bluuebunny/crossref_metadata_2025 huggingface dataset:
Fatores críticos de sucesso no enoturismo no Vale dos Vinhedos – Brasil: uma percepção dos enoturistas
Authors: Andrade Ilario Caubi Fraga de , Flores Luiz Carlos da Silva , Pereira Lucimari Acosta , Pereira Tércio
Published: May 2024

O Vale dos Vinhedos é uma região consolidada de Enoturismo, com uma safra de uvas e vinhos de qualidade, premiados mundialmente. O objetivo deste artigo foi analisar os fatores críticos de sucesso do enoturismo no Vale dos Vinhedos, Rio Grande do Sul – Brasil, na percepção dos enoturistas. Adotou-se uma abordagem de pesquisa exploratória-descritiva, quantitativa e com aplicação de uma de survey. O questionário baseou-se nos fatores críticos de sucesso e na tipologia de enoturista, foram obtidos 304 questionários. Os fatores de sucesso percebidos pelos visitantes do Vale dos Vinhedos foram o produto vinho, destino turístico, cultura local, orientação para o turista e variedade de atividades. O tipo de enoturista predominante na região é o conhecedor de vinhos seguido do amante do vinho. Este estudo fornece percepções para pesquisadores e gerentes na indústria do vinho sobre os fatores críticos de sucesso.
The Realist Discursive Study of Religion
Authors: Schilbrack Kevin
Published: May 2024

Filip Rasmussen (2024) argues that the discursive study of religion is misunderstood when one assumes that it focuses only on discourse, ignoring material entities and forces. A discursive approach, he proposes, need not deny the existence or the effects of the material world, and so it is not in conflict with, for example, a critical realist approach to social theory that seeks to explain social behavior in terms of material mechanisms. Rasmussen’s synthesizing position gives us an opportunity to consider the relationship between the apparently rival theories of the discursive approach and critical realism – and, in particular, the relationship between discourse and the material realities in the world that do not depend on discourse for their existence or powers. My view is that Rasmussen is right and that a discursive approach combined with critical realism gives us the best account of forms of life, like religions, that combine discursive and nondiscursive elements. This paper therefore argues for the coherence of a realist discursive study of religion.
Understanding Chinese Governance by Critiquing ‘Religion’
Authors: Gao Zhe
Published: May 2024

As an indirect response to Galen Watts and Sharday Mosurinjohn’s “Can Critical Religion Play by Its Own Rules?” this article aims to explicate what ‘critical religion’ as a distinct theoretical framework means for the author in terms of how it has provided them a critical framework for understanding the history of China, especially its transition of self-identification from tianxia (天下, all under Heaven) to a secular nation state, and some of its pressing ‘religious’ issues today. Upon the identification of a postcolonial condition in modern China where the indigenous elite have uncritically accepted ‘religion’ and other interdependently arisen modern categories, not only will the differentiation between ‘Chinese religion’ and ‘Chinese politics’ be demonstrated as an illusion, but ‘negotiating religion’ will be proved by means of two case studies as a more adequate approach to understanding the governance by the Chinese Communist Party in contemporary China.
Studying ‘Religion’ Critically and the Decolonial Turn: Lessons for Critical Terrorism Studies
Authors: Khan Rabea M.
Published: May 2024

Being ‘critical’ when studying religion, whilst it does not have to be limited to studying religion’s discursive (and colonial) employments only, it certainly has to begin with it, if we aim to contribute to much-needed decolonial efforts across the social science disciplines. Critically studying religion, as I argue in this article, means starting with a normative and moral responsibility and aspiration towards a more just, equal, and progressive social world that grapples with the coloniality, and structures of white supremacy we are all embedded in. In this article I will reflect on the contributions of Critical Religion (CR) especially to fields like (Critical) Terrorism Studies and related disciplines which regularly discuss ‘religion’ and religiously-inspired violence but never actually acknowledge ‘religion’s’ colonial and gendered implications, definitional instability, or Euro- and Christian-centric invention. The work Critical Religion does in uncovering and excavating the modern-colonial origins of the term ‘religion’, I argue, is essential in realising and contributing to the decolonial turn we are currently experiencing and which disciplines like (Critical) Terrorism Studies can only benefit from.
Speaking Theory to Power
Authors: Simmons K. Merinda
Published: May 2024

Religious studies scholars invested in something called “method and theory” seem intent on remaining stuck in a conversation dictated by proving our political worth in the world. That desire to move outside the walls of the academy ironically keeps us trapped inside one of its smallest and most unfortunate corners, where a theory/praxis binary is manufactured and propagated, kept alive by our personal anxieties about our professional value. My comments here aim to address this proliferating anxiety that continues to have an overdetermined presence in the field – an anxiety that manufactures a moral panic out of critical theory, limiting our intellectual possibilities and keeping us talking in circles in the process.
The Compatibility of Mandatory Vaccination with the European Convention on Human Rights: Implications for a National Vaccination Policy
Authors: Simons Rogier C. , Ploem M. Corrette , Legemaate Johan
Published: May 2024

