bluuebunny/crossref_metadata_2025 huggingface dataset:
Emerging New Psychiatric Symptoms and the Worsening of Pre-existing Mental Disorders during the COVID-19 Pandemic: A Canadian Multisite Study: Nouveaux symptômes psychiatriques émergents et détérioration des troubles mentaux préexistants durant la pandémie de la COVID-19: une étude canadienne multisite
Authors: Robillard Rebecca , Daros Alexander R. , Phillips Jennifer L. , Porteous Meggan , Saad Mysa , Pennestri Marie-Helene , Kendzerska Tetyana , Edwards Jodi D. , Solomonova Elizaveta , Bhatla Rajiv , Godbout Roger , Kaminsky Zachary , Boafo Addo , Quilty Lena C.
Published: January 2021

Background:

The coronavirus disease 2019 (COVID-19) pandemic has caused global disruptions with serious psychological impacts. This study investigated the emergence of new psychiatric symptoms and the worsening of pre-existing mental disorders during the COVID-19 pandemic, identified factors associated with psychological worsening, and assessed changes in mental health service use.

Methods:

An online survey was circulated between April 3 and June 23, 2020. Respondents were asked to complete mental health questionnaires based on 2 time referents: currently (i.e., during the outbreak) and in the month preceding the outbreak. A total of 4,294 Canadians between 16 and 99 years of age were subdivided based on the presence of self-reported psychiatric diagnoses.

Results:

The proportion of respondents without prior psychiatric history who screened positive for generalized anxiety disorder and depression increased by 12% and 29%, respectively, during the outbreak. Occurrences of clinically important worsening in anxiety, depression, and suicidal ideation symptoms relative to pre-outbreak estimates were significantly higher in those with psychiatric diagnoses. Furthermore, 15% to 19% of respondents reported increased alcohol or cannabis use. Worse psychological changes relative to pre-outbreak estimate were associated with female sex, younger age, lower income, poorer coping skills, multiple psychiatric comorbidities, previous trauma exposure, deteriorating physical health, poorer family relationships, and lower exercising. Reductions in mental health care were associated with increased suicidal ideation.

Conclusion:

The worsening in mental health symptoms and the decline in access to care call for the urgent development of adapted interventions targeting both new mental disorders and pre-existing psychiatric conditions affected by the COVID-19 pandemic.
Preparing for Implementation Within Therapy Services for People With Dementia: Exploring Expectations and Experiences Among Service Providers
Authors: Culph Jennifer , Clemson Lindy , Jeon Yun-Hee , Scanlan Justin , Laver Kate
Published: January 2021

Background:

This study examined how occupational therapists, nurses, and their managers within different organizational contexts in the Australian health and aged care system prepare for implementation. The program being implemented was the Care of People with dementia in their Environment (COPE) program, a community reablement program for people with dementia and their carers.

Methods:

Qualitative data from 29 in-depth interviews were collected from occupational therapists, nurses, and their managers. Recruitment ensured a variety of organizational contexts were included. Thematic analysis was used to capture key themes.

Results:

Themes include innovation in a time of instability and uncertainty, values that align with the innovation, shifting the day-to-day practice, and confidence in new specialized skills.

Conclusion:

Organizations need to carefully consider internal and external contexts when planning implementation efforts. Study findings have informed plans for embedding delivery of the program within the health and aged care sector.
Spatiotemporal evolution law and output prediction of construction waste in the People’s Republic of China
Authors: Zhao Likun , Liu Yanqi , Tian Junsen
Published: January 2021

Based on the relevant data of construction waste (CW) in the People’s Republic of China (PRC) from 2010 to 2018, this study applied K-means clustering algorithm and grey prediction methods to systematically investigate the spatiotemporal characteristic distribution and provincial clustering of CW in the PRC, and predicted the annual output of CW in the next five years from the scientific perspective. Results showed that the annual output of CW in the PRC displayed an overall trend of “rising first and then falling” and “being high in the middle east and low in the northwest,” and the areas with obvious agglomeration gradually spread from the west to the middle and eastern regions. The law of development was consistent with the goals of the Chinese government to promulgate urban agglomeration development policies, prefabricated building encouragement policies, and CW management regulations. In the next five years, the annual output of CW in the PRC will increase by a small margin. Thus, all aspects of CW resource management should be conducted in a planned and step-by-step manner.
Diagnostic Neuroradiology Subspecialty Training: 1 Versus 2 Years; the Canadian Perspective
Authors: Maralani Pejman Jabehdar , Shewchuk Jason R. , Joshi Manish , Ribeiro Luciana , Carpio-O’Donovan Raquel del , Landry David , Sharma Manas , Zakhari Nader , Symons Sean , Morrish William , Schmidt Matthias
Published: January 2021

Background:

Canada began a national reform of its post-graduate medical education training programs to a Competence By Design (CBD) model. Trends from accredited neuroradiology programs from the past 10 years were investigated to inform educators and stakeholders for this process.

Methods:

A 13-question electronic survey was sent to program directors of all 8 accredited neuroradiology training programs in Canada. Data was requested for each year on the 2008-2019 graduating classes. Questions pertained to program enrolment; program completion; post-training employment; and the sufficiency of 1-year training programs.

