bluuebunny/crossref_metadata_2025 huggingface dataset:
Does Thin-Ideal Internalization Increase Adolescent Girls’ Problematic Social Media Use? The Role of Selfie-Related Behaviors and Friendship Quality
Authors: Zeng Weiyu , Luo Yi-jun , Chen Hong
Published: June 2023

Eight percent of adolescent girls were found to be engaged in problematic social media use. Problematic social media use is associated with serious physical and mental consequences. This study aimed to explore the effects of thin-ideal internalization on problematic social media use and the role of selfie-related behaviors and friendship quality. We recruited 903 Chinese adolescent girls with an average age of 13.73 years (ranging from 11 to 16 years) recruited to complete the self-report questionnaire, which contained four measures. Results revealed a moderated mediation model. Girls who had internalized thin-ideal images were more vulnerable to social media’s addictive properties, constantly engaged in selfie-related behaviors, and developed subsequent problematic social media use. However, for adolescent girls, high friendship quality buffered against developing problematic social media use, despite selfie-related behaviors. The study provides suggestions to reduce problematic social media use among adolescents to promote their physical and mental health.
Prevalence and determinants of post-traumatic stress disorder in patients with schizophrenia 2 years after an earthquake in Turkey
Authors: Tanrıkulu Ali Baran , Kaya Hilal , Örüm Mehmet Hamdi , Akyıldırım Sümeyya
Published: June 2023

Objectives

High rates of post-traumatic stress disorder (PTSD) have been observed in earthquake survivors many years after the event. However, its prevalence among patients with schizophrenia is largely unknown. This study, which was conducted two years after the 2020 Elazığ earthquake, sought to identify risk factors for earthquake-related PTSD among patients with schizophrenia and healthy subjects.

Methods

Adult patients with schizophrenia ( N = 103) and healthy subjects ( N = 103) who had survived the earthquake were recruited from affected areas in the Eastern Anatolian Region of Turkey, Elazığ. A detailed questionnaire of earthquake-related risk factors, the Brief Coping Orientation to Problems Experienced (Brief COPE), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Clinician-Administered PTSD scale for DSM-V (CAPS-5) scale were administered to participants.

Results

Twelve percent of the patients with schizophrenia and 25% of the healthy subjects had earthquake-related PTSD diagnoses two years after the 2020 Elazığ earthquake. Healthy subjects had a significantly higher rate of earthquake-related PTSD when compared to patients with schizophrenia. Religious coping, self-blaming, less emotional support seeking, and going to a safer place on the night of the earthquake were found to be associated with PTSD in patients with schizophrenia. History of traumatic events, self-blaming, and less social support from family were found to be associated with a PTSD diagnosis in healthy subjects.

Conclusions

The earthquake in Turkey created a situation such that significant symptoms of PTSD remained present at two years following the event in both patients diagnosed with schizophrenia and healthy subjects. Patients with schizophrenia have different risk factors for the development of PTSD when compared with healthy subjects. Clinical interventions should consider risk factors, coping strategies, and perceived social support when seeking to prevent earthquake-related PTSD.
Mixed Methods in an Evolving Research Program on Diaspora Entrepreneurs and Their Mobilizations
Authors: Koinova Maria , Blanchard Philippe , Margulies Ben
Published: June 2023

Scholarship at the intersection of migration studies and international relations has been increasingly interested in diasporas in world politics, yet analysis integrating relevant literature in systematic ways through rigorous empirical methods has been largely missing. How can mixed-methods techniques contribute to the evolution of a relatively new research program, such as the study of diaspora mobilizations in conflict processes? How can these techniques identify data patterns that could help establish meaningful analytical categories and factor in multi-sited complexity? Based on a large-scale European Research Council migration project "Diasporas and Contested Sovereignty," this Research Note offers a pathway for future scholarship on how to systematically do so. It presents a rich theoretically informed coding procedure that systematizes the analysis of four researchers working across conflict-generated diasporas in multiple host-countries and linked to conflicts in multiple countries of origin. Correspondence and cluster analyses are used to isolate profiles of diaspora entrepreneurs. Procedures used early in the project's life-cycle helped later to design a unique survey and inform a deeper comparative causal analysis, thus creating a coherent conversation among different research products.
Encouraging creativity through music improvisation activities: Pre-service primary general teacher-students’ reflections and beliefs
Authors: Nikolaou Eirini
Published: June 2023

This study focuses on exploring pre-service primary general teacher students’ ( N = 40) reflections on the opportunities they were given to awake their creativity, by participating systematically (13 weeks) in music improvisation activities, in the context of the course Music Education in a university classroom of a Greek Department of Primary Education. More specifically, it focuses on teacher-students’ reflections on the implemented music improvisation activities, on team interactions, their perceptions regarding classroom atmosphere and the way they feel during their participation, their confidence-as future teachers-to integrate the music improvisation activities in their classroom, their preference for individual or group music improvisations activities, and their beliefs on the characteristics of a creative teacher. The improvisations were carried out individually, in pairs and in groups, using their voice, their body, and percussion musical instruments. Data were collected through observation, diary keeping, and questionnaires with open-ended and closed-ended questions. As the findings indicated the primary general teacher-students expressed positive attitude regarding the awaking of their own creativity, enjoyed their participation, developed a rather strong self-confidence to implement improvisational activities as future teachers and considered as creative teacher a well-prepared facilitator who ensures the conditions for an interesting, structured lesson and promotes cooperation.
Productive disruptions: Supporting diversity and anti-racism in the workplace through multi-level organisational strategies
Authors: Trenerry Brigid , Dunn Kevin , Paradies Yin
Published: June 2023

