bluuebunny/crossref_metadata_2025 huggingface dataset:
Unlocking the Full Potential of Transformative Service Research by Embedding Collaboration Throughout the Research Process
Authors: Weaver Jessica , Hunter-Jones Philippa , Donnelly Rory
Published: November 2023

This article presents a review of published articles on Transformative Service Research (TSR), incorporating insights from user-led research to further understand how collaboration within the TSR process can improve wellbeing. Our analysis of 111 articles reveals mixed approaches to the way user collaboration has been documented, with only a small number of articles reporting extensive collaboration across every stage of the TSR process. We posit that this has led to missed opportunities for more effective TSR and make two significant contributions to the development of subsequent TSR. First, by highlighting inconsistencies in the TSR research process, we elucidate the need for the reflexive application of TSR knowledge and open dialogue on embedding collaboration within the research process itself. Second, we propose five avenues for progress to enhance the potential for future TSR to uplift service provision for service users and stakeholders.
Outcomes of early cannulation arteriovenous graft versus PTFE arteriovenous graft in hemodialysis patients: A meta-analysis and systematic review
Authors: Xiao Zhuotao , Rotmans Joris I , Letachowicz Krzysztof , Franchin Marco , D’Oria Mario
Published: November 2023

Arteriovenous graft (AVG) is an alternative for hemodialysis (HD) patients with end-stage renal disease when their permanent vascular accesses fail. Since the last decades, the most widely used materials in these patients have been polytetrafluoroethylene (PTFE)-AVGs. Recently, several studies have reported that early cannulation (EC)-AVG can be an alternative to PTFE-AVG. This systematic review and meta-analysis aimed to compare the outcomes of EC-AVG and PTFE-AVG in HD patients. We searched the Ovid Embase, Ovid MEDLINE, and Cochrane Central Register of Controlled Trials for the relevant studies published from 01.01.2000 to 19.12.2022 by keywords and free words. All randomized controlled trials (RCTs) and observational cohort studies comparing EC-AVG with PTFE-AVG were included. Ten studies were included in analysis: one RCT, six retrospective cohort studies, and three prospective cohort studies. The results showed shorter cannulation intervals (four studies, 1116 participants: mean difference −23.62 days, 95% CI [−32.03, −15.21], p < 0.05) and less central venous catheter (CVC) usage (four studies, 733 participants: OR 0.20, 95% CI [0.04, 0.92], p < 0.05) for EC-AVG compared with PTFE-AVG, while comparable outcomes of primary patency (eight studies, 1712 participants: HR 0.89, 95% CI [0.70, 1.12]), primary assisted patency (five studies, 1355 participants: HR 1.13, 95% CI [0.70, 1.84]), secondary patency (nine studies, 1920 participants: HR 0.93, 95% CI [0.66, 1.31]), and infection risk (four studies, 640 participants: HR 1.12, 95% CI [0.48, 2.58]). When compared to PTFE-AVG in HD patients, EC-AVG seems to exhibit shorter cannulation intervals, less CVC usage, and comparable outcomes of graft patency, and infection risk.
Incorporating Medical Museum Specimens Into the Training of Environmental Health Students
Authors: Maipas Sotirios , Liossi Sofia , Konstantinidou Anastasia , Mouliou Marlen , Lazaris Andreas C , Papageorgiou Effie , Kavantzas Nikolaos
Published: November 2023

Xenobiotics, radiation, and other environmental health risk factors leave their mark on human organs. This can be demonstrated through the use of pathology museum specimens. Upon completing two semesters of postgraduate studies in environmental health, a tour of the Museum of Pathology is offered to postgraduate students at Athens Medical School who are being trained in environmental health. A structured questionnaire is employed to assess the specimens’ impact on several aspects: improving students’ observational skills, reinforcing the taught material, acquiring new relevant knowledge, and cultivate the social-cognitive ability of empathy. Additionally, students are asked to evaluate the necessity of preserving metadata associated mainly with the social context of the specimens. This research-educational initiative, a component of an ongoing larger project, underscores the significant educational and research value of museum specimens pertaining to environmental health. Furthermore, effectively utilizing such exhibits can enrich the museum experience for visitors and increase public awareness of environmental health issues.
How values are co-created by tourists and TikTok that are conducive to destination promotion: Evidence from Chongqing
Authors: Wei Mingqiu , Li Yi , Zhang Tong , Liu Xuerui
Published: November 2023

The active involvement of a massive number of tourists on social media such as TikTok may facilitate the popularity of the destination. However, there is an insufficient theoretical discussion on how tourists interact with TikTok, and further affects destination promotion. Based on the perspective of value co-creation theory, this study took Chongqing, China, as a case study location, exploring the phenomenon of value co-creation between tourists and TikTok. The findings reveal that the interaction between tourists and TikTok is a process of ritualized experience in three stages where tourists wander between real and imaginary, online and offline. It specifically includes “online faith formation,” “offline pilgrimage,” and “online preaching.” The interaction also results in a platform ecosystem composed of tourists, online users, TikTok, and the destination, enabling the generation of a tourist-centered and multi-dimensional value co-creation network, consisting of “attraction value co-creation,” “experience value co-creation,” and “flow value co-creation.” The co-created values jointly promote tourist experience, TikTok vitality, and destination image popularity. The proposed framework of value co-creation in destination promotion provides both theoretical and managerial implications.
Re-assessing hotel room performance before and during the pandemic
Authors: Kim Jinkyung Jenny , Weldesenbet Engdu Gebrewold , Kim Seongseop (Sam) , Gedecho Ermias Kifle , Han Heesup , Hong Juhea
Published: November 2023

