bluuebunny/crossref_metadata_2025 huggingface dataset:
Public libraries and crisis management: Iranian public libraries and the dust crisis
Authors: khademizadeh Shahnaz , Albudaiwi Dalal Y. , Larsen Håkon , Mohammadi Zeinab , Farajpahlou Abdul Hossein
Published: August 2022

Dust crisis is one of the most important environmental problems caused by climate change and drought during the last three decades in some parts of Iran, especially in its eastern and western borders. The present study is a qualitative semi-structured interview study of 11 managers and employees of public libraries in the Iranian provinces of Ilam, Khuzestan, Kurdistan, and Kermanshah. In the article, we document that public libraries can take major steps to better manage community needs arising from disasters and emergencies. The findings show that public libraries can take on educational, cultural, executive, and informative roles in the pre-crisis stage, executive and informative roles in the during-crisis stage, and executive and documentation roles in the post-crisis stage. Based on the results, a conceptual model is constructed, showing the role of Iranian public libraries in dealing with the dust crisis as a rotational process. In order to improve the role of public libraries in society, it is necessary that library managers and employees take appropriate measures in the three stages of pre-crisis, during-crisis, and post-crisis.
Information Asymmetry, Shortage of Liquidity and Evidence on the Role of Credit Sales in Business-to-Business Marketing
Authors: Karakoc Bahadir
Published: August 2022

This study explores the role of credit sales in the context of business-to-business marketing using publicly traded firm data from nine developed economies and the panel data methodology. The findings indicate that offering trade credit is not a substitute for traditional marketing; on the contrary, it complements it. As the need for marketing increases, firms offer more trade credit, and this is particularly the case for those with information asymmetry. Finally, liquidity-poor firms rely more on credit sales to support marketing. The findings overall suggest that firms, particularly the ones with information asymmetry, and lack of liquidity, can utilize trade credit in achieving marketing-related goals in a business-to-business setting.
Conceptual Framework for Integrating Family Caregivers Into the Health Care Team: A Scoping Review
Authors: Raj Minakshi , Stephenson Amber L. , DePuccio Matthew J. , Sullivan Erin E. , Tarver Will , Fleuren Bram , Thomas Samuel C. , Scheck McAlearney Ann
Published: August 2022

More than 80% of family care partners of older adults are responsible for coordinating care between and among providers; yet, their inclusion in the health care delivery process lacks recognition, coordination, and standardization. Despite efforts to include care partners (e.g., through informal or formal proxy access to their care recipient’s patient portal), policies and procedures around care partner inclusion are complex and inconsistently implemented. We conducted a scoping review of peer-reviewed articles published from 2015 to 2021 and reviewed a final sample of 45 U.S.-based studies. Few articles specifically examine the inclusion of care partners in health care teams; those that do, do not define or measure care partner inclusion in a standardized way. Efforts to consider care partners as “partners” rather than “visitors” require further consideration of how to build health care teams inclusive of care partners. Incentives for health care organizations and providers to practice inclusive team-building may be required.
Adolescents’ Perceptions of Substance Use Harms are Contingent on Mode of Administration and Type of Substance
Authors: Cummins Kevin , Lu Yang
Published: August 2022

Early vaping research often did not differentiate between substances vaped. The present study investigates risk perceptions for vaped nicotine and vaped cannabis. A school-based census of 9th and 11th graders yielded 431 responses to the California Healthy Kids Survey. Differences in harm perceptions were evaluated using multilevel mixed-effects models. Students were more likely to report nicotine vaping as great-moderate risk in comparison to cannabis vaping. Additionally, vaped cannabis was viewed as riskier than traditional administration. These results indicate that differences in harm perceptions may need to be addressed when targeting specific classes of substance use in investigations and interventions.
Changes in operative treatment of tibia fractures in Finland between 2000 and 2018: A nationwide study
Authors: Ylitalo Antti A.J. , Dahl Kalle A. , Reito Aleksi , Ekman Elina
Published: August 2022

Introduction:

Incidences of different tibia fractures are not well reported. Possible changes in the operative treatment methods have also not been studied. The aim of this nationwide registry study is to determine the incidence of operatively treated tibia fractures and investigate the possible changes in treatment methods in Finland between 2000 and 2018.

Methods:

All patients aged 16 years or older with operatively treated tibia fractures in Finland from 2000 to 2018 were included. The incidence of operatively treated proximal, diaphyseal, and distal tibia fractures per 100,000 person years by age, sex, mechanism of injury, and study year was calculated. Data were extracted from the Finnish National Hospital Discharge Register.

Results:

A total of 5996 proximal, 6874 diaphyseal, and 5658 distal tibia fractures were reported during the 18-year study period, resulting in incidences of 7.2/100,000, 8.1/100,000, and 6.9/100,000 person years for operatively treated proximal, diaphyseal, and distal tibia fractures, respectively. Over the study period, a clear change in fixation method in distal tibia fractures was found as plating became popular in the beginning of the 21st century. During the last 5 years of the study period, nailing and plating were equally used.

