bluuebunny/crossref_metadata_2025 huggingface dataset:
Is lack of integrity a useful concept when dealing with health and social care pre-registration student fitness to practise cases?
Authors: David Timothy J , Ellson Sarah
Published: September 2020

Health and social care regulators in their guidance to pre-registration students and registrants emphasise the importance of honesty and integrity. While the term honesty is generally understood, the meaning of integrity is less familiar, and for many years, there has been disagreement as to whether there is any difference between “dishonesty” and “lack of integrity.” To explore the possible application of lack of integrity to student behaviour, we present cases that illustrate what might be considered to demonstrate a lack of integrity. As with other allegations, if there is to be a finding of fact then an allegation of lack of integrity and its basis need to be clearly set out in advance of any hearing. If the term lack of integrity is to be useful, guidance from the regulators will need to explain the meaning of the term. If, however, agreement as to the meaning cannot be reached, maybe the term “integrity” should no longer be a standard accompaniment to the term “honesty.”
Reasons for Living Inventory for Young Adults: Psychometric Properties Among Portuguese Sample
Authors: Madeira Ana Rita Salvé-Rainha , Janeiro Luís de Brito , Carmo Cláudia Isabel Guerreiro , Brás Marta Sofia Ventosa
Published: September 2020

A main protective factor against suicide in young adults is their reasons for living; therefore, suicide risk screening should consider these reasons. However, few psychometric instruments assess reasons for living, and none have been adapted for young adults in Portugal. Thus, we assess the psychometric characteristics of the Reasons for Living Inventory for Young Adults-II (RFL-YA-II) in participants (n = 936; Mage = 21.77; SD = 2.88) from Portugal. Participants answered measures concerning suicidal ideation, depression, hopelessness, and positive and negative affect. The results of an exploratory factorial analysis replicated the original 4-factor model of the RFL-YA-II, and a confirmatory factorial analysis indicated satisfactory indices. In terms of reliability and convergent, discriminant, and concurrent validity, our results are consistent with previous research. Moreover, our results indicate that the RFL-YA-II is a valid and reliable instrument to study the protective factors against suicidal behavior in Portuguese young adults, and should thus be integrated into preventive strategies.
A Relative Absence: Exploring Professional Experiences of Funerals Without Mourners
Authors: Turner Nicola , Caswell Glenys
Published: September 2020

When someone dies, it is usual for relatives to gather at a funeral to embody a collective act of eulogy for the deceased and stand against the finality of death. When someone who lived alone dies alone at home, it is not always possible to identify anyone to attend a funeral. In such cases, funeral professionals are required to perform the appropriate social rites in the absence of the confirmatory power of a society. Drawing on interviews with funeral professionals and ethnographic observations of funerals without mourners, we explore how professionals understand their roles in performing social rites against death when there is no one to participate in them. We consider the impact of attempting to make good a death generally perceived as bad, and we examine the significance of funerals as a social rite when the deceased is assumed to have forgone social relationships during their lifetime.
Enhanced Performance Stabilization Increases Performance Variability in a Virtual Interception Task
Authors: Couto Crislaine Rangel , Leite Claudio Manoel Ferreira , Campos Carlos Eduardo , Portes Leonardo Luiz , Santos Suziane Peixoto dos , Cruz Madson Pereira , Sousa Maria Carolina Andrade , Ugrinowitsch Herbert
Published: September 2020

Performing a motor task depends on the level of performance stabilization and movement control, and both aspects of motor behavior are related to motor learning (retention and transfer) and adaptation (predictable and unpredictable perturbations). Yet few studies have further investigated the underlying dynamics that may elicit these benefits. In this study, we investigated the effects of two levels of performance stabilization on motor performance and control while learning to intercept a virtual moving target. We randomly divided 40 participants of both sexes ( Mage = 26.02 years, SD = 2.02) into a Stabilization Group (SG) and a Superstabilization Group (SSG). We considered the performance stabilized when a moving target was intercepted three times in a row and superstabilized when the same criterion was repeated six times. We analyzed outcome variables related to performance accuracy (absolute spatial error) and variability(coefficient of variation) and motor control (relative time to peak velocity-tPV% and its coefficient of variation) on both the first and last blocks of practice trials. Both groups showed comparable increases in performance accuracy from the first to the last block ( p = .001, ηp2 = 1.00), but SSG presented higher variability than SG ( p = .05, ηp2 = .70). Concerning motor control, both groups started the experiment with low tPV% and finished with comparably high tPV% and variability. Thus, although practicing two levels of performance stabilization led to similar performance accuracy and movement control, superstabilization resulted in higher performance variability with no loss of accuracy. Enhanced stabilization may increase the ability to adapt to environmental changes, but more research is needed to demonstrate this. These findings add to an understanding of the relationship between levels of performance stabilization and performance variability and may have implications for professional interventions (e.g. sports, rehabilitation) in considering the benefits of practice beyond performance stabilization.
Fuzzy clustering analysis of comprehensive hand of polyester fabric based on the CHES-FY system
Authors: Zheng Dongming , Liu Zhenrui , Zou Haochen , Xiong Qiaoling , Liu Jinkang , Wang Mingming , Liu Gui , Pan Xingxing , Du Zhaoqun
Published: September 2020