This contribution examines the compatibility of mandatory vaccination with the European Convention on Human Rights (ECHR) through an analysis of the relevant ECHR rights and related case law of the European Court of Human Rights (ECtHR). By focusing on Article 8 (Right to Private Life), Article 2 (Right to Life) and Article 9 (Freedom of Thought, Conscience and Religion) ECHR, we formulate conditions under which mandatory vaccination legislation is justified. With that, this analysis aims to provide national legislators with guidance on responsible legislative policy. Additionally, this article discusses the legal framework underlying the Dutch vaccination policy, including developments therein since COVID-19. Furthermore, the role of the European Union in the context of vaccination is briefly discussed. The importance of an extensive societal and parliamentary debate before implementing a mandatory vaccination policy is stressed, as is the need for proportionality in enforcement.
Promoting Individual Health Responsibility in the Welfare State
Authors: Friedlein Nicole
Published: May 2024

The public health insurance in Germany will face huge economic challenges in the upcoming years. New diagnostic and therapeutic methods as well as the demographic change contribute to constantly rising expenditure. Although incentives for health-promoting behaviour or financial sanctions for an unhealthy lifestyle have been already discussed in the past, there has been a general reluctance to legally establish corresponding mechanisms for fear of eroding solidarity and increasing state control. In the course of the Coronavirus pandemic however, a stronger awareness rose to the fact that personal health-related life choices can have a huge impact on the stability of the healthcare system including public health insurance. Not only in Germany but throughout much of Europe, the pandemic led to a new and more fundamental debate about the relationship between individual responsibility for personal health and the wider responsibility for public health assumed by the community of solidarity.
Theorising Girls Room Graff: Networking Affirmation to Counter Misogyny
Authors: Nicholls Tracey
Published: May 2024

The harmful impact of misogyny on women as we take part in public life is not a new problem. And despite its early promise as a space open to all, the online world has not tempered misogynistic responses to women having opinions. What is easier to see in online interaction is the ‘networking’ of misogyny— hostile commentators ‘piling on’ and coordinating harassment.

I explore the need for solutions by surveying contemporary feminist analyses of online misogyny, and considering whether the ‘mobbing’ theorised in bullying literature might be useful in understanding ‘pile on’ behaviours. My case study, a 2013 Tumblr site called Girls Room Graff, archives graffiti taken from women’s public bathrooms in bars and restaurants, thereby serving a purpose subversive of networked misogyny: it piles on validation and affirmation to empower the reader. I argue this is one way of doing politics of care from a feminist peace studies standpoint.
“You Have to Be a Doctor First”: Trauma Surgeons’ Perspectives on Police Interactions in the Hospital
Authors: Jones Emily V. , Bourgois Philippe , Song Ji Seon , Chong Vincent E.
Published: May 2024

Background

Police activity in emergency medical settings has been shown to complicate the care of patients and impact patient-provider relationships. Recent scholarship has called for clear hospital policy outlining the terms of police access to patients and the role of clinicians. Despite regular contact between trauma surgeons and police, research on the impact of police activity on trauma care has been limited.

Methods

Semi-structured interviews were conducted with attending trauma surgeons and general surgery residents (N = 13) at 3 urban hospitals about their interactions with police in clinical settings. Participants were recruited using snowball sampling. Interviews were audio-recorded, transcribed, and analyzed for recurrent themes using an iterative grounded theory process.

Results

Participants reported routine contact with police that required active negotiation of the scope of clinical and police authority in the hospital. These negotiations were shaped by prior experiences, perceptions of police, officer behavior, and institutional culture. Surgeons felt compelled to advocate for patients, but reported intimidation in moments of conflict. Participants noted uncertainty around the legal dimensions of their relationship to police and a lack of universal guidance on appropriate responses.

Discussion

This data points to the need for improvements in both policy and workflow to regulate and reduce the burden of these interactions and protect clinicians’ priorities from being subordinated to those of police. Further research is needed to understand how police presence impacts patient outcomes, and to guide best practices for regulating and mitigating potential negative impact.
Strengthening the Rule of Law Through Community Policing: Evidence From Liberia
Authors: Morse Benjamin S.
Published: May 2024

How to improve security and strengthen the rule of law in fragile states? Community policing programs have long been at the forefront of policymakers’ efforts to address this challenge. These programs tend to be more expansive than those found in developed countries, focusing not only on building trust through meetings and foot patrols, but also on eliciting ‘coproduction’ from communities to supplement scarce police capacity and provide alternatives to vigilantism. I partnered with the Liberian National Police (LNP) to experimentally evaluate the effectiveness of this approach in Monrovia, Liberia, one of sub-Saharan Africa’s most crime-ridden cities. Drawing on a large-scale resident survey and administrative crime data, I find that the program improved relations between police and citizens, strengthened social norms against vigilantism, and mobilized communities to participate in the police’s “Watch Forum” initiative by forming and sustaining local security groups designed to facilitate cooperation with police. These changes were accompanied by a roughly 40% reduction in the incidence of mob violence. Despite these improvements, the program did not reduce the overall incident of crime, improve perceptions of security, or increase crime reporting.
Gratitude, academic self-efficacy, and well-being outcomes among Filipino undergraduate students
Authors: Buenconsejo Jet U. , Datu Jesus Alfonso D. , Valdez Jana Patricia M.
Published: May 2024

