bluuebunny/crossref_metadata_2025 huggingface dataset:
Examining the Success Rates in Licensure Examination for Teachers: A Quantitative Focus on Bachelor of Elementary Education (BEED) Graduates
Authors: Salendab Fahad A. , Cogo Donald A.
Published: October 2024

This study examines the success rates of Bachelor of Elementary Education (BEEd) graduates from Sultan Kudarat State University (SKSU) – Kalamansig Campus in the Licensure Examination for Teachers (LET). This study utilized the descriptive-comparative research design that compares two variables to describe the differences. The study's respondents were the Bachelor of Elementary Education (BEEd) graduates of Sultan Kudarat State University – Kalamansig Campus who took the Licensure Examination for Teachers (LET) for elementary level from 2018 – 2023. The respondents were selected using the purposive sampling method, with 185 respondents. The data were analyzed using the t-test for paired samples, and the Statistical Package for Social Science (SPSS) was used to analyze the t-test.
The study compares the overall passing percentage with national averages and analyzes the General Education and Professional Education scores. The findings indicate fluctuating performance, with BEED graduates performing better in General Education than in Professional Education. Despite a higher mean passing percentage than the national average, the study highlights the need for continuous improvement in curriculum and teaching strategies to enhance LET outcomes. The impact of the COVID-19 pandemic on exam preparation and administration is also discussed. Recommendations are provided for educational stakeholders to adopt innovative teaching methods and improve faculty development to increase licensure examination success rates
Stent Underexpansion Is an Underestimated Cause of Intrastent Restenosis: Insights From RESTO Registry
Authors: Souteyrand Géraud , Mouyen Thomas , Honton Benjamin , Mulliez Aurélien , Lattuca Benoit , Dilinger Jean‐Guillaume , Levesque Sébastien , Range Grégoire , Combaret Nicolas , Marliere Stéphanie , Lamallem Ouarda , Quillot Marine , Gerbaud Edouard , Motreff Pascal , Amabile Nicolas
Published: October 2024

Background

Despite improvement in devices, in‐stent restenosis remains a frequent and challenging complication of percutaneous coronary interventions.

Methods and Results

The RESTO (Morphological Parameters of In‐Stent Restenosis Assessed and Identified by OCT [Optical Coherence Tomography]; study NCT04268875) was a prospective multicenter registry including patients presenting with coronary syndromes related to in‐stent restenosis. All patients underwent preintervention OCT analysis, which led to analysis of in‐stent restenosis phenotype, number of strut layers, and presence of stent underexpansion. The primary end point was the in‐stent restenosis type according to the OCT morphological classification. The 1‐year incidence of target vessel failure (a composite of death from cardiac causes, target‐vessel myocardial infarction, or ischemia‐driven target‐vessel revascularization) was assessed. The study included 297 patients. The culprit stent was a drug‐eluting stent in 74.2% of cases. OCT analysis revealed the presence of neoatherosclerosis in 57% (52% calcified), neointimal hyperplasia in 43% (58% homogeneous), stent underexpansion (minimal stent area <4.5 mm
2
) in 43%, and multiple stent layers in 30%. The prepercutaneous coronary intervention OCT analysis modified the operator's strategy for management in 30% of cases. Treatment involved drug‐eluting stent implantation in 61.6% and drug‐eluting balloon angioplasty in 36.1% of cases with only 63.2% optimal results. The 1‐year target vessel failure incidence was 11% (95% CI, 9%–13%). Residual postpercutaneous coronary intervention stent underexpansion was associated with significantly higher target vessel failure incidence (19% [95% CI, 14%–24%] versus 7% [95% CI, 5–9],
P
=0.01).

Conclusions

OCT identified neoatherosclerosis and neointimal hyperplasia in comparable proportions. Stent underexpansion was frequent and favored subsequent adverse clinical outcomes.
Dexmedetomidine ameliorates acute kidney injury by regulating mitochondrial dynamics via the α2-AR/SIRT1/PGC-1α pathway activation in rats
Authors: Zhang Shuai , Feng Xiujing , Yang Guiyan , Tan Haoyang , Cheng Xin , Tang Qichao , Yang Haotian , Zhao Yuan , Ding Xuanpan , Li Siyao , Dou Xinyi , Li Junfeng , Kang Huijie , Li Xingxing , Ji Yaxin , Hou Qingdian , An Qiuyue , Fang Hao , Fan Honggang
Published: October 2024

Background

Sepsis-associated acute kidney injury (AKI) is a serious complication of systemic infection with high morbidity and mortality in patients. However, no effective drugs are available for AKI treatment. Dexmedetomidine (DEX) is an alpha 2 adrenal receptor agonist with antioxidant and anti-apoptotic effects. This study aimed to investigate the therapeutic effects of DEX on sepsis-associated AKI and to elucidate the role of mitochondrial dynamics during this process.

Methods

A lipopolysaccharide (LPS)-induced AKI rat model and an NRK-52E cell model were used in the study. This study investigated the effects of DEX on sepsis-associated AKI and the molecular mechanisms using histologic assessment, biochemical analyses, ultrastructural observation, western blotting, immunofluorescence, immunohistochemistry, qRT-PCR, flow cytometry, and si-mRNA transfection.

Results

In rats, the results showed that administration of DEX protected kidney structure and function from LPS-induced septic AKI. In addition, we found that DEX upregulated the α2-AR/SIRT1/PGC-1α pathway, protected mitochondrial structure and function, and decreased oxidative stress and apoptosis compared to the LPS group. In NRK-52E cells, DEX regulated the mitochondrial dynamic balance by preventing intracellular Ca2+ overloading and activating CaMKII.