Polyester fabrics are attributed with various performances and are currently applied widely in textiles. This necessitates a quick and effective selection process to choose polyester fabrics to correspond with engineers' designs for industrial textiles. Therefore, the main focus of this paper is to present the comprehensive handle evaluation system for fabrics and yarns (CHES-FY), which has been specially developed to measure the basic handle of textile materials, including softness, stiffness, smoothness and tightness. Several kinds of polyester fabrics were chosen to undergo subjective evaluation and testing by the CHES-FY system, and were assigned into corresponding clusters by the K-means cluster method. The basic hand indexes of polyester fabric were featured. Comparisons between subjective judgments and the objective K-means cluster method were conducted. Experimental results show that a good correlation exists between subjective judgment and the objective cluster method, indicating that the four basic hand indexes measured by the CHES-FY system can be utilized to characterize the comprehensive hand of industrial polyester fabrics, and that the CHES-FY system can be used to discriminate categories of polyester fabrics.
The influence of land use regulation on the probability that low-income neighbourhoods will gentrify
Authors: Leguizamon Susane , Christafore David
Published: September 2020

The divergence in housing price growth in the US in coastal cities relative to inland cities has been thought to occur, in large part, due to severe housing regulations and restrictions on development. Researchers have posited that this trend implies that these heavily regulated cities are experiencing higher incidences of gentrification. However, the gentrification of lower-income communities may be negatively influenced by restrictive regulations rather than positively, as is the case with overall housing price growth. This may occur if restrictions make it more difficult to improve housing structures and engage in new housing projects. We use data from over 12,000 census tracts to analyse the relationship between land use regulations and the probability an area will undergo gentrification in the years 2000 to 2010. By separating the influence of higher levels of regulation on overall housing price growth from the likelihood that a lower-income neighbourhood will gentrify, we find that regulation has opposing forces. While increased levels of regulation are associated with an almost 10% greater increase in overall housing prices, they are also associated with a three to four percentage-point lower probability that a lower-income tract will experience gentrification, contrary to previous conclusions.
Between concepts and thought: digital technologies and temporal relationality
Authors: Kessler Oliver , Lenglet Marc
Published: September 2020

This article advances the argument that the acceleration of practices introduced by digital technologies also impact key concepts of social theory. Digital technologies not only give rise to new concepts, but they also reconfigure our entire socio-political conceptual vocabulary. In particular, this acceleration reorganises the relationship between the spatial and temporal dimensions of political concepts. As a consequence, our spatially defined understanding of authority, hierarchy or relation underestimates the repercussions of shifting temporalities. This article pursues this shift from space to time and outlines how temporal relationality is gradually impacting the representations and images we live by.
Social Justice and the Portrayal of Migrants in International Organization for Migration’s World Migration Reports
Authors: Veeramoothoo Saveena (Chakrika)
Published: September 2020

Social justice is a framework that has been at the forefront of technical communication in recent years. While social justice is often applied in participatory studies, it can also feature in studies using quantitative methods. In this study, I use corpus-based critical discourse analysis to investigate the portrayal of migrants in the World Migration Reports, the flagship publication of the International Organization for Migration. I emphasize context to bring in the social justice framework in this analysis. This study finds that the World Migration Reports represent migrants within various topoi, with a particular focus on the topos of advantage and that of danger/threat.
The Definition and Categories of Positive Solitude: Older and Younger Adults’ Perspectives on Spending Time by Themselves
Authors: Ost Mor Sharon , Palgi Yuval , Segel-Karpas Dikla
Published: September 2020

This paper attempts to develop a better understanding of the positive solitude (PS) phenomenon and its meaning among age groups, as well as formulate a unanimous definition for PS. A qualitative study ( N = 124) was conducted. Participants were gerontology professionals and laypeople. Interviews were conducted and content was analyzed in order to understand the essence of PS, themes, and subthemes. Two major categories were found: the essence and the components of the PS experience. Seven PS content categories and three meta-themes were raised: (1) PS is a matter of choice; (2) PS is satisfying and enjoyable; and (3) PS is meaningful. Differences in PS categories between younger and older adults were found. The meta-themes served as the foundation of a new definition. PS has different attributes in old age. A unified definition of PS may help distinguishing between PS and other forms of being alone. Recognizing and facilitating the PS experience among older adults might be beneficial and contribute to their quality of life.
Investigation on the creep behavior of PA6 film based on the fractional differential model
Authors: Liu Yi , Liao Guangkai , Liu Yuejun , Li Xianggang , Liu Xiaochao , Dong Yu , Fu Rao , Fan Shuhong
Published: September 2020

