bluuebunny/crossref_metadata_2025 huggingface dataset:
Green and Pleasant Lands: The Affective and Cerebral Hemodynamic Effects of Presence in Virtual Environments During Exercise
Authors: Jones Leighton , Wheat Jonathan
Published: December 2022

Pleasant exercise experiences increase the likelihood of exercise adherence, and innovative strategies to promote consistently pleasant exercise experiences are needed. In this study we compared a novel nature-based virtual reality environment, a nature-based 360° video, and a control condition to test the hypothesis that greater presence in virtual space would promote positive affective experiences during exercise. Moreover, we assessed prefrontal cerebral hemodynamics using near infrared spectroscopy to explore possible neural underpinnings of dissociative strategies during exercise. Twelve participants ( M = 26.2, SD = 7.7 years; M BMI = 25.5, SD = 5.2 kg/m2) completed a maximal aerobic test and three exercise conditions (Control, Virtual Reality [VR], and 360° video). The two experimental conditions differed in terms of the participants’ sense of presence (VR eliciting greatest presence), and all conditions utilized similar exercise intensity. The VR condition setting was a virtual mountain forest trail, and the 360° video was of a forest road. The 360° video was perceived as the most distracting ( p = .023, d = 1.07), pleasant ( p = .007, d = .75), and enjoyable ( p = .029; d = .82) condition. ΔHbDiff data indicated that the control condition caused the greatest prefrontal brain activation ( p = .008, d = .84). Presence was not a salient factor in distracting participants from bodily sensations during exercise, but immersion in a stimulus was. These results provide support for using head-mounted displays during exercise as a strategy to increase pleasure, with practical implications for practitioners, researchers, and individuals.
Equine-Assisted Therapy for Posttraumatic Stress Disorder Among First Responders
Authors: Nelson Charles , Dossett Kimberly , Walker Deanna L.
Published: December 2022

Equine-assisted therapy has emerged as an adjunctive integrative health modality in treating individuals experiencing physiological and psychological distress. However, limited research exists to assess the efficacy of such treatments as a possible adjunct to psychological treatment for Posttraumatic Stress Disorder (PTSD) in first responders. The current pilot study examines the additive benefits of equine-assisted exposure for first responders suffering occupational incapacitation from operational-related trauma. Seven first responders participated in an 8-week, 90-minute, equine-assisted therapy program. Primary outcome measures (i.e., anxiety, depression, trauma, inflexibility and avoidance) were administered pre- and post-intervention. Additional measures examined feelings about the self and views towards aspects of the program. Findings suggested initial support for symptom reduction, particularly for depressive and trauma-related symptoms. Qualitative feedback from participants suggested significant benefits including increased sense of peace, reduced anxiety, mindfulness, and increased trust in the self and others. To our knowledge, this is the first study to directly examine clinical outcomes of first responders with PTSD participating in equine-assisted therapy and presents a promising adjunct to care in first responders moving forward.
Push–pull monorail technique to overcome a difficult course through the left internal jugular vein
Authors: Kim Su Ho , Choi Byung Gil , Jeon Chang Ho , Oh Jung Suk , Chun Ho Jong , Lee Hae Giu
Published: December 2022

Background:

We assessed the outcomes of a push–pull monorail technique to overcome a difficult anatomical course through the left internal jugular vein in implantable port insertions.

Methods:

From December 2018 to May 2021, a total of 5326 patients were referred for implantable port insertion in our interventional unit, among which 472 cases were requested for insertion on the left side. Our monorail technique was applied only when the catheter tip entered the azygos vein instead of the superior vena cava (n = 8). The technique consists of a puncture at the distal tip of the port catheter with a 21-gauge micropuncture needle, advancing a 0.018-inch hair-wire to the guide, providing support for the pre-assembled port, and advancing the microsheath over the hair-wire to prevent extrusion of the catheter.

Results:

The push–pull monorail technique was performed in eight patients, and all cases were technically successful, exhibiting a technical success rate of 100%. There were no immediate or delayed complications.

Conclusions:

The push–pull monorail technique is helpful in overcoming the difficult anatomical course through the left internal jugular vein during implantable port insertion.
An image processing and machine learning solution to automate Egyptian cotton lint grading
Authors: Fisher Oliver J , Rady Ahmed , El-Banna Aly AA , Watson Nicholas J , Emaish Haitham H
Published: December 2022

Egyptian cotton is one of the most important commodities for the Egyptian economy and is renowned globally for its quality, which is largely assessed and graded by manual inspection. This grading has several drawbacks, including significant labor requirements, low inspection efficiency, and influence from inspection conditions such as light and human subjectivity. This work proposes a low-cost solution to replace manual inspection with classification models to grade Egyptian cotton lint using images captured by a charge-coupled device camera. While this method has been evaluated for classifying US and Chinese upland cotton staples, it has not been tested on Egyptian cotton, which has unique characteristics and grading requirements. Furthermore, the methodology to develop these classification models has been expanded to include image processing techniques that remove the influence of trash on color measurements and extract features that capture the intra-sample variance of the cotton samples. Three different supervised machine learning algorithms were evaluated: artificial neural networks; random forest; and support vector machines. The highest accuracy models (82.13–90.21%) used a random forest algorithm. The models’ accuracy was limited by the human error associated with labeling the cotton samples used to develop the classification models. Unsupervised machine learning methods, including k-means clustering, hierarchical clustering, and Gaussian mixture models, were used to indicate where labeling errors occurred.
Americans Deserve to Get a Better Value From CMMI
Authors: Wilson Louis J.
Published: December 2022