Racism in the workplace occurs at both the interpersonal and institutional level in terms of prejudiced attitudes and behaviours and avoidable and unfair differences in hiring, retention and opportunities for training and promotion. Many organisations have stated commitments to workforce diversity; however, work-related racism remains the most common forms of reported discrimination. Rather, efforts to increase workforce diversity will fail in the absence of measures to address discriminatory attitudes, behaviours, practices and cultures. Current approaches also lack strategic development, including knowledge of how to implement workforce diversity and anti-racism strategies at multiple organisational levels. Specifically, there is less understanding of measures to support structural level change. This article aims to advance both theoretical and empirical understanding of racism and anti-discrimination in the workplace. We do this by presenting a multi-level framework for understanding and addressing workplace racism. We also study the implementation of a meso-level workplace diversity and anti-discrimination assessment within two local government organisations in Australia. Findings revealed the importance of implementing strategies across multiple organisational levels and establishing accountability for commitments to diversity and anti-racism practice. Despite its structural and universal drives, we argue that racism can be disrupted through the presence of diversity in the workplace and anti-racism intervention.
Money matters, but what else? Mature worker motives and the importance of gender, age, socioeconomic status and age-inclusive HR practices
Authors: Loh Vanessa , Hamilton Myra , Baird Marian , Zettna Nate , Constantin Andreea , Andrei Daniela M , Petery Gretchen A , Parker Sharon K
Published: June 2023

Policies encouraging extended workforce participation mainly focus on financial motives, but socioemotional selectivity theory and research suggest that mature worker motives are multifaceted, with emotionally meaningful goals gaining importance with age. We adopt a person-centred approach using latent class analysis of survey data from 1501 Australian workers aged 45 years and over. Two motivational profiles based on patterns of motives were identified, which we term income-dominant (income is the main reason) and socioemotional-income (socioemotional reasons are dominant, but income is important too). Contrary to expectations, we found no evidence of a socioemotional-dominant profile. This provides new theoretical insights, as it suggests that even though socioemotional reasons may increase in importance with age, financial reasons remain important to most mature workers, especially those who may view work as being transactional. Being female, older, and having higher socioeconomic status and age-inclusive HR policies increase the odds of having a socioemotional-income rather than income-dominant profile. The socioemotional-income subgroup had lower turnover intentions and later desired retirement ages than the income-dominant subgroup, highlighting the potential for more socioemotionally focused policies and practices to encourage extended workforce participation.

JEL Classification:

J26, M12, M54
Financial reporting in times of crisis: The case of the Serbian developing economy during COVID-19
Authors: Obradović Vladimir , Čupić Milan , Dimitrijević Dragomir
Published: June 2023

This study examines the impact of the COVID-19 pandemic on financial reporting in Serbia from the perspective of preparers of financial statements. Notably, the pandemic affected financial reporting in Serbia and preparers faced more professional difficulties during than before the pandemic. Financial reporting problems regarding future expectations and uncertainty are an important source of concern for preparers. The preparers who apply International Financial Reporting Standard (IFRS) for Small and Medium-sized Entities (SMEs) perceive some more difficulties than those who apply full IFRSs. This study contributes to the scarce literature regarding the impact of the COVID-19 pandemic on financial reporting.

JEL Classification: M41, G01
Improving Expository Text Comprehension in Adolescent Spanish–English Bilingual Learners With Learning Disabilities Using a Graphic Organizer
Authors: Calvin Kristie L. , Gray Shelley
Published: June 2023

The purpose of this study was to examine the efficacy of a graphic organizer for improving the expository text comprehension of adolescent Spanish–English bilingual students with learning disabilities. Students were two females and one male. Using a multiple baseline single case design, researchers taught students to create a funnel map graphic organizer for 10 descriptive text passages. Students’ performance was assessed on their ability to correctly create the funnel map (criterion variable) and to comprehend expository passages during baseline, intervention, and maintenance phases. Each participant learned to create an accurate funnel map within four sessions. Text comprehension scores began to increase within three sessions. Results showed the positive effect of using the funnel map for improving comprehension of expository texts. Individual Tau effect sizes (.81–.92) and overall Tau-U effect sizes (.86) and a Between Case-Standardized Mean Difference (BC-SMD) of 1.87 showed the intervention to be highly effective.
The Influence of Institutional Single-Family Rental Investors on Homeownership: Who Gets Targeted and Pushed Out of the Local Market?
Authors: An Brian Y.
Published: June 2023