Conclusions

DEX ameliorated septic AKI by reducing oxidative stress and apoptosis in addition to modulating mitochondrial dynamics via upregulation of the α2-AR/SIRT1/PGC-1α pathway. This is a confirmatory study about DEX pre-treatment to ameliorate septic AKI. Our research reveals a novel mechanistic molecular pathway by which DEX provides nephroprotection.
Inflammatory Neuropathy Consortium base (INCbase): a protocol of a global prospective observational cohort study for the development of a prediction model for treatment response in chronic inflammatory demyelinating polyneuropathy
Authors: Michael Milou R. , Wieske Luuk , Allen Jeffrey A. , Lunn Michael P. , Doppler Kathrin , Tan Cheng-Yin , Koike Haruki , Markvardsen Lars K. , Kapoor Mahima , Hsieh Sung-Tsang , Nobile-Orazio Eduardo , Jacobs Bart C. , Rajabally Yusuf A. , Basta Ivana , Ripellino Paolo , Querol Luis , Eftimov Filip ,   on behalf of the INCbase Consortium, Querol Luis , Gutiérrez-Gutiérrez Gerardo , Pascual Ivonne Jericó , Sevilla Teresa , Moris German , Martinez-Hernandez Eugenia , Llaurado-Gayete Arnau , Theaudin Marie , Humm Andrea , Hundsberger Thomas , Nagy Sara , Lascano Agustina , Sung Jia-Ying , Ro Long-Sun , Lai Kuan-Lin , Hoke Ahmet , Pasnoor Mamatha , Stino Amro M. , Gable Karissa , Vytopil Michal , Castro Diana
Published: October 2024

Background

INCbase is an international, multicenter prospective observational study using a customizable web-based modular registry to study the clinical, biological and electrophysiological variation and boundaries of chronic inflammatory demyelinating polyneuropathy (CIDP). The primary objective of INCbase is to develop and validate a clinical prediction model for treatment response.

Methods

All patients meeting clinical criteria for CIDP can be included in INCbase. Collected data include demographics, clinical history, diagnostics and various domains of clinical outcomes. Data is collected at a minimum of every 6 months for two years, and more frequently at the discretion of the investigational site to allow for assessment of unexpected changes in treatment response or clinical status. Participants can be enrolled in various sub-studies designed to capture data relevant to specific groups of interest. Data is entered directly into the web-based data entry system by local investigators and/or participants. Collection and local storage of biomaterial is optional. To develop a clinical prediction model for treatment response, newly diagnosed patients with active disease warranting start of first-line treatment will be included. The study population will be split into a development and validation cohort. Univariate and multivariate logistic regression analysis will be used to identify and combine predictors at start of treatment for treatment response at six months. Model performance will be assessed through discrimination and calibration in an external validation cohort. The externally validated prediction model will be made available to researchers and clinicians on the INCbase website.

Discussion

With this study, we aim to create a clinically relevant and implementable prediction model for treatment response to first line treatments in CIDP. INCbase enrollment started in April 2021, with 29 centers across 8 countries and 303 patients participating to date. This collaborative effort between academia, patient advocacy organizations and pharmaceutical industry will deepen our understanding of how to diagnose and treat CIDP.
Identifying distinct phenotypes of patients with juvenile systemic lupus erythematosus: results from a cluster analysis by the Egyptian college of rheumatology (ECR) study group
Authors: Hammam Nevin , Gheita Tamer A , Bakhiet Ali , Mahmoud Mohamed Bakry , Owaidy Rasha El , Nabi Hend Abdel , Elsaman Ahmed M , Khalifa Iman , ElBaky Abeer M Nour ElDin Abd , Ismail Faten , Hassan Eman , El Shereef Rawhya R , El-Gazzar Iman I , Moshrif Abdelhfeez , Khalil Noha M , Amer Marwa A , Fathy Hanan M , Salam Nancy Abdel , Elazeem Mervat I Abd , Hammam Osman , Fathi Hanan M , Tharwat Samar
Published: October 2024

Purpose

Juvenile systemic lupus erythematosus (J-SLE) is a complex, heterogeneous disease affecting multiple organs. However, the classification of its subgroups is still debated. Therefore, we investigated the aggregated clinical features in patients with J-SLE using cluster analysis. Methods: Patients (≤ 16 years) diagnosed using the Systemic Lupus International Collaborating Clinics (SLICC) classification criteria were identified from the clinical database of the Egyptian College of Rheumatology (ECR) SLE study group. Demographic data, clinical characteristics, laboratory features, and current therapies were selected. A cluster analysis was performed to identify different clinical phenotypes. Results: Overall, 404 patients, of whom 355 (87.9%) were female, had a mean age at diagnosis of 11.2 years and a mean disease duration of 2.3 years. We identified four distinct subsets of patients. Patients in cluster 1 (n = 103, 25.5%) were characterized predominantly by mucocutaneous and neurologic manifestations. Patients in cluster 2 (n = 101, 25%) were more likely to have arthritis and pulmonary manifestations. Cluster 3 (n = 71, 17.6%) had the lowest prevalence of arthritis and lupus nephritis (LN), indicative of mild disease intensity. Patients in cluster 4 (n = 129, 31.9%) have the highest frequency of arthritis, vasculitis, and LN. Cluster 1 and 4 patients had the highest disease activity index score and were less likely to use low-dose aspirin (LDA). The SLE damage index was comparable across clusters. Conclusions: Four identified J-SLE clusters express distinct clinical phenotypes. Attention should be paid to including LDA in the therapeutic regimen for J-SLE. Further work is needed to replicate and clarify the phenotype patterns in J-SLE.
The effect of nurse health literacy interventions on patient health literacy scores in specialty consultations: a quasi-experimental study
Authors: McCaskill Angela , Gasch-Gallen Angel , Montero-Marco Jesica
Published: October 2024

Background

Patient health literacy (HL) affects health and wellbeing on both individual and population levels. The ability to receive, understand, manage and act upon health information can be positively influenced by nurses’ use of HL strategies. This study examined the relationship between nurses’ use of a HL checklist (intervention) and before and after patient HL scores, and the effects of frequency and types of strategies used in specialty consultations in Spain.

