bluuebunny/crossref_metadata_2025 huggingface dataset:
“We Would Ride Safely in the Harbor of the Future”: Historical Parallels between the Existential Threats of Yellow Fever and Sea Level Rise in New Orleans and Norfolk
Authors: Foster Morris W. , Steinhilber Emily E.
Published: February 2020

The nineteenth-century experiences of yellow fever epidemics in New Orleans and Norfolk present historical parallels for how those cities, and others, are experiencing existential threats from climate change and sea level rise in the twenty-first century. In particular, the nineteenth-century “sanitary reform” movement can be interpreted as a model for challenges facing twenty-first-century “climate resilience” initiatives, including denialism and political obfuscation of scientific debates as well as tensions between short-term profit and the cost of long-term infrastructure investments and between individualism and communitarianism. The history of sanitary reform suggests that, at least in the United States, climate resilience initiatives will advance largely on a regional basis through extended local debates around these and other challenges until resilient infrastructure and practices are taken for granted, much as sanitary waterworks and sewers are today.
Antitrust as Public Interest Law: Redistribution, Equity, and Social Justice
Authors: Waked Dina I.
Published: February 2020

This article proposes the use of antitrust law to reduce poverty and address inequality. It argues that the antitrust laws are sufficiently malleable to achieve such goals. The current focus of antitrust on the efficiency-only goals does not only lead to increasing inequality further but is also inconsistent with the history of antitrust. This history is presented through the lens of the public interest that emerges into the balance between private property and competition policy. Tracing the public interest at different historical moments, we get to see how it has been broad enough to encompass social welfare concerns. Over time, the public interest concern of antitrust was narrowed to exclusively cover consumer welfare and its allocative efficiency. Once we frame antitrust as public interest law, in its broadest sense, we are empowered to use it to address inequality. A proposal to do so is exposed in this article.
Burn Chamber Test of Ex Situ Thermal Impulse Sensors
Authors: Anderson Benjamin R. , Gese Natalie , Gunawidjaja Ray , Eilers Hergen
Published: February 2020

Recently, we reported on a novel ex situ thermal impulse sensing technique (based on lanthanide-doped oxide precursor nanoparticles) for use in structural fire forensics and demonstrated its functionality in small-scale lab-based tests. As a next step we have now performed a large-scale lab test at the US Bureau of Alcohol, Tobacco, Firearms, and Explosives (ATF) Fire Research Laboratory using a burn chamber with three sand burners. In this test we demonstrate our technique’s ability to determine the average temperature experienced by surfaces during the fire. While we successfully demonstrate our techniques accuracy, we also discover several previously unknown vulnerabilities. Namely, we find that: (1) our current method of embedding sensors in paint results in our sensor particles being difficult to recover (due to a large quantity of debris), (2) the current test panels have poor survivability, (3) debris from the fire tests interferes with excitation of dopant Dy ions (limiting our sensors’ functionality), and (4) dispersal in paint results in suppression of the (metastable)tetragonal-to-monoclinic phase transition of ZrO2. To overcome these vulnerabilities we are evaluating new panel materials, paints, and lanthanide-dopants.
A Randomized Controlled Trial of Group Well-Child Care: Improved Attendance and Vaccination Timeliness
Authors: Fenick Ada M. , Leventhal John M. , Gilliam Walter , Rosenthal Marjorie S.
Published: February 2020

Well-child care has suboptimal outcomes regarding adherence to appointments and recall of guidance, especially among families facing structural barriers to health. Group well-child care (GWCC) aims to improve these outcomes by enhancing anticipatory guidance discussions and peer education. We conducted a randomized controlled trial, comparing GWCC with traditional, individual well-child care (IWCC) and assessed health care utilization, immunization timeliness, recall of anticipatory guidance, and family-centered care. Ninety-seven mother-infant dyads were randomized to GWCC or IWCC. Compared with IWCC infants, GWCC infants attended more of the 6 preventive health visits (5.41 vs 4.87, P < .05) and received more timely immunization at 6 months and 1 year but did not differ in emergency or hospital admission rates. There were no differences in mothers’ reports of anticipatory guidance received or family-centered care. As primary care is redesigned for value-based care and structural vulnerabilities are considered, GWCC may be a key option to consider.
Exposure to Environmental Toxicants and Early Language Development for Children Reared in Low-Income Households
Authors: Jiang Hui , Justice Laura M. , Purtell Kelly M. , Bates Randi
Published: February 2020

Considerable evidence has highlighted the heightened susceptibility of developmental delay in children from low-income homes; consequently, this study explored whether environmental toxicant exposure may be a contributing factor to disruption in language and cognitive development for children reared in poverty. Using a sample of 190 low-income mothers and their young children, mothers completed questionnaires on toxicant exposure in the home environment. Exposure to toxicants, especially pesticides, was reported by about 20% of mothers at or around pregnancy, and 30% when their children were between 1 and 2 years of age. Toxicant exposure was significantly associated with lags in language and cognition even when controlling for socioeconomic factors. Study findings highlight the importance of the American Academy of Pediatrics’ policy statements arguing for pediatricians to take a strong anticipatory guidance role in counseling parents to limit chemical exposure in the home and engage in safe storage practices.
Contemporary Theology in Asia: Current Challenges and Future Directions
Authors: Moe David Thang
Published: February 2020

