bluuebunny/crossref_metadata_2025 huggingface dataset:
Turning the Decolonial Gaze towards Ourselves: Decolonising the Curriculum and ‘Decolonial Reflexivity’ in Sociology and Social Theory
Authors: Moosavi Leon
Published: July 2022

This article provides a theoretical evaluation of the author’s attempts at decolonising a sociology and social theory course in Singapore. It also introduces the notion of ‘decolonial reflexivity’ as a strategy for refining academic decolonisation. In doing so, this article seeks to overcome both the insufficient introspection about the potential for coloniality to reside within efforts at academic decolonisation, and the tendency to separate theoretical and applied discussions about academic decolonisation. It is argued that the author’s attempts to decolonise the curriculum were limited because the course may have inadvertently: (a) sustained exclusion while claiming to be inclusive; (b) maintained the status quo while claiming to be radical; and (c) reinscribed Westerncentrism while claiming to decolonise. This article suggests that although academic decolonisation is a commendable aspiration, academics who wish to decolonise must continually consider the theoretical complexities that are generated by our attempts at academic decolonisation.
Use of Liquidambar Orientalis Mills in natural rubber compounds as an alternative to synthetic resins
Authors: Ünügül Tuba , Erenkaya Metin , Karaağaç Bağdagül
Published: July 2022

Phenolic resins are useful additives that provide various functions for rubber compounds during compounding and vulcanization, as well as after cure. Natural resins are considered as strong alternatives to synthetic ones due to environmental concern. Liquidambar Orientalis Mills is an endemic plant and grows in many different geographies including Turkey. In this study, the phenolic resin obtained from Liquidambar Orientalis Mills has been studied regarding its functions in a generic natural rubber compound. It was incorporated into the rubber compound with and without selected gum and phenolic resins so that mainly obtaining competitive adhesion properties. Both individual and collaborative effects of the natural resin were evaluated. Rheological, thermal, morphological, mechanical and adhesion properties of the compounds were studied comparatively along with the non-linear cure kinetics. Liquidambar Orientalis Mills has been found to be a good alternative to both gum and phenolic resins in rubber compounds. Besides, significant improvement could be achieved for particularly rubber–steel adhesion.
Neodymium-YAG Laser Iridotomy
Authors: Brazier D J
Published: July 2022

Results of neodymium-YAG laser iridotomy in 34 eyes with narrow drainage angles are reported. Irido-tomies appeared patent on slit-lamp examination in 32 (94%) eyes. Complications included failed patency of iridotomy and acute elevation of intraocular pressure.
Symptomatic and Incidental Mammary Duct Ectasia
Authors: Browning J , Bigrigg A , Taylor I
Published: July 2022

The histology obtained from 1256 female patients undergoing breast surgery was reviewed. Mammary duct ectasia was noted in 51 (4.2%) patients who had associated symptoms and in 103 (8.1%) patients where duct ectasia was recognized as an incidental finding. The syndrome is defined by primary (nipple change or sepsis) and secondary (pain and lump) symptoms. Formal duct excision gives good results for symptomatic duct ectasia.

It is postulated that many women have nonsymptomatic mammary duct ectasia. Secondary infection gives rise to nipple change, lump and pain. In the severe form abscess and fistula formation occurs which necessitates repeated surgical treatment, and rarely mastectomy.
Role of Drugs and Alcohol in Patients with Head Injury
Authors: Boyle M J , Vella L , Moloney E
Published: July 2022

In an effort to define the role that substance abuse has to play in head injuries, a prospective study of 204 patients presenting to the Accident and Emergency (A&E) Department over a 10-week period was carried out. Urine samples were collected and assayed for the presence of common drugs of abuse and alcohol. One or other substance (drugs or alcohol) was detected in 43% of patients. The association between alcohol and head injuries has been confirmed and the importance of drugs in this area has been addressed and found to be of some significance. More rapid and accurate methods of assaying these substances may improve our management of head injury patients.
Can Outpatient Non-Attendance Be Predicted from the Referral Letter? An Audit of Default at Neurology Clinics
Authors: Dickey William , Morrow James I
Published: July 2022

Data obtained from new patient referral letters to regional and peripheral neurology clinics were studied prospectively over a 6-month period in an attempt to determine factors predicting non-attendance. Attendance at peripheral clinics was significantly better, confirming their value. At regional clinics, factors associated with non-attendance were male sex, patient age less than 50 years, urban home address, referral from Accident and Emergency Departments, symptom duration less than 12 months, and wait for appointment more than 2 months. Of these, referral source and waiting time were identified as factors which could be modified, confirming that this analysis of referral letters was a useful exercise.
Importance of Routine Measurement of HDL with Total Cholesterol in Diabetic Patients
Authors: Feher M D , Stevens J , Lant A F , Mayne P D
Published: July 2022

The prevalence of hypercholesterolaemia and the frequency of a reduced HDL-cholesterol (at different cholesterol concentrations) were evaluated in a group of 400 diabetic patients attending a single diabetic clinic. Despite regularly supervised diabetes, including dietary advice, over one quarter of the patients had a serum total cholesterol concentration > 6.5 mmol/1, while over a quarter of the non-insulin treated and one eighth of the insulin treated diabetic subjects had an HDL-cholesterol <0.9 mmol/1, with a greater prevalence in the males compared with the females. More than 60% of all the diabetic patients who had a reduced HDL-cholesterol <0.9 mmol/1 also had a total cholesterol concentration <6.5 mmol/1. When the total/HDL-cholesterol ratio was calculated more non-insulin treated subjects had a value >4.5 as compared with insulin treated diabetic patients.

