bluuebunny/crossref_metadata_2025 huggingface dataset:
Older Adults’ Attitudes Toward Virtual Volunteering During the COVID-19 Pandemic
Authors: Sun Peter C. , Morrow-Howell Nancy , Pawloski Elizabeth , Helbach Alexander
Published: April 2021

This study explored older adults’ technology use patterns and attitudes toward virtual volunteering during the COVID-19 pandemic. A 22-item survey was administered to 229 volunteers in the St. Louis region who tutor children through the Oasis Intergenerational Tutoring program. Although most respondents are familiar with technology and expressed that they are likely to volunteer virtually, their responses varied significantly by age, education, gender, income, and school districts. Some tutors expressed that virtual volunteering may eliminate barriers to in-person volunteering, while others were concerned with establishing a personal connection with students online. These findings suggest that tutors anticipate both benefits and challenges with virtual volunteering and that efforts to engage older adults during the pandemic should factor in prior use of technology and ensure that different subgroups are not marginalized.
Créer et gérer une banque de données numérique : les défis méthodologiques et éthiques de la construction et de la pérennité de la Plateforme d’analyse de la régulation sociale du suicide au Québec (PARSSQ)
Authors: Corriveau Patrice , Cauchie Jean-François , Lyonnais Annie , Perreault Isabelle
Published: April 2021

Dans cet article nous abordons divers questionnements éthiques et méthodologiques auxquels nous avons été confrontés dans le développement, la conception et la pérennité d’une banque de données numérique sur le geste suicidaire au Québec sur plus de 250 ans d’histoire. Dans le cadre de cette réflexion, nous examinerons les enjeux liés au recueil, au codage et à la numérisation des données de même que ceux liés à la protection et au partage des données dès lors que cela touche au suicide. En effet, comment normaliser une réflexion sur le suicide sans banaliser voire possiblement encourager ce dernier ? Comment parler respectueusement des personnes suicidées et de leur entourage ? Par exemple, quel sort doit-on réserver aux photographies des défunts et des lieux de décès ? En d’autres mots, nous nous interrogerons plus globalement sur notre rôle de chercheur, notamment à l’égard de celles et ceux qui se sont enlevés la vie sans penser qu’un jour leurs dernières paroles, leur dernier geste seraient analysés et mis à jour par notre équipe de recherche.
The Ethical and Practical Challenges of Archiving Refugee Accounts: Reflections from Two Research Projects in the UK
Authors: Stewart Emma , Shaffer Marnie
Published: April 2021

Since the 2015 ‘refugee crisis’, the lens of researchers has been increasingly focused upon asylum seekers and refugees around the world. Nevertheless, working in the field of refugee studies poses several methodological and data challenges. For example, there is a relative paucity of detailed statistical data on refugee stocks, which has led to researchers favouring the collection of personal, qualitative stories from refugee populations. Although this produces a substantial volume of rich narratives, these can be geographically and temporally specific. The collection of qualitative data is also expensive, time consuming, and labour intensive. Therefore, alongside the increasing institutional and mandatory demands to deposit qualitative material in open access repositories, there is growing recognition of the value of archiving refugee accounts. There are also significant challenges in archiving refugee interview transcripts to enhance broader knowledge. In this paper, we discuss the process of archiving refugee accounts to highlight the practical and ethical challenges of depositing sensitive material. Specifically, we draw upon the archival process that was required upon completion of two Research Council funded projects in the UK. This involved the preparation and depositing of interview transcripts from over 100 refugees. Key challenges that arose included the need to uphold interviewees’ confidentiality, the process of anonymisation, and determining the level of access to grant future users. Subsequent issues have involved responding to data requests, permitting selective release of data, and stipulating conditions for release. We then reflect more widely upon the tensions we encountered between procedural and micro-ethics, namely the difference between decisions based upon rules rather than judgement. In doing so, we consider key processes and highlight best practice to be adopted in the future archival of refugee stories.
Is Time ‘on the Side of Change’? Incorporating the GDPR in (some of) our Research Practices
Authors: Duchesne Sophie , Ferry Maylis
Published: April 2021

The General Data Protection Regulation (GDPR) now serves as a framework for research, among other activities, when it involves collecting and using data which directly or indirectly allow the people in question to be identified. This therefore affects our research practice and, we believe, requires collective discussion. We suggest opening up the debate in this article by looking at what GDPR compliance means for our work in concrete terms, based on our own experience beginning a study on family transmission of banal nationalism (the ETPAF project). We also give an account of how, in our case, this new regulatory situation has afforded us the opportunity to add a (small) popular education dimension (or participatory science) to our work that was not part of the initial project and that we consider genuinely stimulating.
Remote control of magnetic nanocomplexes for delivery and destruction of cancer cells
Authors: Orel Valerii B , Syvak Liubov A , Orel Valerii E
Published: April 2021