This article explores old issues and current challenges from new perspectives. It offers explorations of the role of the Trinity in interreligious dialogue and the roles of interreligions in Asian contemporary theology. It proposes some methodological concepts of how Christians should reconsider people of other faiths through the lens of the Trinity, and also how Christians should witness to shalom against sin in engagement with other faiths for the common good of social, gender and ecological liberation in Asia.
Cistercians and Saints in Scotland: Cults and the Monastic Context
Authors: Hodgson Victoria
Published: February 2020

While Cistercian liturgical practices generally maintained a high degree of uniformity, that deviations from standardized practice consistently occurred in the celebration of saints is evidenced by the highly individualized composition of kalendars and litanies. Some of these variances emerged through special permissions while others were unsanctioned additions. This article utilizes the surviving evidence for Cistercian abbeys in Scotland to explore the unique blend of saints commemorated at particular houses, demonstrating that monastic observance reflects local devotion to cults within varying regional contexts. It is suggested that this ‘responsiveness’ to lay religiosity goes beyond the institutional appropriation of local culture, and should be viewed within the context of patterns of monastic recruitment from particular localities. Thus, the types of pressures felt from external lay populations, often cited as the key factor in shaping Cistercian interaction with saints’ cults, were just as likely to come from within the monastery itself.
Comfortably Numb: Effects of Prolonged Media Coverage
Authors: Hoffman Aaron M. , Kaire José
Published: February 2020

Exposure to a single report about terrorism in the mass media can trigger a range of emotional and political reactions. The consequences of exposure to several terrorism reports in row, however, are a matter of controversy. We examine the effects of prolonged terrorism coverage using an experimental design that combines self-report measures of emotions and political attitudes with instantaneous biometric data on emotions. Consistent with research on nonassociational learning, we find that exposure to multiple videos habituates people to depictions of terrorism: the longer people watch terrorism coverage, the less intense their reactions are to the images of terrorism they see. Some images and videos, however, contribute to this result more than others. This suggests that the ultimate effects of terrorism coverage depend on the interplay between the quantity and quality of reporting, not the quantity alone.
Spatial and temporal segmenting of urban workplaces: The gendering of multi-locational working
Authors: Burchell Brendan , Reuschke Darja , Zhang Mary
Published: February 2020

Existing urban research has focused on gender differences in commuting patterns to and from homes, but has paid little attention to the gendered diversity in the spatiotemporal patterns of work. The increase in remote working and information and communications technology (ICT) work has been emphasised, but at the cost of exploring the full range of workplaces and multi-locational working observed in urban areas. This article develops a new classificatory system to analyse the spatiotemporal patterns of work in European cities using the 2015 6th European Working Conditions Survey. We identify 12 distinct spatiotemporal work patterns of full-time workers and investigate gender differences across these patterns against the backdrop of occupation, industrial sector, employment status, household composition and ICT use. Findings show that women are far more likely to be restricted to only working at the employer/business premises while men have more varied and complex spatiotemporal patterns of work. Multi-locational working rather than working at one workplace is a largely male phenomenon. Working exclusively at home is still a rarity, but combinations with employer premises and other workplaces are more common. We conclude that workplace research has been blinkered by narrow concerns of advances in mobile technologies and has been blind to the pervasive effects of spatiotemporal divisions in the working lives of men and women. The methodological and theoretical implications of this new perspective on workplaces for urban development and research are discussed.
Rhetoric and Cape Town’s Campaign to Defeat Day Zero
Authors: Walwema Josephine
Published: February 2020

This article examines a targeted drought awareness campaign by the city of Cape Town in South Africa to prevent a looming water crisis dubbed Day Zero. Using rhetorical criticism and commonplaces, the article analyzes the design and (rhetorical)circulation of artifacts that heightened public awareness of the crisis, helped shape the public mindset, and galvanized collective action to prevent Day Zero. For one city in Africa to avert a water crisis through a rhetorically orchestrated set of technological, scientific, and civic interventions is significant for (among others) technical communicators who need to know not simply that it was done, but how rhetoric helped avert Day Zero.
Pituitary macroadenoma secondary to Hashimoto’s thyroiditis: inadvertent diagnosis in a pre-pubertal girl
Authors: Bhattacharya Deepanjan , Kumar Rakesh , Yadav Jaivinder
Published: February 2020