The emergence of institutional single-family rental investors in local housing markets is increasingly concerning to policymakers and planners. This study examines how their rising presence in the single-family housing market has impacted homeownership. Leveraging both granular spatial and temporal variations in large investment firms’ transaction activities over 800 neighborhoods in the Atlanta metropolitan area between 2007 and 2016, I find that their concentrated investment in single-family rentals weakened local homeownership, mainly for Black. In contrast, evidence does not support the claim that smaller scale corporate investors dampened homeownership. The institutional scale matters in explaining a significantly diminished homeownership during this period.
Agency and Structure in Urban and Regional Planning: An Illustrative Overview and Future Research Agenda
Authors: Purkarthofer Eva , Stead Dominic
Published: June 2023

There is extensive literature on the agency of actors in urban and regional planning which draws on a wide range of theoretical lenses and concepts. One of the recurring themes is the relationship between agency and structure—the mutual interdependence between individual actions and collective institutions, rules, and norms. This article provides a narrative overview of the wide range of literature on agency and structure in relation to spatial planning clustered around six interrelated themes: institutions, discretion, pragmatism, networks, leadership, and emotions. It identifies new avenues for research, paying particular attention to empirical, scalar, and methodological issues.
Introduction to the Special Issue: Planning for Climate Transformations
Authors: Shi Linda , Fitzgerald Joan
Published: June 2023

Growing climate impacts and ambitious calls to decarbonize society pose unprecedented challenges for cities and their built environments, political economic systems, and governance institutions. This special issue invites planning scholars to consider how planning research can inform transformative climate initiatives and how planning itself needs to transform to better support climate transformation. In this introduction, we review definitions of transformation, introduce each of the six articles and their approaches to transformation, and explore cross-cutting tensions among them. We conclude with our reflections for future research that would help planning prepare for and contribute to climate transformations.
Coping in the Digital Age: Do Coping Strategies Mediate the Link Between Online and In-Person Victimization and Depressive Symptoms?
Authors: Prowten Skyler D. , Breitenstein Reagan S.
Published: June 2023

With increased use of social networking sites in recent years, there has also been an increased opportunity for users to fall prey to bullying victimization. However, little is known about the differences between online and in-person victimization in association with depression or how different coping strategies may mediate this relationship among college students. The goal of the current study was to examine whether there were similarities or differences in the extent to which self-reported online and in-person victimization were associated with depressive symptoms in a sample of 210 undergraduate students (72.9% Women; 85.4% Cauasian), as well as whether different problem- and emotion-focused coping may differentially mediate the links between young adult victimization and depressive symptoms. Participants reported depressive symptoms, problem- and emotion-focused coping, and in-person and online victimization. In-person and online victimization independently predicted emotion-focused coping and depressive symptoms in young adults, and both problem- and emotion-focused coping predicted depressive symptoms. Further, emotion-focused coping partially mediated the effect of in-person victimization and depressive symptoms, suggesting that training more effective coping strategies may be an important intervention target to reduce depressive symptoms for those experiencing bullying victimization. Future research should continue to explore how different coping strategies act as a mechanism between victimization and depressive symptoms.
Are Changes in Somatic Health Reflected Differently in Updated Self-Ratings by Big-Five Personality Traits?
Authors: Oi Katsuya , Hardy Melissa
Published: June 2023

Objectives: This longitudinal study tests whether the Big-Five personality traits influence the changes individuals make in self-rated health (SRH) as they adjust their initial level to account for information on concurrent changes in disease burden, activities of daily living (ADLs), and pain. Methods: A bi-variate Latent Growth Curve model was fitted to data to estimate longitudinal associations between SRH and each health measure across up-to-five repeated observations, collected from the year 2006 to 2018 from 13,096 participants in the Health and Retirement Study. Results: Negative longitudinal associations between SRH and all three health reports were significantly stronger for those who are more conscientious. No significant moderation was found for the other four personality traits. Discussion: Compared to the less conscientious, highly conscientious people may assign greater importance to specific health reports when rating and revising their assessments of SRH. This moderating effect was previously tested but not supported.
“Too immature for politics?” Political agency in the eyes of Russian adolescent protesters, 2011–20
Authors: Erpyleva Svetlana
Published: June 2023

This paper bridges empirical research on children’s political participation and theoretical debates on the concept of agency in Childhood studies. It takes insights from the internal criticism of the essentialist conception of agency in Childhood studies and develops it further. Based on an analysis of in-depth interviews with adolescent participants of anti-regime protests in two periods of recent Russian history—i.e., 2011–13 and 2017–20—it compares how these two cohorts of politically active children constructed their political agency. It suggests that the authoritarian and depoliticized context of Russian society affects the construction of agency by child activists in ways we do not see in Western democracies. It thus challenges the main concepts of agency in Childhood studies, including the “critical” ones.
Surface integrity analysis of aluminum 3003 alloy during ultrasonic-vibration-laser assisted turning
Authors: Deswal Neeraj , Kant Ravi
Published: June 2023