The CMS Innovation Center was created in section 3021 of the Affordable Care Act (ACA) with the promise to test payment and delivery models expected to reduce costs while improving or maintaining quality of care for Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) beneficiaries. Doug Badger’s analysis of the Center for Medicare and Medicaid Innovation (CMMI), published in Inquiry, described how the CMMI has failed to accomplish its goals and makes a case for reforms. As a practicing clinician in private practice who has followed the implementation of the components of the Affordable Care Act, including the CMMI, his conclusions are not surprising. An examination of the clinically unworkable and recently delayed Radiation Oncology Alternative Payment Model demonstrates serious flaws in current CMMI methods. Government agencies have difficulty directing innovation. Clinicians know that real innovation will arise in unpredictable ways from the ingenious communities, providers, and organizations that deliver the care. Innovation will occur when an atmosphere of transparency forces providers to respond to the demands of patients. The CMMI would do well to redesign its processes. If “value” is the goal of CMS, then America deserves a better “value” from its healthcare agencies.
Maternal Health Care Seeking Behavior for Neonatal Danger Signs and Associated Factors Among Post-Partum Mothers in Southeast Ethiopia: A Cross-Sectional Study
Authors: Gomora Tesfaye Degefa , Geta Girma , Kene Chala , Seyoum Kenbon , Tekalegn Yohannes , Desta Fikreab , Sahiledengle Biniyam , Atlaw Daniel , Ejigu Neway , Negash Wogene
Published: December 2022

Early health care seeking could save neonates’ lives and have a significant role in decreasing neonatal death, while delayed health care seeking has many contributions to neonatal mortality. Therefore, this study aimed to assess maternal health-seeking behavior for neonatal danger signs and associated factors among postpartum mothers in Southeast Ethiopia. A community-based cross-sectional study was conducted on a random sample of 400 women with sick neonates from June 1st, 2020 to 27th, November. A Modified Anderson and Newman behavioral model consisting predisposing, enabling, need, and health system factors were utilized and participants were interviewed by using structured questionnaires. Multivariate logistic regression analysis was used to identify factors associated with maternal health-seeking behavior. Adjusted odds ratios (AOR) were reported with their corresponding 95% confidence interval (CI) to determine the strength of the association. The statistical significance was declared at P < .05. Slightly higher than two-fifths, (44%, 95% CI: 39.2-48.9) of the respondents’ have appropriate healthcare-seeking behavior for neonatal danger signs. Postnatal care follows-up (AOR = 3.5; 95% CI: 2.06-5.80), good knowledge of neonatal danger signs (AOR = 2.78; 95% CI: 1.63-4.73), decision-making power for taking sick neonates to health institution (AOR = 3.02, 95% CI: 1.61-5.67), mothers living with their partner (AOR = 3.00; 95% CI: 1.42-6.31), and health insurance (AOR = 1.82; 95% CI: 1.08-3.06) were significantly associated with having appropriate healthcare-seeking behavior. Healthcare-seeking behavior of the respondents’ was low and indicated by nearly 2 out of 5 respondents’ had appropriate health-seeking behavior for neonatal danger sign. Postnatal care follow-up, health insurance, good knowledge of neonatal danger signs, living with a partner, and decision-making power were predictors of appropriate healthcare-seeking behavior for neonatal danger signs. Emphasis should be given to creating awareness of neonatal danger signs, maintaining postnatal follow-up, and encouraging mothers/caregivers to make immediate decisions for seeking healthcare at healthcare institutions.
Developing Nursing Standards for Maintaining Shift Handover in the Intensive Care Unit: A Methodological and Cross-Sectional Study
Authors: Abo Seada Asmaa Ibrahem , Abo Habieb El-Tahra Elsayed , Salameh Basma Salim , El-Wkeel Nehad Saad , Abdelkader Reshia Fadia Ahmed
Published: December 2022

Patient handover, which is a method of moving the clinical data of patients to another individual or professional community, is a high-risk area for the safety of patients due to errors which can happen during staff break time, changeover shifts, and when patients are moved in and out of units. Standards for critical care nurses will improve bedside handover due to the presence of clear plans implemented by nurses who are well informed about them. To develop nursing standards for maintaining handover in the intensive care unit. A methodological and cross-sectional study was conducted at Mansoura University Hospital and included 15 experts and 150 staff nurses. Twelve items were excluded from the tool because their CVR ratio was less than 0.7. Therefore, after eliminating 12 items, the number of tool items produced was 66. The Kaiser–Meyer–Olkin value = 0.713, with the recommended value being 0.6 or above. The cut-off score for the analysis model was 0.3, and the KMO value criterion was greater than 1, which defined eight-factor loadings as the best fit for the results, accounting for 69.5% of the variance. The aim of this study was satisfactorily achieved, with 0.9055 validity and reliability for the handover instrument, which consisted of 60 items with a total reliability score.
Tourists’ Visual Attention and Stress Intensity in Nature-Based Tourism Destinations: An Eye-Tracking Study During the COVID-19 Pandemic
Authors: Li Peizhe , Xiao Xiao , Jordan Evan
Published: December 2022