Conclusions:

Operatively treated proximal tibia fractures are most common among older females while diaphyseal fractures are most frequent in young male patients. Distal tibia fractures occur most often among middle-aged people.
Population-Based Studies in Dementia and Ageing Research: A Local and National Experience in Cambridgeshire and the UK
Authors: Brayne Carol , Wu Yu-Tzu
Published: August 2022

Dementia has been recognised as a key challenge in many ageing societies across the world. Several population-based studies have been developed to investigate dementia and cognitive ageing from perspectives of biology, health, psychology and social sciences. However, there is a need to provide a better understanding of ‘contexts’, the circumstance where these ageing populations existed, and heterogeneity within and across the populations in different time and places. In this article, we summarise some examples of earlier population-based studies undertaken by our research groups in England and Wales and their contribution to the epidemiology of dementia, neuropathology, cognitive and mental health in older age. We also describe how these studies illustrated variation among ageing populations and changes in their health conditions across time and place. These findings highlight the contribution that population-based studies can make, along with the vital to incorporate contexts in ageing research. A lifecourse approach within social context is needed to integrate life experiences, social circumstances, and multiple dimensions of cognition, functioning, physical health and wellbeing over the ageing process. We also discuss how evidence from population-based studies can support various international initiatives on dementia, healthy ageing and Sustainable Development Goals and facilitate tailored approaches for diverse populations across global societies.
The Impact of Cognitive Impairment on Robot-Based Upper-Limb Motor Assessment in Chronic Stroke
Authors: Bui Kevin D. , Lyn Breanna , Roland Matthew , Wamsley Carol A. , Mendonca Rochelle , Johnson Michelle J.
Published: August 2022

Background

Chronic upper extremity motor deficits are present in up to 65% of stroke survivors, and cognitive impairment is prevalent in 46-61% of stroke survivors even 10 years after their stroke. Robot-assisted therapy programs tend to focus on motor recovery and do not include stroke patients with cognitive impairment.

Objective

This study aims to investigate performance on the individual cognitive domains evaluated in the MoCA and their relation to upper-limb motor performance on a robotic system.

Methods

Participants were recruited from the stroke population with a wide range of cognitive and motor levels to complete a trajectory tracking task using the Haptic TheraDrive rehabilitation robot system. Motor performance was evaluated against standard clinical cognitive and motor assessments. Our hypothesis is that the cognitive domains involved in the visuomotor tracking task are significant predictors of performance on the robot-based task and that impairment in these domains results in worse motor performance on the task compared to subjects with no cognitive impairment.

Results

Our results support the hypothesis that visuospatial and executive function have a significant impact on motor performance, with differences emerging between different functional groups on the various robot-based metrics. We also show that the kinematic metrics from this task differentiate cognitive-motor functional groups differently.

Conclusion

This study demonstrates that performance on a motor-based robotic assessment task also involves a significant visuospatial and executive function component and highlights the need to account for cognitive impairment in the assessment of motor performance.
Civic education and social interactions at school as drivers of intended electoral participation: Similarities and differences in four European school systems
Authors: Deimel Daniel , Hahn-Laudenberg Katrin , Ziemes Johanna F , Abs Hermann J
Published: August 2022

Through civic education and social interactions at school, students are able to develop more or less political knowledge and trust in political institutions. Both precede intended electoral participation. However, it is disputed whether the relationship between political knowledge, trust, and intended participation is consistent across countries. We analyze data from the International Civic and Citizenship Education Study 2016 that consist of representative subsamples for 14-year-old students ( N = 14,567) in Bulgaria, Croatia, Denmark, and Germany (North Rhine-Westphalia). A structural equation model approach reveals that both political knowledge and trust in political institutions contribute to explaining variation in adolescents’ intended electoral participation. The effect of political knowledge is partly mediated by trust, which in turn is negatively associated with political knowledge in Bulgaria and Croatia and positively in Denmark and Germany (NRW). These results are discussed in the light of country-specific differences in the political context of civic education.
The post conflict generation in Northern Ireland: Citizenship education, political literacy and the question of sovereignty
Authors: Milliken Matthew , Smith Alan
Published: August 2022

Twenty years ago, Northern Ireland’s previously prominent presence in the headlines of the yellow press dwindled to virtual non-existence. As the region’s three-decade long conflict went into abeyance and the daily death tally dropped, the vagaries of the region’s little-understood, political tensions were assigned to little-read columns hidden deep inside broadsheets. Brexit has, however, re-exposed the deep scars and political acrimony that still blight Northern Ireland. Northern Irish schools have seen the introduction of series of educational initiatives aimed at ameliorating enduring inter-community hostility, including the creation of a model of citizenship education designed to enhance pupils’ political understanding and literacy. Drawing on recent survey data on the attitudes and perspectives of 16-year-olds, this paper explores how citizenship is being delivered in schools in Northern Ireland and exposes young people’s level of engagement with current political issues, including the possibility of a united Ireland. Although results are largely in line with expectations, there are some indications that this generation may not be simply marching in step with the same drumbeat that has been followed by generations of their forebearers.
Pre- and post-competitive anxiety and match outcome in elite international junior tennis players
Authors: Fuentes-García Juan Pedro , Villafaina Santos , Martínez-Gallego Rafael , Crespo Miguel
Published: August 2022