Pituitary hyperplasia as a result of autoimmune thyroiditis has been rarely reported in children. We report a prepubertal girl with Hashimoto’s thyroiditis who was inadvertently diagnosed to have a pituitary macroadenoma based on neuroimaging.
Abstractions are good for brains and machines: A commentary on Ambridge (2020)
Authors: Schuler Kathryn D. , Kodner Jordan , Caplan Spencer
Published: February 2020

In ‘Against Stored Abstractions,’ Ambridge uses neural and computational evidence to make his case against abstract representations. He argues that storing only exemplars is more parsimonious – why bother with abstraction when exemplar models with on-the-fly calculation can do everything abstracting models can and more – and implies that his view is well supported by neuroscience and computer science. We argue that there is substantial neural, experimental, and computational evidence to the contrary: while both brains and machines can store exemplars, forming categories and storing abstractions is a fundamental part of what they do.
Characterization and formation mechanism of the basin-marginal deltas in the Paleogene Qiongdongnan Basin, Northwestern South China Sea
Authors: Song Guangzeng , Zhang Gongcheng , Li Zengxue , Wang Dongdong , Xu Meng
Published: February 2020

In this study, based on seismic profiles, complemented with boreholes and well logs, two types of deltas are recognized in the Paleogene Qiongdongnan Basin, namely fan deltas and braided river deltas, and their temporal–spatial evolution characteristics and associated controlling factors are studied. The results show the following: (1) The base-level cycle and episodic rifting lead that the characteristics of the basin-marginal deltas vary among different system tracts, third-order sequences, and second-order sequences or rifting stages, i.e. the temporal evolution of the basin-marginal deltas. Among the different system tracts in each third-order sequences, the deltas in the lowstand system tracts are vertically thick with small horizontal extension, while those in the transgressive system tracts present retrogradation with limited vertical thickness and horizontal extension, and those in the highstand system tracts turn to present large extension and develop toplap points. Among the different third-order sequences in each rifting stage, the extension of the deltas presents a pattern “small-medium-large” from bottom to top. Among different rifting stages, the deltas also exhibit different characteristics in terms of extension and thickness, and even the type may change. (2) The paleogeomorphology controls the characteristics of the deltas in lateral space, which is mainly reflected by the fact that the gradient of the paleogeomorphology influences the scale and type of the deltas. This study will enhance our understanding of the relative influence of the controlling factors exerted on fan or braided river deltas, and aid in the exploration of the coal-measure source rocks in the Qiongdongnan Basin, which is a typical basin lacking boreholes, located in the South China Sea.
Thinking Through Secrets: Rethinking the Role of Thought Suppression in Secrecy
Authors: Slepian Michael L. , Greenaway Katharine H. , Masicampo E. J.
Published: February 2020

Having secrets on the mind is associated with lower well-being, and a common view of secrets is that people work to suppress and avoid them—but might people actually want to think about their secrets? Four studies examining more than 11,000 real-world secrets found that the answer depends on the importance of the secret: People generally seek to engage with thoughts of significant secrets and seek to suppress thoughts of trivial secrets. Inconsistent with an ironic process account, adopting the strategy to suppress thoughts of a secret was not related to a tendency to think about the secret. Instead, adopting the strategy to engage with thoughts of a secret was related the tendency to think about the secret. Moreover, the temporal focus of one’s thoughts moderated the relationship between mind-wandering to the secret and well-being, with a focus on the past exacerbating a harmful link. These results suggest that people do not universally seek to suppress their secrets; they also seek to engage with them, although not always effectively.
The challenges of viewpoint-taking when learning a sign language: Data from the ‘frog story’ in British Sign Language
Authors: Gulamani Sannah , Marshall Chloë , Morgan Gary
Published: February 2020

Little is known about how hearing adults learn sign languages. Our objective in this study was to investigate how learners of British Sign Language (BSL) produce narratives, and we focused in particular on viewpoint-taking. Twenty-three intermediate-level learners of BSL and 10 deaf native/early signers produced a narrative in BSL using the wordless picture book Frog, where are you? (Mayer, 1969). We selected specific episodes from part of the book that provided rich opportunities for shifting between different characters and taking on different viewpoints. We coded for details of story content, the frequency with which different viewpoints were used and how long those viewpoints were used for, and the numbers of articulators that were used simultaneously. We found that even though learners’ and deaf signers’ narratives did not differ in overall duration, learners’ narratives had less content. Learners used character viewpoint less frequently than deaf signers. Although learners spent just as long as deaf signers in character viewpoint, they spent longer than deaf signers in observer viewpoint. Together, these findings suggest that character viewpoint was harder than observer viewpoint for learners. Furthermore, learners were less skilled than deaf signers in using multiple articulators simultaneously. We conclude that challenges for learners of sign include taking character viewpoint when narrating a story and encoding information across multiple articulators simultaneously.
Standards and SSOs in the contested widening and deepening of financial markets: The arrival of Green Municipal Bonds in Mexico City
Authors: Hilbrandt Hanna , Grubbauer Monika
Published: February 2020