Results:

Response rate was 100%. Over the timeframe studied, the 2-year programs increased in size ( P = 0.007), while the 1-year programs remained steady ( P = 0.27). 12.2% of trainees enrolled in the 2-year program dropped out after 1 year, and were considered 1-year trainees thereafter. A higher proportion of 2-year trainees obtain positions within academic institutions (89.5 vs 67.2%, P = 0.0007), whereas a higher proportion of 1-year trainees obtain positions within non-academic institutions (29.3 vs 8.1%, P = 0.0007). A higher proportion of those with Canadian board certification in diagnostic radiology who completed a 2-year program obtained a position within a Canadian academic institution compared to non-certified 2-year trainees ( P < 0.001). 71.4% of program directors agreed that a 1-year program was sufficient for non-academic staff positions.

Conclusion:

The length of the training program has significant impact on employment in academic vs non-academic institutions. This information can be used to guide the upcoming CBD initiative for neuroradiology programs.
The 3-Item “Apathy” Subscale Within the GDS-15 Is Not Supported in De Novo Parkinson’s Disease Patients: Analysis of the PPMI Cohort
Authors: Szymkowicz Sarah M. , Ellis Liam J. , May Pamela E.
Published: January 2021

This study examined individual components of the Geriatric Depression Scale-15 (GDS-15) to determine whether the 3-item Withdrawal-Apathy-Lack of Vigor (WAV) subscale, which has been validated in older adults and advanced Parkinson’s disease (PD), was applicable to newly diagnosed patients with PD. Baseline Parkinson’s Progression Markers Initiative (PPMI) data (n = 345), including GDS-15 and Movement Disorder Society—Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) depression, apathy, and anxiety scores, were examined. Data reduction techniques (i.e., principal components, confirmatory factor analyses) were used. Model fit was poor for the previously identified GDS-15 factor structures. Via principal components analysis, 5 components were identified, none of which reflected the 3-item WAV subscale previously reported in the literature. Internal consistency of the GDS-15 was acceptable, as was the internal consistency for the largest component (labeled “Dysphoria”). All 5 components significantly correlated with the MDS-UPDRS depression, apathy, and anxiety items. Model fit was fair for the “Dysphoria” factor only. Overall, the 3-item WAV factor reported in previous literature was not supported in this sample of de novo PD patients.
Trajectory planning and optimization of the bionic mantis robot front leg
Authors: Chen Zhiyuan , Tu Qunzhang , Zhang Xiangpo , Pan Ming , Jiang Chengming , Huang Hao
Published: January 2021

In this paper, a manipulator of the bionic mantis robot is designed inspired by the anatomical structure of the mantis front leg. A geometrical method is utilized to calculate the forward kinemics. Then, by analyzing the mantis motion video frame by frame, each of the front leg joints angles is measured in crawling and preying motion, which are used as interpolation conditions to solve the planned trajectory for manipulator by cubic spline interpolation. In some circumstance, the planned joint angles may exceed its limitation. By undermining the interpolation conditions, the problem is transformed from solving a cubic spline function to optimization. Finally, particle swarm optimization with variable inertia weight is introduced to optimize the planned trajectory. The result indicates that the trajectory, smoother after optimization could effectively imitate the motion of mantis front leg within the joint rotation range, which lays the basis for further research on the motion control.
Shared control strategy based on trajectory following and driver intention optimization
Authors: Abi Lanie , Jin Dafeng , Xiong Cenbo , Liu Xiaohui , Yu Liangyao
Published: January 2021

During the emergency braking process on the split-[Formula: see text] road, the lateral stability of the vehicle is poor, and the intervention of ABS will cause corresponding lateral disturbance. It is difficult for the driver to control the vehicle accurately. Especially at the end of the braking process, due to the withdrawal of ABS, the increase in braking pressure causes the longitudinal force of the tires on both sides to be inconsistent, which reduces the stability of the vehicle at this time. This paper proposed a shared control strategy to solve the related problems. First, a segmented active steering strategy is used in the driver’s intention optimization algorithm to optimize the driver’s actions in time at the initial stage of the braking process and to optimize the lateral stability of the vehicle by tracking the estimated tire slip angle at the end of the braking process. Then, according to the path envelope based on the driver’s path error neglecting feature and the dynamic state of the vehicle, a flexible control transfer mechanism is established. The trajectory following algorithm based on linear quadratic regulator is used to correct the driver’s intention optimization algorithm according to the flexible control transfer mechanism.
Libraries in lockdown – the experience of Innerpeffray Library, Scotland
Authors: Haggerty Lara
Published: January 2021

Lara Haggerty is Keeper of Books at Scotland’s first free public lending library, the Library of Innerpeffray. A library of national significance, in a very rural location, Innerpeffray is now a museum that relies on volunteers for its day-to-day operation and visitors for income. Lara describes a library in lockdown from a different perspective.
Time constructs: Design ideology and a future internet
Authors: Paris Britt S
Published: January 2021