This study aimed to analyse the impact of match outcome (win or lose) in an elite international tennis competition on pre-competitive anxiety and self-confidence. A cohort of Under-16 elite boys (n = 18), with a mean age of 15.44 (0.616) years and an international competitive experience of 4.44 (1.89) years, which were representing six national teams participated in this cross-sectional study. The assessments took part in a qualifying stage of the International Tennis Federation (ITF) Junior Davis Cup competition. During the tournament, participants played the best of three set matches. The Competitive State Anxiety Inventory – 2R (CSAI-2R) and the State-Trait Anxiety Inventory (STAI-E) were employed to assess the pre-competitive anxiety before and after the tournament's match. Cognitive and somatic anxiety were slightly higher before than after the matches. No significant differences were found between the pre-and post-match measures. However, significant differences in cognitive anxiety, state anxiety and self-confidence were found when comparing pre-match and post-match values between winners and losers. In this regard, winners showed a significant reduction in state anxiety and cognitive anxiety after the match. According to our results, intervention programmes should incorporate tools that will assist players in their management of anxiety and self-confidence, specifically with those players who lost the match.
Framing the Digital Silk Road's (De)Securitisation
Authors: Heidbrink Christiane , Becker Conrad
Published: August 2022

China’s Digital Belt and Road (DBAR) is sending the offer of a technological upgrade around the world. Foreign perceptions of the DBAR pave the way to success through a cooperative attitude or to failure through resistance and confrontation. The United States of America (USA), in particular, plays a prominent role. The power rivalry between Washington and Beijing also affects foreign initiatives such as the DBAR. However, it remains underresearched, how the DBAR is perceived in the USA. The article fills this gap by analysing documents issued by US state bodies as well as three non-partisan think tanks between 2016 and mid-2021. Since no previous study has examined both securitised and desecuritised DBAR frames, we present a new research framework. The results show that negative perceptions of the DBAR prevail among think tanks and political elites. This suggests hardened fronts in the heated technological competition due to confrontational attitudes.
Risperidone-induced priapism: a case report and literature review
Authors: Ateb Sarra , Fourati Taoufik , Ben Rejeb Hammadi , Januel Dominique , Bouaziz Noomane
Published: August 2022

Priapism is a rare pathological condition defined as painful and persistent penile erection that is unrelated to sexual stimulation. It can be classified as ischaemic or non-ischaemic. Many causes have been attributed to ischaemic priapism, including the use of some medications such as antipsychotics. The mechanism of priapism associated with antipsychotics is thought to be related to alpha-adrenergic blockage that is mediated by the alpha receptors in the corpora cavernosa of the penis. In this paper, we describe a case of a patient who suffered from Risperidone-induced priapism, and how this adverse effect was resolved by switching to olanzapine followed by olanzapine pamoate. A literature search on PubMed/Medline up to 2011 was conducted by some doctors from London and found 30 cases of priapism associated with risperidone. Based on this work, we searched PubMed through 2021, using the keywords ‘priapism’ and ‘risperidone’ and found a total of 43 cases of priapism involving risperidone. Priapism is not correlated with the dosage of this psychotropic drug, and has also occasionally occurred when risperidone has been used in conjunction with another drug. The question of choosing a replacement antipsychotic after the first one has induced priapism, remains problematic. It would be preferable to switch to a drug with less marked alpha1-blocking properties, but no consensus has been reached as to the best choice of medication. Finally, any prescription of an antipsychotic treatment must be preceded by a careful interrogation in search of risk factors for priapism, and the patient should be made aware of the possible occurrence of this side effect and the need to then seek urgent medical advice.
Qualitative Findings for Supporting Newly Graduated Nurse and Teacher Sleep During Their First Year
Authors: Varner Kendra , Hittle Beverly M. , Martsolf Donna , Plano Clark Vicki L. , Gillespie Gordon L. , Reutman Susan
Published: August 2022

Background:

New graduate role transition for nurses and teachers is stressful. Poor adaptation may manifest as insomnia, which has implications for the new professionals, their employers, and the public served. This study examines factors that impact new graduate sleep, with the aim of identifying perceived helps and hindrances to sleep-during-transition.

Methods:

Targeted content analysis of transcripts from a larger longitudinal mixed methods study comparing new graduate sleep during their first year of practice. Study participants ( N = 21) answered questions in the final interview regarding the most positive and negative impact(s) on sleep during the transition year. Transcripts were analyzed and compared based on the new graduate sleep typology (i.e., Got Better, Got Worse, Stayed Varied) which emerged from the parent study.

Findings:

Most participants, regardless of sleep type, identified a person/group as most positively impacting sleep. They identified work thoughts, stress/anxiety, people, work hours/sleep schedules, and environmental factors as negatively impacting sleep. Work thoughts and stress/anxiety were mentioned together and most frequently by participants in all three sleep types.