Surface integrity of the machined surface is an important aspect considering their surface alterations, metallurgical effects, and mechanical characteristics during the machining process. Industries have been seeking a capable machining technology that can improve the machining process capabilities especially in an eco-friendly manner. Hybrid machining processes have shown significant improvement in machining performance when compared with the conventional turning (CT) process without using any cutting fluids. Moreover, a recently developed hybrid machining technology, that is, ultrasonic-vibration-laser assisted turning (UVLAT) has shown better machinability than the CT process. Therefore, an attempt has been made to improve the surface integrity of aluminum 3003 alloy in terms of machining forces, surface roughness, surface damage, microstructure, microhardness, residual stresses, and corrosion behavior during the UVLAT process. A comparative surface integrity analysis has been performed among the CT, ultrasonic vibration assisted turning (UVAT), laser assisted turning (LAT), and UVLAT processes. Significant improvement in the surface integrity has been observed for the aluminum 3003 alloy during the UVLAT process in comparison to the CT, UVAT, and LAT processes. The periodic separation of the cutting tool and thermal softening of the workpiece material, simultaneously during the UVLAT process is the possible reason for the improvement in surface integrity. Results demonstrated that the UVLAT process has an excellent potential to enhance the surface integrity of aluminum alloys and is better than the CT, UVAT, and LAT processes.
Coating roughness impact on the combustion chambers life of the turbo engines
Authors: Masrouri Mana , Tahsini Amir Mahdi , Vahabi Seyed Erfan
Published: June 2023

The objective of this study is to determine the impact of the convective heat transfer coefficient and the heat conduction coefficient on the metal temperature by studying heat conduction in the base metal and the coating under hot gas convection as well as the cooling flow using analytical methods. Increasing the convective heat transfer results in lower conduction of the coating that is necessary to maintain the metal temperature at the determined level. The surface roughness of the coating is therefore an influential factor in determining metal temperatures and plays a significant role in the lifespan of the hot sections of turbo engines. This phenomenon is numerically studied for the SGT-100 combustion chamber and the results demonstrate that the roughness can considerably increase the wall heat flux of the combustor. This means that the coating should be manufactured so that the coating surface has a lower roughness level. Otherwise, the higher heat flux will cause damage to the combustion chamber.
Self-shrouded torsional blade model equivalence and blade vibration response analysis
Authors: Zhang Qinglei , Wang Liuchang , Duan Jianguo , Qin Jiyun , Zhou Ying
Published: June 2023

In steam turbines, the operation of turbine blades can lead to vibrations, which may result in turbine accidents. Traditional calculation methods are difficult to use due to the complex structure of the torsional blade, and simulation analysis can be time-consuming. Therefore, it is necessary to use the equivalent model instead. Most of the previous studies have simplified the straight blade to a cantilever beam model without considering the shear effect, and used harmonic response analysis to study the vibration of the blade for simulation. The blade body of the torsional blade can be regarded as a torsional variable section beam, and the Timoshenko beam model is the same as the variable section beam. Therefore, the Timoshenko beam model can be regarded as the equivalent of the sheathed torsional blade. Considering the complexity of the calculation of the self-shrouded torsional blade model. According to the theory of Timoshenko beam, the model of the shrouded blade of Timoshenko beam with different torsion angles was established. The first sixth-order modes of the blade model and the vibration response of the adjacent blades under forced vibration are compared, respectively. The results show that the results obtained from the Timoshenko beam blade model considering the torsion angle are closer to the torsional blade model. In addition, the blade vibration response of the same model under different excitation force amplitudes was further compared, and the results showed that the vibration amplitude, acceleration and velocity of the shrouded blade increased with the increase of the excitation force amplitude. However, the magnitude of the inter-shroud collision force and the number of collisions between adjacent blade shrouds are non-linearly related to the amplitude of the excitation force.
Is it all the same? Types of innovation and their relationship with direct control, technical control and algorithmic management
Authors: Fana Marta , Villani Davide
Published: June 2023

Using firm-level data from 28 European countries, this paper explores the relationship between two types of innovation (process and digital) and different forms of control (direct and indirect) at the workplace. We find that (1) digital innovation is more common than process innovation; (2) more innovative firms record higher levels of indirect control (especially related to algorithmic management) and lower levels of direct control; (3) the relationship between innovation and control is not uniform across European regions. These findings nurture the debate on the future of work as the process of digitalisation may promote a shift towards indirect forms of control and contribute to reducing the degree of direct control. Moreover, these changes may also affect the bargaining process and lead to a redefinition of managerial roles, though it should be acknowledged that social and institutional factors play an important role in shaping this process.
Book review: Navaneetha Mokkil and Shefali Jha (Eds.), Thinking Women: A Feminist Reader
Authors: Anand Shilpaa
Published: June 2023

Navaneetha Mokkil and Shefali Jha (Eds.), Thinking Women: A Feminist Reader (Kolkata Stree Publication, 2019), 528 pp., ₹999, ISBN 978-8190676007 (Paperback).
Book review: Balwant Singh Mehta and Ishwar Chandra Awasthi, Women and Labour Market Dynamics: New Insights and Evidences
Authors: Iswarya Priya J  , Datta Amrita
Published: June 2023