Tourists’ visual attention has a central function in constructing their visual experiences and affects their perceptual and cognitive processes. Visual attention might be affected by environmental factors; however, the effects of environmental factors on visual attention are still vague in the literature. Moreover, visual attention might influence tourists’ stress intensity. This study explores how tourists’ visual attention patterns vary under environmental factors and quantifies the effects of visual attention on stress intensity by a mixed- methodology involving observations, eye-tracking experiments, and post-experiment surveys. Findings suggest that crowding is an important environmental factor affecting tourists’ visual attention patterns. Moreover, natural sounds enhance tourists’ visual attention to natural landscapes and mitigate tourists’ stress simultaneously. Mask-wearing can reduce tourists’ visual attention to human crowds but cannot reduce stress intensity directly. Our findings extend the attention restoration theory by a multi-sensory perspective and the transactional theory of stress through eye-tracking analytics.
Perceptions of Movement Patterns and Concealment Detection in Naive Observers and Law Enforcement Officers: A Lens Model Analysis
Authors: Sweet Dawn M. , Quigley-Mcbride Adele , Meissner Christian A. , Ringstad Katharine
Published: December 2022

This research investigates whether police officers can reliably use behavioral cues to determine whether a person is concealing an object. Using a Lens Model framework, we performed a mega-analysis of three experiments. In each study, officers and laypersons judged whether people were concealing an object and reported “articulable behaviors” they used to perform this task. Although participants were able to articulate behaviors that they believed were helpful, results showed that these behaviors were not related to whether the person was actually concealing. Officers and laypersons were equally poor at judging whether someone was concealing or not. Current officer training on the use of nonverbal behaviors to determine who is concealing a dangerous object may be ineffective, and a reconsideration of training is warranted. In light of the findings, requiring officers to provide “articulable behaviors” in Fourth Amendment cases may not provide a sufficient safeguard against unreasonable searches of civilians.
“My Neighborhood Is Watching Me”: The Role of Neighborhood Processes in the Offending and Self-Control–Crime Nexus
Authors: Kafafian Matthew , Botchkovar Ekaterina , Antonaccio Olena , Hughes Lorine A.
Published: December 2022

Using survey data from a sample of 1,435 Ukrainian and Russian adults, this study examines the interplay between collective processes, individual-level self-control, and offending. Multilevel regression models estimate the direct effects of neighborhood-level self-control, perceptions of sanction risks, and strain on criminal behavior, showing how these contextual factors condition the association between individual-level self-control and offending. Findings suggest that collective self-control and perceived sanction risks are important moderators of the self-control–crime relationship at the individual level, highlighting the protective effect of high self-control on offending in neighborhoods with strong collective self-control and sanctioning climates. Overall, the study stresses the importance of exploring the role of neighborhood processes beyond social disorganization in the self-control–crime nexus.
Potential analysis of hydrogen energy technology in the power grid based on carbon tax: A case study in Japan
Authors: Qian Fanyue , Gao Weijun , Yu Dan , Yang Yongwen , Ruan Yingjun
Published: December 2022

Electrolytic hydrogen storage technology of renewable energy is considered as one of the important measures to realize the high proportion of renewable energy. However, developing this technology has been slow due to the cost. This study proposes highlighting the environmental advantages of renewable power combined with a carbon tax at the national level to expand the application space of hydrogen storage technology. First, the economy and technical characteristics of hydrogen storage technology and conventional energy-storage technology were compared. Then, Japan's top 10 power companies, which account for 90% of the power supply, were taken as the research objects. The proportion of change in renewable power after introducing a carbon tax was studied, taking the weighted minimum of the feed-in tariffs as the optimization objective. The contribution of hydrogen storage technology to the change in renewable power share was analyzed. Next, a sensitivity analysis was conducted on the fossil energy price and cost of renewable power equipment that affects the research. Finally, the contribution of a carbon tax and hydrogen storage technology to Japan's emission reduction target was calculated and analyzed. The results showed that the characteristics of long-distance transportation of hydrogen energy and making renewable energy have economic advantages under the current carbon tax (5–6 JPY/kg-CO2). The cost of liquified natural gas (LNG) and the investment of photovoltaic (PV) have a significant impact on the weighted minimum feed-in price, which can make the development of hydrogen storage technology no longer rely on the setting of carbon tax. The results obtained in this study provide a theoretical reference for the application of hydrogen storage technology in the high proportion of renewable energy consumption. At the same time, it can also provide data reference for large-scale construction of renewable energy in regions where solar and wind energy resources are not excellent.
The recipient of the teaching public administration and journal of public affairs education 2022 award for outstanding contribution to public administration pedagogical scholarship and research is Christoph Reichard
Authors: Diamond John
Published: December 2022