Conclusion/Applications to Practice:

This study provided insight into new graduate nurse and teacher sleep during transition. Support persons and/or groups may be essential regardless of sleep type. Thought management/stress mitigation strategies and good sleep hygiene may also improve the sleep experiences of these new professionals. Occupational health nurses can support sleep-during-transition among new nurses and teachers by acting as sleep advocates. They may also identify a need for medical intervention and/or sleep specialists and should promote fatigue risk mitigating policies.
Accuracy of Magnetic Resonance Imaging in the Diagnosis of Acetabular Chondral Delamination in Femoroacetabular Impingement
Authors: Gao Guanying , Dong Hanmei , Wang Jianquan , Ao Yingfang , Xu Yan
Published: August 2022

Background:

Currently, there is no consensus regarding the accuracy of magnetic resonance imaging (MRI) in the detection of acetabular chondral delamination (ACD) in patients with femoroacetabular impingement (FAI), and, correspondingly, the preoperative diagnosis of ACD remains challenging.

Hypothesis:

It was hypothesized that MRI would have relatively high accuracy in detecting ACD in patients with FAI.

Study Design:

Cohort study (diagnosis); Level of evidence, 2.

Methods:

We retrospectively evaluated patients who attended the sports medicine clinic of our department and underwent arthroscopic surgery for the diagnosis of FAI between January 2018 and December 2020. All patients underwent preoperative 3.0-T MRI. ACD was evaluated by 2 raters on 3.0-T MRI scans, and interrater and intrarater reliability was assessed. Sensitivity, specificity, accuracy, positive predictive value (PPV), and negative predictive value (NPV) of MRI for diagnosis of ACD were calculated, using arthroscopic surgery as the standard.

Results:

A total of 233 patients (mean age, 37.4 years; 99 male and 134 female) were included in this study. The presence of ACD in 101 (43.3%) patients was confirmed during hip arthroscopy. The intraobserver reliability of both of the observers in detecting ACD using 3.0-T MRI scans was almost perfect (observer 1, kappa coefficient [κ] = 0.909 [95% CI, 0.854-0.964]; observer 2, κ = 0.937 [95% CI, 0.890-0.984]), and the interobserver reliability between the observers (κ = 0.801 [95% CI, 0.723-0.879]) was substantial. The overall sensitivity, specificity, PPV, and NPV of preoperative MRI to detect ACD were 83.7%, 82%, 74.2%, and 89.1%, respectively.

Conclusion:

It was found that 3.0-T MRI had a relatively high sensitivity, specificity, PPV, and NPV for diagnosis of ACD in patients with FAI and could be a reliable method of diagnosing ACD preoperatively.
Geotechnical reconnaissance of an extensive cover-collapse sinkhole phenomena of 2020–2021 Petrinja earthquake sequence (Central Croatia)
Authors: Tomac Ingrid , Kovačević Zelić Biljana , Perić Dunja , Domitrović Dubravko , Štambuk Cvitanović Nataša , Vučenović Helena , Parlov Jelena , Stipčević Josip , Matešić Darko , Matoš Bojan , Vlahović Igor
Published: August 2022

This article presents geotechnical reconnaissance data that characterize the formation of 122 new and 49 historical cover-collapse sinkholes within 1.13 km2 area in 12 months following the MW 6.4 earthquake that occurred on 29 December 2020, in Petrinja, Croatia. Data include a geological background, seismic sequence information, sinkhole geometric characteristics, rainfall data, and results of detailed geotechnical subsurface investigation. The sinkhole geometrical features were collected using aerial and satellite imagery, terrestrial lidar, and manual measurements. Soil properties and groundwater levels were obtained from four geotechnical boreholes, accompanied by in situ geotechnical characterization and standard penetration tests (SPTs). Soil parameters were obtained from consolidated undrained conventional triaxial compression, oedometer, soil water retention, and index tests performed on 31 soil samples. Clayey cover, 4–10 m thick, with sporadic gravel lenses overlying cavernous, intensely karstified carbonate rocks, characterizes the sinkhole area. Clays are mostly overconsolidated, with varying degrees of saturation ranging from very small to fully saturated. Seasonal and climate-induced variations in the groundwater table interact with artesian/subartesian karst aquifer, thus affecting the suction and the shear strength. Soil water retention curves (SWRCs) indicate that desaturation is possible for deeper groundwater tables, thus further affecting the effective stress, shear strength, and interparticle tensile forces. Finally, the observed vertical walls that accompanied sinkholes opening can occur in the overconsolidated cohesive cover clay layer with varying degree of saturation. The presented data provide essential geomechanical information necessary to understand the associated sinkhole failure mechanism. This article will help future investigators to perform detailed analyses and provide a background for complementing future sinkhole precursor research. Geotechnical, geological, seismic, and precipitation data generally indicate that the formation of cover-collapse sinkholes in the study area is a consequence of a specific local geological setting but is significantly expedited by earthquake-induced dynamic loading and complemented by multiple hydro-mechanical factors.
Pollinators and urban riparian vegetation: important contributors to urban diversity conservation
Authors: Zhang Xin , Zhang Lixue , Wang Yixiao , Shao Ying , Daniels Benjamin , Roß-Nickoll Martina , Chen Zhongli
Published: August 2022

Background

Urbanization process around the world has not only changed the patterns of land use, but also fragmented the habitat, resulting in significantly biodiversity loss. Urban rivers, serve as one of the natural corridors in urban ecosystems, are of importance for urban ecosystem stability. However, few studies have been done to explore the relationship between vegetation and pollinators in urban river segments. In this study, two urban streams in the city of Chongqing were selected as the study area, riparian vegetation, butterflies and bees were investigated along all four seasons of a year to illustrate the spatial and temporal distribution patterns. Simultaneously, the ecological functions of the river corridor were analyzed.