Balwant Singh Mehta and Ishwar Chandra Awasthi, Women and Labour Market Dynamics: New Insights and Evidences (Springer, 2019), 178 pp., GBP 59.99, ISBN 9789811390562 (Hardcover).
Book review: Manjima Bhattacharjya, Intimate City
Authors: Gopal Varsha
Published: June 2023

Manjima Bhattacharjya, Intimate City. Zubaan Publishers, 2021, 240 pages, ₹420 (Ebook), ISBN: 9789390514366
Exploring the Potential of Spirulina (Arthrospira platensis) Aqueous Extract in Preventing Glycation of Hemoglobin and pBR322 Plasmid
Authors: Paramanya Additiya , Farah Mohammad Abul , Al-Anazi Khalid Mashay , Devkota Hari Prasad , Ali Ahmad
Published: June 2023

Background

Spirulina ( Arthrospira platensis), a cyanobacterium, is being consumed worldwide owing to its high nutritional value and therapeutic potential.

Objectives

This study aims to determine the phytochemical content, antioxidant capacity, and antiglycation property of A. platensis PCC 7345 aqueous extract against glucose, fructose, and ribose-mediated glycation of hemoglobin.

Materials and Methods

The antioxidant property of the extract was determined by 2,2-diphenyl-1-picrylhydrazyl (DPPH), 2,2’-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS), and a nitric oxide scavenging assay. Protein glycation and its subsequent prevention were interpreted by observing a reduction in browning, fructosamine, glycated hemoglobin (HbA1c) level, protein carbonyl content, advanced glycation end products (AGEs) formation, and protein aggregation using spectrophotometry and spectrofluorometry. The prevention of strand nicking/breaks in the pBR322 plasmid was analyzed using electrophoresis, and the change in integrated density was calculated using ImageJ software.

Results

The extract showed very good antioxidant potential, which is evident and could be estimated from the inhibition concentration (IC50) values that were 45.97, 31.09, and 52.29 µg/mL in the DPPH, ABTS, and nitric oxide scavenging assays, respectively. A. platensis aqueous extract was found to be the most effective in preventing glucose-mediated glycation and protein aggregation, wherein 100 µg/mL of the extract could effectively cause ~50% inhibition in the formation of early and AGEs and prevented the formation of protein aggregates. The highest antiglycating potential of the extract was observed in glucose-mediated glycation, followed by fructose and ribose. The formation of four fluorescent AGEs, such as argpyrimidine, vesper lysine A, pentosidine, and crossline, was reduced. The extract could prevent 97% of DNA nicking in pBR322.

Conclusion

The aqueous extract of A. platensis has a potent ability to prevent glycation and its secondary complications.
Critical Hypoglycemia in a Newborn with Pituitary Stalk Interruption Syndrome in Conjunction with 16p11.2 Deletion Syndrome and Duplication of Xp22.33/Yp11.32
Authors: Iausheva Ekaterina , Mohamed Sara , Littlejohn Elizabeth , Mohamed Tarek , Abdulmageed Mohammed
Published: June 2023

This report is about a male newborn with pituitary stalk interruption syndrome (PSIS) who presented with apneic episodes associated with critical hypoglycemia at 3 hours of life (HOL). The onset of manifestations of PSIS varies in timing with the mean age of presentation between 4 and 5 years of age. The cause is unclear, but birth-related complications are considered potential factors. There is also a growing recognition of increasingly complex PSIS inheritance patterns. Further genetic workup for our patient revealed the deletion of the 16p11.2 gene with duplication of Xp22.33/Yp11.32. This is the first case report that describes PSIS in conjunction with these mutations, so the clinical correlation is unknown. However, 16p11.2 deletion is known to be associated with epilepsy and brain abnormalities. Additionally, duplication of Xp22.33/Yp11.32 is noted to be associated with short stature.
Prenatal Diagnosis of Costello Syndrome Using Noninvasive Prenatal Single Gene Testing With Maternal Blood
Authors: M. Suner , A. Pitchika , G. Szuhay , P. Ankola
Published: June 2023

Introduction

Costello syndrome (CS) is a rare disorder that affects multiple organ systems, which is usually diagnosed postnatally, except for 2 cases diagnosed prenatally from chromosome analysis by amniocentesis. We present the first case of prenatally diagnosed CS via maternal blood testing.

Case Description

A 38-year-old woman was referred for genetic screening at 28 weeks of gestational age (GA) due to polyhydramnios and shortened limbs seen on prenatal ultrasound. Cell-free DNA, noninvasive prenatal single gene screening was positive for G12S HRAS mutation, which is indicative of CS. The infant was delivered via elective repeat cesarean section at 36 weeks and 6 days GA, was admitted to the neonatal intensive care unit for respiratory distress. Physical examination was significant for macrocephaly, wide depressed nasal bridge, short neck, rhizomelic limb shortening, micropenis, and bilateral equinovarus deformity of the feet. Echocardiography on the first day showed severe pulmonary hypertension. Brain MRI showed a possible cavernous mass lesion and small arachnoid cyst over the left cerebellar hemisphere. Postnatal gene-targeted testing confirmed CS diagnosis with pathogenic variants. The infant was managed for respiratory distress, hypoglycemia, jaundice, and feet deformities. He was subsequently transferred to another hospital at 45 weeks of age for gastrostomy tube placement due to persistent difficulty with oral feeding.