The Annual Award is made by the editors of TPA and JPAE (Journal of Public Affairs Education). This citation describes the significant contribution made by the 2022 winner - Christoph Reichard
The Treatment for Type II First Branchial Cleft Anomalies With Abnormalities Lateral to the Tympanic Membrane
Authors: Liu Wei , Chen Min , Yang Yang , Shao Jianbo , Ni Xin , Zhang Jie
Published: December 2022

Objective

The present study aimed to introduce the surgical method for addressing type II first branchial cleft anomalies (FBCAs) in patients with visible abnormalities lateral to the tympanic membrane.

Design

Retrospective analysis.

Setting

Beijing Children’s Hospital of Capital Medical University from January 2016 to January 2020.

Method

We performed a retrospective analysis of data from patients with type II FBCAs with visible abnormalities lateral to the tympanic membrane. All patients underwent magnetic resonance imaging, (MRI), computed tomography (CT), and otoscopy examinations before surgery. Data regarding the patient’s age, location of the opening, side affected, MRI/CT results, otoscopy findings, the relationship between the lesion and the external auditory canal (EAC), complications, and surgical procedure were recorded.

Results

15 patients with type II FBCAs (Work’s classification) were included in our study. There were 3 different types of visible abnormalities lateral to the tympanic membrane: white masses (Type A), a fibrous band between the tympanic membrane and the EAC floor (Type B), and defects in the inferior wall of the EAC (Type C). Types A and C demonstrated internal fistulas of the FBCA. The roots of the FBCA in all 3 types were deep. Endoscopy was required for complete exposure of the fistula, especially for Types A and C.

Conclusion

Some type II FBCAs patients had visible abnormalities lateral to the tympanic membrane. Otoscope was recommended for routine examination. For these kinds of patients, combined endoscopy during surgery was helpful for reducing the recurrence rate.

Level of Evidence

Level 3.
Information is non-physical: The rules connecting representation and meaning do not obey the laws of physics
Authors: Wang Richard Liangchen
Published: December 2022

The proposition that information is physical is widely accepted in the scientific community. Information is composed of physical representation, abstract meaning and rules, which interpret representation to meaning. In this article, I demonstrated that the rules connecting representation with meaning cannot be the laws of physics, because all quantities appearing in the laws of physics are physical, observable and measurable, and the meaning, however, is abstract, unobservable and unmeasurable. For linguistic information, the rules that determine how the ordered symbol sequence of language corresponds to its meaning are language vocabulary and grammar, not the laws of physics. This characteristic of information – its rules that link representation with meaning do not obey the laws of physics – ontologically distinguishes information from physical substances that obey the laws of physics, and inspires me to define entities that do not obey the laws of physics (such as information) as non-physical.
Beyond Laughter: An Analysis of Phonological Joke in A. B. Crentsil's Atia and Osookoo
Authors: Bentum Samuel Ato , Oppong-Adjei Daniel
Published: December 2022

Phonological joke is an area that appears to be under-studied especially in its application to the analysis of humor in a given setup such as Ghana. This study explores the concept of phonological joke in the songs, Atia and Osookoo by the Ghanaian musician, A. B. Crentsil, paying attention to the critical issues that are embedded in the songs. These selected highlife songs are conveniently sampled in order to capture the elements of phonological joke. Phonological joke is explained as a type of humor that parodies the sound of another language for an effect other than simply amusement. This study's application of phonological joke, as an interpretative framework, is borne out of the views shared by phonological joke theorists, Adrjan & Muñoz-Basols. At the end of the study, the findings reveal that A. B. Crentsil uses phonological parallelism and paradigmatic associations to foreground the conveyance of critical messages such as: stereotyping certain ethnic group(s) and mixed or cross-cultural gender representations. The major implication of this study is that the utility of humor in Ghanaian music goes beyond amusement to convey critical issues. This study contributes to the on-going pedagogical understanding of phonological joke in the Ghanaian highlife culture.
Excision of a giant lung bulla in a child: Repair of bronchial leaks using redundant bullous wall/membrane
Authors: Goyal Vikas Deep , Pahade Akhilesh , Misra Gaurav
Published: December 2022

Large lung bullae are rare in children. We report a rare case of a large bulla in the right lung causing compression of the underlying lung with a shift of the mediastinum to the contralateral side. Excision of the bulla was done and a novel technique was used in the repair of bronchial air leakage sites with part of the bullous wall/membrane. The patient recovered well with re-expansion of the underlying collapsed lung.
Over-the-Top (OTT) Streaming Services: Studying Users’ Behaviour Through the UTAUT Model
Authors: Shah Sweety , Mehta Neha
Published: December 2022