Result

In this study, 109 plant species belonging to 95 genera of 39 families were recorded; the number of sampled species for butterflies and bees were 12 and 13, respectively. The temporal and spatial patterns of species diversity among vegetation, butterfly, and bee are different, but the trends of variation among them are similar between the two streams. Bees were found to be more closely correlated with native flowering plants in riparian zone, rather than with cultivated riparian vegetation.

Conclusions

The native riparian vegetation in urban rivers plays an important role in urban biodiversity conservation by serving as a corridor. This study provides data supporting the protection of the remaining natural patches and restoration of damaged habitats in the city. The survey has accumulated data on native riparian vegetation and pollinators in urban rivers.
Relapsing MRI-negative myelitis associated with myelin-oligodendrocyte glycoprotein autoantibodies: a case report
Authors: Kolcava Jan , Rajdova Aneta , Vlckova Eva , Stourac Pavel , Bednarik Josef
Published: August 2022

Background

Serum antibodies to myelin-oligodendrocyte glycoprotein (MOG) are biomarkers of MOG-IgG-associated disorder (MOGAD), a demyelinating disease distinct from both multiple sclerosis and aquaporin-4-IgG neuromyelitis optica spectrum disorder. The phenotype of MOGAD is broad and includes optic neuritis, transverse myelitis, and acute demyelinating encephalomyelitis. Myelitis is common with MOGAD and typically results in acute and severe disability, although prospects for recovery are often favorable with prompt immunotherapy.

Case presentation

This contribution presents a unique case report of a young male patient exhibiting relapsing myelitis with normal spinal cord and brain magnetic resonance imaging. Comprehensive diagnostic assessment revealed myelin-oligodendrocyte glycoprotein-IgG-associated disorder.

Conclusion

MOGAD is one of the conditions which should be considered in MRI-negative myelitis. The diagnosis, however, may prove difficult, especially if the patient is not exhibiting other neurological symptoms of MOGAD. Conus or epiconus involvement is common in MOGAD; the patient reported herein exhibited incomplete rostral epiconus symptoms which, together with somatosensory evoked potential abnormalities, led to the diagnosis.
Ability of routinely collected clinical factors to predict good visual results after primary Descemet membrane endothelial keratoplasty: a cohort study
Authors: Bloch Florian , Dinot Vincent , Goetz Christophe , Zevering Yinka , Lhuillier Louis , Perone Jean-Marc
Published: August 2022

Background

A comprehensive analysis of routinely collected pre/perioperative demographic/clinical factors that could predict final visual acuity after primary Descemet membrane endothelial keratoplasty (DMEK) has not been conducted previously.

Methods

A retrospective monocenter cohort study was performed with consecutive patients with Fuchs endothelial corneal dystrophy (FECD) who underwent DMEK or triple-DMEK (DMEK combined with cataract surgery) in 2016–2020 in a French tertiary-care hospital. DMEK-only patients were pseudophakic. Patients were followed for 12 months. Surgery was considered successful when 12-month best-corrected visual acuity (BCVA) was ≤0.1 logMAR (≥0.8). Exploratory multivariate analysis was conducted with the following routinely collected variables to determine their ability to predict 12-month BCVA: patient age and sex; graft donor age; triple DMEK; preoperative values of BCVA, endothelial cell density (ECD), central corneal thickness (CCT), and mean anterior keratometry; and rebubbling.

Results

Of 100 eyes (100 patients; mean age, 72 years; 61% female), 81 achieved a 12-month BCVA of ≤0.1 logMAR. Logistic regression analysis showed that older age was a significant prognosticator for 12-month BCVA > 0.1 logMAR (Odds Ratio = 0.914, 95% confidence intervals = 0.846–0.987;p = 0.02).

Conclusions

An older age associated with worse visual acuity outcomes after DMEK. This was confirmed by our analysis of the literature and supports the notion that DMEK should be conducted without delay once symptoms appear. Patient sex, donor age, triple-DMEK, and anterior keratometry also did not predict final BCVA in the literature. Preoperative CCT, ECD, and BCVA, and rebubbling occasionally appear in the literature as BCVA predictors, possibly reflecting an underlying ECD-BCVA axis.
The perspectives of oncology healthcare providers on the role of palliative care in a comprehensive cancer center
Authors: Anderson Trenley M. , Farrell Megan M. , Moss Gabriel , Gupta Mona , Mooney Stefanie , Daunov Katherine , Savernick Megan , Frandsen Jan , Verrona Kolby , Pecoraro Aryn , Mance Cassandra , Garcia Jorge , Lee Richard T.
Published: August 2022

Background

Palliative care (PC) is an essential part of oncologic care, but its optimal role within a cancer center remains unclear. This study examines oncology healthcare providers’ perspectives about the role of PC at a comprehensive cancer center (CCC).