Particularly since the financial crisis of 2008, much has been written about the growing influence of finance in the development of cities in the global North. Today, financial markets also appear to be expanding southwards. A small but growing number of existing studies on the financialization of Southern cities helpfully explore how international investment changes urban development locally. Yet, they say less about the actors, procedures, and hurdles through which global market expansion is forged and expanded in the first place. In this paper, we examine the role of standards and standards-setting organizations in fostering market expansion and financial deepening. In particular, we highlight the efforts of standards-setting organizations in implementing a novel financial tool, green municipal bonds. Green municipal bonds are debt instruments that allow cities to raise capital through the issuance of bonds exclusively for investment in projects certified as sustainable. First employed by European, Canadian, and US cities, the paper traces the processes that led up to the issuance of these bonds in Mexico City, one of the first municipalities in the so-called ‘emerging markets’ to issue green municipal bonds. Our findings indicate that standards barely impacted project implementation; nevertheless, with the political efforts of standards-setting organizations, standards worked as vehicles through which infrastructures of markets, knowledge, and political support were built, legitimized, and secured. While these processes widened and deepened financialization, they also encountered challenges in terms of the long-term stabilization of these infrastructures and the upkeep of political support.
Burnout syndrome and its association with anxiety and fear of medical errors among intensive care unit physicians: A cross-sectional study
Authors: Voultsos Polychronis , Koungali Maria , Psaroulis Konstantinos , Boutou Afroditi K
Published: February 2020

Burnout is a work-specific syndrome with high incidence among intensive care unit personnel. Although several risk factors have been proposed, data regarding the association of anxiety and burnout among intensive care unit physicians are scarce. The aim of this study is to investigate the incidence of burnout and its association with state and trait anxiety and other sociodemographic, behavioural and occupational-related parameters, among intensivists. A population of intensive care physicians was evaluated using the self-completed Maslach Burnout Inventory and the State-Trait Anxiety Inventory Form Y, and data regarding sociodemographic and occupational-related variables were also recorded. From the 98 intensive care physicians addressed, 80 returned fully completed questionnaires; 26.9% of them presented with high emotional exhaustion, 37.5% with high depersonalisation and 41.5% with low personal accomplishment scores. Trait anxiety, fear of having committed a medical error and self-reporting difficulty when having to act accurately were independently associated with high burnout. In conclusion, burnout is common among intensivists and is associated with specific behavioural characteristics and personality traits, but not with work-related factors.
Modeling Back-of-Queue Uncertainty at Signalized Intersections
Authors: Lan Chang-Jen
Published: February 2020

The queue percentile formulation adopted in the 2010 Highway Capacity Manual (HCM) is empirically based. It contains an overly simplified functional form and parameters such that the accuracy of the back-of-queue percentile estimates is compromised. In view of this, the author applies the Delta method to derive the uncertainty formulation of back-of-queue through the first-order Taylor expansion approximation, assuming that the source of uncertainty comes from arrival flow, saturation flow and, for actuated controller, green time variability from vehicle actuation. As multiplication of the independent, positive random variables results in a lognormal distributed outcome, the back-of-queue percentile is quantified as a lognormal predictive interval function. The simulation study shows that the proposed back-of-queue predictive interval is much more accurate than the HCM counterpart in most of the cases evaluated based on the Kolmogorov–Smirnov goodness-of-fit test. The proposed formulations can be used to quantify the back-of-queue predictive interval for both pre-timed and actuated control, whereas HCM is indifferent to the type of control. As expected, the variability of back-of-queue from the actuated control is less than the pre-timed control in unsaturated condition. The predictive interval profiles become identical when the degree of saturation approaches to unity and maxes out the green time.
A Review of the Applications of Dual-Energy CT in Acute Neuroimaging
Authors: Gibney Brian , Redmond Ciaran E. , Byrne Danielle , Mathur Shobhit , Murray Nicolas
Published: February 2020

Dual-energy computed tomography (CT) is a promising tool with increasing availability and multiple emerging and established clinical applications in neuroradiology. With its ability to allow characterization of materials based on their differential attenuation when imaged at two different energy levels, dual-energy CT can help identify the composition of brain, neck, and spinal components. Virtual monoenergetic imaging allows a range of simulated single energy-level reconstructions to be created with postprocessing. Low-energy reconstructions can aid identification of edema, ischemia, and subtle lesions due to increased soft tissue contrast as well as increasing contrast-to-noise ratios on angiographic imaging. Higher energy reconstructions can reduce image artifact from dental amalgam, aneurysm clips and coils, spinal hardware, dense contrast, and dense bones. Differentiating iodine from hemorrhage may help guide management of patients after thrombectomy and aid diagnosis of enhancing tumors within parenchymal hemorrhages. Iodine quantification may predict hematoma expansion in aneurysmal bleeds and outcomes in traumatic brain injury. Calcium and bone subtraction can be used to distinguish hemorrhage from brain parenchymal mineralization as well as improving visualization of extra-axial lesions and vessels adjacent to dense plaque or skull. This article reviews the basics of dual-energy CT and highlights many of its clinical applications in the evaluation of acute neurological presentations.
When AI Ethics Goes Astray: A Case Study of Autonomous Vehicles
Authors: Etienne Hubert
Published: February 2020