Existing literature has shown that gratitude matters for students’ well-being outcomes. However, there is limited research underscoring the learning processes that account for the mental health benefits of gratitude. This research explored the association of gratitude with life satisfaction and psychological well-being and whether gratitude would have indirect effects on such well-being outcomes via its link to academic self-efficacy through a structural equation modeling approach. Five-hundred eighty-one Filipino undergraduate students ( M age = 20.00; SD age = 2.95) from two universities in the Philippines participated in this investigation. Results showed that gratitude was linked to greater perceived life satisfaction and psychological well-being through its association with higher levels of academic self-efficacy. This study reinforces extant evidence on the psychological and mental health payoffs associated with feeling grateful.
The effect of proximity on risk perception: A systematic literature review
Authors: Balžekienė Aistė , Echavarren José M. , Telešienė Audronė
Published: May 2024

The use of geospatial analytical tools has recently advanced risk perception research, with growing interest in spatial dimension. Available reviews of risk perception studies usually focus on specific types of risk or look at various socio-psychological, cognitive and cultural factors, and there are no systematic reviews of empirical research analysing the effect of proximity on risk perception. This article synthesizes the evidence from 81 empirical studies that investigate the significance of proximity on subjective risk perception. The systematic review focused on summaries of research methods, samples, geographic coverage, measurements and direction of influence of proximity variables on risk perception and types and sources of risk. The majority of the studies analysed implemented quantitative research. The most popular data collection methods were face-to-face interviews and postal surveys, but only half had representative samples. Studies looking into the effect of proximity on risk perception most often analysed environmental and technological risks. Two-thirds of the empirical studies found a significant impact of proximity on risk perception; the majority of these showed a positive correlation, with respondents living closer to hazards having higher risk perceptions. Negative correlations of risk perception with proximity are more characteristic of nuclear risks. Co-occurrence analysis of sources-of-risk and objects-at-risk has identified three most frequent clusters: impact of floods on economic properties; impact of other natural hazards on economic properties and impact of industrial facilities on health and lives.
From Support to Satyagraha: The Transformative Impact of Boer War on Gandhi and the Indian Freedom Struggle
Authors: Shapoo Sajid Farid
Published: May 2024

Gandhi’s experience during the Second Boer War was radically transformative, from espousing the British cause early on to complete disillusionment with the British Empire. Setting up the Indian Ambulance Corps to assist British soldiers was Gandhi’s first experience of organising a mass movement. The racist legislation after the war and the treatment of Indians at the hands of the British exposed Gandhi to the deeply racial character of British imperialism. The events that unfolded during the war and the post-war laid the groundwork for the evolution of Satyagraha, which later became the principal mode of protest against the British.
Changing Relations Between Chiefs and ‘Subjects’ in Zimbabwe and Botswana
Authors: Musekiwa Norbert , Manatsha Boga Thura
Published: May 2024

The article historically analyses the changing relations between chiefs, ‘subjects’ and the state in Zimbabwe and Botswana. Entirely qualitative, it reviews published and unpublished sources. The article utilises three interrelated theories: bureaucracy, legal pluralism, and political clientelism. African chieftainship predates the colonial period, although this era has fundamentally altered it. The article argues that in colonial Zimbabwe and Botswana, chiefs were bureaucratised and became state functionaries. This weakened them and compromised the age-old relations with their ‘subjects’. To navigate this intricate situation, chiefs thrived on their clientelistic relations with the colonial state and their ‘subjects’. The colonial state created a legal dual system. The chiefs played a critical role as the intermediaries between their ‘subjects’ and the state in a legal dual system. For instance, they collected taxes and maintained law and order. In postcolonial Zimbabwe and Botswana, chiefs have also become more accountable to the state and ruling parties than their ‘subjects’. In both countries, the state appoints, recognises, de-recognises and can depose a chief. Chiefs often complain of state’s subjugation, but this is understandable given the protection and benefits they receive from the state.
Exploring the use of the mass media by youths in Pentecostal churches in Nigeria
Authors: AFOLABI Oluwaseun O. , ODERINDE Peter Ayoola
Published: May 2024