Although nanotechnology advances have been exploited for a myriad of purposes, including cancer diagnostics and treatment, still there is little discussion about the mechanisms of remote control. Our main aim here is to explain the possibility of a magnetic field control over magnetic nanocomplexes to improve their delivery, controlled release and antitumor activity. In doing so we considered the nonlinear dynamics of magnetomechanical and magnetochemical effects based on free radical mechanisms in cancer development for future pre-clinical studies.
Intimate Partner Violence Experiences Among Puerto Rican Mothers
Authors: Natal Maria
Published: April 2021

This qualitative, transcendental, phenomenological study explored the subjective experiences of Puerto Rican mothers, aged 18 and older, who experienced intimate partner violence (IPV) and their perceptions of how provider and law enforcement approaches to screening impacted disclosure. Participant recruitment was coordinated with gatekeepers, and community and domestic violence organizations, who posted bilingual flyers. A total of nine Puerto Rican woman aged 18 and older who experienced IPV participated and agreed to consent to audio-recorded interviews. Data analysis integrated content and thematic procedures, including transcribing, reading, auditing, and coding the interviews based on statements, quotes, and sentences, then grouped into themes that captured the essence of their lived experiences. The IPV was perpetrated primarily by the children’s biological fathers and escalated over time. Four of the eight participants (one was lost to follow-up) had been screened while seeking medical care for IPV-related injuries, two disclosed their IPV, and one of the two was provided with a referral for IPV resources. All had multiple previous encounters with law enforcement but were afraid and ashamed to disclose the IPV. Lack of disclosure was associated with Hispanic cultural values and norms that included collectivism or keeping group cohesiveness, familism that socially emphasizes the family unit, marianismo as an ascribed female gender role of self-sacrifice and caregiving, and threats that their children would be removed from the home. Most of the women did not have knowledge of resources available to them and wanted to keep the family unit together. All believed they would be blamed for the incidents. Major implications include the need for multilanguage and multimedia campaigns to improve access to information, transparency with IPV screenings that may influence IPV disclosure, and systemwide education that addresses mother-blaming.
Factors Distinguishing Reciprocal Versus Nonreciprocal Intimate Partner Violence Across Time and Reporter
Authors: Pu Doris F. , Rodriguez Christina M. , Dimperio Marina D.
Published: April 2021

Although intimate partner violence (IPV) is often conceptualized as occurring unilaterally, reciprocal or bidirectional violence is actually the most prevalent form of IPV. The current study assessed physical IPV experiences in couples and evaluated risk and protective factors that may be differentially associated with reciprocal and nonreciprocal IPV concurrently and over time. As part of a multi-wave longitudinal study, women and men reported on the frequency of their IPV perpetration and victimization three times across the transition to parenthood. Participants also reported on risk factors related to personal adjustment, psychosocial resources, attitudes toward gender role egalitarianism, and sociodemographic characteristics at each wave. Participants were classified into one of four IPV groups (reciprocal violence, male perpetrators only, female perpetrators only, and no violence) based on their self-report and based on a combined report, which incorporated both partners’ reports of IPV for a maximum estimate of violence. Women and men were analyzed separately, as both can be perpetrators and/or victims of IPV. Cross-sectional analyses using self-reported IPV data indicated that IPV groups were most consistently distinguished by their levels of couple satisfaction, across gender; psychological distress also appeared to differentiate IPV groups, although somewhat less consistently. When combined reports of IPV were used, sociodemographic risk markers (i.e., age, income, and education) in addition to couple functioning were among the most robust factors differentiating IPV groups concurrently, across gender. In longitudinal analyses, sociodemographic vulnerabilities were again among the most consistent factors differentiating subsequent IPV groups over time. Several gender differences were also found, suggesting that different risk factors (e.g., women’s social support and men’s emotion regulation abilities) may need to be targeted in interventions to identify, prevent, and treat IPV among women and men.
Troubling Secondary Victimization of Bullying Victims: The Role of Gender and Ethnicity
Authors: Carrera-Fernández María Victoria , Almeida Ana , Cid-Fernández Xosé Manuel , González-Fernández Antonio , Fernández-Simo Jesús Deibe
Published: April 2021