This article discusses the dangers of the Moral Machine (MM) experiment, alerting against both its uses for normative ends and the whole approach it is built upon to address ethical issues. It explores additional methodological limits of the experiment on top of those already identified by its authors; exhibits the dangers of computational moral systems for modern democracies, such as the “voting-based system” recently developed out of the MM’s data; and provides reasons why ethical decision-making fundamentally excludes computational social choice methods.
Book review: Sahgal Smita, Niyoga: Alternative Mechanism to Lineage Perpetuation in Early India: A Socio-Historical Enquiry
Authors: Shah Shalini
Published: February 2020

Sahgal Smita, Niyoga: Alternative Mechanism to Lineage Perpetuation in Early India: A Socio-Historical Enquiry. Delhi: Primus Books-ICHR, 2017, 242 pages, ₹995. ISBN: 978-93-84082-85-7.
Book review: Ruby Lal, Empress: The Astonishing Reign of Nur Jahan
Authors: Bano Shadab
Published: February 2020

Ruby Lal, Empress: The Astonishing Reign of Nur Jahan. Gurgaon: Penguin Random House, 2018, 308 pages, ₹599. ISBN: 9780670090624.
Couples Who Disobeyed the Caste-Like Marital Prohibitions in Israel
Authors: Bokek-Cohen Ya’arit
Published: February 2020

This article uses a feminist human rights approach and focusses on one of the most painful experiences in intimate relationships, unveiling a hitherto unexplored type of human rights infringement for divorced women, namely the right to establish a family in Israel, purported to be a democratic state. This phenomenon is based on religious marriage rules and prohibitions that include, inter alia, the classification of Jews into 10 hierarchical pedigrees, which are partially equivalent to Indian castes. Owing to this caste-like classification, thousands of couples are proscribed from marrying each other every year in Israel. This article focusses on couples that disobeyed the prohibitions on couples consisting of male Cohanim (descendants of Jewish priests) and divorced women, as one type of forbidden marriage. Four themes emerged from data analysis of narratives of 26 interviewees, which converge to a common motif of the liminality of Cohen-divorcee couples. The article argues that this liminality undermines the basic rationale of the prevailing millet (personal law) system and discusses the implications of this liminality for women’s human rights and religion-state relations.
Metropolitan Feminisms of Middle-Class India: Multiple Sites, Conflicted Voices
Authors: Nair Sharada
Published: February 2020

Across Indian metropolises, large demonstrations protesting violence against women have become very frequent, marking the present as a significant moment for feminism. I use the term feminism metonymically, to signify the force activated in the name of justice, when women foreground their gender identity. This clarification is prompted by the resistance to these terms seen as Western, culturally different from the milieu here constituted by an active meld of economic and socio-political features. However, in the immense heterogeneity of the cities, markers such as region, caste, religion, etc, get marginalized, though definitely not erased.

Impediments to any neat, progressive reading of the public assertions are many. Gender gets displaced when other contexts, which have produced us as women through differentiations, come into play unexpectedly. Breaking the hegemony of cultural imaginaries remains a work in process.
Are Major US Trading Partners’ Exports and Imports Cointegrated? Evidence from Bootstrap ARDL
Authors: Goh Soo Khoon , Tang Tuck Cheong , Sam Chung Yan
Published: February 2020

A study by McNown, Sam, and Goh [2018, Applied Economics, 50(13), 1509–1521] has shown that the autoregressive distributed lag (ARDL) bounds test proposed by Pesaran, Shin, and Smith [2001, Journal of Applied Econometrics, 16(3), 289–326] may draw incorrect conclusions on the status of the cointegration test, if the ARDL bounds test is not implemented correctly. We assess the long-run relationship between US exports and imports as well as between its eight major trading partners (Brazil, Canada, China, France, Germany, Japan, Mexico, and the United Kingdom) by applying the newly developed bootstrap ARDL test by McNown et al. (2018). The results show cointegration if exports are used as the dependent variable, but not when imports are being considered as the dependent variable. This suggests that the cointegration result is sensitive to the choice of the dependent variable. We have similar findings when we examine the US and its major trading partners. No long-run relationship exists between exports and imports in the case of the US, which concurs with the finding of Fountas and Wu [1999, International Economic Journal, 13(3), 51–58]. The results also suggest that the US attempts to reduce its bilateral imbalances through targeted trade policies may not be appropriate.

JEL Classification: F14, C22
Developing a Model of Video Game Play: Motivations, Satisfactions, and Continuance Intentions
Authors: Patzer Brady , Chaparro Barbara , Keebler Joseph R.
Published: February 2020

Background. As video game usage continues to rise, it is important to understand why people choose and continue playing a game.