This article examines how Pentecostal churches in Nigeria use online media to target the youth. Nigeria is now a major player in the commercialization of religion due to the sheer number of websites that promote add-on spiritual services. The promotion of Internet conversion is a major strategy in attracting the youth who are more active and comfortable on the Internet. Pentecostal consumerism became an avenue for the proliferation of religious programs and the consumption of different spiritual products on the Internet. At the same time, the lure of the global mission has also attracted the youth who have the idea ( Japa syndrome) of emigrating from Nigeria to spread the gospel for economic reasons. This article intends to fill that gap in the literature by exploring how Pentecostal churches use the online media as a form of e-evangelism or e-vangelism for the youth.
‘Rain has to do with God’s will’: Religion and perceptions of environmental change in a Muslim community in the Souss-Massa region of Morocco
Authors: OU-SALAH Loubna , VERSCHRAEGEN Gert , VAN PRAAG Lore
Published: May 2024

In recent decades, increasing attention has been paid to environmental mobility in Morocco by policy-makers, non-governmental organisations, academics, and Islamic leaders. However, most empirical research on risk perceptions and religious views has relied on findings from Western and Christian communities, while data from Muslim communities or within communities strongly adherent to Islam are relatively rare. Nonetheless, Muslim communities are, globally, those most affected by climate change. These results are based on 38 in-depth interviews with Muslims in the Souss-Massa region of Morocco. Our analyses show how religious beliefs affect the ways in which people perceive and cope with environmental change. Nevertheless, religious beliefs do not necessarily imply that respondents automatically relate environmental change exclusively to God and that action is deemed unnecessary. Rather, we give a more nuanced image by presenting five different cultural repertoires which our respondents use when talking about climate and environmental changes.
Religious-secular as non-competitive: Encouraging participative church in a Czech Catholic diocese
Authors: SPALOVÁ Barbora , PELIKÁN Vojtěch , LIŠKA Marek
Published: May 2024

The presented text builds upon 4 years of applied research intended to support the transformation of a Czech Catholic diocese into a more participative organisation, internally and externally. This process allowed us to see different positions in the relationship between the religious and the secular within the highly secularised Czech Republic. In some places, the religious and the secular appeared incompatible. Elsewhere they influenced each other and intermingled. And still, in other places, the religious escaped horizontal opposition to the secular and differentiated itself vertically as a transcendental other. In all cases, it was evident that we cannot consider the religious and the secular as categories which define mutually competitive worlds. This definitional opposition is disappearing, and the terms are losing clarity as well as the capacity to organise the lives of Western subjects. We suggest using Dalferth’s differentiation of R-secularity and D-secularity as a tool to gasp this shift.
Le rapport des jeunes français à la laïcité dans un monde globalisé
Authors: MERCIER Charles , PORTIER Philippe
Published: May 2024

Various opinion surveys published since 2020 have shown that, when it comes to secularism, young French people are much more liberal than their elders. The authors of this article ask to what extent this divide is linked to globalization, a process that particularly concerns millennials, and which is sometimes perceived as weakening the transmission of national values. By constructing and analyzing a survey that, in an unprecedented way, crosses the level of integration into globalization and the relationship to secularism of 18–30 year-olds, they show that the two variables interact, but that globalization both widens and closes generational gaps in secularism.
Is axillary artery cannulation necessary in type II hybrid aortic arch repair for acute type A aortic dissection?
Authors: Zhu Zhonglai , Wu Long , Yuan Yanhong
Published: May 2024

Introduction

Axillary artery cannulation (AAC) has been widely employed in total arch replacement surgeries using the frozen elephant trunk (FET) technique for acute type A aortic dissection (ATAAD), showing better clinical results than femoral artery cannulation (FAC). Nevertheless, in type II hybrid arch repair (HAR), FAC is crucial for lower body perfusion. Hence, it is unclear whether AAC remains necessary or if AAC represents a more advantageous method for initiating cardiopulmonary bypass.

Methods

We conducted a study involving patients diagnosed with ATAAD who underwent type II HAR from August 2021 to December 2022. Demographic baseline and intraoperative data were collected, and the postoperative outcomes of patients receiving FAC only were compared with those receiving AAC.

Results

There were no significant differences in baseline demographics between patients who underwent FAC alone ( n = 46) and those who underwent AAC ( n = 39). Patients who underwent AAC showed a lower incidence of transient neurological dysfunction (TND) post-surgery compared to those who underwent FAC (12.8% vs 32.6%, p = .032). There were no significant differences between the groups in terms of postoperative mortality within 30 days, permanent neurological dysfunction (PND), length of stay in the intensive care unit (ICU) and postoperative ward, duration of mechanical ventilation, and other complications.