Over-the-Top (OTT) streaming platforms are transforming the industry’s broadcasting market and structure. The streaming media revolution is based on constant innovation, both in terms of experiences and products. Streaming media is emerging strongly with various choices, time shifts, place shifts and navigation. The article describes the adoption of OTT using the unified theory of acceptance and use of technology (UTAUT) model, which explains the impact of emerging technology on the audience. The study, which employed structural equation modelling, analysed the data of 458 respondents, using the partial least-square structural equation model software. The findings showed that the model reasonably explained the respondents’ acceptance of OTT. More specifically, the attitude towards technology is determined by performance expectancy and effort expectancy while the attitude towards technology, facilitating conditions and social influence positively affect the intention to adopt OTT. The implications of the study discuss the methods to increase acceptance and adoption of OTT.
Human Resource Management Practices as Antecedents of Employee Competencies: Empirical Evidence from the Banking Industry
Authors: Salman Mohammad , Saleem Imran , Ganie Showkat Ahmad
Published: December 2022

Drawing upon the human capital theory, this article articulates the impact of different human resource management (HRM) practices on various dimensions of employee competence in the Indian context. The survey method was employed to collect data from 325 banking employees including managers and non-managers employed in the State Bank of India, the Bank of Baroda, the Housing Development Finance Corporation and the Industrial Credit and Investment Corporation of India. The self-competence, team competence and social competence are the dimensions of employee competencies and HRM practices include recruitment and selection, training and development, employee involvement and performance appraisal. The validity and reliability of the variables are evaluated through the confirmatory factor analysis and the hypotheses are tested using structural equation modelling. The study’s analysis revealed mixed results wherein a significant and positive impact was found between some HRM practices and employee competencies and an insignificant impact between other HRM practices and employee competencies. The study’s findings would serve as a guide to the management and policymakers of banks for developing and enhancing the desired employee competencies by investing in HRM practices, thereby better performance at the organization level. This research work enriches the existing literature on HRM and development by empirically validating the HRM-competence linkages in the Indian banking context, where studies of this nature are minimal.
Exemplary post-discharge stroke rehabilitation programs: A multiple case study
Authors: Egan Mary , Laliberte Rudman Debbie , Lanoix Monique , Meyer Matthew , Linkewich Elizabeth , Montgomery Phyllis , Fearn Jenn , Donnelly Beth , Collver Margo , Daly Shauna
Published: December 2022

Objective

The objective of this study was to identify essential aspects of exemplary post-discharge stroke rehabilitation as perceived by patients, care partners, rehabilitation providers, and administrators.

Design

We carried out an exploratory qualitative, multiple case study. Stroke network representatives from four regions of the province of Ontario, Canada each nominated one post-discharge rehabilitation program they felt was exemplary.

Setting

The programs included: a mixed home- and clinic-based service; a home-based service; a clinic-based service with a stroke community navigator and; an out-patient clinic-based service.

Participants

Participants included 32 patients, 16 of their care partners, 23 providers, and 5 administrators.

Methods

We carried out semi-structured qualitative interviews with patients and care partners, focus groups with providers, and semi-structured interviews with administrators. Health records of patient participants were reviewed. Using an interpretivist-informed inductive content analysis, we developed overarching categories and subcategories first for each program and then across programs.

Results

Across four regions with differing types of programs, exemplary care was characterized by three essential components: stroke and stroke rehabilitation knowledge, relationship built through personalized respectful care, and a commitment to high quality, person-centered care.

Conclusion

Exemplary post-discharge care included knowledge regarding identification and treatment of stroke-related impairment, that is, information found in best practice guidelines. However, expertise related to building relationship through providing personalized respectful care, within a mutually supportive, improvement-oriented team was also essential. Additionally, administrators played a crucial role in ensuring continued ability to deliver exemplary care.
Quality of clinical practice guidelines relevant to rehabilitation of knee osteoarthritis: A systematic review
Authors: Zhang Lechi , Wang Yanqin , Ye Tianfen , Hu Yinqi , Wang Shujia , Qian Tingting , Wu Chengfan , Yue Shouwei , Sun Xiubin , Zhang Yang
Published: December 2022

Objective

This systematic review summarized the rehabilitation recommendations for treating and managing knee osteoarthritis (OA) in practice guidelines and evaluated their applicability and quality using the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument.

Data Sources

PubMed, the Cochrane Library, EMBASE, CINAHL, PEDro, Guideline central, Guideline International Network and Agency for Healthcare Research and Quality (AHRQ) were used to search for relevant studies published between 1 January 2008 and 31 May 2022.

Methods

AGREE II was used to evaluate the included guidelines quality, SPSS 25.0 statistical software was used for data analysis, and the intra-group correlation coefficient value was calculated to verify the consistency between the raters. The two-way random effects model was used to calculate concordance scores, and each domain's total scores were calculated. Additionally, the median and interquartile range for domain and total scores were calculated.

Results

Twenty-four guidelines recommending knee OA rehabilitation were included. Inter-rater consistency evaluation ranged from 0.62 to 0.90. The domains where the guideline's overall and rehabilitation parts scored highest and lowest were scope and purpose (domain 1) and applicability (domain 5), respectively. The highly recommended rehabilitation opinions included aerobic exercise programs (21/24), weight control (16/24), self-education and management (16/24), gait/walking aids (7/24), and tai chi (6/24). However, the orthopedic insole and hot/cold therapy roles remain controversial.