This article engages the politics of technology as it examines how a discourse of time is framed by engineers and project principals in the course of the development of three future internet architecture projects: named data networking, eXpressive Internet Architecture, and Mobility First. This framing reveals categories of a discourse of time that include articulations of efficiency, speed, time as a technical resource, and notions of the future manifest in each project. The discursive categories fit into a time constructs model that exposes how these projects were built with regard to concepts of speed and how different notions of time are expressed as a design ideology intertwined with other ideologies. This time constructs framework represents a tool that can be used to expose the social and political values of technological development that are often hidden or are difficult to communicate in cross-disciplinary contexts.
Following science on social media: The effects of humor and source likability
Authors: Yeo Sara K. , Cacciatore Michael A. , Su Leona Yi-Fan , McKasy Meaghan , O’Neill Liane
Published: January 2021

Science communicators have been encouraged to use humor in their online engagement efforts. Yet, humor’s effectiveness for engaging people with science remains an open question. We report the results of an experiment designed to elicit varied levels of mirth in respondents, which was positively associated with perceived likability of the communicator and motivation to follow more science on social media. Furthermore, mirth and perceived likability serially mediated the effect of the experimental manipulation on motivation and factual science knowledge served as a moderator. This indicates that, while humor might be an effective means of reaching audiences, downstream effects are likely to vary depending on individuals’ knowledge.
It’s Just Not Cricket!
Authors: Mehmood Fahad , Haroon Omair , Riaz Zainab
Published: January 2021

The world of cricket was stunned by the ‘spot-fixing’ allegations against three Pakistani cricket team players during one of the most important games in the cricket calendar for the nation in the summer of 2010. News of the World, a British tabloid, conducted a sting operation against Pakistani players, trapping them into deliberately bowling no-balls during a match against England, an illegal practice known as spot-fixing. The ‘bookies’ take bets for such events happening during a game, and gamblers can make substantial sums of money if they have foreknowledge. The players were offered payments for these actions to be performed during the game, which may or may not impact the eventual outcome of the game but can entail serious monetary benefits for the bookies and their allies. The discovery of these events raised several questions regarding the governance and ethics of the sport. The ICC and British courts subsequently found the trio guilty of corruption and were banned and imprisoned. This case aims to analyse theories and concepts in ethics using this well-known incident in cricket as the context.
Modeling of the dynamic hysteresis in DEAP actuator using an empirical mode decomposition based long-short term memory network
Authors: Jiang Zhaoguo , Li Yuan , Wang Qinglin
Published: January 2021

As a smart material-based actuator, the dielectric electro-active polymer (DEAP) actuator is widely considered to be a potential driving mechanism for many applications, especially in intelligent bio-inspired robotics. However, the DEAP actuator demonstrates rate-dependent and asymmetrical hysteresis phenomenon which leads to great tracking inaccuracy and even oscillatory response, severely limiting its further development. Feedforward Neural Network (FNN) model has already become a widely used method to describe this kind of strong hysteresis nonlinearity in recent years. However, the FNN has no ability to remember the historical state of long period of time which is also a very important factor to restrict hysteresis phenomenon. In this paper, a novel hybrid model, Long-Short Term Memory (LSTM) network combined with Empirical Mode Decomposition (EMD), is proposed to model the dynamic hysteresis nonlinearity in DEAP actuator. At first, the original control signal sequence is preprocessed into a series of sub-sequence by the EMD method and is reshaped by one-sided dead-zone operator. Then the input space of LSTM is conducted using the original control signal, the sub-sequence, and reshaped signal. Finally, the input space and the displacement signal are applied to train the long-short term memory network. In order to verify the performance of the proposed model, the traditional artificial back propagation neural network (BPNN) model, rate-dependent Prandtl-Ishlinskii (RPI) model, and nonlinear electromechanical (NEM) model are compared from prediction accuracy. The results demonstrate that: (1) the proposed model has a higher prediction accuracy than the traditional artificial BPNN, RPI, and NEM model; and (2) the prediction accuracy of LSTM network is significantly improved by using EMD. Therefore, the long-short term memory network combined with empirical mode decomposition is a competitive method compared to the existing state-of-the-art approach.
Reception Social Services for Migration Families in Italy: Strength, Critical Aspects, and Challenges
Authors: Coppola Ilaria , Rania Nadia , Pinna Laura
Published: January 2021

Purpose:

The objective of this research is to investigate the perception that migrant families and social workers have of their relationship and of the services offered and received in the reception path.

Method:

The qualitative research involved thirty parents with semi-structured family interviews and their twelve reference social workers, with focus group. The collected materials were transcribed verbatim and analysed through the grounded theory, using the NVivo software.

Results:

Results highlighted strengths, critical issues and challenges, some shared between social workers and families, like the sense of mutual trust and the perception of abandonment and loneliness. Others were expressed only by social workers as a greater attention to families, or by families as the possibility of social-health services.