Methods

This quasi-experimental, non-randomized study used the HLS19-Q12 to calculate HL scores for 149 patients. Calculations were performed both before and after a nursing intervention that consisted of using a HL checklist. Paired samples t-test assessed the difference between patient HL scores pre- and post-nurse intervention. Frequency analysis and Pearson correlation where used to examine frequencies of nursing HL strategies used and associations with HL scores.

Results

The mean difference between the HLS19-Q12 scores before and after intervention was − 9.94, with a standard deviation of 11.50. There was a statistically significant effect of the intervention on HL score (t = -10.00, p < 0.001). No participant had HL classified as ‘inadequate’ after the nursing intervention. Verbal teach back method was the most frequent strategy used by nurses, and the use of a computer image was the most frequent visual aid.

Conclusions

The use of a standardized HL intervention by nurses was shown to have a positive effect on patient general HL scores in specialty consultations in Spain. These results not only suggest that the use of a HL checklist can be an effective HL tool, but also reinforce the potential of nurses to make a positive impact on both individual and population health. Overall, these findings provide data that can be used by health systems, hospitals management, and nurse education programs to adopt strategies to improve patient HL and health outcomes, while potentially lowering costs and ineffective resource utilization related to inadequate HL.
Bilateral adrenal hemorrhage in a postpartum woman with multiple thromboemboli: A case report
Authors: Jiang Anna Yi Nan , Abasszade Joshua Haron , Abrahams Timothy , Nan Kirollos , Low Michael Sze Yuan , Barnes Sara Laura , Lim Ann Nee , Shen Jimmy Zhen Long
Published: October 2024

Background

Bilateral adrenal hemorrhage is a rare but often a fatal cause of primary adrenal insufficiency that can result in adrenal crisis if not identified and managed appropriately.

Case presentation

We present a case of a 27-year-old Caucasian female who was admitted to the hospital 17 days postpartum with pleuritic chest and flank pain, shortness of breath and nausea. Computed tomography imaging confirmed multiple thromboemboli including pulmonary emboli and noted bilateral bulky adrenal glands. She was managed for infection and pulmonary emboli; however, she complained of persistent headaches, nausea, and vomiting despite appropriate management. Radiology re-review found the computed tomography imaging was consistent with bilateral adrenal hemorrhage in hindsight. Subsequent endocrine evaluation with hypothalamic–pituitary–adrenal axis interrogation and adrenocorticotropic hormone (Synacthen) stimulation testing confirmed resultant primary adrenal insufficiency. She required urgent intravenous hydrocortisone and was subsequently discharged on oral adrenal replacement therapy and anticoagulation.

Conclusions

Delay in identification and treatment of adrenal insufficiency can lead to catastrophic outcomes. This case highlights the challenge of diagnosing bilateral adrenal hemorrhage and resultant adrenal insufficiency as patients may not present with the classic risk factors, signs, symptoms, and electrolyte derangements.
Divergent interpretations of child abuse in legal judgments: perspectives from clinicians and forensic experts
Authors: Tang Ching-Min , Lou Chen-Fang , Hsia Shao-Hsuan , Liang Kuang-Tsung , Chang Wen , Lin Jainn-Jim , Chan Oi-Wa , Lin Kuang-Lin , Lee En-Pei
Published: October 2024

Background

Child abuse in Taiwan is a major societal concern that severely affects the well-being of children. Despite the complexity in detecting abuse, reports of child abuse are increasing, evidenced by a rise in cases and heightened awareness. This study utilizes judicial judgments as a lens to understand the varied interpretations of child abuse by clinical and forensic experts and explores the broader epidemiological trends of such abuse within the declining youth population of Taiwan.

Methods

We conducted a retrospective study by analyzing official court judgments on child abuse allegations judged from 2008 to 2022 from the online database of Judicial Yuan. Furthermore, the study analyzed demographic factors, injury patterns, and opinions from various experts.

Results

The results reveal that severe criminal cases of child abuse predominantly involve biological fathers as the primary offenders and physical abuse as the most common form of maltreatment. Victims are typically aged less than 5 years, which frequently leads to an unfavorable prognosis. Analysis also highlights the TEN-4-FACESp acronym as a highly predictive indicator of child abuse and underscores the prevalence of abusive head trauma (AHT). Moreover, the findings emphasize ongoing disparities in opinions between forensic medical examiners and clinical physicians, especially in AHT cases, which potentially influences judicial decisions.

Conclusions

In summary, the study reveals ongoing disagreements between forensic medical examiners and clinical physicians, especially in cases of AHT, which may impact judicial decisions. Promoting consensus through interdisciplinary collaboration and improved communication can aid in revealing the truth in child abuse cases.
Advancing ketamine in the treatment hierarchy for refractory depression
Authors: Nigam Kabir , King Franklin , Espi Forcen Fernando
Published: October 2024

Evidence indicates that ketamine is highly effective, has a lower side effect profile and is better tolerated compared to many augmentation strategies for refractory depression. This, combined with data on psychiatric treatment outcome mediators, suggests that earlier intervention with ketamine could improve outcomes for patients suffering from refractory depression.
A Comparison of Remimazolam versus Propofol on Blood Pressure Changes During Therapeutic Endoscopic Retrograde Cholangiopancreatography: A Randomized Controlled Trial
Authors: Xiao Yan-Ying , Zou Hai-Ding , Qin Xiu-Nan , Zhu Rong , Dai Ru-Ping
Published: October 2024

BACKGROUND:

Intraoperative hypotension is the most common adverse event in endoscopic retrograde cholangiopancreatography (ERCP) and is usually attributed to the vasodilatory effect of the anesthetic. The aim of this randomized controlled trial was to evaluate the impact of remimazolam versus propofol on blood pressure changes during the therapeutic ERCP procedure.