When comparisons were made between an age matched group of diabetic patients ( n=185) and a group of non-diabetic subjects attending for a health screen ( n=155), the frequencies of serum cholesterol concentrations greater than 5.2, 6.5, and 7.8 mmol/1 were similar for both groups. Significantly greater numbers of diabetic patients had a reduced HDL-cholesterol <0.9 mmol/1 (at any level of serum cholesterol) and a total/HDL cholesterol ratio >4.5.

This study has shown that the measurement of serum total cholesterol concentration alone will not characterize many subjects who are at risk of macrovascular complications due to a reduced HDL-cholesterol. As serum cholesterol and HDL-cholesterol can both be measured in the non-fasting state, routine measurement of HDL-cholesterol together with total cholesterol should be undertaken in all diabetic subjects and in other patient groups at high risk of cardiovascular disease.
Drug Treatments for Mastalgia: 17 Years Experience in the Cardiff Mastalgia Clinic
Authors: Gateley C A , Miers M , Mansel R E , Hughes L E
Published: July 2022

Mastalgia commonly presents to medical practitioners. The majority of patients can be managed by exclusion of cancer and reassurance. In some the severity of pain affects the quality of life and drug treatment should be considered. Since its inception 324 patients with cyclical mastalgia and 90 with non-cyclical mastalgia have received a therapeutic trial of drug treatment in the Cardiff Mastalgia Clinic. Overall 92% of those with cyclical mastalgia and 64% with non-cyclical mastalgia obtained a clinically useful response to therapy. Danazol was the most effective drug, with bromocriptine and evening primrose oil having equivalent efficacy. Many fewer adverse events were complained of by patients treated with evening primrose oil than danazol or bromocriptine.
Comparison of Controlled-Release Ketoprofen and Diclofenac in the Control of Post-Surgical Dental Pain
Authors: Tai Y M A , Baker R
Published: July 2022

Preoperative treatment with controlled-release ketoprofen or diclofenac was compared in 56 outpatients, for control of postoperative dental pain, following unilateral or bilateral surgical removal of lower third molars. Six patients were excluded due to non-compliance, leaving 50 evaluable patients.

Patients were assessed by the dental surgeon, on the day of the operation and one week later, prior to removal of sutures. Additionally, patients completed a daily diary during the postoperative week. Following surgery, scores for graded dental pain, consumption of paracetamol, incidence of dental bleeding, dysphagia, sleep disturbance and trismus were similar for the two treatment groups. However, median pain scores were consistently elevated in the diclofenac group over those seen with the ketoprofen group. The four adverse events reported were all minor and posed no problem to patient management.
Interhospital Transfers by Helicopter: The First 50 Patients of the Careflight Project
Authors: Kee S S , Ramage C M H , Mendel P , Bristow A S E
Published: July 2022

An interhospital helicopter transfer service was set up using a dedicated helicopter fitted with medical equipment and staffed by anaesthetists. The system proved to be safe and practical.

Fifty patients were referred from 38 hospitals throughout the UK, with 84% of transfers preplanned. Patients were transferred a mean distance of 118 miles (range 35–397 miles) and there was no deterioration during transfer as measured by pre and post transfer sickness scores. Twenty-eight per cent of cases could not have been practically transferred by conventional means.

The death rate of 20% was lower than that reported for specially equipped and staffed land transfer systems, which may indicate less physiological deterioration in the critically ill compared to road transfer. Dedicated helicopter transfer resulted in a 50% survival rate in patients with a sickness score over 18, a group found not to survive after land transfer. There was no correlation between distance moved and outcome.

A helicopter transfer system using suitable equipment and staff is a practical and safe method of moving critically ill patients between hospitals, and may be preferable to land transfer for distances in excess of 25 miles.
The Ring Total Knee Replacement — A Comparison of Survivorship
Authors: Curtis M J , Bland J M , Ring P A
Published: July 2022

Long term results of joint replacement are frequently expressed as survivorship; it therefore becomes increasingly important to have the ability to make valid comparisons between survivorship tables in order to determine accurately the statistical significance of published differences.