A fractional Burgers model was proposed to investigate the creep behavior of Polyamide 6 (PA6) film. The creep tests at various conditions were conducted on dynamic mechanical analysis (DMA) tester, and the strain-time ( ∊- t) curves of deformation were analyzed by the derived model. The results indicated that the fractional Burgers model had a better performance than the classical integer-order model in simulating the deformation of PA6 film. Parameters analysis showed that the stress facilitated the transformation from viscoelastic deformation to the viscoplastic one under ambient condition. Whereas, at the state of higher temperature, the deformation could be directly activated as the viscoplastic deformation. The softening effect of PA6 film was found to be related to the expansion of viscoplastic units during stretching. Also, the fluidity of the viscoelastic units was greater than that of the viscoplastic units. Through the analysis of dynamic rheological parameters, we speculated that the variation of loss factor may come from the evolution of viscoelastic units.
Critical Thinking Performance Increases in Psychology Undergraduates Measured Using a Workplace-Recognized Test
Authors: Prat-Sala Merce , van Duuren Mike
Published: September 2020

Background:

Higher education institutions and universities aim to provide students with a range of transferable skills that enable them to become more thoughtful and effective employees, citizens, and consumers. One of these skills is critical thinking.

Objective:

The aim of the present research was to examine whether taking a psychology degree is concomitant with students’ increase in critical thinking skills when students are not explicitly taught critical thinking.

Method:

Study 1 utilized a cross-sectional design and Study 2 a longitudinal design. The Watson and Glaser Critical Thinking Appraisal (WGCTA, UK) was used to measure critical thinking.

Results:

For both studies, the overall scores of WGCTA, as well as scores of the subtest of Recognition of Assumptions, were significantly higher for final-year than for first-year students.

Conclusion:

From the findings, we conclude that the levels of critical thinking by final-year psychology students may be enhanced.

Teaching implications:

We propose that teaching other aspects of critical thinking such as Evaluation of Arguments and Interpretation, as measured by this test, could be beneficial in further developing psychology students’ overall critical thinking performance.
Family Focused Therapy for Family Members of Patients with Bipolar Disorder: Case Reports of Its Impact on Expressed Emotions
Authors: Padmavathi N. , Gandhi Sailaxmi , Manjula M  , Viswanath Biju , Jain Sanjeev
Published: September 2020

Caregivers of patients with bipolar disorder (BD) undergo a considerable amount of burden. In India, family caregivers are the primary source of support and care for their ill relatives. The burden faced by family members of patients with BD often results in physical and mental health consequences. This may lead to negative interaction patterns such as hostility, criticality, and overinvolvement, termed as expressed emotions (EE). Here, we report how we addressed the EE in family members, using a single-subject design that involved the family caregivers (n = 2) of two adults who presented with a diagnosis of BD with a current episode of mania. An assessment of family caregivers, using the family questionnaire, revealed high EE. Family focused therapy (FFT) of 12 sessions was delivered over 3–4 weeks on an inpatient basis, with positive outcomes of reductions in EE and family stress and improved psychosocial functioning in patient that were sustained over 9–10 months. FFT can be an important add on psychosocial therapy to reduce EE and stress and to facilitate functioning and communication.
Role of the Hippo signaling pathway in safflower yellow pigment treatment of paraquat-induced pulmonary fibrosis
Authors: Li Hai , Kan Baotian , Song Lingli , Liu Yufa , Jian Xiangdong
Published: September 2020

Objective

To elucidate the molecular mechanisms by which safflower yellow (SY) mediates therapeutic effects in rats with paraquat intoxication-induced pulmonary fibrosis.

Methods

Rats received combinations of paraquat, SY, and SB431542, a transforming growth factor (TGF)-β1 receptor antagonist. Survival over 28 days was assessed by Kaplan–Meier analysis. Rat tissue and serum samples were assessed by hematoxylin and eosin staining, Masson’s Trichrome staining, immunoblotting, quantitative polymerase chain reaction, enzyme-linked immunosorbent assay, and transmission electron microscopy.

Results

Survival rates were higher in SY and SB431542 groups (treatment and paraquat) than in the exposure group (paraquat alone). In the exposure group, serum TGF-β1 levels increased between days 3 and 14; mammalian STE20-like (MST) levels increased between days 3 and 7; TGF-β1 and Smad3 levels increased between days 3 and 14; and Yap and connective tissue growth factor levels increased between days 3 and 28. TGF-β1 levels were lower in SY and SB431542 groups than in the exposure group. Pathology scores were higher in exposure, SY, and SB431542 groups than in the control group throughout the experiment.

Conclusions

In rats with paraquat intoxication-induced pulmonary fibrosis, Hippo signaling could be activated by the MST-Yap pathway; SY and SB431542 could alleviate pulmonary fibrosis via Hippo signaling.
Long noncoding RNA MCM3AP antisense RNA 1 is downregulated in chronic obstructive pulmonary disease and regulates human bronchial smooth muscle cell proliferation
Authors: Zhao Kaishun , Tu Chunlin , Liang Kaiyi , Li Ying , Yu Yanfang
Published: September 2020

Objectives

This study aimed to investigate the involvement of MCM3AP antisense RNA 1 (MCM3AP-AS1) in chronic obstructive pulmonary disease (COPD).