METHODS:

Adult patients scheduled for elective therapeutic ERCP were randomized to receive either remimazolam or propofol anesthesia (40 patients in each group). The primary outcomes included the change in mean arterial pressure (MAP) during induction and the area under the baseline (AUB), calculated as the blood pressure below baseline multiplied by the duration, throughout the procedure. These measures, respectively, indicated the severity of blood pressure decrease during anesthesia induction and the overall impact of blood pressure changes throughout the procedure. Any incidences of hypotension, defined as MAP <65 mm Hg for at least 1 minute, were recorded. The recovery time and any adverse events were also reported.

RESULTS:

The change in MAP after induction was smaller in the remimazolam group compared to the propofol group (−7.5 [−14.0 to 0] mm Hg vs −25.0 [−33.8 to −14.3] mm Hg), with a median difference of 17.0 mm Hg (95% confidence interval [CI], 12.0–22.0; P <.001). The AUB in the remimazolam group was less than in the propofol group (−373 [−82 to −854] mm Hg·min vs −705 [−272 to −1100] mm Hg·min), with a median difference of 255 mm Hg·min (95% CI, 29–477; P =.021). The incidence of hypotension was significantly lower for remimazolam than propofol (5% vs 30%; P =.006). There were no serious adverse events in either group.

CONCLUSIONS:

Remimazolam may be considered as an alternative to propofol for general anesthesia during therapeutic ERCP procedures, with the potential advantage of stable hemodynamics.
New Insights on Cord Attachment and Social Hierarchy in Six Khipus from the Santa Valley, Peru
Authors: FitzPatrick Mackinley
Published: October 2024

This article analyzes the potential khipu-document “match” involving six Inka-style khipus from Peru’s Santa Valley that record data similar to a 1670 colonial census of San Pedro de Corongo. Despite its potential as a breakthrough in khipu decipherment, crucial details surrounding these potential “Rosetta khipus” and their associated colonial document have been left out, overlooked, or confused in the literature. This article’s objective is to synthesize and evaluate what is known about this khipu-document “match” while also using combinatorics to identify an optimal moiety alignment for the six lineage groups listed in the 1670 census. This novel moiety alignment differs from the one proposed in 2018 by Manuel Medrano and Gary Urton and is supported by additional structures found in the six khipus. This discovery could lead to a broader understanding of the social hierarchy of San Pedro de Corongo in 1670, as well as an expanded reading of the six Santa Valley khipus. Furthermore, this study presents the first-ever identification of recto and verso cord attachment knot orientations being used as a marked and unmarked sign, respectively. This article’s findings provide a significant contribution toward the ongoing decipherment of nonnumerical khipu signs.
Η επίδραση του οξειδωτικού στρες και της κατάτμησης του πυρηνικού DNA σπέρματος (DFI) σε δείμγατα με φυσιολογικές ή μη παραμέτρους σπέρματος και κλινικό αποτέλεσμα κύκλων σπερματέγχυσης, μετά από ήπια διέγερση ωοθηκών με κιτρική κλομιφαίνη και γοναδοτροπίνες
Authors: Μπίνας Γεώργιος
Published: October 2024

Στην παρούσα εργασία ερευνήθηκε κατά πόσο ο κατακερματισμός του DNA του σπέρματος(DFI) και το οξειδωτικό δυναμικό του σπέρματος επηρεάζουν την επιτυχή έκβαση κύκλων ενδομητρικής σπερματέγχυσης, όπου έχει ακολουθηθεί πρωτόκολλο ήπιας ωοθηκικής διέγερσης, με χορήγηση κιτρικής κλομιφαίνης σε συνδυασμό με γοναδοτροπίνες. Η εν λόγω μελέτη είχε ως χρονικό σημείο εκκίνησης το 2020, και αφού έλαβε την έγκριση από την Επιτροπή Ηθικής και Δεοντολογίας της Έρευνας του Δ.Π.Θ (ΔΠΘ/ΕΗΔΕ/51988/416) και το Εποπτικό Συμβούλιο του Κέντρου Εξωσωματικής Αθηνών (17/02/2020), μελέτησε δεδομένα 200 ζευγαριών που προσήλθαν στο Κέντρο Εξωσωματικής Αθηνών για ομόλογη ενδομητρική σπερματέγχυση χωρίς προηγουμένως το σπέρμα να έχει κρυοσυντηρηθεί. Η εκτίμηση του κατακερματισμού του πυρηνικού DNA των σπερματοζωαρίων έγινε με τη μέθοδο διασποράς της σπερματικής χρωματίνης Halosperm (Halotech, Madrid, Spain) και η εκτίμηση του οξειδοαναγωγικού επιπέδου με τη μέθοδο στατικού οξειδοαναγωγικού δυναμικού MiOXSYS (Caerus Biotechnologies, EU). Καταγράφηκε ο βαθμός δυσκολίας της έγχυσης και ως καταληκτικό σημείο ορίστηκε η επίτευξη κλινικής κύησης. Η στατιστική ανάλυση περιελάμβανε εξαγωγή των περιγραφικών στατιστικών μεγεθών, διερεύνηση των συσχετίσεων μεταξύ των καταγραφέντων παραμέτρων με τη δοκιμασία Spearman R, σύγκριση μεταξύ των κύκλων με θετικό και αρνητικό τεστ κύησης με τη δοκιμασία Mann-Whitney U, καθώς και ανάλυση των δεδομένων με μοντέλα λογιστικής παλινδρόμησης. Χρησιμοποιήθηκε το στατιστικό πρόγραμμα Statistica 6.0 (StatSoft, OK, USA). Ως όριο στατιστικής σημαντικότητας καθορίστηκε το p<0,05. Ανάμεσα στους 200 κύκλους σπερματέγχυσης, οι 43 (21,5%) παρουσίασαν αύξηση στην τιμή της χοριακής γοναδοτροπίνης h-CG, ωστόσο οι 36 εξ αυτών (18%) διαγνώστηκαν με κλινική κύηση. Ο κατακερματισμός του DNA, αλλά και το οξειδοαναγωγικό δυναμικό του σπέρματος δεν είχαν σημαντικό αντίκτυπο ως προς την επιτυχή έκβαση της διαδικασίας. Η ηλικία της γυναίκας αναδείχθηκε ως ο περισσότερο καθοριστικός παράγοντας για την επίτευξη κλινικής κύησης.
Análisis biomecánico y caracterización de la intervención muscular y la calidad de control motor en el contexto de la manipulación manual de cargas
Authors: Σκιαδόπουλος Ανδρέας
Published: October 2024