Discussion

CS affects multiple organ systems. Clinical presentations includes short stature; macrocephaly; coarse facial features, loose and soft skin; hypotonia and joint laxity; cardiac involvement with congenital heart defect, feeding difficulty, and developmental delay. The phenotypic spectrum is wide and can range from mild features to early lethal complications mostly as a result of severe progressive Hypertrophic Cardiomyopathy (HCM) and respiratory compromise. CS is an autosomal dominant genetic disorder caused by mutations in the HRAS gene, but almost all cases have new mutations with no family history. Disease course depends on cardiac and predisposition to benign and malignant tumor complications. Treatment requires a multidisciplinary team directed toward the specific clinical findings.

Conclusion

To our knowledge, this is the first reported case of prenatally diagnosed CS via maternal blood testing. Molecular diagnosis in the prenatal period allows neonatal care providers to prepare for potential complications in the postnatal period.
Enclaved non-heteronormativity and pragmatic acceptance. The experiences of Polish female football players
Authors: Organista Natalia , Kossakowski Radosław
Published: June 2023

The aim of this article is to discuss how Polish non-heterosexual female football players cope with institutionalised normative heterosexuality, which functions in Poland on several levels. The study is based on 25 in-depth interviews with professional Polish female football players. The interviewed women experienced heteronormativity within Polish society, which precluded negotiating the status of homosexuality in the broader social context. The processes of de-normalisation of heteronormativity are also difficult in the field of football. Although many football coaches and club managers display ‘pragmatic acceptance’ of non-heterosexual female players, this attitude is not always accompanied by respect for different sexual orientations. The ways in which female football players deal with such circumstances resulted in creating a safe space of ‘enclaved non-heteronormativity’ within the team. It is a space which protects from socially dominant compulsory heterosexuality. We discuss the role of this enclave and its potential for social change in football cultures in Poland.
Self-Reported Level of Cultural Competence of Midwives in the North-West Province of South Africa
Authors: Shopo Khumoetsile Daphney , Du Preez Antoinette , Rabie Tinda , Bester Petra
Published: June 2023

Introduction:

Limited research on cultural competence in nursing, midwifery, and education exists within low- and middle-income countries such as South Africa (SA). This study aimed to describe midwives’ self-reported levels of cultural competence toward women receiving maternal care.

Methodology:

A descriptive, cross-sectional survey design and an all-inclusive sample of ( N = 104; n = 82) midwives yielded a 79% response rate. Data were collected using the Transcultural Self-Efficacy Tool (TSET) questionnaire. Participants included midwives recruited from maternity units of five hospitals in South Africa: different hospitals that included one large district, two regional, and two tertiary hospitals in the North-West Province of SA. An all-inclusive sample of ( N = 104; n = 82) midwives participated, representing a 79% response rate.

Results:

Midwives reported an overall moderate level of competence regarding their knowledge and understanding of cultural factors; it was concerning that their confidence in interviewing patients from different cultural backgrounds on factors such as acculturation and worldview were the lowest.

Discussion:

To the best of the authors’ knowledge, this was the first study to assess the cultural competence of midwives in SA using TSET. The study highlighted the need for midwives’ training to improve their cultural competence.
“The Slums Have To Be Shown”: Documenting Drug Injection in Public Spaces Ahead of the Opening of a Drug Consumption Room in Marseille
Authors: Dos Santos Marie , Girard Gabriel , Briand Madrid Laélia , Perreaut Lola , Olenine Alexandre , Roux Perrine
Published: June 2023

EPOSIM is a community-based participatory research study which used the Photovoice method with people who inject drugs (PWID) ahead of a possible opening of a drug consumption room (DCR) in Marseille, France. It aimed to identify the strategies used by PWID when injecting, and the risks they take when they have no safe private space to inject in the area they live in. A total of 7 PWID participated in the full study process. The 189 photographs they took provided us with a good understanding of their injection practices in public places. The main results highlighted the spatiality and materiality of injecting experience in a context where no DCR was available. They also showed the relevance of Photovoice to valorize the voices of PWID when implementing a DCR. Through the showcasing of their photographs at various public exhibitions, the participants seized the opportunity to use Photovoice to make their voices heard beyond the group formed for the study, in order to show the different forms of stigma and insalubrious contexts which they faced on a daily basis. Furthermore, the photographs taken demonstrated that having only health and safety records is not enough to fully understand PWID injection practices. Future studies must take into account PWID perceptions of their relationship with injecting in public spaces and with the management of stigma. The questions of pleasure and comfort must also be explored in evaluation studies of harm reduction measures, for example, DCR.
From Surviving Cancer to Getting on With Life: Adult Testicular Germ Cell Tumor Survivors’ Perspectives on Transition From Follow-Up Care to Long-Term Survivorship
Authors: Weda Sandrien , Zweers Danielle , Suelmann Britt B. M. , Meijer Richard P. , Vervoort Sigrid C. J. M.
Published: June 2023