Conclusion

The clinical practice guidelines' overall quality for knee OA rehabilitation is good; however, the applicability is slightly poor. Therefore, we should improve the promoting factors and hindering factors, guideline application recommendations, tools, and resources when developing relevant guidelines.
Effectiveness of transmural team-based palliative care in prevention of hospitalizations in patients at the end of life: A systematic review and meta-analysis
Authors: Flierman Isabelle , Gieteling Elske , Van Rijn Marjon , Van Grootven Bastiaan , van Doorne Iris , Jamaludin Faridi S , Willems Dick L , Muller Majon , Buurman Bianca M
Published: December 2022

Background:

Team-based palliative care interventions have shown positive results for patients at the end of life in both hospital and community settings. However, evidence on the effectiveness of transmural, that is, spanning hospital and home, team-based palliative care collaborations is limited.

Aim:

To systematically review whether transmural team-based palliative care interventions can prevent hospital admissions and increase death at home.

Design:

Systematic review and meta-analysis.

Data sources:

MEDLINE (Ovid), Embase (Ovid), CINAHL (Ebsco), PsychINFO (Ovid), and Cochrane Library (Wiley) were systematically searched until January 2021. Studies incorporating teams in which hospital and community professionals co-managed patients, hospital-based teams with community follow-up, and case-management interventions led by palliative care teams were included. Data was extracted by two researchers independently.

Results:

About 19 studies were included involving 6614 patients, of whom 2202 received an intervention. The overall pooled odds ratio of at least one hospital (re)admissions was 0.46 (95% confidence interval (CI) 0.34–0.68) in favor of the intervention group. The highest reduction in admission was in the hospital-based teams with community follow-up: OR 0.21 (95% CI 0.07–0.66). The pooled effect on home deaths was 2.19 (95% CI 1.26–3.79), favoring the intervention, with also the highest in the hospital-based teams: OR 4.77 (95% CI 1.23–18.47). However, studies had high heterogeneity regarding intervention, study population, and follow-up time.

Conclusion:

Transmural team-based palliative care interventions, especially hospital-based teams that follow-up patients at home, show an overall effect on lowering hospital admissions and increasing the number of patients dying at home. However, broad clinical and statistical heterogeneity of included studies results in uncertainty about the effect size.
Quality of care in patients undergoing coronary angiography with a known risk of contrast-associated acute kidney injury: a retrospective observational study
Authors: Hild Julian , Ritter Oliver , Patschan Susann , Patschan Daniel
Published: December 2022

Objective

Iodinated contrast medium is potentially nephrotoxic in susceptible individuals. The aim of this retrospective observational study was to determine the impact of hospital-wide implementation of a guideline to prevent contrast-associated acute kidney injury (CA-AKI) on quality of care and outcomes.

Methods

A hospital-wide guideline for management of patients known to be at risk of CA-AKI was implemented in April 2019. All patients who underwent coronary angiography at our institution between November 2018 and March 2019 (period 1, before introduction of the guideline) and between August and December 2019 (period 2, after introduction of the guideline) were enrolled.

Results

In total, 561 patients were enrolled for period 1 and 578 for period 2. CA-AKI was impossible to diagnose in many patients because of missing post-procedure creatinine control data. Preventive measures were initiated more often in period 2 than in period 1 and in older patients than in younger patients. Preventive measures were not initiated in at least 50% of patients at risk of CA-AKI despite implementation of the guideline.

Conclusions

Management of patients at known risk of CA-AKI remains inadequate at our institution even after introduction of a guideline. Physicians should receive organized training in acute kidney injury.
Pancreatic follicular dendritic cell sarcoma: one case report and literature review
Authors: Lu Xiangyu , Wu Yilei , Gong Jun , Yu Xiaojiong , Zhang Yu , Yang Chong
Published: December 2022

Pancreatic follicular dendritic cell sarcoma (FDCS) is a rare neoplasm with unclear pathological characteristics. In this study, we report one case of pancreatic FDCS and review published cases to summarize the characteristics and treatment of pancreatic FDCS. A man in his early 30 s was admitted for jaundice, abdominal fullness, and weight loss for 15 days. Computed tomography revealed a large capsule solid mass in the pancreatic head together with a dilated bile duct and enlarged retroperitoneal lymph nodes. Serum biochemistry revealed high total bilirubin levels (313.9 μmol/L) and normal tumor marker levels. Pancreatoduodenectomy was performed, but no chemotherapy was administrated at the patient’s behest. The pathologic diagnosis was pancreatic FDCS infiltrating the duodenal seromuscular layer and common bile duct. The patient presented with liver metastasis 3 months after surgery and died 8 months after surgery from multiorgan failure. Pancreatic FDCS is a rare disease with high invasiveness. Our previous case exhibited paraneoplastic syndrome together with this disease, and further investigation is needed to confirm whether paraneoplastic syndrome is a typical syndrome of pancreatic FDCS.
Treatment of dural tear with nerve root herniation after unilateral biportal endoscopic decompression using an epidural blood patch: a case report
Authors: Chun Yoon Mok , Lee Sang Ho , Moon Kang Suk , Chang Min Cheol
Published: December 2022