We present a statistical method for direct comparison of survivorship tables. We have applied this technique to evaluate the survivorship of the unconstrained, uncemented Ring total knee replacement first implanted in 1975 and compare this to contemporaneous constrained prostheses. There is a significant improvement in survival, which suggests a beneficial long-term effect on the bone/implant interface of this changing design concept.
Problems That Patients Feel are Appropriate to Discuss with Their GPs
Authors: Spence S J A
Published: July 2022

A descriptive study was performed to discover what problems patients felt it appropriate to discuss with their general practitioner, their use of alternative therapies, and any questions they wished their doctor had asked them in the past. Demographic data was recorded including Church attendance.

Data was collected using an original questionnaire distributed to two groups of patients; 150 consecutive patients attending the surgery (surgery group) and 220 randomly selected from the adult age-sex register (home group). Chi-squared analysis was performed.

A broad range of subjects appropriate to a general practice consultation was found (from influenza to spiritual problems). Prior use of homeopathy and hypnosis was widespread. Multiple attenders were more likely to be church attenders. Men in the surgery group were most likely to discuss marital, relationship and spiritual problems.

Qualitative data from open questions demonstrated patients' concerns with consultation time and the exploration of feelings.
Treatment of Metastatic Testicular Tumours with Bleomycin, Etoposide, Cisplatin and Vincristine (BEPV)
Authors: Price B A , Peters N H
Published: July 2022

Between August 1983 and December 1988, 47 patients with metastatic testicular tumours (44 non-seminomatous, three seminomas) were treated with two to six courses of bleomycin, etoposide, cisplatin and vincristine (BEPV). Five stage I tumours were included, three because of raised tumour markers following orchidectomy, one with vascular invasion of spermatic cord vessels and the other with both these features. Forty-four patients (93.6%) are alive and disease free 12–75 months (median 39 months) after completion of BEPV. Further treatment was necessary in 12 of the survivors. Eight had residual disease excised, one of whom received radiotherapy, one additional chemotherapy and one both radiotherapy and chemotherapy. Of the remaining four, two had radiotherapy and two second line chemotherapy. Thirty-one non-seminomatous and the three seminoma patients had small volume disease and all are in complete remission. Ten of the 13 patients with bulky disease are alive. It is concluded that BEPV is a well-tolerated, effective, first line therapy for patients with metastatic testicular tumour.
Bleeding Time at Altitude
Authors: Doughty H A , Beardmore C
Published: July 2022

Disorders of coagulation during ascent to high altitude in the unacclimatized are well recognized. In order to document the sequence of haematological changes, the bleeding time was estimated weekly in six climbers during a six week climb. The median bleeding time was shown to increase by 50% between the first and fourth week, it then plateaued during continued ascent to 5700 m. During the sixth week the bleeding time rapidly reverted to baseline levels whilst still at altitude. The observations might be explained by the compensatory changes in coagulation factors following the initial prothrombotic phase, compounded by increased capillary fragility. Acclimatization to altitude is accompanied by a series of complex haematological changes. The temporal sequence should be considered when devising a strategy to reduce the risk of thrombosis.
Adult Asthma Assessment in an Accident & Emergency Department
Authors: Coonar A S , Nayeem N , Bonell C P , Shires S E
Published: July 2022

Poor initial assessment contributes to morbidity and mortality in acute severe asthma. We have audited this aspect of management in an A & E department over a single 6-month senior house officer employment cycle. The use of a cheap and simple stamp highlighting important clinical features of asthma was associated with a significant improvement in early assessment.
Psychological Distress before and Immediately after Attendance at a Male Sub-Fertility Clinic
Authors: Glover L , Gannon K , Sherr L , Abel P D
Published: July 2022

Where treatment options are limited, the role of clinical consultation in providing information and support becomes more important. This study examines the immediate impact of medical consultation on male sub-fertility clinic attender's anxiety, depression, self-blame, information appraisal and perceptions of future fertility. Data were collected pre- and immediately post-consultation. Clinical information and consultation details were recorded. Results showed that anxiety levels were high before consultation. Following consultation anxiety and self-blame were both reduced while depression increased. Despite information about poor prognosis being given during consultation, participants remained overly optimistic about their chances of achieving a pregnancy. It appears that the consultation has a distinct psychological impact and possible mechanisms underlying this are discussed.
Assessment and Screening of Older People: Needs Assessment for Older People
Authors: Higginson Irene J , Victor Christina
Published: July 2022

Assessments of need carried out so far have concentrated on single diseases or interventions rather than care groups or on people who have multiple pathologies. We therefore began a needs assessment for older people in a central London health authority. The health district - then called Parkside - covered 25 square miles in north London and had a resident population of 432 600 people, of which 7% were aged 75 years and over and 2% were aged 85 years and over. Estimates of the number of people with different disabilities and diseases were calculated using data from the General Household Survey, the Office of Population Census Survey (OPCS) Disability Survey or other national or reliable surveys. Although the majority of older people were well - indicating a need for health promotion and disease prevention - we estimated the number of disabled older people in the district was in excess of 25 000, with the most common types of disability being those concerned with locomotion, hearing and personal care. Using data from the OPCS survey we were able to estimate there were 7328 people aged 75 years and over who were in the OPCS top five severity ratings, which would mean that they probably required services. For mental health we estimated there would be approximately 6000 older people suffering from clinically significant depression, 6000 older people suffering from anxiety, and between 2740 and 4441 suffering moderate to severe dementia. A next step is to match an assessment of the prevalence of disease and disability, with an estimate of that being served locally.
Health in Old Age
Authors: Gray Denis Pereira
Published: July 2022