Conclusions

Axillary artery cannulation may decrease the incidence of postoperative transient neurological dysfunction (TND) in type II HAR for ATAAD. Nonetheless, studies with larger sample sizes are necessary.
Using Color Measurements to Quantify Aggregate and Asphalt Emulsion Compatibility
Authors: Duarte Gabriel Macedo , Yadav Shivpal , Castorena Cassie
Published: May 2024

The compatibility of asphalt emulsion and aggregate plays a significant role in the aggregate retention performance of chip seals. There are several, similar standardized test methods available for assessing the compatibility of emulsion–aggregate blends, including AASHTO T 59, ASTM D244, and North Carolina Department of Transportation (NCDOT) A-24. In all methods, a sample of aggregate and emulsion is mixed and rinsed. Subsequently, the compatibility of the rinsed sample is reported as “good,”“fair,” or “poor” based on visual inspection of asphalt coating the aggregate surface area. These visual inferences are subjective, making them susceptible to potential operator bias. The aim of this study is to develop an objective means to quantify emulsion–aggregate compatibility by using the Asphalt Compatibility Tester to obtain color-based measures in lieu of the visual assessment procedures. Multiple aggregate sources (granite, limestone, and lightweight), emulsion types (CRS-2L, CRS-2, and SS-1h), and sources were evaluated. In total, 25 emulsion–aggregate blends were analyzed. The results were used to establish color index thresholds to capture good- versus fair- or poor-performance emulsions. Additionally, chip seal samples from five construction projects were subjected to the Vialit test to measure aggregate retention performance. The Vialit test results were compared with the compatibility test results as a preliminary evaluation of the color-based criteria proposed here. The results indicated that the NCDOT A-24 procedure coupled with color measurements is effective at capturing the compatibility of emulsion–aggregate blends, providing a potential means to remove the subjectivity of the current visual rating procedures.
A late response of the sea-ice cover to Neoglacial cooling in the western Barents Sea
Authors: Telesiński Maciej M. , Kucharska Małgorzata , Łącka Magdalena , Zajączkowski Marek
Published: May 2024

In high northern latitudes, the Middle to Late-Holocene was a time of orbitally-induced atmospheric cooling. This led to increased sea-ice production in the Arctic Ocean and its export southward, a decrease in sea surface temperatures (SST), and glacier advances at least since 5–4 ka BP. However, the response of the ocean-climate system to decreasing insolation was not uniform. Our research shows that the sea-ice cover in the northwestern Barents Sea experienced a late response to Neoglacial cooling. We analyzed dinoflagellate cyst assemblages from a sediment core from Storfjordrenna, south of Svalbard. We found that the area experienced ice-free conditions throughout most of the Mid- and Late-Holocene. It was only after 2.3 ka BP that the study site became covered with winter drift ice and primary productivity decreased subsequently. Other regional data support the decrease in SST, the expansion of the sea-ice cover, and the deterioration of the environmental conditions around that time. Our findings indicate that the sea-ice cover in the northwestern Barents Sea required a significant amount of time to respond to the general cooling trend in the region. These results have important implications for present-day environmental changes. Even if the current warming trend is revoked in the future, the observed sea-ice loss in the Barents Sea may be incredibly challenging to reverse.
A clinical audit in a UK-based acupuncture private practice: assessing patient demographics, outcomes and experience
Authors: Lowe Nick , Permyakova Natalia , Dutton Rodney
Published: May 2024

Objectives:

The aim of this clinical audit was to assess patient demographics, outcomes and experience with care in patients who received acupuncture in a private practice setting in the United Kingdom.

Methods:

Demographic and clinical data were extracted from patients’ records over a 7-year period. The Measure Yourself Medical Outcomes Profile (MYMOP) questionnaire and an adapted Patient Global Impression of Change (PGIC) scale were used routinely to monitor patient outcomes over an 18-month period. Finally, a retrospective questionnaire was used to assess patient beliefs regarding treatment effectiveness, adverse events and overall experience with care. Patients not providing consent or known to be deceased were excluded.

Results:

Data were collected for 306 patients presenting with 376 separate health complaints, 58% of which were musculoskeletal. Follow-up outcomes (MYMOP scores (n = 51) and PGIC scale responses (n = 50)) showed a clinically significant improvement compared to baseline for the majority of health complaints (93% of PGIC scores were ‘improved’ and 79% MYMOP demonstrated > 1 point change). Total mean MYMOP severity scores were reduced by almost 50% (p < 0.001) after 1–4 weeks, and this was sustained in the medium-to-long term. There was a strong negative correlation (r = −0.767, p < 0.001) between the MYMOP and PGIC scores. A total of 118 health complaints were reported by 85/255 patients who responded to a retrospective questionnaire. Over 84% of patients believed that the treatments they received were ‘effective’ at addressing their health complaints. Seven minor adverse events were reported and four patients experienced negative treatment outcomes.

Conclusions:

Although musculoskeletal conditions were the most common, this audit found that patients sought treatment for a wide range of predominantly chronic health complaints, for many of which there is a currently a lack of quality evidence to support the use of acupuncture. Overall, the small sample of patients who responded to outcome questionnaires reported clinically meaningful and sustained improvements.
A note on the Hill–Ogden generalised strains
Authors: Federico Salvatore
Published: May 2024

This brief contribution provides an overview of the Hill–Ogden generalised strain tensors, and some considerations on their representation in generalised (curvilinear) coordinates, in a fully covariant formalism that is adaptable to a more general theory on Riemannian manifolds. These strains may be naturally defined with covariant components or naturally defined with contravariant components. Each of these two macro-families is best suited to a specific geometrical context.
Kartagener’s Syndrome Complicated by Bronchiectasis with Tricuspid and Mitral Valve Regurgitation: A Case Report
Authors: Vaid Rayyan , Fareed Areeba , Ahmad Siddiqui Maaz
Published: May 2024

Background:

Kartagener’s syndrome, a rare autosomal recessive genetic disorder, is characterized by primary ciliary dyskinesia (PCD), resulting in defective cilia function in the respiratory tract and fallopian tubes.