This study aimed to re-assess customers’ reactions to hotel room amenities over the pandemic. We compared the importance of room amenities between the pre-pandemic and pandemic periods, and examined the relative role of hedonic and functional amenities on customer satisfaction, which subsequently affects behavioral intentions. Based on the quantitative data analytics, this study confirmed that in-room amenities have become more salient components for today's customers: particularly protective measures, safety tools, and recreational goods. In addition, this study determined how each facet of the in-room amenities exerted an influence on customer satisfaction, and subsequently on behavioral intentions. This empirical evidence generated several implications for academia and practitioners.
Impact of preexisting coronary artery and peripheral artery disease on outcomes in diabetic patients after kidney transplant
Authors: Jiwani Sania , Chan Wan-Chi , Majmundar Monil , Patel Kunal N , Mehta Harsh , Sharma Aditya , Parmar Gaurav , Wiley Mark , Tadros Peter , Hockstad Eric , Yarlagadda Sri G , Gupta Aditi , Gupta Kamal
Published: November 2023

Background:

Atherosclerotic cardiovascular disease is highly prevalent in patients with end-stage kidney disease (ESKD). Kidney transplant (KT) improves patient survival and cardiovascular outcomes. The impact of preexisting coronary artery disease (CAD) and peripheral artery disease (PAD) on posttransplant outcomes remains unclear.

Methods:

This is a retrospective study utilizing the United States Renal Data System. Adult diabetic dialysis patients who underwent first KT between 2006 and 2017 were included. The study population was divided into four cohorts based on presence of CAD/PAD: (1) polyvascular disease (CAD + PAD); (2) CAD without PAD; (3) PAD without CAD; (4) no CAD or PAD (reference cohort). The primary outcome was 3-year all-cause mortality. Secondary outcomes were incidence of posttransplant myocardial infarction (MI), cerebrovascular accidents (CVA), and graft failure.

Results:

The study population included 19,329 patients with 64.4% men, mean age 55.4 years, and median dialysis duration of 2.8 years. Atherosclerotic cardiovascular disease was present in 28% of patients. The median follow up was 3 years. All-cause mortality and incidence of posttransplant MI were higher with CAD and highest in patients with polyvascular disease. The cohort with polyvascular disease had twofold higher all-cause mortality (16.7%, adjusted hazard ratio (aHR) 1.5, p < 0.0001) and a fourfold higher incidence of MI (12.7%, aHR 3.3, p < 0.0001) compared to the reference cohort (8.0% and 3.1%, respectively). There was a higher incidence of posttransplant CVA in the cohort with PAD (3.4%, aHR 1.5, p = 0.01) compared to the reference cohort (2.0%). The cohorts had no difference in graft failure rates.

Conclusions:

Preexisting CAD and/or PAD result in worse posttransplant survival and cardiovascular outcomes in patients with diabetes mellitus and ESKD without a reduction in graft survival.
Coming out autistic at work: A review of the literature
Authors: Sreckovic Melissa A , Schultz Tia R , Kucharczyk Suzanne , Welsh-Young Nancy
Published: November 2023

Research consistently documents the negative postsecondary outcomes of autistic individuals. Identifying facilitators and barriers to obtaining and maintaining employment is imperative to improve postsecondary outcomes. Autism diagnosis disclosure at work may serve as a facilitator or barrier to obtaining and maintaining employment, but little is known about the lived experiences of individuals on the spectrum regarding diagnosis disclosure at work. To ascertain why autistic individuals choose to pursue disclosure or choose not to disclose at work, how they disclose, and the consequences of that disclosure, a state-of-the-art literature review was conducted. Ten studies met the final inclusion criteria and were synthesized to provide guidance to autistic individuals, families, and professionals who support autistic individuals’ transition to employment.

Lay abstract

Research consistently documents the poor postsecondary outcomes of autistic individuals. It is important to identify supports that help autistic individuals get and keep jobs to improve postsecondary outcomes. Autism diagnosis disclosure at work may serve as a support (e.g., receiving accommodations) or as a barrier (e.g., discrimination) to getting and keeping employment, but little is known about the lived experiences of autistic individuals on diagnosis disclosure at work. To better understand why individuals on the spectrum choose to pursue disclosure or choose not to disclose at work, how they disclose, and the consequences of that disclosure, a state-of-the-art literature review was conducted. Ten studies met the final inclusion criteria and were synthesized to provide guidance to autistic individuals, families, and professionals who support their transition to employment. Findings from the review indicate that diagnosis disclosure is a highly complex decision. Across reviewed studies, participants chose to pursue disclosure for specific reasons, including access to accommodations or support, increase understanding, and advocate for self or others. Autistic individuals participating across reviewed studies shared they chose not to disclose primarily due to fears of discrimination and experience of stigma. Both the hopes (access to accommodations and supports) and fears (bullying and discrimination) were validated in the experienced consequences of disclosure. More research is needed on the contextual experiences of how individuals on the spectrum disclose their diagnosis at work.
The work of documentary relationships
Authors: Coleman Emily
Published: November 2023