The elderly are the fastest growing section of the population and have a greater volume of medical needs than any other in society. The challenge of providing care for them is therefore of considerable interest to the health professions and to governments.
Social Causes of Low Birth Weight
Authors: Kogan Michael D
Published: July 2022

The manifest importance of reducing the incidence of low birth weight is most obvious for the first year of life: low birth weight is the single most important factor affecting infant morbidity and mortality1. However, there is growing evidence that the adverse consquences of low birth weight continue throughout the life cycle. This review deals primarily with social causes of low birth weight.
Management of Seizures in the Elderly: A Survey of UK Geriatricians
Authors: Stolarek Iwona H , Brodie Adam F , Brodie Martin J
Published: July 2022

The incidence and prevalence of epilepsy increase substantially with old age. Despite this, the investigation and management of this patient population remains a grey area. Four hundred and eleven (53%) consultant geriatricians responded to a questionnaire exploring their approach to seizures in the elderly in order to establish an overview of current clinical practice. Between one and five patients presenting with seizures, predominantly aged between 75–85 years, were reviewed monthly. Seventy per cent of geriatricians undertook to investigate the patients themselves with biochemical and haematological profiles performed by most. Electroencephalography and computerized tomographic scanning were routinely requested by a quarter of responders. Only 58% would themselves initiate therapy with antiepileptic drugs, with 16% of consultants starting treatment following the first seizure, 59% after a second and 5% after a third. Phenytoin was first choice for generalized tonic-clonic seizures with carbamazepine preferred for partial seizures. If good control was not obtained, 67% would substitute another first line drug, while 27% would add in a second. Less than 3% would use the new anticonvulsants lamotrigine or vigabatrin. Sixty per cent monitored anticonvulsant concentrations in patients with poor control or suspected toxicity. A wide variability was seen in the current approach to seizures in the elderly, which reflects a lack of established practice. Epilepsy clinics for the elderly would encourage structured research into the many unanswered questions affecting the care of older people with seizures.
Unrecognized Hypocalcaemia Diagnosed 36 Years after Thyroidectomy
Authors: Bellamy R J , Kendall-Taylor P
Published: July 2022

Hypoparathyroidism can present many years after thyroidectomy and symptoms may be non-specific. Hypocalcaemia may cause a variety of physical and mental symptoms and the diagnosis is easily overlooked with serious and potentially fatal consequences. Patients with vague symptoms should always be asked about previous thyroid surgery and serum calcium should be measured.
Systemic Vasculitis Presenting with Massive Bowel Infarction
Authors: Collins D A , Duke O
Published: July 2022

Gastrointestinal involvement in systemic vasculitis occurs in up to 30% of patients. Fortunately intestinal infarction is a rare complication, but if present carries a high mortality, and swift management of the underlying vasculitis is crucial. Two such cases are described.
Dealing With Increasing Negativity Toward Refugees: A Latent Growth Curve Study of Positive and Negative Intergroup Contact and Approach-Avoidance Tendencies
Authors: Bagci Sabahat C. , Baysu Gülseli , Tercan Mustafa , Turnuklu Abbas
Published: July 2022

Despite increasing contact opportunities, prejudice toward refugees persists, especially in mass immigration contexts. We investigated changes in and associations between Turkish early adolescents’ ( N = 687, Mage = 11.11 years) positive and negative contact with Syrian refugees and their outgroup approach-avoidance tendencies over 15 months (three waves). Univariate growth curve models demonstrated a rise in outgroup negativity indicated by increasing negative contact and avoidance tendencies, and decreasing approach tendencies, while positive contact only slightly increased over time (nonsignificantly). Combined latent growth curve models showed that increasing positive contact buffered against increasing outgroup negativity in behavioral tendencies by predicting a less steep decline in approach and a less steep increase in avoidance. Increasing negative contact was positively associated with increasing outgroup negativity so that it predicted a more steep increase in avoidance. Findings underline the importance of early contact interventions that target the fast deterioration of positive intergroup interactions in increasingly hostile intergroup contexts.
Introduction to terminological controversies in gifted education
Authors: Sternberg Robert J. , Desmet Ophelie
Published: July 2022