Ο Ευρωπαϊκός Οργανισμός για την Ασφάλεια και την Υγεία στην Εργασία ορίζει τη χειρωνακτική διακίνηση φορτίων ως έναν από τους σημαντικότερους παράγοντες κινδύνου για την ανάπτυξη μυοσκελετικών διαταραχών στην οσφυϊκή μοίρα της σπονδυλικής στήλης. Οι σχετιζόμενες με την εργασία διαταραχές της οσφυϊκής μοίρας προκύπτουν από την επαναλαμβανόμενη έκθεση των δομών και ιστών της σπονδυλικής στήλης σε μηχανικά φορτία που αναπτύσσονται κατά την εκτέλεση εργασιακών καθηκόντων. Αυτά τα φορτία προκύπτουν κυρίως από την (συν)ενεργοποίηση των μυών του κορμού ως απόκριση σε εξωτερικό φορτίο. Το επίπεδο κινδύνου που σχετίζεται με τα μηχανικά φορτία εξαρτάται όχι μόνο από την ένταση της μυϊκής ενεργοποίησης αλλά και από τον συντονισμό των εμπλεκόμενων μυών. Επί του παρόντος, οι επιστημονικές μελέτες επικεντρώνονται στο πώς ο σχεδιασμός της εργασίας επηρεάζει την ένταση της μυϊκής παρέμβασης, χρησιμοποιώντας αυτό ως έμμεση μέθοδο μέτρησης των μηχανικών φορτίων στη σπονδυλική στήλη. Ωστόσο, δεν υπάρχουν επιστημονικές μελέτες που να εξετάζουν την επίδραση του σχεδιασμού της εργασίας στον συντονισμό των μυών. Οποιοδήποτε λάθος στον συντονισμό αυξάνει τον κίνδυνο τραυματισμών και μυοσκελετικών διαταραχών, ενώ ο μεγάλος αριθμός των μυών που πρέπει να ελέγχει το κινητικό σύστημα καθιστά τον συντονισμό πιο δύσκολο. Σε αυτό το πλαίσιο, έχει προταθεί ότι το κινητικό σύστημα σχηματίζει μυϊκές συνέργειες για να διαχειρίζεται τους πολλούς βαθμούς ελευθερίας που υπάρχουν. Η παρούσα μελέτη αποσκοπεί να διερευνήσει την επίδραση της εργονομικής παρέμβασης, με βάση το πρωτόκολλο NIOSH (National Institute for Occupational Safety and Health, ΗΠΑ), στον συντονισμό των μυών του κορμού και την οργάνωση αυτών των βαθμών ελευθερίας. Για τον προσδιορισμό του κινδύνου κατά τη χειρωνακτική διακίνηση φορτίων, το NIOSH έχει αναπτύξει ένα πρωτόκολλο που βασίζεται σε διάφορα κριτήρια, επιτρέποντας τον καθορισμό του συνιστώμενου ορίου βάρους και του δείκτη ανύψωσης, αξιολογώντας έτσι το επίπεδο κινδύνου για συγκεκριμένες εργασίες. Τα ευρήματα δείχνουν ότι οι μύες του κορμού σχηματίζουν ομάδες (μυϊκές συνέργειες) που ο συντονισμός τους σταθεροποιεί σημαντικές μηχανικές παραμέτρους για τη διαδικασία ανύψωσης, οδηγώντας σε μια ατομική τεχνική χειρωνακτικής διακίνησης φορτίων. Οι παράμετροι του πρωτοκόλλου NIOSH επηρεάζουν επίσης τις μυϊκές συνέργειες, και προτείνεται ότι μια εργονομική παρέμβαση βασισμένη σε αυτό το πρωτόκολλο θα πρέπει να ενσωματώνει δείκτη μυϊκής συνέργειας.
Advanced practitioners working with older people in primary care and community settings: a survey of roles and use of technology
Authors: Febrey Samantha , Frost Julia , Hall Abi J , Morley Naomi , Whitney Julie , Johnston Vicky , Wilson Payal , Kilgore Cliff , Goodwin Victoria A
Published: October 2024

Background:

Advanced practitioner (AP) roles are becoming increasingly common in primary care and community settings for supporting older people and those living with frailty.