Conclusion:

Many of the practical implications have been discussed such as the supervision of social workers, the widespread hospitality and the development of skills of social workers but also of families for social and work integration.
Atypical Outcomes of Nasal and Lip Appearance After Unilateral Cleft Lip Repair: Judgment by Professionals, Patients, and Laypeople
Authors: Tan Robin A. , Mulder Frans J. , Schwirtz Roderic M. F. , Mosmuller David G. M. , De Vet Henrica C. W. , Griot J. Peter W. Don
Published: January 2021

Objective:

To gain more insight into the assessment of “atypical” nasal and lip appearance outcomes compared to “typical” appearance outcomes after unilateral cleft lip and palate (UCLP) repair, when judged by professionals, patients with repaired UCLP, and laypeople.

Design:

An online survey containing 3 series of photographs with various degrees of “typical” and “atypical” nasal and lip appearance outcomes after UCLP repair was sent to 30 professionals, 30 patients with repaired UCLP, and 50 laypeople in 2 countries. Participants were instructed to rank the photographs from excellent to poor based on overall appearance. Mean rank positions of photographs were analyzed and differences in mean rank score between “typical” and “atypical” results were assessed using a T-test. Agreement of ranking between the 3 groups was assessed with an analysis of variance analysis.

Setting:

Amsterdam UMC, location VUmc, Netherlands and Boston Children’s Hospital, Boston, USA.

Patients:

Photographs of 6- to 18-year-old patients with repaired UCLP.

Results:

“Atypical” appearance outcomes were ranked significantly less favorably (small nostril: P = 0.00; low vermillion border: P = 0.02; whistling deformity: P = 0.00) compared to “typical” outcomes. Difference between professionals, patients and laypeople in rank positioning the photographs was not statistically significant ( P = 0.89).

Conclusions:

Noses with a smaller nostril and lips containing a whistling deformity were perceived as poorer outcome compared to the “typical” results. Professionals, patients, and laypeople are in agreement when assessing these outcomes.
Doing philosophy with a water-lance: art and the future of embodied cognition
Authors: Feiten Tim Elmo , Holland Kristopher , Chemero Anthony
Published: January 2021

We take the approach developed by Rietveld and RAAAF to be a paradigm example of a much-needed development in embodied cognitive science: applying the insights gained into the nature of cognition back to embodied cognition itself, back to the practice of bodily engagements with our sociocultural environments. Rietveld’s work is groundbreaking precisely because it stands almost alone as a prototype of this move: to raise embodiment from a mere content of our theorizing to the practical level of determining the form of our activity, including our scholarly activity. We describe some of our own artistic-scholarly work that follows similar principles.
A self-adaptive landmark-based aggregation method for robot swarms
Authors: Sadeghi Amjadi Arash , Raoufi Mohsen , Turgut Ali Emre
Published: January 2021

Aggregation, a widely observed behavior in social insects, is the gathering of individuals on any location or on a cue. The former being called the self-organized aggregation, and the latter being called the cue-based aggregation. One of the fascinating examples of cue-based aggregation is the thermotactic behavior of young honeybees. Young honeybees aggregate on optimal temperature zones in the hive using a simple set of behaviors. The state-of-the-art cue-based aggregation method BEECLUST was derived based on these behaviors. The BEECLUST method is a very simple, yet a very capable method that has favorable characteristics such as robustness to noise and simplicity to apply. However, the BEECLUST method does not perform well in low robot densities. In this article, inspired by the navigation techniques used by ants and bees, a self-adaptive landmark-based aggregation method is proposed. In this method, robots use landmarks in the environment to locate the cue once they “learn” the relative position of the cue with respect to the landmark. With the introduction of an error threshold parameter, the method also becomes adaptive to changes in the environment. Through systematic experiments in kinematic and realistic simulators with different parameters, robot densities, and cue sizes, it was observed that using the information of the environment makes the proposed method to show better performance than the BEECLUST in all the settings, including low robot density, high noise, and dynamic conditions.
Associations Between Emotion Dysregulation Dimensions and Parenting Behaviors in Trauma-Exposed African American Mothers
Authors: Powers Abigail , Hunnicutt Kallio , Stenson Anais , Jovanovic Tanja , Kaslow Nadine , Bradley Bekh
Published: January 2021

Parenting behavior is key to understanding transmission of intergenerational trauma-related risk. Emotion dysregulation (ED) and psychological symptoms are associated with negative parenting behaviors, although their unique roles remain unclear. The current study examined associations of ED dimensions, depression, PTSD, and substance use with parenting behaviors in African American mothers. Participants included 98 mother-child dyads recruited from an urban hospital setting. Trauma exposure, ED, depression, substance use, and parenting behaviors (overreactivity, laxness, demandingness, warmth, corporal punishment) were assessed using self-report measures. PTSD was assessed using a semi-structured interview. Correlational results showed significant positive associations between ED and dysfunctional parenting behavior ( p < .001), overreactivity ( p < .001), and laxness ( p < .01) and negative associations with warmth ( p < .01). These associations varied across the dimensions of ED examined. Regression analyses were run to examine the unique effects of ED (separate models for overall and specific dimensions) and psychological symptoms; overall ED and its dimensions accounted for significant variance in parental behaviors ( R2 = .10–.24, p’s < .01), while additional model steps including psychological symptoms were not significant except for the association between depression and lower warmth. In efforts to reduce the intergenerational effects of trauma, parenting interventions that include a direct focus on certain dimensions of ED may be critical.
Impacts of Environmental Sustainability Measures on Rural Accommodation
Authors: Sánchez-Ollero José-Luis , García-Pozo Alejandro , Mondéjar-Jiménez José
Published: January 2021