The essays in this special issue of Gifted Education International focus on issues in the terminology of the gifted field, especially the terms “gifted” and “giftedness” themselves. We summarize the contributors' arguments and propose ten common themes that emerge from the essays: 1. Be clear about what terms actually mean. 2. Promote giftedness as being about maximizing opportunity, not elitism. 3. Achieve equity so that all have equal opportunities. 4. If you identify individuals as “gifted,” use multiple and diverse measures. 5. Move beyond IQ and other narrow constructs. 6. Giftedness is dynamic, not just a permanent state. Who is gifted and how they are gifted can change over time and sociocultural and other contexts. 7. Motivation to achieve and to make a difference is more important than static abilities. 8. What matters is what you achieve, not just what you could achieve. 9. Focus on achieving a collective or common good. 10. Focus on instruction to help maximize on potential, not on identification.
Self-expansion motivation and inclusion of others in self: An updated review
Authors: Aron Arthur , Lewandowski Gary , Branand Brittany , Mashek Debra , Aron Elaine
Published: July 2022

In this paper we review the self-expansion model in the context of close relationships, focusing primarily on work in the last 20 years, considering throughout variation in our samples across cultures and other demographics—both in existing studies and in potential implications for future research. The self-expansion model has two key principles. The first half of the paper focuses on the motivational principle: The model theorizes that people have a fundamental desire to expand the self—that is, to increase their self-efficacy, perspectives, competence, and resources, and this often occurs through relationships in general. The second half of the paper focuses on the inclusion-of-other-in-the-self principle, in that a major means of self-expansion is through close relationships, when one’s partner’s identities, perspectives, skills, and resources become to some extent “included in the self” as also one’s own. For each principle we briefly describe its foundational research support and then explore the extensive, significant work of the last 20 years substantially expanding and deepening the implications of the model. The majority (although with some interesting exceptions) of studies have fallen short of testing the universal breadth of the model. As we review the research, we consider where the studies were conducted and with what kinds of populations. Where there are data from diverse populations, the overall pattern of results are generally similar. However, there were individual differences found within the populations studied, such as in attachment style, that affected the operation of both principles. Since there are well known differences in the distribution of such individual differences across populations of many types, it is quite likely that while the basic patterns may not differ, future research will show different degrees of operation in different populations.
Epigenetic mechanisms and potential therapeutic targets in stroke
Authors: Morris-Blanco Kahlilia C , Chokkalla Anil K , Arruri Vijay , Jeong Soomin , Probelsky Samantha M , Vemuganti Raghu
Published: July 2022

Accumulating evidence indicates a central role for epigenetic modifications in the progression of stroke pathology. These epigenetic mechanisms are involved in complex and dynamic processes that modulate post-stroke gene expression, cellular injury response, motor function, and cognitive ability. Despite decades of research, stroke continues to be classified as a leading cause of death and disability worldwide with limited clinical interventions. Thus, technological advances in the field of epigenetics may provide innovative targets to develop new stroke therapies. This review presents the evidence on the impact of epigenomic readers, writers, and erasers in both ischemic and hemorrhagic stroke pathophysiology. We specifically explore the role of DNA methylation, DNA hydroxymethylation, histone modifications, and epigenomic regulation by long non-coding RNAs in modulating gene expression and functional outcome after stroke. Furthermore, we highlight promising pharmacological approaches and biomarkers in relation to epigenetics for translational therapeutic applications.
Characterizing Incident Responder Crashes Involving Move Over Law Violations
Authors: Carrick Grady , Srinivasan Sivaramakrishnan
Published: July 2022

This research sought to understand secondary crashes involving incident responders in which a citation was issued for violation of Florida’s Move Over Law. From 2011 to 2020, there were 519 crashes involving a Move Over Law citation, for which the circumstances of the crashes had required a driver to slow or change lanes because of a stopped responder vehicle. The majority occurred during times other than daylight, and driver distraction and alcohol were notably present in the data. Alcohol increased crash and injury severity and the likelihood of injury. Law enforcement traffic stops were the most common precipitating activity, followed by previous crashes and vehicle disablements. Over two-thirds of crashes involved a law enforcement vehicle, the remainder comprised other responder vehicle types. A distribution of posted speed limits showed that more than half of move over violation crashes occurred on roadways with a posted speed of 45 mph or less. In 41 crashes, a pedestrian was struck, including 32 involving incident responders. In responder struck-by crashes, law enforcement officers, lack of high-visibility safety apparel, and operating on the traffic side of incident scenes were prominent. Local roadways comprised a significant number of struck-by crashes, but higher-speed roadways were more dangerous for towing operators and had higher incidence of serious injuries. The move over violation approach to filtering crash data for responder-involved incidents was valid, however, not every crash involving a responder resulted in a move over citation, so the approach was more representative of the responder-involved crash type than comprehensive.
“It Is Our Problem!”: Strategies for Responding to Homelessness on Transit
Authors: Loukaitou-Sideris Anastasia , Wasserman Jacob , Ding Hao , Caro Ryan
Published: July 2022