Methods

The expression levels of plasma MCM3AP-AS1 in COPD patients and healthy controls were measured by quantitative PCR before treatment and at 3 months after the initiation of treatment (post-treatment) from COPD patients. The role of MCM3AP-AS1 in regulating the proliferation of human bronchial smooth muscle cells (HBSMCs) was explored by a cell proliferation assay.

Results

We found that MCM3AP-AS1 expression was downregulated in the plasma of COPD patients compared with controls. Among controls, MCM3AP-AS1 expression was lower in smokers than never-smokers. A 3-year follow-up study showed that, among smokers, patients with low MCM3AP-AS1 expression showed a higher incidence of COPD. After treatment for COPD, MCM3AP-AS1 expression significantly increased. The cell proliferation assay showed that MCM3AP-AS1 overexpression decreased the proliferation rate of HBSMCs. MCM3AP-AS1 silencing had the opposite effect.

Conclusions

MCM3AP-AS1 appears to be downregulated in COPD and to predict its occurrence. MCM3AP-AS1 regulates the proliferation of HBSMCs to participate in airway remodeling.
Association of −344C/T polymorphism in the aldosterone synthase (CYP11B2) gene with cardiac and cerebrovascular events in Chinese patients with hypertension
Authors: Wang Lili , Zhang Zhi , Liu Dongxia , Yuan Kexin , Zhu Guohua , Qi Xiaoyong
Published: September 2020

Objective

Several recent studies have shown that the aldosterone synthase gene ( CYP11B2) −344C/T polymorphism is related to cardiovascular diseases. However, whether the −344C allele influences the incidence of cardiovascular diseases in Chinese patients with hypertension is unclear.

Methods

Chinese patients with essential hypertension were genotyped for the −344C/T polymorphism in CYP11B2 (n = 755; CC, n = 112; CT, n = 361; TT, n = 282) and followed for 11 years for major adverse cardiovascular events (MACEs), including stroke, onset of coronary artery disease (CAD), and CAD-related death. Established cardiovascular risk factors were used to adjust the multivariate Cox analysis.

Results

After a mean follow-up period of 7.60 ± 1.12 years, a significantly higher incidence of MACEs was seen in patients with the CC genotype than in those with the CT and TT genotypes. The CC variant was significantly and independently predictive of MACEs (hazard ratio = 2.049), CAD (hazard ratio = 1.754), and stroke (hazard ratio = 2.588), but not CAD-related stroke or death.

Conclusion

The CYP11B2 −344 CC genotype is a risk factor for CAD and stroke, independent of other established cardiovascular risk factors in Chinese patients with hypertension.
Changes in global DNA methylation and hydroxymethylation in oral mucosa according to tobacco smoke exposure
Authors: Avram Gabriela-Emilia , Marcu Anca , Moatar Alexandra , Samoila Corina , Podariu Angela , Seclaman Edward , Marian Catalin
Published: September 2020

Objective

This prospective clinical study comparatively investigated the effects of tobacco smoking on global methylation and hydroxymethylation in oral epithelial cells.

Methods

Buccal cells from the inside of the cheeks were collected from 47 individuals, including smokers, former smokers, and never smokers. DNA was extracted using dedicated kits. Methylated and hydroxymethylated DNA fractions were measured using assays similar to enzyme-linked immunosorbent assays. The levels of methylation and hydroxymethylation were compared among groups using unpaired two-tailed t-tests or the Mann–Whitney U test; P < 0.05 was considered statistically significant.

Results

There was no statistically significant difference in the average number of cigarettes between smoker and former smoker groups. Although methylation levels were lower for smokers (3.1%) and former smokers (2.16%), compared with never smokers (4.16%), these differences were not statistically significant. There was a two-fold increase in hydroxymethylation level in never smokers, compared with smokers.

Conclusions

Our findings suggest that smoking leads to global reductions in both methylation and hydroxymethylation levels in oral epithelial cells in a manner influenced by the intensity and length of exposure to tobacco smoke.
Sources of evidence for professional decision-making in novice occupational therapy practitioners: clinicians’ perspectives
Authors: Jeffery Helen , Robertson Linda , Reay Kim L
Published: September 2020

Introduction

Evidence-based practice skills and habits begin during undergraduate education and continue through professional life. It is important novices learn the skills in their education programme that are required in practice. This study explores strategies experienced occupational therapy supervisors use to encourage novices to be evidence based, and how these might be enhanced.

Method

Qualitative descriptive methodology was used to explore the views and experiences of 15 experienced supervisors from a range of practice areas and geographical locations, interviewed in four focus groups.

Results

Evidence-based practice is an element of professional reasoning not isolated from client-centred practice or from reflective practice. Five sources of evidence to inform competence in professional decision-making were identified: (a) research evidence from literature; (b) local environment, resources and culture; (c) client’s expertise and perspective; (d) expertise of others; and (e) practitioners’ own knowledge and experience.