Rural tourism is currently one of the most dynamic segments of tourism demand, and rural accommodation is one of the accommodation choices most in demand. Based on various documentary sources, the goal of this article was to analyse aspects related to the qualitative evolution of this activity that have led to the rapid growth of this type of accommodation. Using a purpose-built database generated from the information obtained from our own survey, which was developed following other studies on this topic, we applied a partial least squares model to analyse the impacts on the environment in terms of the offer and their relationship with environmental management. The results show that the attitude of rural establishment managers has a decisive influence on the behaviour of their clients regarding ecological respect and a positive impact on water and energy consumption.
Incidence of microcytosis in hyperthyroid cats referred for radioiodine treatment
Authors: Gil-Morales Claudia , Costa Marta , Tennant Kathleen , Hibbert Angie
Published: January 2021

Objectives

The study aimed to document the incidence of erythrocyte microcytosis in a population of hyperthyroid cats referred for radioiodine (RAI) treatment. Microcytosis has been observed but not described in feline hyperthyroid patients and is associated with hyperthyroidism in humans.

Methods

Retrospective clinicopathological data were collected for cats undergoing RAI between January and December 2017. Microcytosis was defined as mean cell volume (MCV) <41.3 fl using the ADVIA 2120 haematology analyser (Siemens) and identified on blood smear examination by a haematology laboratory scientist or board-certified specialist in veterinary clinical pathology. Hyperthyroidism was classified as mild (total thyroxine [TT4] 60–124.9 nmol/l), moderate (TT4 125–250 nmol/l) or severe (TT4 ⩾251 nmol/l) immediately before RAI. Data were analysed descriptively and using a Pearson correlation coefficient to test the relationship between TT4 and microcytosis, and time elapsed between first diagnosis and MCV.

Results

There were 41 female and 37 male cats with an age range of 7.2–20.8 years. Most cats were non-pedigree (98.7%). Microcytosis (median MCV 39.8 fl, interquartile range 32.3–41.2) was present in 29.5% (23/78) of the cats. Of the 23 microcytic samples, 86.9% (20/23) were confirmed as such on smear examination. Of mildly, moderately and severely hyperthyroid cats, 23% (6/26), 28.1% (9/32) and 40% (8/20) were microcytic, respectively. Two microcytic cats had low red blood cell counts (<6 × 1012/l) and low haemoglobin concentration (<8.2 g/dl). There was no correlation between TT4 or time elapsed from first diagnosis and MCV. Microcytosis resolved in 77.7% (7/9) of cases with follow-up. One microcytic cat had significant comorbidities (portosystemic shunt).

Conclusions and relevance

Microcytosis was present in a significant proportion of hyperthyroid cats, most without clinically significant comorbidities, and resolved in some following RAI.
Effect of the inlet oil temperature on vibration characteristics of the high-speed turbocharger rotor system
Authors: Zhong Xinli , Huang Yuan , Bin Guangfu , Chen Anhua
Published: January 2021

The inlet oil temperature of the rotor system with high-speed and light-load turbocharger will change during operation, which will change the vibration characteristics of the rotor system and even cause vibration accidents. Taking a certain type of high-speed and light-load turbocharger rotor system as the research object, the changes in oil film viscosity, friction power consumption, oil film temperature rise, and ring speed ratio with the inlet oil temperature of floating ring bearings are analyzed. A dynamic finite-element model of the turbocharger rotor–floating-ring-bearing system is constructed, and the finite-element model is verified through the critical speed and colormap spectrogram. The Newmark integral method is used to analyze the nonlinear transient response of the rotor system, and the influence of the inlet oil temperature on the vibration response characteristics of the rotor system is studied. The results show that an increase in the inlet oil temperature leads to a decrease in the internal and external oil film viscosities, frictional power consumption, temperature rise, and an increase in the ring speed ratio. When the inlet oil temperature increases from 50 °C to 130 °C, the amplitude of the inner oil film oscillation will gradually decrease, but the amplitude of the outer oil film vortex will gradually increase, and the journal speed point where the inner oil film oscillation and the outer oil film vortex will appear about 30% in advance. In summary, the rotor vibration is better when the inlet oil temperature is about 90 °C. The conclusion of this paper can provide a theoretical reference for selecting the operating parameters of the rotor system with the least vibration for high-speed light-load turbochargers.
Patient preferences for telehealth services in a large multispecialty practice
Authors: Ebbert Jon O , Ramar Priya , Tulledge-Scheitel Sidna M , Njeru Jane W , Rosedahl Jordan K , Roellinger Daniel , Philpot Lindsey M
Published: January 2021

Introduction

Telehealth service provision has accelerated during the Coronavirus disease 2019 (COVID-19) pandemic. As the pandemic continues, clinical practices have discovered ways to resume operations. Opportunities exist to understand patient preferences for telehealth clinical services and to tailor offerings to different demographic groups.