Aims:

The aim of this study was to explore health and social work AP roles in primary care and community settings in the UK, and understand how they support older people and factors that may impact on APs use of technology in practice.

Methods:

A cross-sectional, web-based survey was adopted to explore the views and perspectives of APs.

Results:

The survey received 111 responses. There were different views as to whether technology was suitable for older people. Although digital exclusion was a concern, it was perceived that this would change in the future as generations become more digitally literate. Respondents suggested that using technology brought about efficiencies and the ability to respond sooner to symptom changes, with some concerns mentioned regarding the accuracy of technology that may miss signs and symptoms.

Conclusion:

This is the first national survey to explore advanced practice roles with older people in non-hospital settings. While APs have wide-ranging skills, few use technology in their practice. Findings will inform a future study on digitally enhanced comprehensive geriatric assessments.
Physiotherapy advanced clinical practitioners in an inpatient medical team: opportunities and challenges
Authors: Connolly Alexandra
Published: October 2024

Background:

Physiotherapy advanced clinical practitioners (ACPs) working within inpatient medical teams are being used to deliver healthcare in community hospitals. Little is known about how physiotherapists working in this type of role impact, and are viewed by, ward staff.

Aim:

To explore ward staffs' experience of physiotherapy ACPs working in an inpatient medical team in a community hospital setting.

Method:

An interview-based questionnaire was completed by 16 participants from the multi-disciplinary team between November 2022 and January 2023 across three community hospitals. All 16 participants worked directly with physiotherapy ACPs. Data were collected and analysed using the Braun and Clarke (2006) thematic analysis six-step model for pattern recognition.

Findings:

A total of four themes (‘inpatient ACPs are all the same’; ‘missing opportunities?’; ‘a great asset’; and ‘challenges’) and eight subthemes (medical role, generic role, underutilisation, innovation potential, improved patient care, team enhancement, prescribing, and role confusion) were identified.

Conclusion:

Physiotherapy ACPs provide general medical care to patients in the community hospital setting. They are an asset to the inpatient medical team, particularly in driving the importance of rehabilitation in this setting. The physiotherapy ACPs encountered profession-specific barriers around prescribing, which negatively impacted their ability to fulfil this role.
Development of Comprehensive Nurses’ Happiness Model
Authors: Park Jeong Sook
Published: October 2024

Purpose: Nursing is a job that is rewarding but also subject to a lot of work-related stress. It is necessary to understand the happiness of nurses in their personal and professional lives and to devise ways to increase their happiness. Methods: Based on extensive literature review and many years of experience, Comprehensive Nurses’ Happiness Model was developed by selecting concepts and linking antecedent factors, mediators, and outcome variables. Result: Personal and professional factors were presented as antecedent factors affecting nurses’ happiness. Personal antecedent factors included health status, economic status, leisure time, optimism/extroversion, and spirituality. The occupational factors include nursing readiness, work characteristics, and work environment as sub-factors, and the work characteristics sub-factors include nursing professionalism, job satisfaction, and turnover intention, and the work environment sub-factors include staffing, leadership, collaboration with physcians, and collaboration with nursing colleagues. In the process of moving from personal and occupational antecedents to the outcome variable of happiness, happiability as positive self-regulation competency and good relationships were presented as mediating factors. the outcome variable, nurses’ happiness, includes pleasure and meaning of life, and further includes the concept of expanding happiness to others and future generations. Conclusion: It is necessary to train nurses’ happiability and develop good relationships with strong and weak ties to increase happiness of nurses.
The Impact of Family Functions and Interpersonal Problems on University Students’ Depression
Authors: Lee Eun-Joo , Park Mee-Ra
Published: October 2024

Purpose: This study aimed to identify the effect of family functions and interpersonal problems on depression among university students. Methods: A total of 189 undergraduate students from a university in Changwon City participated in this study. The data was collected through an online survey conducted from September 20 to 25, 2022. Data analysis was conducted using SPSS 23.0 statistical program, including descriptive statistics, t-test, Pearson’s correlation coefficients, and multiple regression analysis. Results: Interpersonal problems had the greatest impact on college students’ depression (β=.59, p<.001), followed by satisfaction with life (β=-.24, p<.001), and family functions (β=-.12, p=.022). These variables accounted for 55.1% of the variance in college students’ depression. Conclusions: This research emphasizes that social networks, supportive family environments, and life satisfaction are key factors in preventing depression among college students. College students at risk for depression should be screened and provided with individualized interventions that address a variety of factors, including depressive symptoms, family and interpersonal relationships, and life satisfaction.
Effect of Chinese Nursing Students’ University Adjustment and Acculturative Stress on Depression
Authors: Park Seo-A , Lee Ji-Soo
Published: October 2024

Purpose: This study aimed to investigate the effects of acculturative stress and university adjustment on depression among Chinese nursing students in Korea. Methods: Participants were 49 Chinese nursing students enrolled at K University in G city. The Center for Epidemiological Studies Depression Scale (CES-D) was used to measure the level of depression, the Acculturative Stress Scale for International Students (ASSIS) was used to assess acculturative stress, and the Student Adaptation to College Questionnaire (SACQ) was used to assess university adjustment. Data were collected from October 1, 2023, to June 30, 2024, and analyzed using t-test, Pearson correlation coefficients, and multiple regression analysis with SPSS version. 29.0. Results: The mean scores for Chinese nursing students were 69.75±3.98 out of 180 for acculturative stress, 87.70±2.10 out of 120 for university adjustment, and 10.67±1.48 out of 60 for depression. A statistically significant positive correlation was found between acculturative stress and depression (r=.55, p<.001), while a negative correlation was observed between acculturative stress and university adjustment (r=-.65, p<.001), and between university adjustment and depression (r=-.48, p<.001). Acculturative stress (t=4.53, p=.001) was identified as a significant influencing factor of depression of Chinese nursing students. Models that included the variables explained 30% of the variance for the level of depression. These findings suggest that acculturative stress had an impact on the depression of Chinese nursing students. Conclusions: Therefore, it is necessary to develop educational programs to enhance the acculturation of Chinese nursing students. Additionally, further studies are needed to explore the variables that influence the acculturation of Chinese students in Korea.
Interventions and evaluation to improve oral health in patients with stroke: a scoping review
Authors: Kim Soo-Min , Cho Eun-Bi , Han Sun-Young
Published: October 2024