Conclusion

Intentional use of all five sources of evidence to inform professional decision-making contributes to habits of evidence-based thinking and practice. Experienced therapists and educators can support evidence-based practice in novices by prompting questioning and developing systems supportive of scanning for evidence in each area. Collaboration in this endeavour will enhance integration of academic and practice education.
Kitchen-related tasks used in occupational therapy during rehabilitation of adults with acquired brain injury: A systematic review
Authors: Mohapatra Sushmita , Kulnik Stefan Tino
Published: September 2020

Introduction

Kitchen-related tasks are widely used in occupational therapy for adults with acquired brain injury. This study aimed to investigate the effectiveness of kitchen-related, task-based occupational therapy interventions for improving clinical and functional outcomes in the rehabilitation of adults with acquired brain injury.

Method

A systematic review of the literature was conducted with narrative synthesis (PROSPERO registration CRD42019141898), by searching relevant electronic databases (BNI, CINAHL Plus, MEDLINE, DORIS, OT Seeker etc.), registries of ongoing studies (ISRCTN, PROSPERO, etc.), and grey literature (OpenGrey, etc.). English-language studies that evaluated kitchen-related tasks in the rehabilitation of adults with acquired brain injury were included and independently appraised for their methodological quality by two reviewers.

Results

Seventeen primary studies met the eligibility criteria. Studies were heterogeneous in methods, methodological quality, setting, sample size, purpose, and design of kitchen-related tasks. Fifteen studies evaluated kitchen-related, task-based treatments for improving function, and two studies examined kitchen-related task assessments for safety and task performance. This provides very limited evidence for the effectiveness of kitchen-related, task-based interventions compared to interventions not based on kitchen-related tasks.

Conclusion

While kitchen-related, task-based occupational therapy interventions in acquired brain injury rehabilitation are common practice, there is currently limited research evidence to support this. Further studies are warranted to strengthen the evidence base.
‘Mad, sad and bad’ to ‘Dad’: care-experienced men’s experiences of fatherhood
Authors: Dandy Emma , Knibbs Jacqueline , Gilbey Felicity
Published: September 2020

The transition to fatherhood can have a significant impact upon men’s emotional health and well-being. As experiences of abuse and neglect in childhood also correlate with increased rates of depression, self-harm and suicide in adulthood, it is likely that the mental health of fathers who spent time in care as children due to maltreatment will be more severely affected by the move to fatherhood. Although research into the experiences of fathers has multiplied in recent years, there remain lacunae and the experiences of many, for example single parents and those who are disabled or have care experience, remain unexplored. This article fills this gap for one such group by exploring the lived experiences of five fathers with care experience whose children remain in their care. They were interviewed about their situation and feelings and the emerging data were analysed using Interpretative Phenomenological Analysis (IPA). Three superordinate themes emerged: ‘Going back to move forward’, ‘Reliving the past’ and ‘Breaking the cycle’, and these encapsulated eight more subordinate themes. Participants described fatherhood as a chance to relive their childhood and feel accepted as part of a family, which enhanced their sense of self from ‘Mad, sad and bad’ to ‘Dad’. The implications for policy and practice for supporting care-experienced fathers are discussed along with directions for future research.
Fashion or Function? The Use of Silver in Seventeenth-Century Irish Society
Authors: Cunningham Jessica
Published: September 2020

What was more important to consumers in seventeenth-century Ireland: the fashion or the function of their silver? This article disentangles the multiple and complex motivations informing the robust acquisition and consumption by individuals and institutions of a wide-ranging assortment of silverwares. Using the body of extant plate and a large array of documentary sources, this article poses and addresses several questions that have hitherto received little or no attention in the literature: How was silver used in seventeenth-century Ireland? Can we dismiss or prioritise the use value of items ostensibly acquired for symbolic, ceremonial or commemorative purposes? Did design and decoration matter? And, if so, how did this impact on value and utility? By answering these questions, this article evaluates plate as a material simultaneously facilitating functional purposes and expressing taste. This article uses these conclusions to generate a greater understanding of early modern Irish consumer society and the role of silver within this society.
What Is An Acceptable Limit of Joint-Line Obliquity After Medial Open Wedge High Tibial Osteotomy? Analysis Based on Midterm Results
Authors: Song Ju-Ho , Bin Seong-Il , Kim Jong-Min , Lee Bum-Sik
Published: September 2020

Background:

Although joint-line obliquity (JLO) after open-wedge high tibial osteotomy (OWHTO) is commonly encountered, especially in cases of overcorrection, its effect has not been fully elucidated or has been assessed only in the short term. The acceptable range of JLO, often recognized as ≤4°, has not been determined as per the midterm outcomes of OWHTO.

Hypothesis:

Joint-line obliquity exceeding the acceptable limit after OWHTO would accelerate cartilage degeneration and adversely affect midterm clinical outcomes.

Study Design:

Cohort study; Level of evidence, 3.

Methods:

A total of 109 patients who underwent OWHTO between 2010 and 2015 with a mean follow-up period of 55.0 months (range, 24-102 months) were reviewed. JLO was defined as the angle between the lines parallel to the floor and to the tibial plateau on a long-standing hip-to-ankle radiograph. For radiologic evaluation according to JLO, the medial joint space width (JSW) was measured on a standing 45° flexion posteroanterior view and standardized with the width of the tibial plateau as reference, after which changes in JSW (ΔJSW) between the 6- and 12-month postoperative period and the latest follow-up were calculated. ΔJSW was analyzed according to 2 different cutoff values of JLO: JLO of 4°, which is currently recognized as the acceptable limit, and that derived from the receiver operating characteristic (ROC) curve for the third quartile of ΔJSW. Multivariate regression analysis including JLO as well as other demographic and radiologic factors was performed. Clinical outcomes were evaluated in the same way using Knee Society (KS) objective and functional scores.