Relationships between documentary-makers and their subjects are a core concern of the scholarship, typically analysed in relation to issues of power and exploitation. This article instead considers documentary relationships as a form of work, examining what it means when a job entails the production of intimate connections, which are also subject to commercial pressures and imperatives. Relationship-building is an intrinsic part of the filmmaker’s job, but takes place around its margins: often unpaid and unacknowledged by the media industries. A consequence of this lack of status and recognition is that an appropriate professional framework has yet to be developed, with worrying implications for training, regulation and duty of care. Drawing upon in-depth interviews conducted over a period of 4 years, this article conceptualises the work of documentary relationships as a practice of creative labour, by considering how they function interpersonally, procedurally and organisationally. Through a discussion of emotional labour, I will explore how the permeability between work life and intimacy impacts both filmmakers and contributors alike, considering the various ways their experiences take shape within the structural context of contemporary media production.
The emotional citizen: Positive affective response towards immigrants predicts meaningful experiences with them and lower COVID-19 perceived threat in nine countries
Authors: Duque Maria , De Coninck David , Cobb Cory L. , Bautista Tara , Anderson Jackson D. , Montero-Zamora Pablo , Perazzo Patrizia A. , Lopez-Madrigal Claudia , Ertanir Beyhan , Garcia Maria F. , Vos Saskia R. , Alpysbekova Aigerim , Schwartz Seth J.
Published: November 2023

Mass migration and COVID-19 represent two converging challenges affecting immigrant-receiving countries. Our understanding of intergroup emotion profiles—positive (happiness, hope, and sympathy) and negative (anger, fear, and disgust)—among members of immigrant destination societies in times of global uncertainty remains limited. Drawing from panel samples from nine countries ( N = 13,645), and controlling for relevant covariates, we aimed to extract latent profiles of intergroup emotions and map these profiles onto perceived COVID-19-related threats, immigrant contact, political predispositions, dark triad traits, and prejudice. We identified six latent profiles with patterns suggesting that positive interactions with immigrants are significantly correlated with positive emotional response and lower perceived pandemic threat. Societies facing mass immigration in the wake of COVID-19 may benefit from interventions and policies that promote positive and close experiences with immigrants, thereby reducing negative emotions and fostering positive emotions toward newcomers among citizens.
Narrative reproduction: plotting land in Yvonne Owuor's Dust
Authors: Okoth Christine
Published: November 2023

This article argues that the postcolonial African novel identifies land as the centre of social reproduction. Beginning with an analysis of Silvia Federici's Nigerian writing and a further investigation into social reproduction theory from and about Africa, this article develops a reading method which traces the novel form's use of land as the generator of plot. Yvonne Owuor's Dust exemplifies how the novel as a colonial form falls into crisis around an attempt to reach for the narratively reproductive potential of disavowed, arid lands at the borders of the postcolonial nation-state. As the readings in this article demonstrate, Owuor's novel both chimes with the interventions of those theorists who depict social reproduction in Africa as a general theory of feminisation – of people and land alike – and offers an answer to how social reproduction might be rendered in literary formal terms. This article is therefore an investigation into the ‘where’ of social reproduction in the contemporary African novel.
RFIS-HI: a new health indicator for quantitative condition monitoring of the bearing under variable speed conditions
Authors: Ma Weipeng , Yu Yaoxiang , Guo Liang , Qian Mengui , Gao Hongli
Published: November 2023

The health indicator (HI) plays a crucial role in the condition monitoring of the rolling bearing. However, most existing HIs exhibit significant fluctuations when the speed changes. To address the issue, this paper proposes a new HI namely reweighted fault impact strength (RFIS)-HI. First, sub-signals are obtained through a frequency division strategy, and corresponding resampled signals are derived using order tracking. Second, the average impact peak in the time domain is acquired to measure the impact of the signal. According to fault characteristic order (FCO), the ratio of FCOs summation to noise amplitude in the frequency domain is obtained to measure periodicity. Then, the FISgram is constructed for selecting the optimal frequency band. To better quantify the degradation degree of the bearing, different weights are assigned and optimized for constructing RFIS. Finally, the influence of rotational speed on RFIS is eliminated by utilizing prior knowledge. Taking the first 10% of the dataset as baseline data, RFIS-HI is constructed through relative similarity. In this paper, a bearing dataset under time-varying speed conditions and an XJTU-SY dataset are used for verification. Results show that the proposed HI can achieve better trendability, scale similarity, and stability.
Processing and structural health monitoring of a composite overwrapped pressure vessel for hydrogen storage
Authors: Rocha Helena , Antunes Paulo , Lafont Ugo , Nunes João P.
Published: November 2023