Purpose. This research presents a theoretical framework to explore the relationships between gameplay motivations, satisfaction, continuance intention and gameplay.

Methods. To examine these relationships, survey data was collected from 353 participants who played different types of online games, including League of Legends, World of Warcraft, Overwatch, and Hearthstone, for at least 10 hours in the past three months. A series of structural equation models were tested to identify the model with the best validity and fit. All constructs were from previously validated measures. Motivations were measured by the Trojan Player Typology, which assessed story-driven, completionist, competitor, escapist, smarty-pants, and socializer motives. Satisfaction was measured using the game user experience satisfaction scale (GUESS), which assessed satisfaction with usability/playability, narratives, play engrossment, enjoyment, creative freedom, audio aesthetic, personal gratification, social connectivity, and visual aesthetics. Continuance intention was measured using a 4-item scale.

Results. The final model suggested that motivations were positively related to satisfaction, while satisfaction was positively related to continuance intention and weekly play time. Motivations accounted for 20% of the variance in satisfaction, and the story-driven motivation was the strongest predictor. Further, satisfaction accounted for 47% of the variance in continuance intention and 8% of the variance in weekly play time.

Conclusion. Individual differences in gameplay motivation are an important component of a player’s satisfaction. Further, satisfaction appears to be central to a player’s intention to continue using a game.
Health Beliefs About UV and Skin Cancer Risk Behaviors
Authors: Julian Anne , Thorburn Sheryl , Geldhof G. John
Published: February 2020

Our purpose was to examine the beliefs of college students about UV exposure and sunscreen use and their associations with skin cancer risk and protective behaviors in a cloudy climate. The sample was online survey participants (N = 334) recruited from a large university in Oregon. After fitting an initial measurement model, we fit a structural equation model including Health Beliefs About UV (HBAU) subscales ( Health Benefits of Tanning, Seasonal Effects, Tanning Through the Winter, and Sunscreen Toxicity), outcome variables (sunscreen use, indoor tanning, and outdoor tanning), and covariates (eg, tanning and sunscreen use). A minority of participants held the beliefs represented by 3 HBAU subscales, but beliefs about negative health effects of the local weather ( Tanning Through the Winter) were common. The measurement and adjusted models provided good fit to the data (χ2 = 143.30; P = .29; df = 136; Root-Mean Square Error of Approximation = .014; Comparative Fit Index = .992; Tucker-Lewis Index = .981). After adjusting for covariates, Sunscreen Toxicity predicted reduced sunscreen use (β = −.12, P = .021), Health Benefits of Tanning predicted outdoor tanning (β = .43, P < .001), and Tanning Through the Winter predicted indoor tanning (β = .31, P = .02). The small sample size, nonresponse rate, and cross-sectional nature of this study mean these findings should be interpreted cautiously. Beliefs about health benefits of sun exposure, the regional weather, and sunscreen safety play a role in skin cancer risk and protective behaviors.
Endosialin (TEM1) as a Diagnostic, Progression, and Prognostic Serum Marker for Patients With Colorectal Cancer—A Preliminary Study
Authors: Pietrzyk Łukasz , Wdowiak Paulina
Published: February 2020

Colorectal cancer (CRC) is one of the most common cancers worldwide usually diagnosed in the advanced stage. In this study, the serum concentration of tumor endothelial marker 1 (TEM1) was measured and correlated with clinicopathological features to evaluate whether TEM1 might serve as a biomarker for early CRC diagnosis, progression, and prognosis. The concentration of TEM1 was measured in the serum samples of 45 patients with CRC and 35 healthy individuals using enzyme-linked immunosorbent assay test. The mean serum concentration of TEM1 was significantly higher in the patients with CRC compared to the healthy individuals (1.31 ± 0.16 vs 0.92 ± 0.90 ng/mL; P < .001). The mean concentration of TEM1 significantly increased in the patients having CRC with early stage (stage I + II) compared to noncancer control individuals (stage I + II vs control 1.21 ± 0.13 ng/mL: 0.92 ± 0.90 ng/mL; P < .001). The TEM1 concentration in blood serum also showed a significant association with the development of T stages ( P < .001), N stages ( P < .001), and M stages ( P = .006). The TEM1 sensitivity and specificity in CRC detection are higher than routinely used blood markers (carcinoembryonic antigen [CEA] and carbohydrate antigen [Ca 19-9]). Patients with high TEM1 concentration (≥1.055 ng/mL) had a worse overall survival rate compared to the patients having CRC with low TEM1 concentration (<1.055 ng/mL). In conclusion, TEM1 can act as a potential diagnostic, progression, and prognostic serum biomarker for patients with CRC; TEM1 might be a good supplement for commonly used markers CEA and Ca 19-9.
The Legacy Effect in Treating Hypercholesterolemia
Authors: Kostis John B. , Shetty Mrinali , Chowdhury Yuvraj Singh , Kostis William J.
Published: February 2020

Background:

The duration of randomized controlled clinical trials usually is approximately 3 to 5 years although hypercholesterolemia and other risk factors for atherosclerotic cardiovascular disease (ASCVD) are lifelong conditions.