Objectives: This scoping review aimed to identify and analyze intervention strategies and assessment methods for oral hygiene management (OHM) and oral function management (OFM) in patients with stroke admitted to general wards, with the goal of providing directions for future research. Methods: We conducted a comprehensive literature search on studies published over the past 10 years across databases, including Cochrane, Embase, Medline, PubMed, and ProQuest. A total of 18 studies met the inclusion and exclusion criteria. Results: In the OHM studies (N=7), oral hygiene care was primarily provided by nurses, dental assistants, and nursing care aides. Oral hygiene was assessed using plaque and gingival bleeding indices with products such as electronic toothbrushes and mouth rinses. In the OFM studies (N=11), care was provided by speech-language pathologists, occupational therapists, and dental hygienists. Assessment tools included the Functional Oral Intake Scale, the PenetrationAspiration Scale, and Video Fluoroscopic Swallowing Studies. Conclusions: Improving the oral health of patients with stroke requires both hygiene and functional management. Therefore, it is necessary to develop a method that provides specialized oral care tailored to the hospitalization environment and the specific conditions of patients with stroke.
Artificial intelligence ethical awareness according to the core competency level among dental hygiene students
Authors: Shin Hye-Sun , Sim Seon-Ju
Published: October 2024

Objectives: This study investigated the ethical awareness regarding artificial intelligence (AI) among dental hygiene students based on core competency levels and proposed a competency-based educational approach to improve AI ethical awareness. Methods: Eighty-six dental hygiene students participated in the study and provided informed consent. The core competency survey tool included innovation, communication, relations, and services. The AI ​​ethical awareness survey tool was divided into eight categories, each with 24 questions: responsibility, stability and reliability, non-discrimination, transparency and explainability, people-centered service, employment, tolerance and limits, and robot rights. Results: The group with high core competency had higher levels of AI ethical awareness (p<0.05), particularly in terms of responsibility, transparency, and peoplecentered service. The level of AI ethical awareness was significantly correlated with the relationship competency and service competency (p<0.05). Conclusions: These results highlight the association between AI ethical awareness and core competencies. These results suggest that competency-based education in universities is critical for improving AI ethical awareness. Furthermore, we intend to use the findings as preliminary data to suggest a direction for competency-centered education to improve AI ethical awareness.
Freezing time, freezing in time: reconfiguring freezing practices for reducing meat waste and energy consumption
Authors: Middha Bhavna , Torabi Nooshin , Maller Cecily , Lockrey Simon , Stasinopoulos Peter , Shiwakoti Nirajan
Published: October 2024

Considering that many fresh food items require domestic cold storage, understanding the role of appliances such as freezers is critical to reducing greenhouse gas emissions relating to domestic food waste and energy use. Using a social practices approach, this article reports on a study of cold storage and food waste practices, particularly freezing relating to meat, in 20 Australian households. Householders were interviewed twice, over winter and summer, 2022–2023. We studied intersecting practices of eating, shopping, cooking and cold storage, and their connection to larger social phenomena such as cold supply chains to gain insights into how and why meat was wasted. Although we set out to study household practices, we found that retailer practices of pricing specials and bulk buying must also be considered. Retailer practices combined with ambiguity in consumer understandings of date labels, shelf life and freezing times mean that domestic cold storage has become a normalised extension of the cold supply chain of food, especially for meat. We argue that understandings such as convenience and thriftiness, in conjunction with retailer expectations of domestic cold storage, may lead to the ratcheting up of household freezer use for food storage. We illustrate through our findings that this may potentially increase energy consumption and accelerate food waste, which becomes particularly problematic for carbon-intensive foods such as red meat. In innovatively reimagining domestic cold storage as an extension of industrial and retailer cold supply chains, we explore what kind of capabilities may be required for an equitable and low waste cold supply chain that reduces reliance on household freezers.
Visual Rhetoric and Spatial Sovereignty in Gord Hill’s The 500 Years of Resistance Comic Book
Authors: Smyth Heather
Published: October 2024

Abstract: This article offers a close analysis of the interventionary visual rhetoric and comic techniques in The 500 Years of Resistance Comic Book by Gord Hill (Kwakwaka’wakw). It positions Hill’s comic book as an act of discursive resistance that challenges imagery and narratives of colonial history using the affordances of comic arts. As a multimodal genre, as an audience-directed educational text, and as an account of warriorhood, The 500 Years of Resistance Comic Book is an important contribution to Indigenous studies.
”Just Because I’m Not Super Masculine Doesn’t Mean I’m Not Bisexual”: Stories of Bisexual/Pansexual Fraternity Members’ Performances of Gender and Sexuality
Authors: Lemerand Steve , Duran Antonio
Published: October 2024