A process and Structural Health Monitoring system was implemented on a Composite Overwrapped Pressure Vessel (COPV) for hydrogen storage at 350 bar to be used in a fuel-cell system of an Unmanned Aerial Vehicle. This work reports the embedment strategy of optical fibre Bragg grating (FBG) sensors to monitor the full life cycle of the vessel, consisting of an aluminium liner and a wound carbon fibre reinforced polymer composite overwrap. A FBG sensing array, bonded on the aluminium liner circumferential section, was covered with a localised unidirectional prepreg composite tape, enabling composite winding and curing monitoring. The sensing array strategy allowed to detect and locate Barely Visible Impact Damage resulting from drop-weight impact tests, based on the ratio of the residual strain amplitude between FBG sensor pairs. Errors as small as 17 mm and up to 56 mm were determined between the predicted and ‘real’ impact locations. To simulate the real-life operational pressure charging and discharging cycles, the COPV was subjected to cycling testing at different pressure ranges. The FBG sensors were able to monitor a total of 20 980 pressure cycles, revealing a linear response to the applied pressure, and remained operational after COPV failure. Furthermore, the FBG sensing array was able to detect the residual plastic strain caused in the aluminium liner by the autofrettage process that the COPV was subjected to prior to pressure cycling, at 600 bar for 2 min, to improve its fatigue performance. This manuscript also reports the COPV structural design by Finite Element Modelling (FEM), its manufacturing process and burst pressure testing for the FEM analysis validation. A small difference of 0.7% was found between the simulated and experimental determined burst pressure of 1061 ± 26 bar.
Combination of active sensing method and data-driven approach for rubber aging detection
Authors: Zeng Yi , Chen Tengsheng , Xiong Feng , Deng Kailai , Xu Yuanqing
Published: November 2023

Rubber bearings are key components of base-isolated structures, and the monitoring of their damage states is an important task. Aging is a primary concern affecting the service life and isolation effect of rubber bearings. Therefore, this study combined an active sensing method and a data-driven approach to detect rubber aging. A shear stiffness, accelerated aging, and active sensing experiments were conducted on a scaled rubber specimen. As the aging level increased, the shear stiffness of the specimens gradually increased from 116.69 to 127.82 N/mm, but this change was not linear. Due to variations in the degree of aging, discrepancies may arise in the time and frequency domain characteristics of detection signals. However, establishing an empirical relationship between the degree of aging and the features of detection signals were highly challenging. A deep-learning-based data-driven method was used to predict the aging level and shear stiffness using detection signals. The deep learning model successfully detected the aging level, and the prediction accuracy on the validation and test sets reached 99.98%. For the deep learning model for aging level prediction, the optimal input vector length is 4096, the recommended number of layers is 3–5, and the recommended number of cells in each layer is 256–2048. Moreover, the deep learning model also detected the shear stiffness of the rubber specimen. The mean absolute error was 0.27 N/mm on the validation set and 0.28 N/mm on the test set. For the deep learning model for shear stiffness prediction, the optimal input vector length is 4096, and the optimal structure is seven layers with 2048 cells in each layer.
Fahr’s syndrome associated with hypoparathyroidism: A case report
Authors: Sarna Mukesh Kumar , Goel Pallaavi , Bhargava Varun , Parakh Rishabh
Published: November 2023

Fahr’s syndrome affects fewer than 1 in 100,000 people. It is an inherited neurological disorder, which is distinguished by atypical calcium deposition in the movement-controlling areas of brain, that is thalamus, dentate nucleus, basal ganglia, cerebellum, cerebral cortex, hippocampus and subcortical white matter. The majority of patients often experience extrapyramidal symptoms, cerebellar signs, speech difficulty, dementia and neuropsychiatric manifestations. This disease’s molecular genetics have not been thoroughly investigated. Typically, young to middle-aged adults are affected though basal ganglia calcification in hypoparathyroidism is quite uncommon. Laboratory results and radiographic brain imaging helps in reaching the diagnosis. The treatment is mainly symptomatic. We present a case of Fahr’s syndrome associated with hypoparathyroidism.
Take the Streets or Take the Parliament? Political Participation Choices of Radical Left Individuals
Authors: Krauss Svenja , Wagner Sarah
Published: November 2023

Voters across Europe have become increasingly polarised on both ends of the political spectrum in the last decade. While radical right parties were able to mobilise voters on their salient topics, radical left parties were only sporadically successful. In this article, we analyse why radical left parties fail to benefit from increasing polarisation by examining their potential voter base. Radical left individuals should have a lower incentive to participate in elections to change the status quo because of their suspicion towards authorities in general and the government more specifically. Instead, they should engage in status quo -busting grassroots activities to enforce revolutionary, rather than evolutionary, change. Our hypotheses are put to an empirical test by relying on data from the European Social Survey. We include respondents from 17 Western European countries from five rounds of the European Social Survey. The results have important implications for our understanding of the demand side of the political extremism wave.
Interventions Targeting Depression and Posttraumatic Stress Disorder in United States Black Women Experiencing Intimate Partner Violence: A Systematic Review
Authors: Waller Bernadine Y. , Lee Seung Ju , Legros Naomi C. , Ombayo Bernadette K. , Mootz Jennifer J. , Green M. Claire , Hankerson Sidney H. , Williams Shameika N. , Williams Janet E. , Wainberg Milton L.
Published: November 2023