Methods

We conducted a survey of patients receiving telehealth services through our outpatient practice to understand the types of healthcare services for which patients report preferences for telehealth.

Results

We received 551 survey responses (response rate = 20.8%; 551/2650). More than half of patients indicated being ‘very likely’ to use telehealth services to refill medication(s) (67.3%), prepare for an upcoming visit (66.1%), review test results (60.3%), or receive education (54.2%). Males had lower odds of preferring telehealth services for reviewing test results (odds ratio (OR) = 0.57; 95% confidence interval (CI): 0.34–0.94) or mental health issues (OR = 0.54; 95% CI: 0.38–0.77). Respondents who received a video visit were significantly more likely than those who received a telephone visit to report preferences for using telehealth for education, care plan discussions, long-term health issues, and mental health.

Discussion

Patient preferences for telehealth services vary by services provided and respondent demographics. Experience with telehealth increases the likelihood for future use of these services.
Protecting America’s borders: Christian nationalism, threat, and attitudes toward immigrants in the United States
Authors: Al-Kire Rosemary , Pasek Michael , Tsang Jo-Ann , Leman Joseph , Rowatt Wade
Published: January 2021

Attitudes toward immigrants and immigration policies are divisive issues in American politics. These attitudes are influenced by factors such as political orientation and religiousness, with religious and conservative individuals demonstrating higher prejudice toward immigrants and refugees, and endorsing stricter immigration policies. Christian nationalism, an ideology marked by the belief that America is a Christian nation, may help explain how religious nationalist identity influences negative attitudes toward immigrants. The current research addresses this through four studies among participants in the US. Across studies, our results showed that Christian nationalism was a significant and consistent predictor of anti-immigrant stereotypes, prejudice, dehumanization, and support for anti-immigrant policies. These effects were robust to inclusion of other sources of anti-immigrant attitudes, including religious fundamentalism, nationalism, and political ideology. Further, perceived threats from immigrants mediated the relationship between Christian nationalism and dehumanization of immigrants, and attitudes toward immigration policies. These findings have implications for our understanding of the relations between religious nationalism and attitudes toward immigrants and immigration policy in the US, as well as in other contexts.
The Power to See: Visualizing Invisible Disabilities in China
Authors: Lin Zhongxuan , Yang Liu
Published: January 2021

Situated in a Chinese context, this study explores how people with disabilities struggle to be re-envisioned in contemporary China. In particular, this visual essay uses the Disabled Women’s Album as a case study to illustrate how the deployment of their visual images can provide a place for disabled women to fight for the power of visibility in a Chinese context, including the right to be seen and the right to look. On one hand, the visual images of the disabled women establishes a realm in which actors, actions and ideas can be viewed, including the right to be seen by the public, as an alternative to the possibility of disappearing in Chinese society, the right to visual self-representation and the right to equal conditions. On the other hand, the fight for people with disabilities to achieve the power to see also increases opportunities for people without disabilities to exercise their right to look, including recognizing the diversity of our society and realizing the existence of more possibilities in life. In this process, images are no longer just a medium by which we communicate our political activities but have also become an end in themselves.
Turkish Version of the Test Your Memory (TYM-TR) as a Screening Tool in Memory Clinics
Authors: Sadeh Reza Naghdi , Farhang Sara , Özkan Serhat , Khamnei Hossein Jabbari , Yenilmez Çınar , Maviş İlknur , Akarsu Ozlem , Adapınar Demet Özbabalık
Published: January 2021

Introduction:

This study compared the Turkish version of Test Your Memory (TYM) MMSE (Mini-Mental State Examination) and CDT (Clock Drawing Test) in patients with neurocognitive disorder.

Methods:

After a thorough medical workup, patients with a diagnosis of neurocognitive disorder were enrolled. A cross-sectional design was used to compare the TYM results with those of MMSE and CDT.

Results:

This study was conducted on 100 patients, including 46 males and 54 females, aged 52 to 86. The majority of patients were diagnosed with vascular neurocognitive disorder. The z-score of TYM-TR was significantly lower in the domains of registration, recall, visuospatial, and total score. The same results were achieved when CDT was added to MMSE. The same pattern was observed separately for those who were diagnosed with a mild or major neurocognitive disorder.

Conclusion:

Patients’ cognitive deficits might be more evident when measured by the TYM-TR compared to the MMSE.
Mönckeberg’s Disease of the Lower Limb
Authors: San Norberto Enrique M. , Revilla Álvaro , Vaquero Carlos
Published: January 2021

Vascular calcification represents a group of several pathological states of differing aetiologies. Mönckeberg medial sclerosis is considered to be more widespread in the lower abdominal region and lower limbs. We present a 59-years-old male patient presented right foot gangrene. At physical exploration, femoral and popliteal pulses were presented and the ankle-brachial pressure index was 0.45, and the toe-brachial index was 0.33. The patient underwent distal angioplasty of anterior and posterior tibial arteries and due to inaccurate evolution a transmetatarsal amputation was required. Mönckeberg’s medial sclerosis is diagnosed with an ABI>1.1, however, questions have been raised about the validity and the role of ABI in diagnosis of Mönckeberg’s medial sclerosis. Colour-doppler vascular ultrasound allow a non-invasive technique widely available to detect vascular calcification and to differentiation between Mönckeberg’s medial sclerosis and the atherosclerosis-related lesions.
Crew performance variability in human error probability quantification: A methodology based on behavioral patterns from simulator data
Authors: Greco Salvatore F , Podofillini Luca , Dang Vinh N
Published: January 2021