We present a case of a dural tear associated with nerve root herniation following unilateral biportal endoscopic decompression (UBED) that was successfully treated using a computed tomography-guided epidural blood patch. A 60-year-old man underwent UBED for radicular pain because of spinal stenosis at L4–5. A left partial hemilaminectomy and flavectomy were performed; however, the left dorsolateral side dura mater was torn during the procedure. TachoComb® was applied at the dural tear site, and the pain was relieved following UBED. However, 3 weeks post-UBED, the patient reported severe pain with an electric shock-like sensation in the left buttock and posterior thigh region with no other neurologic symptoms. The pain was aggravated by standing and spinal motion. Follow-up lumbar spinal magnetic resonance imaging was performed. Axial images indicated protrusion of the left S2 nerve root through the left dorsolateral side of the dura mater. The patient was further diagnosed with nerve root herniation following a dura mater tear. A computed tomography-guided epidural blood patch was performed, with successful therapeutic results. The outcome of this study indicates that a small dural tear that occurs during minimally invasive spinal surgery can be efficiently treated using an epidural blood patch prior to open surgery.
Should online reviews include pictures? The impact of fit between product type and online review presentation format
Authors: Yao Qing , Han Yixuan , Yang Defeng
Published: December 2022

This article investigates the influence of including pictures in online consumer reviews on review helpfulness perceptions for different types of products (hedonic vs utilitarian). Based on the dual-process model of information processing and regulatory fit theory, the study finds that reviews composed mainly of pictures are more helpful for hedonic purchases, while reviews composed mainly of text are more helpful for utilitarian purchases. The reason is that a picture-based (vs text-based) review permits consumers to obtain more knowledge about a product’s emotional (rational) benefits, which fits with hedonic (vs utilitarian) products’ consumption motivation. Specifically, the effect of fit between hedonic (vs utilitarian) purchase and picture (vs text) presentation of a review on the review helpfulness perception is mediated by emotional (vs cognitive) engagement.

JEL Classification:

M31, M37
Veno-venous extracorporeal membrane oxygenation, cytokine removal and continuous renal replacement therapy in a severe burn adult patient
Authors: Bubenek-Turconi Serban-Ion , Corneci Dan , Scarlat Costin , Baila Sorin , Marinescu Penelopia , Valeanu Liana
Published: December 2022

Acute respiratory distress syndrome (ARDS) can develop early in burn patients with inhalation injury in the presence of cytokine storm and the proinflammatory response can be a supplemental factor for ARDS aggravation. We report the case of a 41-years old male with 25% total body surface area deep partial thickness burns to upper body extremity and grade II inhalational injury who developed severe ARDS, nosocomial pneumonia, and septic shock. Veno-venous extracorporeal membrane oxygenation (VV ECMO) and continuous renal replacement therapy (CRRT) with hemoadsorption were successfully used at different moments to overcome critical situations. Although debatable, the use of ECMO in burn patients with severe ARDS could be considered when conventional treatment fails. The use of CRRT combined with hemoadsorption may limit the proinflammatory response sustained by the combination between major burn, ECMO and sepsis.
The Associations between eMental Health Literacy, Barriers to Mental Health Services, and Psychological Distress in Older Adults
Authors: Root Eve Z. , Caskie Grace I. L.
Published: December 2022

Building on eHealth literacy and mental health literacy, this cross-sectional survey study examined associations between eMental health literacy (the degree to which individuals obtain, process, and understand basic mental health information online to inform mental health-related decisions), perceived barriers to mental healthcare, and psychological distress. Data were collected online for 247 older adults in the United States. Higher eMental health literacy was associated with fewer perceived barriers to mental healthcare, in models conceptualizing psychological distress as an outcome of eMental health literacy and barriers to care (intrinsic, β = −0.36, p < .001; extrinsic, β = −0.24, p = .002) and as a covariate of eMental health literacy (intrinsic, β = −0.33, p = .001; extrinsic, β = −0.24, p = .003). Continued research and replication of findings are needed to better understand the potential role of eMental health literacy in reducing barriers to mental health services in later life.
Effect of the COVID-19 Pandemic on Nonsurgical Cosmetic Procedure Interest
Authors: Lem Melinda , Pham Jason T. , Kim Joshua KyungHo , Tang Cathy J.
Published: December 2022