There is a dearth of evidence indicating the effectiveness of psychological interventions targeting depression and/or posttraumatic stress disorder (PTSD) for Black women in the United States (US) exposed to intimate partner violence (IPV). We searched PubMed, MEDLINE, PsycINFO, EBSCOhost, Social Sciences, Social Sciences Full Text, Social Work Abstracts, and Cochrane databases between September 2021 and October 2022, for original studies of randomized control trials (RCTs) reporting depression and/or PTSD interventions delivered to US Black women with histories of IPV. Of the 1,276 articles, 46 were eligible and 8 RCTs were ultimately included in the review; interventions for depression (four interventions, n = 1,518) and PTSD (four interventions, n = 477). Among Depression and PTSD interventions (one intervention, n = 208), Beck’s Depression Inventory II indicated M = 35.2, SD = 12.6 versus M = 29.5, SD = 13.1, <.01, and Davidson Trauma Scale indicated M = 79.4, SD = 31.5 versus M = 72.1, SD = 33.5, <.01, at pre- and post-intervention respectively. Also, some interventions reported severity of depression M = 13.9 ( SD = 5.4) versus M = 7.9 ( SD = 5.7) < 0.01, and PTSD ( M = 8.08 vs. M = 14.13, F(1,117) = 9.93, p < .01) at pre- and post-intervention respectively. Publication bias was moderate and varied between 12 and 17 via the Downs and Black Checklist for Methodological Rigor for RCTs. Psychological interventions targeting depression and/or PTSD for Black women with histories of IPV reflect moderate improvement. Interventions that account for cultural nuances specific to Black women are fundamental for improving outcomes for survivors presenting with depression and/or PTSD.
Interpersonal Connections Are Important for Virtual Kidney Transplant Educational Program Development
Authors: Carter Alexis J. , Qu Haiyan , Reed Rhiannon D. , Cozette Killian A. , Kumar Vineeta , Hanaway Michael , Locke Jayme E.
Published: November 2023

Introduction: The Living Donor Navigator program is designed to mitigate disparities in living donor kidney transplantation, although geographic disparities in program participation were observed in the initial years of implementation. The purpose of this study was to understand participant perspectives regarding the use of a virtual option/alternative to expand program participation. Methods: Previous participants of the in-person navigator program were purposively sampled. Using the nominal group technique, a well-structured formative methodology to elicit participant perspectives, 2 meetings were conducted among transplant recipients and advocates (N = 13) to identify and prioritize responses to the question “What things would concern you about participating in a virtual and remote Living Donor Navigator program?” Findings: Mean participant age was 59.3 (9.3) years, and participants were 54% male and 62% white. Education levels varied from less than high school to master’s degrees. Participants generated 70 unique responses, of which 36 (51.4%) received prioritization. The top 5 ranked responses of each nominal group technique meeting received approximately 50 percent (47.6% vs. 66.7%, respectively) of the total votes and described the potentially limited interpersonal connections, time conflicts, and differing content in a virtual navigator program compared to the in-person model. Discussion: These data suggest that previous participants were concerned with upholding the original design of the program, thus, virtual living donor kidney transplantation programs should aim to maintain interpersonal connections and consistency of content to ensure adequate programmatic engagement. Future research will focus on program fidelity independent of delivery modality.
Finish—Spare the Shame: Realism of Hellish Quart and Alt-Sarmatian Ideology
Authors: Majkowski Tomasz Z. , Kozyra Magdalena , Prokopek Aleksandra
Published: November 2023

This article provides in-depth analysis of Hellish Quart: a fighting game set in 17th century Polish–Lithuanian Commonwealth, and cherished for its realism, vis-a-vis Neosarmatian ideology of the Polish alt-right: the current iteration of centuries-old origin myth of Polish nobility. While we do not consider the game a willing participant in the proliferation of Alt-Sarmatian ideas, we claim the pervasiveness of Sarmatism within Polish national identity makes it difficult not to consider the conservative approach to national history a “realistic one.” In this article, we present the shortened history of both Sarmatian myth and the special place sabre-fighting occupies in Polish culture, and utilize them to understand ideological entanglement of the “realism” offered by Hellish Quart regarding the vision of the past and the mechanics of combat.
Unfavorable clinical outcomes in patients with good collateral scores following endovascular treatment for acute ischemic stroke of the anterior circulation: The UNCLOSE study
Authors: Consoli Arturo , Pileggi Marco , Hasan ATM Hasibul , Rahman Mohammad H , Venier Alice , Sgreccia Alessandro , Pizzuto Silvia , Coskun Oguzhan , Di Maria Federico , Scarcia Luca , Lapergue Bertrand , Rodesch Georges , Bracard Serge , Chen Bailiang
Published: November 2023

Background

Patients with acute ischemic stroke secondary to large vessel occlusions and good collaterals are frequently associated with favorable outcomes after mechanical thrombectomy, although poor outcomes are observed also in this subgroup. We aimed to investigate the factors associated with unfavorable outcomes (modified Rankin Scale3–6) in this specific subgroup of patients.