Current Human Reliability Analysis models express error probabilities as a function of task types and operational context, without explicitly modelling the influence of different crew behavioral characteristics on the error probability. The influence of such variability is treated only implicitly, by variability and uncertainty distributions with bounds primarily obtained by expert judgment. This paper presents a methodology to empirically incorporate crew performance variability in error probability quantification, from simulator data. Crew behaviors are represented by a set of “behavioral patterns” that emerge in the observation of operating crews (e.g. in information sharing or in adhering to procedural guidance). The paper demonstrates the use of a Bayesian hierarchical model to explicitly capture the performance variability emerging from data. The methodology is applied to a case study from literature. Numerical demonstrations are performed in order to compare the proposed approach to the existing quantification models used in HRA for treating simulator data.
Transcultural memory and literary translation: Mapping the Field (with a case study on Lydie Salvayre’s Pas pleurer and its Spanish translation)
Authors: Jünke Claudia
Published: January 2021

The purpose of this article is to map the role of translation in literary and cultural memory studies and of memory dynamics in transcultural contexts. “Translation” is understood both as interlingual translation, that is the rephrasing of a literary text in another language, and in a broader and more metaphorical sense as transfer, transmission and relocation across different kinds of spatial and temporal borders. The first part gives an overview of the state of research, presents basic theoretical and conceptual reflections regarding the intersections of literary memory and translation, and proposes a general framework for analyses of literary texts and their translation that want to elucidate the role of translation for transcultural memory circulation. The second part is dedicated to a particular case study: the translational aspects of the literary memory of the Spanish Civil War, the anarchist revolution and exile in Lydie Salvayre’s novel Pas pleurer and the role of Javier Albiñana’s Spanish translation No llorar as a medium of transcultural memory.
Greater sigmoid notch dysplasia causing elbow instability: Lateral ligament reconstruction and Stamp osteotomy
Authors: Viswanath Aparna , Thomas Jill L , Watts Adam C
Published: January 2021

The coronoid is one of the elbow’s primary static stabilisers, and the importance of reconstruction following fracture with instability has been established. In the developing elbow, instability can lead to greater sigmoid notch dysplasia that can make reconstruction challenging. A novel technique to improve osseous stability with an opening wedge ‘stamp osteotomy’ reconstruction of the coronoid is described combined with a lateral ligament reconstruction, in two patients with recurrent posteromedial rotatory instability. The technique improves congruity and coverage of the greater sigmoid notch with the trochlea whilst maintaining articular cartilage. Extra-articular iliac crest bone graft is used to maintain the position with buttress plate support. The surgical technique is described and the clinical and radiographic outcome reported in two patients. Level of evidence: IV.
New Tunneled Buccal Fat Pad Flap for Palatal Reconstruction
Authors: Consorti Giuseppe , Catarzi Lisa , Messi Marco , Valassina Davide , Balercia Paolo
Published: January 2021

In the palatal defects due to surgical resection, flap selection is very important for a correct reconstruction. Different methods have been suggested over the time, however the pedicled buccal fat pad is a simple, effective, reliable flap for reconstruction after palate tumor resection. The aim of the present study is to introduce a new surgical technique for palate reconstruction with pedicled buccal fat pad flap exposing the advantages. The Authors performed this procedure in 17 patients in order to treat medium-sized oncologic surgical defect of palate region in the period between 2016 and 2019. Complete wound healing after only 4 weeks without complication after 12 months follow-up was observed. This is the first cases series described with this new technique.
Pathways of Modernity and Democracy in India: A Critique of Ambedkar’s Prophecy
Authors: Saxena Vijaylaxmi , Saxena Ashish
Published: January 2021

The era of modernity is analysed from the point of view of the assumptions underlying the development of this formation controlled by reason, progress, rationality, knowledge and technology. Paradoxically, we cannot deny that in colonial and post-colonial times, Indian society suffered from the combined effects of religious bigotry, patriarchy and colonialism. Ambedkar is to be seen as a man of international stature rather than in the traditional Indian framework. The philosophy of Ambedkar provides a critique of Hinduism and also an alternative to the Hindu religious system through protests like religious conversion. He speaks not only against the caste system but also against the tyranny of the casteism of high castes. It is argued that his contributions need to be observed as modernist rather than as reductionist understanding as a messiah of Dalits.
Micropulse laser in patients with refractory and treatment-naïve center–involved diabetic macular edema: short terms visual and anatomic outcomes
Authors: Valera-Cornejo Diego Alejandro , García-Roa Marlon , Quiroz-Mendoza Jaime , Arias-Gómez Alejandro , Ramírez-Neria Paulina , Villalpando-Gómez Yolanda , Romero-Morales Veronica , García-Franco Renata
Published: January 2021

Purpose:

The purpose of the study is to describe visual and anatomic outcomes of 5774nm micropulse laser photocoagulation in eyes with either treatment-naïve or refractory diabetic macular edema (DME) at 3 months.