Buses, bus stops, trains, and train platforms represent sites of shelter for many of the over 500,000 Americans who are unhoused every night. This study seeks to understand how transit agencies are responding to them. Based on interviews with staff members and partners at 10 different transit agencies and on program performance data, where available, we provide detailed case studies of four sets of strategies taken in response to homelessness on transit systems: hub of services, mobile outreach, discounted fares, and transportation to shelters. We analyze each strategy’s scope, implementation, impact, challenges, and lessons learned. Reviewing these strategies, we note that they may differ depending on the context, need, and available resources. We find value in transit agencies fostering external partnerships with social service organizations and other municipal departments and keeping law enforcement distinct from routine homeless outreach. We also underline the key need for funding from other levels of government to allow transit operators to adopt, expand, and refine homelessness response programs.
Tears of stone and clay: the affect of mourning images in middle-period China
Authors: Hong Jeehee
Published: July 2022

Representations of intense emotions are rare in the Chinese visual tradition in comparison with their counterpart in literary convention. While the reasons for this deserve an in-depth interdisciplinary study, such general reservation contrastingly highlights a distinct visual phenomenon that emerged and flourished during the middle period (9th-14th centuries). This time period witnessed a growing number of visual representations of grieving figures in funerary and religious (mainly Buddhist) contexts. By articulating various representational modes of mourning images, this essay discusses a significant development in the emotional lives of middle-period Chinese. Occupying seemingly disparate ritual spaces (the Buddhist pagoda crypt and the tomb) the images of sorrowful mourners conspicuously emerged as an appealing motif for adorning the burial spaces of their deceased. These two sites of intense affect reveal that era's desire for placing the virtual mourner in the space designed for the dead as a visual agency conveying the emotive surrounding the death of the beloved, be they local monks or family members, who often lacked literary means to express their feelings. Recognizing this affective mode helps us to better understand the complex interplay between the emotions, the social and cultural sanctions in expressing them, and the visual codes created thereof, in post-medieval China.
Indications, Clinical Impact, and Complications of Critical Care Transesophageal Echocardiography: A Scoping Review
Authors: Prager Ross , Bowdridge Joshua , Pratte Michael , Cheng Jason , McInnes Matthew DF , Arntfield Robert
Published: July 2022

Background

Critical care transesophageal echocardiography (ccTEE) is an increasingly popular tool used by intensivists to characterize and manage hemodynamics at the bedside. Its usage appears to be driven by expanded diagnostic scope as well as the limitations of transthoracic echocardiography (TTE) – lack of acoustic windows, patient positioning, and competing clinical interests (eg, the need to perform chest compressions). The objectives of this scoping review were to determine the indications, clinical impact, and complications of ccTEE.

Methods

MEDLINE, EMBASE, Cochrane, and six major conferences were searched without a time or language restriction on March 31st, 2021. Studies were included if they assessed TEE performed for adult critically ill patients by intensivists, emergency physicians, or anesthesiologists. Intraoperative or post-cardiac surgical TEE studies were excluded. Study demographics, indication for TEE, main results, and complications were extracted in duplicate.

Results

Of the 4403 abstracts screened, 289 studies underwent full-text review, with 108 studies (6739 patients) included. Most studies were retrospective (66%), performed in academic centers (84%), in the intensive care unit (73%), and were observational (55%). The most common indications for ccTEE were hemodynamic instability, trauma, cardiac arrest, respiratory failure, and procedural guidance. Across multiple indications, ccTEE was reported to change the diagnosis in 52% to 78% of patients and change management in 32% to79% patients. During cardiac arrest, ccTEE identified the cause of arrest in 25% to 35% of cases. Complications of ccTEE included two cases of significant gastrointestinal bleeding requiring intervention, but no other major complications (death or esophageal perforation) reported.

Conclusions

The use of ccTEE has been described for the diagnosis and management of a broad range of clinical problems. Overall, ccTEE was commonly reported to offer additional diagnostic yield beyond TTE with a low observed complication rate. Additional high quality ccTEE studies will permit stronger conclusions and a more precise understanding of the trends observed in this scoping review.
“My Voice Was Discounted the Whole Way Through”: A Gendered Analysis of Women’s Experiences of Involuntary Mental Health Treatment
Authors: Tseris Emma Jane , Bright Hart Eva , Franks Scarlett
Published: July 2022

Although it is well established that women experience significant gendered oppressions when accessing mental health services, research exploring the impacts of involuntary mental health services is frequently conducted without attending specifically to gender. This article reports on a qualitative study that explored women's experiences of compulsory mental health treatment in Australia. In-depth interviews revealed substantial gendered harms experienced by women within involuntary mental health treatment settings. Themes identified were: involuntary treatment replicates the dynamics and tactics of gendered violence; treatment involves profound deprivation and losses, with potential implications across the lifecourse; mental health services disrupt and undermine mothering; and recovery is found outside of coercive mental health systems. The study reveals the heightened harms experienced by women within involuntary mental health contexts, as well as women's strategic resistances to psychiatric oppression. It demonstrates the relevance of a conceptual lens that is attuned to gender, in order to develop a deeper understanding of women's experiences of intersecting oppressions within involuntary mental health settings. Implications include the need for alliance-building across feminist and critical mental health movements, and the need for a much more robust engagement by the social work profession in challenging the widespread acceptance of involuntary mental health treatment.
Sexual Orientation and Gender Identity-Related State-Level Policies and Perceived Health Among Lesbian, Gay, Bisexual, and Transgender (LGBT) Older Adults in the United States
Authors: Nelson Christi L. , Wardecker Britney M. , Andel Ross
Published: July 2022