Methods

In total, 219 patients (117 females) with anterior circulation stroke and good collaterals (American Society for Interventional and Therapeutic Neuroradiology/Society of Interventional Radiology grades 3–4), treated by mechanical thrombectomy between 2016 and 2021 at our institution were included in this study. Clinical files and neuroimaging were retrospectively reviewed. Univariate and multivariate analyses were performed to identify the predictors of unfavorable outcomes in the overall population (primary endpoint). Secondary endpoints focused on the analysis of the predictors of unfavorable outcomes in the subgroup of successfully recanalized patients, mortality, and symptomatic intracerebral hemorrhages in the overall population.

Results

Poor outcome was observed in 47% of the patients despite the presence of good collaterals. Older age ( p < 0.001), higher baseline National Institute of Health stroke scale ( p < 0.001), no intravenous thrombolysis administration ( p = 0.004), > 3 passes ( p = 0.01), and secondary transfers ( p < 0.001) were associated with the primary endpoint. The multivariate analysis showed a predictive effect of modified treatment in cerebral infarction 2b-3 and of first pass effect on symptomatic intracerebral hemorrhage.

Conclusions

Despite good collaterals, defined through the American Society for Interventional and Therapeutic Neuroradiology/Society of Interventional Radiology scale, poor outcomes occurred in almost half of the patients. Patients with good collaterals not receiving intravenous thrombolysis were significantly associated with unfavorable outcomes, whereas first pass effect was not significantly correlated with clinical outcome in this specific cohort of patients. Different methods to assess collaterals should also be investigated.
Transradial versus transfemoral approach in cerebral angiography: A meta-analysis
Authors: Batista Sávio , Oliveira Leonardo de Barros , Diniz Jordana Borges Camargo , Pinheiro Agostinho Camara , Maia Henrique , Duarte Matheus , Andreão Filipi Fim , Palavani Lucca Biolcati , Bertani Raphael , Almeida Filho José Alberto , Besborodco Raphael Muszkat , Hanel Ricardo
Published: November 2023

Background

Cerebral angiography has two common access sites: Transradial approach and transfemoral approach. However, there's no definitive answer to which one is superior.

Objective

Compare transradial approach and transfemoral approach for a cerebral angiography procedure.

Methods

A systematic review of the literature of studies reporting both transradial approach and transfemoral approach results was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. PubMed, Cochrane Library, and Embase were queried.

Results

The meta-analysis examined 18 studies comprising 9388 patients undergoing cerebral angiography. Among the patients, 4598 underwent transradial approach (48.9%) and 4790 underwent transfemoral approach (51.1%). Our results revealed no statistical differences between the approaches regarding procedure success, crossover to transfemoral approach, procedure and fluoroscopy time between both approaches in cerebral angiography. Total, major, and minor complications comparisons were more favorable to transradial approach for this procedure.

Conclusion

These findings suggest, despite the ultimate decision regarding the choice of access method might be influenced by the physician's experience and personal preference, the data distinctly lean toward transradial approach as the preferable option for cerebral angiography. The advantages of transradial approach, highlighted by its lower complication rates, especially major complications, suggest that its adoption could contribute to enhanced patient safety and procedural outcomes.
Upper limb biomechanical differences in volleyball spikes among young female players
Authors: Slovák Lukáš , Sarvestan Javad , Alaei Fatemeh , Iwatsuki Takehiro , Zahradník David
Published: November 2023

The performance assessment of relevant biomechanical factors is essential for appropriate age-related training progression in volleyball spike (VS). This study aimed to investigate the differences in upper limbs’ (a) range of motion (ROM), (b) angular velocities, and (c) muscular activity during VS among under 16- (U-16), under 18- (U-18), and under 20- (U-20) year-old female volleyball players. The kinematic variables of the spike performances were recorded using six optoelectronic cameras (Vicon Motion system, UK). Additionally, the wireless Trigno system (Delsys, USA) was used to record the electromyographic signals. The one-way ANOVA (1d SPM analysis) exhibited a significantly greater wrist internal rotation ( p < .001), wrist adduction velocity (p < .001), and palmaris longus activity ( p < .001) in the acceleration phase in U-20, compared to the U-16 group. Additionally, the U-20 and the U-18 players portrayed a significantly greater shoulder external rotation ( p < .001) and internal angular velocity ( p = .035) relative to the U-16 group. A significantly greater pectoralis major (p < .001), biceps brachii ( p < .001), and anterior deltoid ( p < .001) activity was observed in the U-20 group, compared to younger groups. This study suggests that older players employ more upper limb muscular activities during spike with the presence of blocks, which enables them to hit the ball with greater velocities and direct the ball in their desired direction through increased wrist ROMs.
Clinical factors linked to the type of respiratory medication in COPD: results from the COSYCONET cohort
Authors: Alter Peter , Kahnert Kathrin , Trudzinski Franziska C. , Bals Robert , Watz Henrik , Speicher Tim , Söhler Sandra , Welte Tobias , Rabe Klaus F. , Wouters Emiel F. M. , Vogelmeier Claus F. , Jörres Rudolf A.
Published: November 2023

Background:

The use of maintenance medication in patients with chronic obstructive pulmonary disease (COPD) in real life is known to deviate from recommendations in guidelines, which are largely based on randomized controlled trials and selected populations.