Methods

Physicians, nurses, and other oncology healthcare providers at a CCC were surveyed for their opinions about the role of inpatient and outpatient PC, preferences for PC services, and barriers to referral. Chi-squared tests and multiple regression analyses were performed to explore associations.

Results

We received 137/221 completed questionnaires (61% response rate). Respondents were generally female (78%), had ≤ 10 years of service (69%), and included physicians (32%), nurses (32%), and advanced practice providers (17%). Most respondents (82%) agreed that more patients could benefit from PC. They also agreed that PC is beneficial for both outpatient and inpatient management of complex pain (96 and 88%), complex symptoms (84 and 74%), and advanced cancer patients (80 and 64%). Transition to hospice (64 vs. 42%, p = 0.007) and goals of care (62 vs. 49%, p = 0.011) provided by PC services were more valued by respondents for the inpatient than for the outpatient setting. Barriers to utilizing PC included lack of availability, unsure of when to refer, and poor communication. The majority of respondents (83%) preferred a cancer focused PC team to provide high-quality care.

Conclusions

Overall, the majority of oncology health care providers believe that more patients could benefit from PC, but opinions vary regarding the roles of inpatient and outpatient PC. Barriers and areas for improvement include availability, referral process, and improved communication.
Burnout and work-privacy conflict – are there differences between full-time and part-time physicians?
Authors: Bodendieck E , Jung FU , Luppa M , Riedel-Heller SG
Published: August 2022

Background

Changes in everyday work with regard to working time models have reached the medical profession. The number of physicians working part-time is steadily increasing. At the same time, however, the population's need for care is also rising. This can reinforce the impending shortage of doctors in the future. The aim was to investigate differences in work-privacy conflict and burnout among physicians working full-time or part-time.

Method

The present study includes data from a baseline survey of the long-term study of physicians with different medical backgrounds. The analysis focused on a sub-sample of 598 physicians (not self-employed). The two main outcomes under investigation—burnout and work-privacy conflict—were measured using the Copenhagen Burnout Inventory adapted for health care professionals, as well as the associated subscale of the Copenhagen Psychosocial Questionnaire (COPSOQ). Data analyses included descriptive statistics followed by regression models.

Results

Descriptive analyses show, that 31.8% of physicians are working part-time, whereas 68.2% are working full-time. The part-time subsample is significantly older, and female physicians are more likely to work part-time. With regard to workload and work-privacy conflict, significant differences between part-time and full-time physicians were only observed in terms of work-privacy-conflict. However, regression analysis underline the importance of possible confounding variables (such as medical setting) within the relationship between job size and job-related well-being.

Discussion

Differences in working hour arrangements (full-time or part-time work) are only accompanied by less work-privacy conflict. No differences with regard to burnout (patient-related, work-related or personal) could be obtained. Rather, the data suggests that other job-related variables may play a role and should be further investigated.
Tailoring cultural offers to meet the needs of older people during uncertain times: a rapid realist review
Authors: Tierney Stephanie , Libert Sebastien , Gorenberg Jordan , Wong Geoff , Turk Amadea , Husk Kerryn , Chatterjee Helen J. , Eccles Kathryn , Potter Caroline , Webster Emma , McDougall Beth , Warburton Harriet , Shaw Lucy , Roberts Nia , Mahtani Kamal R.
Published: August 2022

Background

Non-medical issues (e.g. loneliness, financial concerns, housing problems) can shape how people feel physically and psychologically. This has been emphasised during the Covid-19 pandemic, especially for older people. Social prescribing is proposed as a means of addressing non-medical issues, which can include drawing on support offered by the cultural sector.

Method

A rapid realist review was conducted to explore how the cultural sector (in particular public/curated gardens, libraries and museums), as part of social prescribing, can support the holistic well-being of older people under conditions imposed by the pandemic. An initial programme theory was developed from our existing knowledge and discussions with cultural sector staff. It informed searches on databases and within the grey literature for relevant documents, which were screened against the review’s inclusion criteria. Data were extracted from these documents to develop context-mechanism-outcome configurations (CMOCs). We used the CMOCs to refine our initial programme theory.

Results

Data were extracted from 42 documents. CMOCs developed from these documents highlighted the importance of tailoring—shaping support available through the cultural sector to the needs and expectations of older people—through messaging, matching, monitoring and partnerships. Tailoring can help to secure benefits that older people may derive from engaging with a cultural offer—being distracted (absorbed in an activity) or psychologically held, making connections or transforming through self-growth. We explored the idea of tailoring in more detail by considering it in relation to Social Exchange Theory.