Results:

With a JLO cutoff of 4° in the multivariate regression analysis, JLO was not significantly associated with ΔJSW ( P = .545). However, in the KS objective and functional score analyses, JLO ≥4° was found to be a significant factor ( P = .045 and .005, respectively). The ROC curve showed a cutoff JLO of 6°, which was significantly associated with ΔJSW ( P = .001). JLO ≥6° remained significant in the analyses for KS objective and functional score ( P = .012 and .001, respectively).

Conclusion:

The adverse effect of JLO on radiologic outcomes was shown when JLO was ≥6°. In clinical aspects, worse outcomes were found in cases of JLO ≥4°.
Satisfaction With Elbow Function and Return Status After Autologous Osteochondral Transplant for Capitellar Osteochondritis Dissecans in High School Baseball Players
Authors: Sasanuma Hideyuki , Iijima Yuki , Saito Tomohiro , Yano Yuichiro , Nakama Sueo , Kameda Masahiro , Takeshita Katsushi
Published: September 2020

Background:

Osteochondral autograft transplant (OAT), a surgical treatment for capitellar osteochondritis dissecans (OCD), has favorable rates of elbow recovery and return to sports in adolescents. However, few reports have investigated how long patients continue to play baseball after OAT and their satisfaction with their treatment outcome.

Purpose:

To evaluate the rate of boys who played baseball and received OAT for OCD in junior high school or earlier (age <15 years) and continued to play baseball in high school and the players’ satisfaction with their elbow function during play.

Study Design:

Cohort study; Level of evidence, 3.

Methods:

A total of 32 elbows of boys who played baseball and received OAT at age ≤15 years (mean, 14.1 years) were examined and divided into pitcher (n = 11) and nonpitcher (n = 21) groups according to their player position before surgery. The clinical Timmerman-Andrews score at the end of their high school baseball, participation percentage of players who continued to play baseball, and satisfaction level during play (on a scale of 0-10 during pitching and batting and in a 4-choice format) were compared between the 2 groups.

Results:

The Timmerman-Andrews scores significantly improved after surgery in both groups, with no significant difference between the groups. Of the 32 players, 30 (93.8%) continued to play baseball throughout high school, including all players in the pitcher group and 19 (90.5%) of those in the nonpitcher group. The percentage of players who continued to pitch was 55.6% (6/11) in the pitcher group. Satisfaction with elbow joint function at the time of pitching was significantly lower in the pitcher group. Further, 5 players reported being “a little unsatisfied” because of elbow pain during pitching. All of the players indicated satisfaction with elbow function during batting.

Conclusion:

The percentage of players who received OAT for OCD in junior high school and continued to play baseball in high school was favorable. However, satisfaction with elbow function during throwing was lower in pitchers than in nonpitchers.

Clinical Relevance:

Before surgery, consent should be obtained from patients who are pitchers after it is explained that satisfaction with elbow joint function during pitching could be decreased after OAT.
Brexit: Who is afraid of group attachment? Part II. Democracy: what democracy?
Authors: Ezquerro Arturo
Published: September 2020

Through group thinking and thorough research, this article critically examines the democratic quality of the June 2016 UK referendum on EU membership. The Brexit ‘mandate’ is based on 52% of the voters but just 26% of the UK population. On a rigorous scrutiny, the referendum failed key tests on democratic legitimacy, such as human rights and the definition of the franchise. The UK Referendum Act 2015 excluded 3.3 million settled EU citizens from the franchise, which cast serious doubts: the political and legal status of common EU citizenship conferred by EU Treaties (based on equality and non-discrimination on grounds of nationality) was disregarded by the UK and by the EU. The article concludes that a democracy which intentionally excludes and marginalizes a whole group within its own political community is not legitimate enough.
Double-Bubble Thinking Maps and Their Effect on Reading Comprehension in Spanish-English Bilingual Middle School Students With Learning Disabilities
Authors: Calvin Kristie L. , Gray Shelley
Published: September 2020

The purpose of this single case design study was to examine the efficacy of using double-bubble Thinking Maps to improve the reading comprehension of middle school Spanish-English bilingual middle school students with learning disabilities. Participants included three female Spanish-English bilingual middle school students with learning disabilities. In this multiple baseline across participants single case design study, we taught students to create a double-bubble map, a type of compare and contrast graphic organizer, for 12 expository compare and contrast text passages over 12 forty-five minute sessions. We assessed performance on creating the double-bubble map and on reading comprehension measures across baseline, intervention, and maintenance phases. Each participant learned to create an accurate double-bubble map for compare and contrast expository texts within two sessions. Reading comprehension scores began to increase within two intervention sessions for each participant. Results showed the positive effect of using the double-bubble Thinking Map to improve reading comprehension of compare and contrast texts. Individual (.895–.967) and overall (.94) TAU-U effect sizes showed the intervention to be highly effective. Based on the effect sizes, the double-bubble Thinking Map was effective for improving the reading comprehension of middle school Spanish-English bilingual students with learning disabilities.
Low-temperature thermal pretreatment process for recycling inner core of spent lithium iron phosphate batteries
Authors: Bi Haijun , Zhu Huabing , Zu Lei , Gao Yong , Gao Song , Peng Jielin , Li Huabing
Published: September 2020

