy of the decisions made by triage nurses, because there is a history of poorly-constructed scenarios in previous research, leading to biases in their results. Consequently, scenarios are expected to meet the main criteria for a triage, such as demographic characteristics, major complaints, vital signs and accompanying symptoms, and physical examinations, to simulate what nurses might encounter in triaging a real patient. Moreover, further studies are suggested to report mistriage, including undertriage and overtriage rates.