Abstract: Fraternal organizations have often received criticism from individuals who argue that these groups perpetuate harmful gendered norms and oppress members who identify with queer communities. However, scholars and practitioners alike have paid little attention to members who identify as bisexual/pansexual (bi/pan) within these organizations. This narrative inquiry study examined the stories of eight pan/bi fraternity members, exploring how they described their performance of gender and sexual identities within these organizational contexts. Findings brought to light the following: how the heterosexist, monosexist settings influenced their varied performances; how members described the impact of their performances on experiences and relationships; and how participants viewed the complexities of performances and queered discourses of authenticity. Implications for research and practice are offered.
Sketching the Contours of Belonging After College Student Trauma
Authors: Shalka Tricia R. , Abou Nassif Mourad Fatima
Published: October 2024

Abstract: This hermeneutic and post-intentional phenomenological study explored how trauma experiences affected sense of belonging for undergraduate students. Results suggest five salient textures of belonging after trauma, including silence, validation, isolation, compassion, and betrayal. Implications for student affairs practice are presented to frame the importance of proactive measures prior to college students’ experiences of trauma as mechanisms to foster belonging and effective support for students who have experienced trauma.
Experiential Learning: The Effects of a Digital Learning Companion Project on Tutors’ Service-Learning Outcomes
Authors: Tran Khanh Nguyen Phuong , Weng Cathy , Tran-Nguyen Phuong Lan , Tran Nguyen-Phuong-Dung , Awuor Nicholas O.
Published: October 2024

Abstract: Community-oriented education has witnessed an increasing interest in online service-learning opportunities. Digital Learning Companion is an online service-learning project supported by Taiwan’s Ministry of Education to give students experiential learning opportunities and practice social responsibility. As part of the initiative, 189 local and international students served as tutors for remote children. A mixed-methods design, including pre- and post-questionnaires and sharing videos, was employed to evaluate its effects on service-learning outcomes. The results revealed that all tutors improved personal competence, interpersonal relationships, and charitable responsibility. However, no significant difference was found in social justice responsibility. Furthermore, significant differences between the international and local tutors were noted in outcomes regarding personal competence, interpersonal relationships, and charitable responsibility, with the mean scores of the international group higher than those of the local one. Conversely, no significant difference was found in social justice responsibility with respect to nationality. The findings highlight the benefits to tutors with respect to personal and interpersonal development and support the implementation of similar service-learning projects.
Gathering up the Fragments of a Dismembered Timurid Masterpiece
Authors: Mihan Shiva
Published: October 2024

Abstract: The Rasāyil, a sumptuous manuscript produced at the royal library of the Timurid prince Bāysunghur in Herat in 1427, contains seven rare treatises copied by the renowned calligrapher Shams al-Sulṭānī. This article discusses the manuscript’s literary content and artistic features and presents the intriguing discovery that the anthology, acquired by Bernard Berenson in 1910, is not the complete codex and indeed, bears signs of mutilation. It also identifies most of the lost components as extant and housed in three other collections. These discoveries enable a virtual reconstruction of the codex in the form produced for the prince.
The Echoing Pan-Pacific—Henry James, Cid Corman, Lindley Williams Hubbell, and Gary Snyder
Authors: Beppu Keiko
Published: October 2024

Abstract: This keynote is to elucidate a certain kind of “community” across the Pan-Pacific: Cid Corman, Lindley Williams Hubbell, and Gary Snyder shared similar modernist poetic precepts/practices and immersion in Western and Japanese cultures. They respectively enjoyed/enjoy a second life, so to speak, writing, poetry, teaching, and made their home in Kyoto, at one time—the 1950s to the present. This quite original “community” has created an interesting space involving Japanese poets (through translation), professors, and students of American/English literature and local people as well.
Old Wine in New Bottles: The Technological Promise of Biorefinery In Historical Perspective
Authors: Krasnodębski Marcin
Published: October 2024

abstract: Biorefineries are often lauded as revolutionary, sustainable new sources of power. This article critically examines biorefineries from historical and environmentalist perspectives, highlighting flaws such narratives. It proposes an alternative to the biorefinery paradigm that draws on critical environmentalist scholarship, French political ecology and the German tradition of sanfte Chemie (soft chemistry). History, the article argues, is crucial for identifying technological dead ends.
Public History: Infrastructural Imaginaries and the Production of Affective Power
Authors: Mauch Felix
Published: October 2024

abstract: This section of Public History explores "infrastructural imaginaries"—shared visions of future infrastructure that are collectively held and either publicly enacted or resisted. These imaginaries are deeply rooted in both present realities and past dreams of what could have been. For historians of technology, understanding who imagines this infrastructure, the impacts of these imaginings, and the emotional forces driving these processes is essential. The contributions in this section explore artistic interventions that blend utopian ideas, visual languages, political ambitions, and radical actions. These interventions challenge us to rethink the contours of our infrastructure-dominated world and invite further historical analysis in these public discourses.
Sylvester spectral filter and tone mapping
Authors: Lee Hsien-Che , Lee Joyce
Published: October 2024

We propose a flexible IGS tone mapping framework that works in three domains: image (I), gradient(G), and spectrum (S). Since illumination non-uniformity is known to be one of the main difficulties in tone reproduction (even for moderate dynamic range images), we use homomorphic Sylvester spectral filtering in the gradient domain to reduce lighting contrast, while avoid serious artifacts (such as halos and hollows). Furthermore, we show that by using the cumulative distribution function of the gamma distribution as the tone curve, the contrast and brightness of tone reproduction can be effectively controlled. The main motivation for this strategy is to deal with the issues caused by global illumination shading for high-dynamic-range images so that the user can adjust a few parameters to achieve the desired level of contrast in the final images, but does not require individual manual adjustment on a per-image basis. Our framework takes advantage of the efficiency and effectiveness of spectral domain filtering for dealing with these issues caused by global illumination shading.