Spent lithium iron phosphate (LFP) batteries contain abundant strategic lithium resources and are thus considered attractive secondary lithium sources. However, these batteries may contaminate the environment because they contain hazardous materials. In this work, a novel process involving low-temperature heat treatment is used as an alternative pretreatment method for recycling spent LFP batteries. When the temperature reaches 300°C, the dissociation effect of the anode material gradually improves with heat treatment time. At the heat treatment time of 120 minutes, an electrode material can be dissociated. The extension of heat treatment time has a minimal effect on quality loss. The physicochemical changes in thermally treated solid cathode and anode materials are examined through scanning electron microscopy with energy-dispersive X-ray spectroscopy. The heat treatment results in the complete separation of the materials from aluminium foil without contamination. The change in heat treatment temperature has a small effect on the quality of LFP material shedding. When the heat treatment temperature reaches 300°C and the time reaches 120 minutes, heat treatment time increases, and the yield of each particle size is stable and basically unchanged. The method can be scaled up and may reduce environmental pollution due to waste LFP batteries.
Intergenerational Ministry—a Forty-year Perspective: 1980–2020
Authors: Allen Holly Catterton , Santos Jason Brian
Published: September 2020

This article traces the historical development of the field of intergenerational Christian education and formation over the past forty years with the aim of demonstrating its steady growth in scholarship and ministry and its promise for the future of congregational life and discipleship. The article highlights significant movements, terms, figures, publications, and ministry expressions that surfaced over two twenty-year periods, each part set in the narrative and from the perspective of two different scholars. This article concludes with a brief address of the implications for preparing educational and ministry leaders. Although far from exhaustive, this article offers the reader an abbreviated primer of the past four decades of intergenerational ministry and scholarship.
Lipofilling to the Buttocks and Breasts in Local Anesthesia Using VASER and Expansion Vibration Lipofilling in a Closed-Loop System
Authors: Boeni Roland , von Waechter-Gniadek Paul
Published: September 2020

Large-volume fat transfer to the buttocks and breast has rapidly become popular. Lipofilling using syringes is tedious, time-consuming, and carries the risk of contamination. Most often, systemic anesthesia is being used. This study aims to evaluate the efficacy of large-volume lipofilling in local anesthesia. Local anesthesia was performed with 2 anesthetics: lidocaine and prilocaine. We performed vibration amplification of sound energy at resonance (VASER) and reciprocating power-assisted liposuction (PAL) for fat collection in a closed-loop system using a peristaltic pump. In a reverse pump setting, fat was then used for expansion vibration lipofilling. Pre- and postoperative data were collected. There were no major complications. Liposuction volumes up to 3.100 mL were extracted, and injection volumes ranged from 200 to 1600 mL. Mean operation time was 96 minutes. Satisfaction rate was high. Anesthesia was sufficient in all patients. Using a closed-loop system for fat extraction–purification and transfer is not only time- and cost-effective but also ideal for large-volume fat grafting. Recovery time is 1 to 2 days and satisfaction rate is high.
Nursing: Forever Changed by a Pandemic
Authors: Clarke Pamela N.
Published: September 2020

The paper consists of reflections on the corona pandemic and nursing knowledge as practice. Nurses have been so appreciated by the public during this time that they are referred to as heroes. The moral injustice of taking nurses who come so willing to serve and not provide protective gear for their practice is addressed.
Thoughts About Meanings of Compliance, Adherence, and Concordance
Authors: Fawcett Jacqueline
Published: September 2020

The purpose of this essay is to explore the meanings of the widely used terms compliance and adherence and the less widely used term concordance and to raise questions about the appropriateness of these terms when used to describe individuals’ or groups’ health-related behaviors. Discussion focuses on how recognition of how the meanings of these terms has uncovered the failure to honor nursing’s emphasis on person/patient-centered care due to power imbalances between healthcare providers and patents and the subsequent lack of patient autonomy. Consideration of these problems with existing terms could facilitate identification of a potentially more appropriate term based on the language of a nursing conceptual model and/or theory.
Videoconferencing: Is It Satisfactory
Authors: Florczak Kristine L.
Published: September 2020

Consideration of the impact of COVID-19 on conducting research studies is the subject of this column. First, it is argued that presence is critical to some qualitative methods and especially for those who use the Parse methods. Second, the use of e-mail, telephone, and videoconferencing is examined in terms of their advantages and disadvantages in relation to obtaining knowledge about a phenomenon of interest.
Science: Is It All We Expect It to Be?
Authors: Morrow Mary R.
Published: September 2020