The COVID-19 pandemic caused many shifts in the national economy, job market, and healthcare sector, especially elective procedures such as in cosmetic plastic surgery. While there has been research in the changes in cosmetic plastic surgery since the start of the COVID-19 pandemic, there have been no study to date determining the changes in distinct sectors, such as nonsurgical plastic surgery procedures and the popular trends that may be more sensitive to changes to general public interest. The Google Trends tool was used to determine these changes in interest. Nonsurgical procedures were retrieved from the American Society of Plastic Surgery (ASPS) website, grouped into categories, such as neurotoxin, chemical peel, filler, hair removal, dermaplaning, skin laser treatment, skin tightening, and thread lift, and used as Google Trends search terms. Search term weekly data were collected from March 2018 to March 2020 and March 2020 to March 2022, divided by the start of the COVID-19 lockdown, and compared. After the start of the COVID-19 pandemic, the majority of nonsurgical procedures showed an increase in interest, with the most significant changes including neurotoxin procedures especially lip Botox, filler in the chin, cheek, jawline, tear trough, lip, and nose, skin-improving treatments, non-invasive forms of body contouring, and thread lift. Brands like Dysport, Radiesse, Restylane, Sculptra, Versa, Emsculpt, and Morpheus8 showed increased interest. Most nonsurgical procedures increased in interest after the COVID-19 lockdown, with facial and skin-improving procedures showing the most increase in interest.
On being portrayed in a foreign port city: The case of British merchants and captains in Livorno (circa 1680–1700)
Authors: Papini Silvia
Published: December 2022

In the account books of Antonio Franchi (1638–1709), a portraitist at the Medici court, a surprisingly high number of commissions came from British merchants and captains living in the port city of Livorno in the Grand Duchy of Tuscany. Outlining a parallel between Britain's port cities and artworks of the same period, this contribution analyses the reasons why British demand for portraiture became such an important phenomenon in the life of Florentine painters during the seventeenth and eighteenth centuries. Second, it explores the characteristics of portrait-making in Livorno and the identity of the patrons, with a focus on the relations between merchants and captains of the Royal Navy. Lastly, the article takes into consideration the dispersion of most portraits produced in port cities and how this can be linked to maritime and naval careers.
Association of NOD1 and NOD2 Polymorphisms With Susceptibility to Subacute Sclerosing Panencephalitis
Authors: Kocaaga Ayça , Cakmak Genc Gunes , Karakas Celik Sevim , Piskin İbrahim E. , Calik Mustafa , Dursun Ahmet
Published: December 2022

Background: Subacute sclerosing panencephalitis is a progressive neurodegenerative disease that is a late complication of measles infection. However, to date, the pathogenesis of subacute sclerosing panencephalitis is still not explained; both viral and host factors seem to be associated. The present study aimed to investigate the relationship between NOD1 and NOD2 gene variants and subacute sclerosing panencephalitis. Methods: The gene variants of NOD1 (rs2075820 and rs2075818) and NOD2 (R334Q and R334W) were explored in 64 subacute sclerosing panencephalitis patients and 70 controls using polymerase chain reaction–restriction fragment length polymorphism (PCR-RFLP). Results: The frequencies of the AA genotype and A allele of rs2075820 ( NOD1; c.796G>A) polymorphism were lower in patients compared with controls ( P = .022 and .014, respectively). The presence of the A allele of rs2075820 may be considered as a protective factor for subacute sclerosing panencephalitis. There was a significant difference between the groups in rs2075818 ( NOD1 G/C) polymorphism, and the CC genotype increased the risk of subacute sclerosing panencephalitis by 3.471-fold. The carriers of the C allele of rs2075818 (G/C) had a 1.855-fold susceptibility to subacute sclerosing panencephalitis ( P = .018). The GC genotype might be associated with subacute sclerosing panencephalitis susceptibility in the patients compared with patients without having that haplotype ( P = .03). Conclusions: Thus, we identified an association between subacute sclerosing panencephalitis and the rs2075820 ( NOD1 G/A) and rs2075818 ( NOD1 G/C) polymorphisms. These findings implicate a possible effect of this genetic polymorphism in susceptibility to subacute sclerosing panencephalitis, which needs to be confirmed in bigger populations.
Combining teaching methods and developing students’ entrepreneurial skills and entrepreneurial intention: The case of students in the Faculty of Economics and Management of Tunis
Authors: Chaker Hajer , Dellagi Hatem
Published: December 2022

This paper analyzes the effects of the combination of two teaching methods on entrepreneurial intention in Tunisia. The developed model suggests that entrepreneurial intention depends on eight cognitive and non-cognitive variables; namely, financial literacy and entrepreneurial knowledge developed through a theoretically-oriented course, and teaching methods, creativity, managing ambiguity, entrepreneurial mindset, entrepreneurial attitude and core self-evaluation developed through a practically-oriented course. The authors use structural equation modeling to test the proposed model, based on a sample of 92 undergraduate management students in the Faculty of Economics and Management of Tunis, Tunisia. The results demonstrate that creativity is a good predictor of students’ entrepreneurial intention. Creativity can be developed by entrepreneurial teachers who enhance students’ ambiguity management and improve their core self-evaluation. The results also show that financial literacy positively influences entrepreneurial knowledge and managing ambiguity. Entrepreneurial knowledge positively influences entrepreneurial mindset and core self-evaluation. The management students’ entrepreneurial mindset positively influences their entrepreneurial attitude, which develops their core self-evaluation. Because the respondents were all studying at the same faculty, the results may lack generalizability. Therefore, researchers are encouraged to broaden the field of investigation and to include in their studies students from other institutions.