Conclusions

Tailoring cultural offers to the variety of conditions and circumstances encountered in later life, and to changes in social circumstances (e.g. a global pandemic), is central to social prescribing for older people involving the cultural sector. Adaptations should be directed towards achieving key benefits for older people who have reported feeling lonely, anxious and unwell during the pandemic and recovery from it.
Minimally invasive left internal mammary artery harvesting techniques during the learning curve are safe and achieve similar results as conventional LIMA harvesting techniques
Authors: Masroor Matiullah , Chen Chunyang , Zhou Kang , Fu Xianming , Khan Umar Zeb , Zhao Yuan
Published: August 2022

Background

Internal thoracic arteries (ITAs) are considered to be the standard conduits used for coronary revascularization. Recently minimally invasive procedures are performed to harvest ITAs. The aim of this retrospective cohort study is to observe the effect and safety of less invasive LIMA harvesting approaches in the learning curve compared to conventional harvesting.

Methods

We retrospectively analyzed the data of 138 patients divided into three different groups based on the LIMA harvesting techniques: conventional sternotomy LIMA harvesting, CSLH (n: 64), minimally invasive direct LIMA harvesting, MIDLH (n: 42), and robotic-assisted LIMA harvesting, RALH (n: 32). The same 138 patients were also divided into sternotomy (n: 64), and non-sternotomy (n: 74) groups keeping both MIDLH and RALH in the non-sternotomy category. Parameters associated with LIMA’s quality and some other perioperative parameters such as harvesting time, LIMA damage, perioperative myocardial infarction, ventilation time, 24 h drainage, ICU stay, hospital mortality, computed tomographic angiography (CTA) LIMA patency on discharge, and after one year were recorded.

Results

The mean LIMA harvesting time was 36.9 ± 14.3, 74.4 ± 24.2, and 164.7 ± 51.9 min for CSLH, MIDLH, and RALH groups respectively (p < 0.001). One patient 1/32 (3.1%) in the RALH group had LIMA damage while the other two groups had none. One-month LIMA CTA patency was 56/57 (98.2%), 34/36 (94.4%), and 27/27 (100%) (p = 0.339), while 1 year CTA patency was 47/51 (92.1%), 30/33 (90.9%), and 24/25 (96%) for CSLH, MIDLH, and RALH groups respectively (p = 0.754). In the case of sternotomy vs non-sternotomy, the LIMA harvesting time was 36.9 ± 14.3 and 113.6 ± 59.3 min (p < 0.001). CTA patency on discharge was 56/57 (98.2%) and 61/63 (96.8%) (p = 0.619), while 1 year CTA patency was 47/51 (92.1%) and 54/58 (93.1%) (p = 0.850) for sternotomy vs non-sternotomy groups.

Conclusion

Minimally invasive left internal mammary artery harvesting techniques during the learning curve are safe and have no negative impact on the quality of LIMA. Perioperative outcomes are comparable to conventional procedures except for prolonged harvesting time. RALH is the least invasive and most time-consuming procedure during the learning curve. These procedures are safe and can be performed for selected patients even during the learning curve.
Minimum number and types of allergens for a skin prick test panel in Thai children with allergic respiratory diseases
Authors: Kulalert Prapasri , Poachanukoon Orapan , Nanthapisal Sira , Sritipsukho Paskorn , Thanborisutkul Karnsinee , Termworasin Pasistha , Kornsawai Rungrawee , Punyashthira Patcharaporn
Published: August 2022

Background

Patterns of aeroallergen sensitization vary by countries. Testing with the minimum number of allergens is important to identify sensitized patients for a cost-effective approach. We aimed to assess the minimal skin prick test (SPT) panel to identify sensitized children with allergic respiratory diseases.

Methods

The SPT results from January 2020 to December 2021 in children aged 2–18 years with symptoms of asthma or allergic rhinitis or both were retrospectively reviewed. All children received 11 allergen extracts (Dermatophagoides pteronyssinus [Der p], Dermatophagoides farinae [Der f], American cockroach, German cockroach, cat, dog, Bermuda grass, careless weed, Timothy, Acacia, and molds). The conditional approach was used to determine the allergen selection for the SPT panel.

Results

A total of 688 children were enrolled (mean age = 8.14 ± 3.91 years). The sensitization results were Der p (57.85%), Der f (55.09%), German cockroach (18.02%), American cockroach (17.01%), cat (11.77%), Acacia (3.49%), Bermuda grass (3.34%), molds (3.05%), Timothy (2.33%), dog (1.89%), and careless weed (1.60%). Der p, Der f, and German cockroach were required to detect at least 95% of sensitized children. If the SPT panel added Acacia, cat, American cockroach, Bermuda grass, and careless weed, sensitization was detected in 99–100% of cases.