This is the introduction to the Book Reviews and New Media Column.
The Patient-Centered Health Neighborhood
Authors: Ortiz Mario R.
Published: September 2020

The creation, implementation, and ongoing maintenance of a patient-centered health neighborhood are central to care in the 21st century. This neighborhood must adhere to the principles of patient-centered care and rest on the foundation of nursing theory that honors what is important to people and the mission and vision of healthcare clinics and systems. It is important that there is strong leadership to develop, implement, and maintain a patient-centered health neighborhood. In this paper, there is an exploration of the patient-centered health neighborhood and the ways it connects to Parse’s unique nursing paradigm, humanbecoming.
Human Papillomavirus, Herpes Zoster, and Hepatitis B Vaccinations in Immunocompromised Patients: An Update for Pharmacists
Authors: Paulsen Michelle R. , Patel Nikitha R. , Sulis Carol , Farraye Francis A. , Bhat Shubha
Published: September 2020

Purpose:

Current evidence regarding efficacy and safety of human papillomavirus 9-valent (9vHPV), recombinant zoster (RZV), and CpG-adjuvanted recombinant hepatitis B (HepB-CpG) vaccines in adults with human immunodeficiency virus, inflammatory bowel disease, solid organ transplant, and allogeneic hematopoietic stem cell transplant is reviewed.

Patients immunocompromised due to underlying disease or treatment are at increased risk for infections; however, insufficient understanding of various vaccines’ efficacy, safety, indications, and contraindications in this population has led to suboptimal vaccination rates. The Infectious Disease Society of America (IDSA) published guidelines on vaccines in immunocompromised populations in 2013. Since then, several advances have been made including an expanded indication with 9vHPV for use in males and females 9 to 45 years old, and the introduction of new vaccines for herpes zoster (RZV) and hepatitis B (HepB-CpG). Pharmacists are instrumental to vaccination efforts and may benefit from a review of recent vaccine updates.

Conclusion:

The 9vHPV can be used in men and women ages 9 to 45 years old regardless of immune status. RZV safety and efficacy in several immunocompromised populations has been demonstrated; however, manufacturers and major societies have yet to update their recommendations. HepB-CpG may be used in most immunocompromised patients yet remains under-utilized.
‘The Revolution is to the human mind what the African sun is to vegetation’: Revolution, heat, and the normal school project
Authors: Warman Caroline
Published: September 2020

This article focuses on a slightly earlier period in its investigation of the meanings of and associations with the term normal than Cryle and Stephens have done in their recent book. It looks at the establishment and rapid demise of the Ecole normale (normal school) in Paris in 1794–5, founded on the same model as a school for the manufacture of arms that had operated in spring 1794, and suggests that this model was not only responsible for some of the problems the Ecole normale experienced, setting up unachievable expectations of rapid efficacy, but also had an impact on what its name was assumed to mean. Moving between, on the one hand, an analysis of explicit (and opposing) definitions of what the term normal meant, and, on the other, an account of how the Ecole normale was set up and what it was set up to do, this paper agrees with Cryle and Stephens that the term was ‘formed in controversy’, and fills in the intellectual and philosophical context from which the notion of the statistical norm would emerge.
Parametric optimization and ranking analysis of hybrid epoxy polymer composites based on mechanical, thermo-mechanical and abrasive wear performance
Authors: Kumar Mukesh , Kumar Ravindra , Tak Yogesh , Meena Ravindra Kumar , Sharma Naveen , Kumar Ashiwani
Published: September 2020

In this research work, designing and fabrication of hybrid epoxy polymer composite materials had been carried out. It consists of basalt fiber (constant fraction) and marble dust particulates (0–10 wt% @ step of 2.5%) ensuing five compositions namely, MBE-0, MBE-2.5, MBE-5, MBE-7.5, and MBE-10. The specimen’s undergone physical, mechanical, and thermo-mechanical characterizations followed by three-body abrasive wear performance evaluation. Parametric optimizations of the wear have been evaluated with the Taguchi technique. The performance data are used to rank the compositions using a hybrid AHP-VIKOR selection making tool. It has been observed that voids content improves with reinforcement up to 5 wt% marble dust reinforcement, thereafter, it deteriorates sharply. The mechanical properties with 5 wt% marble dust reinforcement found to be highest. The thermo-mechanical characteristics like modulus and damping improve with marble dust reinforcement and temperature. The Cole-Cole plots reveal the heterogeneity present in the composites. The Taguchi’s analysis reveals the order of operating factors influencing specific wear rate as abrading distance > normal load > reinforcement composition > abrasive size. The steady state-specific wear rate of the composites reveals decremented rate across the abrading distance range irrespective of reinforcement proportions and at any specific abrading distance the order it followed as MBE-5 < MBE-7.5 < MBE-2.5 < MBE-10 < MBE-0. The ranking analysis using hybrid AHP-VIKOR technique predicts the ranking sequence as MBE-5 > MBE-7.5 > MBE-2.5 > MBE-10 > MBE-0, which are in-line with subjective analysis.