With an increasing incidence and a high cure rate, a growing number of testicular germ cell tumor (TGCT) survivors require specialized follow-up care. However, knowledge of these patients’ needs is lacking, leaving TGCT survivors with unmet care needs at risk of symptom burden when transitioning to long-term survivorship. This grounded theory study aimed to understand the perspectives of TGCT survivors’ transition from follow-up care to long-term survivorship. A total of 12 adult TGCT survivors in follow-up care or completion less than a year were in-depth semi-structured interviewed. Interviews were audiotaped and transcribed verbatim. Transcripts were analyzed by constant comparison, and the core category “Dealing with back-and-forth forces” emerged in the integrated concepts. Two comparative processes in dealing with those forces were identified: the process of Living beyond the sword of Damocles involved the transition from feeling threatened by cancer to overcoming those threats; the process of Getting on with one’s life can be described as transitioning from a period where cancer overruled their lives to carrying on with everyday life. The processes toward long-term survivorship follow general characteristics; the transition itself is an individual journey that depends on (life) experiences. The constructed model can guide healthcare professionals and researchers involved in TGCT survivorship to understand TGCT survivors’ individual and ensuing needs. When TGCT survivors receive individualized and tailored follow-up care, it can assist in preventing and reducing long-term and late effects on long-term survivorship.
The PACT Project: Feasibility of a Multidisciplinary, Multi-Faceted Intervention to Promote Goals of Care Conversations
Authors: Szmuilowicz Eytan , Clepp Rebecca K. , Neagle Jayson , Ogunseitan Adeboye , Twaddle Martha , Wood Gordon J.
Published: June 2023

Background

Patients living with serious illness generally want their physicians to facilitate Goals of Care conversations (GoCc), yet physicians may lack time and skills to engage in these conversations in the outpatient setting. The problem may be addressed by supporting multiple members of the clinical team to facilitate GoCc with the patient while admitted to the hospital.

Methods

A multi-modal training and mentored implementation program was developed. A group of 10 hospitals were recruited to participate. Each hospital selected a primary inpatient unit on which to start the intervention, then expanded to a secondary unit later in the project. The number of trained facilitators (champions) and the number of documented GoCc were tracked over time.

Results

Nine of 10 hospitals completed the 3-year project. Most of the units were general medical-surgical units. Forty-eight champions were trained at the kick-off conference, attended primarily by nurses, physicians, and social workers. By the end of the project, 153 champions had been trained. A total of 51 087 patients were admitted to PACT units with 85.4% being screened for eligibility. Of the patients who were eligible, over 68% had documented GoCc.

Conclusion

A multifaceted quality improvement intervention focused on serious illness communication skills can support a diverse clinical workforce to facilitate inpatient GoCc over time.
Clinicopathological Characteristics of Autoimmune-Like Hepatitis Induced by COVID-19 mRNA Vaccine (Pfizer-BioNTech, BNT162b2): A Case Report and Literature Review
Authors: Kim Ji Hyoun , Chae Hee Bok , Woo Sumin , Song Myung Seop , Kim Hyo-Jong , Woo Chang Gok
Published: June 2023

Widespread use of vaccinations worldwide in the coronavirus disease (COVID-19) pandemic has resulted in various side effects. Here, we presented a 27-year-old man with autoimmune-like hepatitis after the first dose of the BNT162b2 (mRNA) COVID-19 vaccine and reviewed previous reports. He presented with sweating, febrile sensations, and general weakness. He did not have any medical histories. Although he was treated with biphenyl dimethyl dicarboxylate and ursodeoxycholic acid, the elevated liver enzyme levels persisted for 2 months. Liver biopsy demonstrated portal inflammation with rosette formation, interface hepatitis, and infiltration of lymphocytes, histiocytes, plasma cells, and eosinophils. Especially, centrilobular edema and necrosis were found. The symptoms and liver enzymes improved with prednisolone treatment. If persistently elevated liver enzymes are found after COVID-19 mRNA vaccination, the possibility of autoimmune-like hepatitis induced by the vaccine should be considered and a careful pathologic evaluation is required.
Two-Year Clinical and Radiologic Outcomes Following Surgical Treatment of Insertional Achilles Tendinopathy Using a Central Tendon-Splitting Approach
Authors: Tay Adriel You Wei , Goh Graham S. , Li Zongxian , Yeo Nicholas Eng Meng , Tay Kae Sian
Published: June 2023

Background:

If conservative treatment of insertional Achilles tendinopathy (IAT) fails, surgery is often considered. Various surgical approaches have been used including the central Achilles tendon splitting approach. This study aimed to report the 2-year clinical and radiologic outcomes after surgical treatment of IAT with a central tendon-splitting approach.