Objectives

We examined the associations between state-level policies and the health of lesbian, gay, bisexual, and transgender (LGBT) older adults. Methods: Using data from the 2018–2020 Behavioral Risk Factor Surveillance System surveys, we assessed physical and mental health by the tally of points for enacted LGBT-related policies (Low= <0–49.9% of possible points, High= 50–100% of possible points) in 10,032 sexual minority (i.e., lesbian, gay, and bisexual) and 1,072 transgender (non-sexual minority) adults aged 50 and older from 41 states. Results: Sexual minority adults in low tally states had greater odds of reporting fair or poor general health and 14 or more days of poor physical health in the past 30 days. Transgender participants in low tally states also had greater odds of reporting fair or poor general health. Discussion: Lesbian, gay, bisexual, and transgender adults have significantly greater risk of poor health if they live in a state with fewer LGBT anti-discriminatory policies enacted.
How family charts became Mendelian: The changing content of pedigrees and its impact on the consolidation of genetic theory
Authors: Teicher Amir
Published: July 2022

This article offers a close examination of a small selection of pedigrees taken from German Mendelian and eugenic scholarship of the 1920s and 1930s. It examines the procedures that became customary for presenting data on human inherited pathologies, as well as the frequent changes in the information content of those charts. Relevant biographical and genealogical data was removed, and important indications regarding the diagnostic methods applied by the investigating scholar were lost, as soon as a pedigree was charted or reproduced. Data on healthy individuals was condensed, leading to an emphasis on the hereditary burden of pathological traits. At times, healthy individuals were entirely omitted, as were exogenous martial partners. These modifications paved the way for further theoretical amendments, including the addition of ‘carrier’ status to chosen individuals along the pedigree. With this addition, these pedigrees changed their ontological status, from empirical records of human reproduction to partially hypothetical illustrations of Mendelian theory itself. This process was complemented by the representation of theoretical genetic models in the format of a human pedigree. A comparison to practices of charting pedigrees still common today suggests that the processes hereby revealed are far from exceptional. In line with the ideas put forward by Ludwik Fleck, they are interpreted as germane to the way scientific ideas are communicated and propagated and to the scientific culture of genetics. The article also offers a refinement to Fleck’s analysis of textbook construction, which highlights the extent to which textbook examples differ from the original data on which they are based.
Optimization of high-efficiency tooth surface accuracy of spiral bevel gears considering machine-tool motion errors
Authors: Li Fei , Wang Sanmin , Chen Peng , Li Zhibin , Li Linlin , Zou Haoran
Published: July 2022

With the continuous improvement of the requirements of spiral bevel gear transmission for low noise and high precision, the optimization of high-efficiency tooth surface accuracy considering the motion axis error of machining machine tool has become a key point in the process of designing and manufacturing spiral bevel gear. Based on the theory of the multi-body dynamics system and the principle of gear meshing, a new tooth surface error model of spiral bevel gear considering the error of machine-tool moving axis is proposed and optimized, so as to obtain higher tooth surface accuracy and meshing efficiency. Firstly, according to the motion and machining principle of spiral bevel gear NC grinding machine, the corresponding relationship between the motion error of each axis of the NC gear grinding machine and the variation of cutting parameters of spiral bevel gear is analyzed, and the geometric motion error model of spiral bevel gear grinding machine is given; secondly, the tooth surface equation of the spiral bevel gear considering the machine-tool motion axis error is established; then, in view of Powell's dog leg optimization algorithm, the tooth surface considering the motion axis error of the machine tool is optimized, and the optimal cutting parameters of spiral bevel gear tooth surface machining are obtained. Finally, the simulation results show that the difference between the peak and peak values of transmission error and the maximum contact stress of the tooth surface is reduced by 72.6% and 1.62%, respectively, and the meshing efficiency is improved from 0.9798 to 0.9803 after optimization; by comparing the rolling experiment and simulation results, the maximum error between the quantitative parameters of the two groups of tooth surface contact marks is no more than 9%, which verifies the effectiveness and feasibility of this method, and provides a certain theoretical basis for practical production and processing.
Dynamic linkages between China’s OFDI, transport, and green economic growth: Empirical evidence from the B&R countries
Authors: Zhang Liguo , Jiang Cuiting , Cai Xiang , Wu Jun
Published: July 2022