Case presentation:

This case report discusses a 23-year-old female with Kartagener’s syndrome, bronchiectasis, and cardiac involvement, who presented with shortness of breath, cough, and syncope. Notably, she received home oxygen therapy but became exhausted, leading to loss of consciousness. Clinical examination revealed prominent heart sounds and abnormal lung findings. Laboratory results indicated leukocytosis, and an ECG confirmed dextrocardia and cardiac abnormalities. Doppler studies identified mitral and tricuspid regurgitation along with severe pulmonary arterial hypertension. Antibiotics were administered for coagulase-negative Staphylococcus infection. The patient improved with a treatment regimen, including oxygenation and nebulization. Regular follow-up and patient education were emphasized.

Conclusion:

This case underscores the complexity of Kartagener’s syndrome and the importance of a multidisciplinary approach in managing its respiratory and cardiac manifestations.
Not everyone suffers equally: The effect of electoral overlap on mainstream party responses to radical right parties
Authors: Wildi Dino Noah
Published: May 2024

The rise of radical right parties in Europe has led to a number of strategic responses from mainstream parties (MSPs). However, not all MSPs are equally affected by the rise of challenger parties. This idea has been neglected in much of the quantitative work in the field. This paper extends this argument and investigates electoral overlap in a cross-country study of multiparty systems. Using Propensity to Vote (PTV) data to measure the electoral overlap between MSPs and radical right parties in eight Western European countries, I estimate the effect of right-wing threat on the positions of MSPs on immigration. A higher threat of losing voters to the radical right is associated with a move towards more restrictive immigration policies; on the other hand, a party’s chance to win voters back from the radical right has no significant impact on its positions.
“Genderation,” Identity, and Authenticity in the LGBTQ Marketplace
Authors: Oakenfull Gillian W.
Published: May 2024

This study explores how LGBTQ identities and expressions evolve across generations, emphasizing the impact of sociocultural dynamics. It introduces the concept of “Genderation” to capture the fluidity and plurality of LGBTQ identities among younger cohorts, challenging traditional binary frameworks. The paper delves into the complexities marketers face in authentically representing this demographic, urging for inclusive and sensitive communication strategies. It highlights the pivotal role of digital platforms in identity formation and advocates for marketing practices that recognize and celebrate the diversity within the LGBTQ community. The research calls for a broader, global understanding of these generational shifts and a deeper investigation into the intersections of gender and sexuality, offering insightful directions for future inquiry and practice.
Association between gamma glutamyl transpeptidase to HDL-Cholesterol (GGT/HDL-C) ratio and metabolic syndrome resolution after sleeve gastrectomy
Authors: Lizarbe-Lezama Melanni L. , Rodriguez-Macedo Jhoel E. , Fernandez-Guzman Daniel , Alcantara-Diaz Ana L. , Salinas-Sedo Gustavo , Toro-Huamanchumo Carlos J.
Published: May 2024

Objective

To evaluate the association between GGT/HDL-C ratio and resolution of MetS in adults after sleeve gastrectomy (SG).

Methods

We conducted a retrospective cohort study using secondary data from a Peruvian bariatric center. The study population consisted of adults aged 18 and above who underwent laparoscopic SG and were diagnosed with MetS prior to the surgery. The main outcome measured was MetS resolution 6 months post-surgery and the exposure variable was the GGT/HDL-C ratio.

Results

We analyzed 137 patients with a mean age of 38.9 ± 10.9 years; 64.2% were females. The median GGT/HDL-C ratio was 1.1 [0.7 – 1.5], and 83.9% of patients experienced resolution of MetS. Furthermore, both the middle tertile of GGT/HDL-C (aRR: 1.28; 95% CI: 1.04 - 1.58; p = .019) and the lowest tertile (aRR: 1.27; 95% CI: 1.01 - 1.60; p = .038) showed a significant association with the resolution of MetS.