Objectives:

The legacy effect, defined as the persistence of benefit of pharmacologic interventions in clinical trials after the end of the randomized phase when all participants receive active therapy, is used to examine the long-term benefit. We summarize the evidence for the existence of the legacy effect as it pertains to hypercholesterolemia, describe underlying mechanisms, and discuss its relevance to clinical practice.

Methods:

We examined all published (n = 13) randomized clinical trials of lipid-lowering agents compared to placebo or usual care with follow-up after the randomized phase for the presence or absence of a legacy effect.

Results:

A legacy effect was demonstrated in all studies. The current US and European guidelines recommend treatment with high-intensity statins for patients with manifest ASCVD and that individualized approach be used for primary prevention.

Conclusion:

The legacy effect results in significant long-term clinical benefits by preventing fatal and nonfatal events. This implies that early therapy would result in lower event rates. Long-term follow-up should be a part of clinical trial design in order to evaluate the presence or absence of a legacy effect.
Ultrasound-guided tip location of midline catheters
Authors: Elli Stefano , Pittiruti Mauro , Pigozzo Valentina , Cannizzo Luigi , Giannini Luciano , Siligato Andrea , Rondelli Egle , Foti Giuseppe , Lucchini Alberto
Published: February 2020

Introduction:

Midline catheters are widely used in clinical practice. Proper placement of midline catheter tip is usually assessed only by aspirating blood and flushing with normal saline without resistance.

Purpose:

To describe the ultrasound-guided tip location for midline catheters and its feasibility and to compare incidence of catheter-related venous thrombosis associated with or without ultrasound tip localization.

Methods:

The ultrasound-guided tip location is described step by step. Feasibility of the technique and incidence of catheter-related venous thrombosis were measured (study group) and compared with two historical groups: study group, 20-cm midline catheters inserted with ultrasound-guided tip location; group 1, 25-cm midline catheters inserted without ultrasound-guided tip location and group 2, 20-cm midline catheters inserted without ultrasound-guided tip location.

Results:

In the study group, ultrasound-guided tip location was easily feasible in 98.9% of patients. Incidence of catheter-related venous thrombosis was 2.42% in control group 1, 9% in control group 2 and 2.62% in the study group.

Discussion:

In the study group and control group 1, the tip was placed in the axillary vein, about 3 cm distal to the clavicle and in the subclavian vein. In control group 2, the tip was probably located at the transition between the axillary and the subclavian vein. It is possible that such position may have been associated with an increased incidence of catheter-related venous thrombosis.

Conclusion:

The ideal position of the tip of a midline catheter might be inside the axillary vein, about 3 cm distal to the axillary-subclavian transition or inside the subclavian vein. Ultrasound-guided tip location is safe, inexpensive, easy and potentially useful during midline catheters insertion.
Predictors of Home Care Costs Among Persons With Dementia, Amyotrophic Lateral Sclerosis, and Multiple Sclerosis in Ontario
Authors: Cheng Clare , Hirdes John P , Heckman George , Poss Jeff
Published: February 2020

Home care is an important service for persons with neurological conditions, but little is known about factors affecting health care costs in this setting. Using administrative data collected with the Resident Assessment Instrument for Home Care (RAI-HC), this study identified factors associated with home care costs for recipients of home care services with Alzheimer disease or related dementias, multiple sclerosis, and/or amyotrophic lateral sclerosis. As part of this study, the effectiveness of the Resource Utilization Groups for Home Care (RUG-III/HC), a case-mix classification system developed for the RAI-HC, in predicting care costs for this population, was also tested. Clinical characteristics indicative of greater disease severity had high levels of significance in predicting home care costs. In particular, the RUG-III/HC was highly predictive of home care costs for 3 neurological conditions, indicating the validity of this case-mix system for this population. With the increasing prevalence of neurological conditions and demand for home care services, future studies should continue to focus on identifying specific predictors care costs for those with neurological conditions in this care setting.
Diagnosis of autism in adulthood: A scoping review
Authors: Huang Yunhe , Arnold Samuel RC , Foley Kitty-Rose , Trollor Julian N
Published: February 2020

More adults are undergoing autism assessment due to recent changes in awareness, diagnostic criteria and professional practices. This scoping review aimed to summarise research on autism diagnosis in adulthood and identify any gaps for future study. The authors searched for studies involving first-time assessment and diagnosis of autism in adults, which identified 82 studies from 13 countries using various methodologies. Six themes of (1) prevalence, (2) diagnostic pathways and processes, (3) gender, (4) psychosocial characteristics, (5) co-occurring conditions and (6) experiences of diagnosis were identified across the studies. Findings suggest that receiving an autism diagnosis has a significant emotional impact on adults, but accessibility and processes are inconsistent, and formal support services are lacking. More research is needed on autism diagnosis in adults with intellectual disability, consequences of the timing of diagnosis, and support after diagnosis.