Conclusions

Indoor allergens (Der p, cockroach, and cat) were common causes of sensitization in Thai children with allergic respiratory diseases. Eight allergens were sufficient for sensitization identification in Thai children with asthma or allergic rhinitis or both in clinical practice.
Integrated palynology and sedimentology of the Mississippian of the Tisdafine Basin (Eastern Anti-Atlas, Morocco)
Authors: Talih Amine , Ţabără Daniel , Slimani Hamid , Saadi Mohamed , Benmlih Abdelouahed , Aboutofail Salma
Published: August 2022

The Mississippian (Tournaisian–Visean) of the Jbel Asdaf area in the Tisdafine Basin (Eastern Anti-Atlas, Morocco) has been, for the first time, the subject of a palynological study. This work aims first to describe the lithological and the paleontological composition of the Aït Yalla and Tinerhir Formations, then to refine the age, reconstruct the paleoenvironment and assess the thermal maturity of the organic matter. The studied section is subdivided, from oldest to youngest, into three intervals, according to their lithological and paleontological compositions. Lithologically, the lower interval (lower part of the Aït Yalla Formation) and middle interval (upper part of the Aït Yalla Formation and basal part of the Tinerhir Formation) consist mostly of clay shales and green shales, respectively, both alternating with limestone or sandstone beds. The upper interval (upper part of the Tinerhir Formation) is dominated by sandstones, also alternating with pelitic-sandstone or limestone beds. The kerogen delivered by the analyzed samples is mostly of continental origin, composed mainly of opaque phytoclasts, while translucent phytoclasts and miospores are less represented. Marine fraction, consisting mainly of granular amorphous organic matter and some phytoplankton, are rare. Biostratigraphically, the late Visean Tripartites vetustus–Rotaspora fracta (VF) miospore Zone of the Western Europe biozonal scheme is recognized with some regards in the Tinerhir Formation, based on the first occurrence of the miospore Rotaspora cf. knoxi. Vallatisporites aff. ciliaris is another biostratigraphic marker taxon of the assemblage, whose the last occurrence marks the end of the VF Biozone at the top of the analyzed section. Qualitative and quantitative parameters of the different palynofacies constituents (e.g., shape, size, % of opaque and translucent phytoclasts) show, from the base to the top of the section, a gradual transition from a distal marine environment generally recognized in the Aït Yalla Formation towards an intermediate marine environment in the Tinerhir Formation, suggesting a sea-level fall. Optical analyses performed on the color of palynomorphs, mainly spores, suggest a thermal maturity, ranging from late mature to early post-mature stage for most of the analysed samples, with a burial depth and a temperature of at least 3300 m and 90 °C, respectively.
Impact of large-scale agricultural investments on the food security status of local community in Gambella region, Ethiopia
Authors: Guyalo Amanuel Kussia , Alemu Esubalew Abate , Degaga Degefa Tolossa
Published: August 2022

Background

The government of Ethiopia has been promoting large-scale agricultural investments to accelerate agricultural modernization and improve local people’s food security. However, studies that quantify the actual impact of such investments on the food security status of the investment hosting community using diverse food security indicators and suitable impact estimation methods are scanty. The main purpose of this article is, therefore, to analyse the impact of large-scale agricultural investments on the food security status of the Anuak community in Gambella region. This study employed a quasi-experimental research design. Data were gathered from 352 households selected through a systematic sampling technique and analysed using a Propensity Score Matching technique.

Results

The result shows that large-scale agricultural investments have a significant negative impact on the food security status of the local community and have worsened their food insecurity problem. The investments have reduced food availability, access, and utilization of the local people and increased their vulnerability to food insecurity.

Conclusions

We conclude that the Ethiopian government and private investors have failed to generate the benefits that they aspire at the local level to ensure the food security of the affected community. We, therefore, suggest that the Ethiopian government should reform the sector in such a way that takes the local context into account and embraces local people so that they can directly benefit from employment opportunities, infrastructural development, and technological transfer.
Meaning of life questionnaire (MLQ) in peruvian undergraduate students: study of its psychometric properties from the perspective of classical test theory (CTT)
Authors: Travezaño-Cabrera Aaron , Vilca Lindsey W. , Quiroz-Becerra Julisa , Huerta Samy L. , Delgado-Vallejos Rosali , Caycho-Rodríguez Tomás
Published: August 2022

Background

The study of the meaning of life is essential since it plays a protective role in the mental health of university students. However, no studies have shown the adequate psychometric functioning of the MLQ in Latin American university students. For this reason, this research aims to evaluate the internal structure using CTT models, obtain evidence of validity based on the relationship with other variables, perform factorial invariance according to gender, and estimate the reliability of the MLQ.

Methods

A sample of 581 Peruvian undergraduate students of both sexes (29.5% men and 70.5% women) between the ages of 18 and 35 (M = 22.6; SD = 3.3) was collected. Along with the MLQ, other instruments were applied to measure satisfaction with life (SWLS), subjective well-being (WBI), and depression (PHQ-9).

Results

In the present study was evidenced that the model of two related factors of nine items presents better adjustment indices (RMSEA = .075; SRMR = .059; CFI = .97; TLI = .96) compared to other models. Also, it was shown that the factorial structure of the MLQ is strictly invariant for the group of men and women. It was also shown that the presence of meaning was positively related to satisfaction with life (.63) and well-being (.60) and negatively to depression (− .56). In contrast, the search for meaning was not significantly related to life satisfaction (− .05) and well-being (− .07); but yes, to depression (.19).

Conclusion

It is concluded that the MLQ from the perspective of CTT has shown adequate evidence of reliability and validity. Therefore, it could be used in future studies and evaluation and intervention processes. In addition, the study provides the first evidence of the psychometric functioning of the scale in university students from Latin America.