Conclusion

Eight out of 10 patients undergoing SG experience resolution of MetS within 6 months after surgery. Patients in the middle and lower tertiles of the GGT/HDL-C were more likely to achieve this outcome. Therefore, the GGT/HDL-C ratio should be considered a valuable and efficient biomarker for preoperative assessment of bariatric surgery candidates.
Multi-criteria optimization of sports compression socks using Taguchi-VIKOR statistical approach
Authors: Khalil Afsheen , Hussain Tanveer , Ahmad Naseer , Jamshaid Hafsa
Published: May 2024

This study presents a comprehensive analysis of some key manufacturing parameters of Sports Compression Socks (SCS), aiming to optimize their performance characteristics for athletic applications. We investigated the interplay of material selection (Polyamide and Polyester), knitting structures (Pique and Drop Needle), and processing methods (E-wash, Dip wash, and Direct Press) on the functional properties of SCS. Our experimental design employed a full factorial approach, utilizing the Taguchi method for robust data analysis and the VIKOR (VlseKriterijuska Optimizacija I Komoromisno Resenje) technique for multi-criteria optimization. Key performance indicators assessed included compression pressure, fabric thickness, breathability (air permeability and Overall Moisture Management Capacity), and serviceability (pilling resistance and dimensional stability). The collected data underwent rigorous scrutiny using one-way analysis of variance (ANOVA) to assess their significance, validated by p-values ( p < 0.05). Further insight into the significance and contribution percentages of each factor was gained through ANOVA (α = 0.10) and visualized using a pie chart. Results demonstrated significant influences of knitting structures and processing methods on the physical and performance characteristics of SCS. Particularly, the Nylon E-wash Pique (NEWP) combination emerged as the most effective, providing a balanced profile of breathability, compression, and durability. Overall, the study contributes to the optimization of SCS performance characteristics for athletic applications, through a comprehensive analysis of key manufacturing parameters, with practical implications for manufacturers. These insights are pivotal for guiding manufacturers in producing high-quality, effective SCS that meet diverse consumer needs. The study advances the understanding of SCS design, proposing strategic approaches that consider important material and manufacturing perspectives. Future research directions include comparing pressure values in yarn-dyed and sock-dyed processes to further enhance the quality of compression garments.
Making Sense of Change: Emotive-Cognitive Reframing of Young People in Post-crisis Spain
Authors: Margies Nina
Published: May 2024

This article explores how people interpret deep transformations, how they integrate them into their everyday meaning-making and what role emotion work plays therein. To do so, the article draws on the experiences of young people (n=68) in post-crisis Spain and their narratives of change. In the wake of the severe economic crisis of 2008, many of them had lost their jobs as well as their future prospects. They experienced a mismatch between their expectations of their (working) life and the actual opportunities on the precarious labour market. Disappointed expectations and crumbling future prospects made it necessary for them to search for explanations and coping strategies. The article proposes the concept of emotive-cognitive reframing to capture the ways in which the young people adapted their emotions, ideas and expectations and the different forms and directions this could take. It shows that emotive-cognitive reframing was a complex and embodied process of emotional and cognitive work in which existing patterns of explanation were questioned and partly replaced by new ones. If these explanations were individualistic in nature, people considered their emotions and how they dealt with them to be a personal matter. In this case, emotion work was more about appeasing and suppressing emotions rather than channelling them into action. If the explanations were systemic, though, emotion work consisted primarily of turning emotions inside out and redirecting them from the individual towards external actors and structural conditions laying the seeds for collective mobilisation.
Adapting Nord Stream 2: How Russia adapts strategic narratives to English-speaking Polish and German audiences
Authors: Santos Okholm Christiern
Published: May 2024

Despite extensive scrutiny of how Russia has weaponized information, little work has been done on how it takes different audiences into account when designing its strategic narratives. Although scholars and practitioners agree on the importance of fitting narratives to audiences, the fact that Russia builds knowledge on audiences and that its practices are informed by a Soviet legacy of information warfare, little is known about the strategies Russia uses to adapt its strategic narratives to audiences. Through a comparative narrative study, the article investigates how Russian state media promote different narratives on Nord Stream 2 to German, Polish and English-speaking audiences. It shows how these are shaped by four adaptation strategies in which Russia amplifies, bridges, transforms and pushes back on the audiences’ pre-existing structures of meaning. This article contributes to the existing literature by deepening our knowledge of the relationship between the design of strategic narratives and their intended audience.
Rehabilitation Protocols in Elbow Medial Ulnar Collateral Ligament Injuries: A Systematic Review of Articles Published in the Last 20 Years
Authors: Buchanan Timothy R. , Hones Keegan M. , Hao Kevin A. , Kamarajugadda Sravya , Portnoff Brandon , Wright Jonathan O. , King Joseph J. , Wright Thomas W. , Kim Jongmin , Schoch Bradley S. , Roach Ryan P. , Aibinder William R.
Published: May 2024

Context:

Elbow medial ulnar collateral ligament (UCL) injuries have become increasingly common in athletes. Despite this, rehabilitation protocols appear to vary drastically, which may explain the clinical equipoise regarding optimal management.

Objective:

This systematic review reports rehabilitation characteristics reported after UCL injuries and compares reported outcomes based on early versus delayed rehabilitation.

Data Sources:

Our search utilized PubMed/MEDLINE, Embase, Web of Science, and Cochrane to identify all articles on UCL rehabilitation published between January 1, 2002 and October 1, 2022.

Study Selection:

Studies in English with ≥5 patients that reported rehabilitation protocols for UCL injuries were evaluated.

Study Design:

Systematic review.

Level of Evidence:

Level 4.