Lay abstract

More adults are getting assessed for possible autism. Here, we give an overview on what is already known about autism diagnosis in adulthood and find areas that need more research. We divided results from the studies we found into six topics of (1) rates of autism in different groups; (2) the process of getting an autism diagnosis in adulthood; (3) gender; (4) personality traits, abilities and behaviours of diagnosed adults; (5) mental and physical health conditions that occur together with autism; and (6) how adults think and feel about being assessed and diagnosed. We found that adults often have strong emotions after being diagnosed, the process of getting a diagnosis can be unclear and different for everyone, and not many support services are available for adults. More research on diagnosing adults with intellectual disability, differences between early and late-diagnosed adults, and support after diagnosis would be useful.
Teachers’ engagement within educational policies and decisions improves classroom practice: The case of Iranian ELT school teachers
Authors: Tohidian Iman , Nodooshan Saeed Ghiasi
Published: February 2020

Teachers and students are the main stakeholders of educational policies in the states; hence, the higher order policies, rules, and regulations must be in alignment with their rights, values, ideologies, needs, competencies, and peculiarities of each region and district. In such a case, the classroom practice will be improved and more promising outputs will be obtained. Iranian previous language programs failed to enhance students’ communicative competence and linguistic needs to survive at the international level; hence, an educational reform occurred to change the language curricula and English textbooks. A total of 86 Iranian English language teaching (ELT) teachers were selected through snowball sampling to find their role in the recent REFORM in Iranian ELT curricula and policies. Analysis of oral interviews and online focus groups data was conducted through Strauss and Corbin’s constant comparative method and illuminated the status quo of reform and policies, the marginalization of teachers as the sole implementers in language classrooms, and suggestions for teachers’ involvement in educational policies. These findings stress that a change within higher education policy makers’ attitude toward engagement of teachers within educational policy and decision-makings improves the classroom outputs.
Everyone should get the same, but we should get more: Group entitlement and intergroup moral double standard
Authors: Endevelt Kinneret , Schori-Eyal Noa , Halperin Eran
Published: February 2020

Double standard—that is, employing a separate set of norms according to the actor’s and observer’s identity—is common in various contexts, but has not been given much empirical attention in the context of violent conflicts. We introduce group entitlement as a predictor of moral double standard in intergroup conflict. Three studies were conducted to test our research hypothesis. In Study 1, (Jewish Israelis) group entitlement predicted more lenient punishment for ingroup transgressors compared with unspecified outgroup transgressors. In Study 2, (Jewish Israelis) group entitlement predicted lower support for basic human rights for outgroup members compared with ingroup members. Study 3 replicated the results of Study 2 in the context of White Americans and African Americans, and showed that when presented with false feedback indicating substantial double standard among White Americans, high-group-entitlement participants experienced lower levels of moral emotions regarding the purported gap and were less willing to amend their responses compared with low-group-entitlement respondents. Implications of group entitlement in various contexts, its relation to existing constructs, and potential implications are discussed.
Objectivity and falsehood: Assessing measures of positional influence with members of David Cameron’s cabinets
Authors: Allen Nicholas , Siklodi Nora
Published: February 2020

This paper analyses the distribution of power among ministers during David Cameron’s premiership. More specifically, it reports both the application of Dunleavy’s measures of positional influence to successive lists of cabinet committees and our efforts to validate them by drawing on insider feedback. It charts how the cabinet-committee system changed between 2010 and 2016, and interprets successive rankings of ministerial influence. It further investigates the nature of power in Cameron’s governments by engaging with a number of former ministers’ responses to our measures. Those we spoke to were generally sceptical of the importance of cabinet committees and especially of our attempts to derive measures of ministerial influence from them. Overall, our findings emphasise the dangers of attributing too much importance to formal structures and instead draw attention to how contemporary core-executive politics are shaped by informal networks and structures.
Obtaining individual narratives and moving to an intersubjective lived-experience description: a way of doing phenomenology
Authors: Ranse Jamie , Arbon Paul , Cusack Lynette , Shaban Ramon Z , Nicholls Daniel
Published: February 2020

In this paper, the authors describe a way of doing phenomenology using exemplars drawn from a doctoral study of Australian nurses’ lived experiences following a disaster. Phenomenology is concerned with the essence of things as they are appearing in the conscious awareness of the first person. This paper emphasises a way of doing phenomenology based on maintaining orientation to the uniqueness of the ‘thingness’ of the phenomena being uncovered. While there is no one way to do phenomenology, this paper shows a way of doing phenomenology from obtaining individual narrative and moving to an intersubjective lived-experience description.