Objectives:

We used the COSYCONET (COPD and Systemic Consequences – Comorbidities Network) cohort to analyze factors linked to the use of COPD drugs under non-interventional circumstances.

Design:

COSYCONET is an ongoing, multi-center, non-interventional cohort of patients with COPD.

Methods:

Patients with COPD of Global Initiative for Chronic Obstructive Lung Disease (GOLD) grades 0–4 participating in visits 1–5 were included. Data covered the period from 2010 to 2018. Generalized linear models were used to examine the relation of COPD characteristics to different types of respiratory medication.

Results:

A total of 1043 patients were included. The duration of observation was 4.5 years. Use of respiratory medication depended on GOLD grades 0–4 and groups A-D. Long-acting muscarinic antagonist therapy increased over time, and was associated with low carbon monoxide (CO) diffusing capacity, while inhaled corticosteroid (ICS) use decreased. Active smoking was associated with less maintenance therapy in general, and female sex with less ICS use. From the eight items of the COPD Assessment Test, only hill and stair climbing were consistently linked to treatment.

Conclusion:

Using data from a large, close to real-life observational cohort, we identified factors linked to the use of various types of respiratory COPD medication. Overall, use was consistent with GOLD recommendations. Beyond this, we identified other correlates of medication use that may help us to understand and improve therapy decisions in clinical practice.

Trial registration:

ClinicalTrials.gov NCT01245933.
Stepwise management of COPD: What is next after bronchodilation?
Authors: Miravitlles Marc , Matsunaga Kazuto , Dreher Michael
Published: November 2023

Inhaled bronchodilator therapy with long-acting muscarinic antagonists (LAMAs) and long-acting β2-agonists (LABAs) in combination is currently the mainstay of treatment for chronic obstructive pulmonary disease (COPD). Treatment guidelines recommend the addition of inhaled corticosteroids (ICS) to LABA/LAMA only in patients with a history of frequent/severe exacerbations and high blood eosinophil counts, or in those with concomitant asthma. Despite this, real-world data suggest that clinicians are not adhering to this guidance and that ICS are frequently overused. This is possibly due to the incorrect assumption that when LABA/LAMA therapy is not sufficient, adding an ICS to the treatment regimen is the logical next step. In this narrative review, we describe global and country-specific guideline recommendations from Germany, Spain, and Japan and compare these with real-world data on LABA/LAMA and ICS use in clinical practice. We also provide a clinical guide to the use of add-on therapies with LABA/LAMA for different patient phenotypes, including (1) patients still symptomatic (but not exacerbating) despite LABA/LAMA treatment; (2) patients still exacerbating despite LABA/LAMA treatment who have high blood eosinophil counts; and (3) patients still exacerbating despite LABA/LAMA treatment who do not have high blood eosinophils or concomitant asthma.
COVID-19 stress and cognitive failures in daily life: A multilevel examination of within- and between-persons patterns
Authors: Majeed Nadyanna M. , Kasturiratna K. T. A. Sandeeshwara , Li Ming Yao , Chia Jonathan L. , Lua Verity Y. Q. , Hartanto Andree
Published: November 2023

The COVID-19 pandemic has claimed an extremely high number of lives worldwide, causing widespread panic and stress. The current research examined whether COVID-19 stress was associated with everyday cognitive failures, using data from a seven-day daily diary study of 253 young adults in Singapore. Multilevel modeling revealed that COVID-19 stress was significantly associated with cognitive failures even after adjusting for demographic factors, both at the within-person and between-persons levels. Specifically, individuals experienced more cognitive failures on days they experienced more COVID-19 stress (as compared to their own average levels of COVID-19 stress), and individuals who experienced more COVID-19 stress overall (as compared to individuals who experienced less COVID-19 stress overall) experienced more cognitive failures in general. While a large body of work has evidenced the detrimental effects of COVID-19 stress on individuals’ well-being, the current findings provide novel insights that these stressors may negatively impact individuals’ cognitive functioning as well.
Dynamic performance of ultra-high performance fiber-reinforced concrete panel exposed to explosive loading
Authors: Abedini Masoud , Zhang Chunwei
Published: November 2023

Ultra-high performance fiber reinforced concrete (UHPFRC) is a cement-based composite material mixing with reactive powder and steel fibers. It is characterized by its high strength, high ductility, and high toughness and such characteristics enable its great potential in protective engineering against severe dynamic loads. In the current research, the dynamic performance of the concrete panel made with ultra-high performance fiber subjected to explosive loading was investigated. For this purpose, several concrete panel samples were considered and modeled in ABAQUS finite element software. The accuracy of the numerical model is verified by comparing the numerical simulation results with available testing data. First, the considered panel was modeled with normal concrete then it was modeled with UHPFRC concrete, and the effect of using this type of concrete on the behavior of concrete panels was investigated. After analyzing and examining the models, their behavior such as the degree of vulnerability, more vulnerable points and changes in the locations that occurred in each of the models were obtained and compared. The results demonstrate that the use of UHPFRC significantly improves the blast performance of RC panels by reducing maximum and residual displacements, enhancing damage tolerance, and increasing energy absorption. The results also indicate that the increase in the intensity of explosion has increased the base reaction force in all panels.
Planetary rural thinking in digital geographies
Authors: He Huiyan
Published: November 2023