Data Extraction:

Data included sample characteristics, time to achieve physical therapy milestones, outcome scores, and return-to-play (RTP) rate and timing.

Results:

Our review included 105 articles with a total of 15,928 elbows (98% male; weighted mean age, 23 years; follow-up, 47 months), with 15,077 treated operatively and 851 treated nonoperatively. The weighted mean time patients spent adhering to nonweightbearing status was 42 days. The mean time until patients were given clearance for active range of motion (ROM) 15 days, full ROM 40 days, and elbow strengthening exercises 32 days. The mean time until all restrictions were lifted was 309 days. The mean time to begin a throwing program was 120 days. Across all rehabilitation characteristics, protocols for patients undergoing nonoperative management started patients on rehabilitation earlier. After UCL reconstruction, earlier active ROM (≤14 days), elbow strengthening (≤30 days), no restrictions (≤180 days), and throwing (≤120 days) postoperatively led to earlier RTP without a negative effect on functional outcome scores.

Conclusion:

Current literature provides a spectrum of protocols for elbow UCL rehabilitation, regardless of management. Nonoperative patients began ROM activities, strengthening, and throwing programs sooner than operative patients, and earlier milestones led to earlier RTP.
A Poetics of the Sea
Authors: Snowber Celeste N.
Published: May 2024

These poems and one video danced poem explore the relationship between the sea, land and ecology and shift the relationship to the ecology and climate crisis through a visceral intimacy. The poems emerge from dancing, kayaking, swimming, walking, in liminal spaces between land and sea. The poems serve as an embodied and poetic place of inquiry. My invitation is for the reader to walk along the shore of a poetics of the sea, in hope that by paying attention to what we care for now will lead us into a future we desire.
Primary central nervous system lymphoma: Imaging features and differential diagnosis
Authors: Ribas Gabriela Amaral , de Mori Lara Hemerly , Freddi Tomás de Andrade Lourenção , Oliveira Luciane dos Santos , de Souza Simone Rachid , Corrêa Diogo Goulart
Published: May 2024

Primary central nervous system lymphoma (PCNSL) represents 5% of malignant primary brain tumors. The clinical presentation typically includes focal neurological symptoms, increased intracranial pressure, seizures, and psychiatric symptoms. Although histological examination remains the gold standard for diagnostic confirmation, non-invasive imaging plays a crucial role for the diagnosis. In immunocompetent individuals, PCNSL usually appears as a single, well-defined, supratentorial lesion with a predilection for periventricular areas, iso- or hypointense on T1- and T2-weighted magnetic resonance imaging, with restricted diffusion, slightly increased perfusion, and homogenous gadolinium-enhancement. Differential diagnoses include high-grade glioma and pseudotumoral demyelinating disease. In immunocompromised patients, PCNSL may present as multiple lesions, with a higher likelihood of hemorrhage and necrosis and less restricted diffusion than immunocompetent individuals. Differential diagnoses include neurotoxoplasmosis, progressive multifocal leukoencephalopathy, and cerebral abscess. Atypical forms of lymphoma are characterized by extra-axial lymphoma, lymphomatosis cerebri, and intravascular lymphoma. Extra-axial lymphoma presents as single or multiple extra-axial dural lesions with diffuse leptomeningeal contrast-enhancement. Lymphomatosis cerebri appears as an infiltrative and symmetric lesion, primarily affecting deep white matter and basal ganglia, appearing hyperintense on T2-weighted imaging, without significant contrast-enhancement or perfusion changes. Intravascular lymphoma presents as multiple rounded or oval-shaped “infarct-like” lesions, located cortically or subcortically. This study aims to highlight the imaging characteristics of PCNSL, focusing on magnetic resonance imaging and its differential diagnosis.
Apathy in Older Adults With and Without Dementia: An Integrative Review of Barriers and Facilitators to Care
Authors: Agboji Aderonke , Freeman Shannon , Banner Davina , Duchesne Annie , Armstrong Joshua , Martin-Khan Melinda
Published: May 2024

Despite the detrimental impact of apathy on the cognition, functional abilities, and quality of life of older people, it is often under-rated and under-managed. This integrative review provides a comprehensive overview of the barriers as well as potential facilitators to optimal care for older adults with apathy. A systematic search for relevant literature using Whittemore and Knafl’s framework was conducted to identify factors that inhibit or facilitate optimal detection and intervention for apathy in older people with and without dementia. Four key barriers were identified including lack of standardized definition of apathy, lack of awareness, overlap with other disorders, and methodological limitations of clinical trials. Key facilitators included involvement of the dyad (persons with apathy and their families/formal caregivers), education, training and experience, and adoption of new and innovative method of screening and intervention. To provide optimal care for older people with apathy, there is need to adopt a multifaceted approach, including the development of precise definition of apathy, consideration of person-centered approach, caregiver training, and best practice guidelines for management of apathy. Future research and practice into effective interventions for management of apathy in older adults, and enhanced education and training for healthcare professionals, are needed to ensure quality of care for older adults with apathy.