China’s outward foreign direct investment (OFDI) provides a window of opportunity for the Belt and Road (B&R) countries to solve their transportation challenges and achieve green economic growth. This study examines the causal relationship between China’s OFDI, transport, and green economic growth in 63 B&R countries from 2005 to 2019 using system GMM estimators. The empirical results indicate that there is a multifarious relationship between these factors. China’s OFDI can effectively facilitate the transport infrastructure construction of host countries, which will spur green economic growth. Moreover, the B&R countries with transport and green economic growth gap are more likely to contribute to China’s OFDI “attractiveness.” These conclusions provide a policy basis for the B&R countries to attract China’s OFDI, develop adequate transportation infrastructure, and enhance sustainable green economic growth.
The wage and career consequences of temporary employment in Europe: Analysing the theories and synthesizing the evidence
Authors: Latner Jonathan P , Saks Nicole
Published: July 2022

In Europe, the consequences of temporary employment are at the centre of a social policy debate about whether there is a trade-off between efficiency and equity when deregulating labour markets. However, despite decades of research, there is confusion about the consequences of temporary employment on wage and career mobility. It is often stated that the consequences are ‘mixed’. We review the literature with a focus on synthesizing the evidence and analysing the theories. Our review shows that we know a lot more than is often understood about the consequences of temporary employment on wage and career mobility. We create clarity by organizing the evidence by geographic region, demographic group and reference group. While outcomes vary across these factors, there is less variation within these factors. At the same time, we know a lot less than is often understood about the mechanisms through which temporary employment affects mobility. Some common theories are not well specified in their application to temporary employment. We create new opportunities for development in the field by increasing the scope of the debate about some questions and decreasing the scope of the debate about other questions.
Determination of ash content in silicon dioxide filled epoxy-phenolic prepreg using near infrared spectroscopy
Authors: Wu Yi-Hui , Li Dan
Published: July 2022

This paper presents an application of near infrared spectroscopy associated with partial least squares regression calibration, for ash content analysis of prepreg in the manufacturing progress of copper clad laminate for printed circuited boards. The performance of the model was assessed by cross validation and external validation. The correlation coefficient and the root mean squared error of calibration and validation were 0.99, 0.25% and 0.98, 0.34%, and the measurement process was accomplished in less than 2 min compared to over 60 min for traditional thermo gravimetric analyzsis. The paired t-test results revealed that there was no significant difference between the two methods.
Are recent trends in poverty and deprivation in Australia consistent with trickle-down effects?
Authors: Saunders Peter , Naidoo Yuvisthi , Wong Melissa
Published: July 2022

This article examines trends in social disadvantage in Australia over the decade to 2018 using two approaches: a monetary approach using poverty and a living standards approach using deprivation. We compare the two approaches, highlight their implications and assess whether the evidence produced by each is consistent with trickle-down effects. The estimates allow for variations in thresholds, the treatment of housing costs and relative and absolute measures. The findings indicate an overall decline in poverty that is dependent on the treatment of housing costs and a more consistent decline in deprivation but with little or no improvement for many experiencing poverty or deprivation. Poverty and deprivation among unemployed households were above those for people in other labour force states throughout the period and while these differentials have narrowed, the findings suggest that trickle-down effects did not reach many of those highly disadvantaged or are subject to long delays.
Virtual Geritalk: Does Intensive Virtual Communication Skills Training Improve Use of Serious Illness Communication Skills?
Authors: Frydman Julia L , Dow Lindsay , Smith Cardinale , Kelley Amy , Lindenberger Elizabeth , P Gelfman Laura
Published: July 2022

Background: The COVID-19 pandemic presented a unique opportunity to adapt in-person communication skills training to a virtual format. Objective: Examine use of serious illness communication skills by learners after participating in an intensive virtual communication skills training. Design: Prospective cohort study. Setting/Subjects: Icahn School of Medicine at Mount Sinai, Clinical Fellows. Measurements: Family Meeting Communication Assessment Tool (FAMCAT) assessed fundamental and advanced communication skills. Results: As compared to a historical benchmark obtained after a prior in-person course, the virtual course showed equivalent or better use of communication skills across fundamental skills and advanced skills. Conclusions: Our findings suggest that a virtual communication skills training is associated with the use of serious illness communication skills in the clinical setting by learners.
Police Brutality and Racial Justice Narratives Through Multi-Narrative Framing: Reporting and Commenting on the George Floyd Murder on YouTube
Authors: Canevez Richard N. , Karabelnik Moshe , Winter Jenifer Sunrise
Published: July 2022

The increasing use of social media like YouTube as a news platform provides new opportunities for the public to react to news reporting. This convergence produces multi-narrative framings of police violence-related evidence that requires further attention, especially given the potential impact on state accountability processes. Using a frame analysis of news outlets and content analysis of comments on YouTube, we identify frames, responses, and the multi-narrative framing that results from this converging environment. Our findings suggest a triumvirate of competing frames around police brutality, with mistrust of media complicating the role news media plays in accountability.