In this commentary, I argue that planetary rural geographies and digital geographies have much to offer and learn from each other and identify their mutual reciprocities. By highlighting specific instances of digital mediation in rural areas, I demonstrate how digital technologies and practices are driving rural transformations at a planetary scale. Simultaneously, I identify how planetary rural thinking can offer valuable perspectives for digital geographers toward reconsidering urban-rural relations. I conclude by suggesting that Wang et al.'s call for more pluriversal planetary rural geographies may be achieved by attending to and incorporating considerations of the digital.
Identifying the white matter pathways involved in multiple sclerosis-related tremor using diffusion tensor imaging
Authors: Bayoumi Ahmed , Hasan Khader M. , Patino Jorge , Keser Zafer , Thomas Joseph A. , Gabr Refaat E. , Pedroza Claudia , Kamali Arash , Schiess Mya C. , Wolinsky Jerry S. , Lincoln John A.
Published: November 2023

Background

Tremor affects up to 45% of patients with Multiple Sclerosis (PwMS). Current understanding is based on insights from other neurological disorders, thus, not fully addressing the distinctive aspects of MS pathology.

Objective

To characterize the brain white matter (WM) correlates of MS-related tremor using diffusion tensor imaging (DTI).

Methods

In a prospective case-control study, PwMS with tremor were assessed for tremor severity and underwent MRI scans including DTI. PwMS without tremor served as matched controls. After tract selection and segmentation, the resulting diffusivity measures were used to calculate group differences and correlations with tremor severity.

Results

This study included 72 PwMS. The tremor group (n = 36) exhibited significant changes in several pathways, notably in the right inferior longitudinal fasciculus (Cohen's d = 1.53, q < 0.001) and left corticospinal tract ( d = 1.32, q < 0.001), compared to controls (n = 36). Furthermore, specific tracts showed a significant correlation with tremor severity, notably in the left medial lemniscus (Spearman's coefficient [ rsp] = −0.56, p < 0.001), and forceps minor of corpus callosum ( rsp = -0.45, p < 0.01).

Conclusion

MS-related tremor is associated with widespread diffusivity changes in WM pathways and its severity correlates with commissural and sensory projection pathways, which suggests a role for proprioception or involvement of the dentato-rubro-olivary circuit.
Trends and challenges within Reddit and health communication research: A systematic review
Authors: Britt Rebecca K , Franco Courtny L , Jones Naiyan
Published: November 2023

There is a growing body of health communication literature addressing health-related discourse across user-generated platforms. Specifically, Reddit, the 19th most visited website in the world, serves as a promising venue for understanding communication surrounding health concerns. Such studies apply a variety of theories and methodological approaches, analyze large corpora, and build predictive and descriptive models for public health communication. The current study investigates health communication literature in the context of Reddit, identifying major topics, theories, and methods employed across studies, as well as how health communication topics have evolved over time. We identify future research directions, proposing theoretical and methodological considerations as well as issues and practices to employ when researching health phenomena via social platforms.
Phishing in Social Media: Investigating Training Techniques on Instagram Shop
Authors: Garcia Katherine R. , Ammons Jeremiah , Xu Xiangrui , Chen Jing
Published: November 2023

As new communication technologies emerge, social media continues to grow rapidly and falls into users' hands. However, social media also brings new forms of phishing attacks compared to conventional email phishing and desires new forms of anti-phishing intervention including user training. To tackle this problem, we investigated the efficacy of current email training techniques for phishing scams on Instagram Shop advertisements. Participants were tasked to rate how likely they would recommend an office product in Instagram Shop to their boss based on how legitimate the advertisement (ad) appeared. Our results indicated that shoppers’ experience with Instagram influenced their ability to distinguish between phishing and legitimate ads. However, more-frequent Instagram users did not have a decreased susceptibility to phishing than less-frequent users, and the current training techniques had no effect on participants’ ratings of phishing and legitimate ads. Future studies may explore other training methods, such as including feedback to participants.
Another test of nuclear taboo: An experimental study in Japan
Authors: Cheng Yipeng , Eguchi Ryoma , Nakagawa Haruki , Shibata Tatsuru , Tago Atsushi
Published: November 2023

This study, by conducting an original survey experiment in Japan, uncovers how Japanese consider nuclear weapons. While it has been believed that the strong antinuclear weapons sentiment dominates the people in Japan, the recent changes in its national security environment may change the people’s view on the weapons. Our experiment suggests that the antinuclear sentiment in Japan is not so robust and they clearly prefer American nukes over Russian ones. Also, the study shows that the Japanese would consider nuclear attack on North Korea as more acceptable, and they care less about the type of targets, civilian or military, and the size of the weapon.