Methods:

Seventy-five cases of IAT treated surgically via the open central tendon-splitting approach were analyzed. Clinical outcomes included the American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot score, visual analog scale (VAS), 36-Item Short Form Health Survey (SF-36) physical (PCS) and mental (MCS) component summary scores, all measured at baseline and 6 and 24 months postoperatively. Radiologic parameters measured included the Fowler-Philip angle (FPA) and parallel pitch lines (PPL).

Results:

Three patients had clinically significant wound issues but healed completely by 3 weeks. Mean AOFAS score improved from 45.63 preoperatively to 94.71 at 24 months. Mean VAS score improved from 6.73 preoperatively to 0.55, mean SF-36 PCS from 35.98 to 48.74, and mean SF-36 MCS from 53.04 to 55.43 at 24 months. Satisfaction at 2 years was 94.3%. Mean FPA decreased from 62.0 degrees preoperatively to 34.0 degrees postoperatively. PPL was positive in 82.7% (62 of 75) of cases preoperatively, decreasing to 1.3% (1 of 75) postoperatively. Increasing age and higher preoperative VAS and SF-36 MCS scores were significantly associated with improvements in postoperative AOFAS, SF-36 PCS, and MCS scores.

Conclusion:

Surgical treatment of IAT via the central tendon-splitting approach achieved substantial improvements in all patient-reported outcome measures measured. These excellent clinical outcomes continued to show improvement 2 years postoperatively.

Level of Evidence:

Level III, retrospective cohort study.
Entangling Reciprocity With the Relational in Narrative Inquiry
Authors: Blix Bodil H. , Clandinin Jean , Steeves Pamela , Caine Vera
Published: June 2023

In this article, we develop, through drawing forward fragments of our experiences, a concept of reciprocity as always situated within the relational ontology of narrative inquiry. Reciprocity is most commonly understood within a transactional sense, an exchange of goods. We show important aspects of reciprocity in narrative inquiry, including the importance of intentionally creating and responding to spaces where reciprocity occurs and can be sustained over time and place, and the potential reciprocity holds to change who we, and those with whom we work, are. As we reconsider the ways in which reciprocity is not understood as a transaction in a relational methodology, new questions about the entanglement of reciprocity and recognition emerge. We understand that recognition does not necessarily have to be reciprocal, but recognition is necessary to compose a space where reciprocity can live in our ordinary interactions with others.
Writing Through Pain: Ars Spirituality, the Black Atlantic, and the Paradox of Diasporic Belongingness
Authors: Williams A. Lamont
Published: June 2023

By way of autoethnographic poetry, I reflect on my personal struggles related to racial consciousness as I embarked on a journey—from America, across the Atlantic, and eventually, to the Indian Ocean off the East Coast of (mother) Africa. The story of my apparent racial crisis is viewed through multiple lenses, as I infuse the pivotal readings of The Black Atlantic, Lose Your Mother, The Collected Poems of Langston Hughes, and personal experiences both in autoethnographic and in poetic form.
Accessing Embodied Knowledges: Poetry as Culturally Relevant Pedagogy
Authors: Mahani Sepideh
Published: June 2023

Poetry is an act of embodied reflexivity because it interweaves our perceptions and emotions with acts of cognition, to make sense of the world we live in. It allows us to uncover the lived experiences of our body in a direct and an unapologetic way from the inside out. In this article, I reflect on times that writing poetry and engaging in poetic inquiry empowered me to share stories and depict moments that shaped me. It allowed me to make sense of my bodily experiences as an educator, a researcher, and an Iranian–Canadian woman hoping to promote awareness of social injustices in my motherland. It guided me as I encouraged minoritized students to consider poetic inquiry as a way to access and understand their embodied experiences. In this way, I will discuss how poetic inquiry is a culturally responsive approach to creating new knowledges as it fosters reflexivity, amplifies student voices, and encourages students to share their lived experiences while seeking social justice.
Emotional Congruence with Children: An Empirical Examination of Different Models in Men with a History of Sexually Offending Against Children
Authors: Fraser Julia M. , Babchishin Kelly M. , Helmus L. Maaike
Published: June 2023

Emotional congruence with children (ECWC) is a psychologically meaningful risk factor for sexual offending against children (SOC). Based on previous research and theory, three models have been proposed to explain ECWC: Blockage, Sexual Domain, and Psychological Immaturity. Using structural equation modelling in a routine correctional sample of men adjudicated for sexual offences ( n = 983), we found little support for all three of these models. Instead, we found that atypical sexual interests, alone, best explained ECWC, with a moderate relationship to ECWC. Using the predictors associated with each of the three models of ECWC, we identified three classes of men with a history of SOC who are high in ECWC using latent class analyses ( n = 377). These three classes generally did not replicate the three models of ECWC. We instead propose three subgroups of men with histories of SOC who are high in ECWC, characterized respectively by: relationship deficits; youth and loneliness; and high sexual and general criminality. High levels of ECWC are predictive of a higher risk of sexual recidivism, regardless of class association; however, these subgroups are differentially at risk for some types of recidivism. Our findings suggest that ECWC is a multi-faceted construct, which is still not well understood.