Methods:

This was a prospective case series that recruited 23 consecutive patients (33 eyes) with center-involved DME that was either treatment-naïve or had not responded to prior treatment. Micropulse therapy was performed with the Easy Ret 577 (Quantel Medical, Cournon d’Auvergne, France) diode laser in a high-density manner in eyes with treatment-naïve or refractory DME. The primary outcome was the change of best-corrected visual acuity (BCVA; logMAR) at 1 and 3 months. Secondary outcomes were changes in the central macular thickness (CMT), thickness area, macular volume, and macular capillary leakage at 1 and 3 months.

Results:

There were no significant changes in BCVA at 3 months, with mean ± standard deviation (SD) of −0.08 ± 0.01 ( p = 0.228) and + 0.01 ± 0.01 ( p = 0.969) for treatment-naïve and refractory groups, respectively. The change in CMT at 3 months was statistically but not clinically significant in the treatment-naïve group only (mean ± SD; –30 ± 130 µm; p = 0.011). The macular volume and area thickness change were not statistically significant ( p = 0.173 and p = 0.148 for macular volume and area thickness, respectively) in the treatment-naïve group. There was no difference concerning the leakage area in both groups. No adverse events were reported.

Conclusion:

We concluded that micropulse 577nm laser therapy maintained the visual acuity and macular thickness at 3 months in both treatment-naïve and refractory DME.
Critical Success Factors for Data Governance of Cross-border e-Trade Data Among ASEAN Member States
Authors: Jones Craig Allen McGee
Published: January 2021

Global trading partners continue to adopt increasingly more multilateral and regional trade agreements amidst an overwhelmingly paperless and digital landscape. This can create useful trade alliances and increased efficiencies of digitization, but world trade is still plagued by the near absence of a uniform, harmonised customs and clearance protocol systems which trading partners accept and adhere to. Historically, customs forms and documentation requirements all differ from one nation to the next, and from one trading bloc to another. Un-uniformity in this area thwarts swift and cost-saving exchange of goods. The EU, North America and the northern Asian nations of Japan, China and South Korea have created various constructs to rectify digital trade dissonance. Southeast Asia famously began construction of the ASW (ASEAN Single Window), a single portal protocol intended to harmonise digital trading throughout the process from origin to destination, and its various successes and continuing challenges will be explored in this article. This research article focuses on and explores critical success factors for better governance of cross-border trade in the ASEAN region by conducting a systematic literature review of data governance related to electronic data exchanges by cross-border trading partners. This study uses a realistic approach while attempting to provide a clear view of the overarching picture of the trade world’s digital exchange challenges.
Wolff-Parkinson-White Syndrome Presenting as Cardiomyopathy
Authors: Young Sara , Chung Enoch , Chen Michael A.
Published: January 2021

A 31-year-old male was referred for a stress test due to worsening palpitations and chest pressure. His clinic 12-lead electrocardiogram was normal. At the time of his stress test, his pre-exercise electrocardiogram revealed an intermittent short PR interval with a delta wave. This pattern resolved during exercise, but in recovery he experienced paroxysms of supraventricular tachycardia. Imaging revealed low left ventricular ejection fraction. Given the diagnosis of Wolff-Parkinson-White Syndrome, he underwent radiofrequency ablation. His cardiomyopathy was presumed to be secondary to his Wolff-Parkinson-White, and an echocardiogram a few months later showed normalization of his left ventricular ejection fraction.
Modern Band: A Review of Literature
Authors: Powell Bryan
Published: January 2021

The recent increase in popular music education in K–12 school music programs is in part due to the expansion of modern band programming throughout the United States. Modern band is a term used to describe school music ensembles that include popular music instruments and focus on performing music that is meaningful to the students while incorporating songwriting. The purpose of this literature review was to examine relevant research related to modern band music programs in the United States and provide implications for music teaching and learning. Music researchers and professionals have recently addressed specific issues related to increasing the diversity of school music programs, addressing elements of culturally responsive curricula, and positively affecting the social and emotional development of students through modern band. Throughout this literature review, I provide implications for music teachers and discuss areas for future research.
Developing Pre-Service Teachers’ Skills in Post-Secondary Transition Through Applied Practice
Authors: Swindlehurst Kelly Ann , Berry Ann Bassett
Published: January 2021

The need for special educators who can support students with disabilities in the transition to adulthood is well documented in the literature. In this article, we will report on the program improvement efforts by one university to embed more evidence-based transition practices into their pre-service teacher preparation program with the support of a state personnel development grant. Key aspects of the program revision will be outlined and accompanied by online resources for faculty to utilize when seeking to improve their special education preparation program in the area of post-secondary transition. The pre-service teachers’ perceptions of the impact of the revision are included in the discussion; along with suggestions for future directions, research, and work in rural areas.