Bullying is a severe public health problem, and bystanders’ reactions are a key variable in its perpetration and maintenance. This study aimed to assess the level of secondary victimization of bullying victims as a function of the student’s sex and the victim’s category (nonnormative vs. normative) in three experimental conditions (feminine, masculine, and ethnicity) from a socioecological perspective. Specifically, two dimensions of secondary victimization were evaluated: avoidance and devaluation/blaming of the victim. A sequence of mixed-design ANOVAs was performed with a sample of 553 Spanish (53.3%) and Portuguese (46.7%) students, aged between 14 and 19 years. Results show that nonnormative victims, those who transgress feminine and masculine gender stereotypes, and those who belong to a minority ethnic group (gypsies) are avoided more than normative victims; and that boys perpetrate more secondary victimization than girls. These results reveal the situation of vulnerability suffered by adolescents who transgress the gender norm as well as those who belong to minority ethnic groups, and highlight that the motivations concealed by the secondary victimization of bullying victims originate in the group processes of identity construction and categorization that configure the boundaries of “legitimacy” and are strongly influenced by social beliefs about normative and nonnormative identities. This socioecological approach could guide prevention strategies, so generic antibullying policies that do not explicitly address biases about gender, sexual, and cultural identity can be overcome to reduce the high levels of stigma occurring in the schools through critical and culturally responsive pedagogy.
Facemasking Behaviors, Preferences, and Attitudes Among Emerging Adults in the United States During the COVID-19 Pandemic: An Exploratory Study
Authors: Green Denise Nicole , Kozen Frances Holmes , Blumenkamp Catherine Kueffer
Published: April 2021

Facemasks have become requisite amid the COVID-19 pandemic. We explore facemasking behaviors, preferences, and attitudes among emerging adults, a “distinct period demographically” within the lifespan. Public opinion polls conducted in May 2020 found that emerging adults were the least compliant when compared to other demographic groups. To understand why, we developed a survey instrument that was administered to a demographically representative quota sample of 1,005 participants. Demographic comparisons revealed that behaviors and attitudes differed significantly by political beliefs, gender, living situation, and race. An exploratory factor analysis revealed six underlying variables: (a) facemask avoidance; (b) concerned adherence (c) vexed faultfinding; (d) statement making; (e) fashion enthusiasm; and (f) hygiene adherence. All factors varied significantly by political affiliation, and in some cases by gender, race, living situation, location, and work/education status. Significant correlations were present between all factors except fashion enthusiasm and vexed faultfinding.
Evaluation of a Pharmacist-Led Diabetes Collaborative Drug Therapy Management Service
Authors: Bald Elizabeth M. , Triplett Chad , Beranek Randi , Kennelty Korey
Published: April 2021

Objective:

To evaluate the pharmacist-led diabetes collaborative drug therapy management services in a family medicine and internal medicine clinic.

Design:

Mixed methods of evaluation based on the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework.

Results:

Reach: 71.3% of patients who were independently consulted (n = 184/258) and 1.6% (n = 11/680) of patients who triggered a best practice advisory (BPA) were enrolled. Effectiveness: 27.7% of patients (n = 54/195) enrolled were lost to follow-up. Adoption: 55% of eligible providers (n = 77/140) have placed a consult. Implementation: Providers independently choose to refer patients and are also prompted to place consults by a BPA that triggers for patients with an HbA1c ≥ 9%. Common reasons providers did not place a consult include: alignment with workflow, patient refusal, and patients followed by other services. Regarding patient perceptions, patients valued the service. Patients reported increased accountability with disease state maintenance and increased self-efficacy. Regarding how to improve the service, patients wanted more information on expectations before engaging with the pharmacist. Patients suggested to replicate this service for pain, cancer, and blood pressure management. Maintenance: 96.7% of providers (n = 30/31) reported they were very likely/likely to place a consult in the future and 60% of providers (n = 18/30) reported they were very likely/likely to place a consult when prompted by the BPA.

Conclusion:

These results can be utilized to make improvements to the pharmacist-led diabetes collaborative drug therapy management service to ensure sustainability. This study also provides lessons learned and strategies for future adoption, implementation, and maintenance of similar services for other disease states.
Spirituality and Standards for Practice: A Critical Discourse Analysis
Authors: Cooper Katherine Louise , Chang Esther , Luck Lauretta , Dixon Kathleen
Published: April 2021

Research Objective: The aim of this article is to report a study that explores how spirituality is understood to be represented in the current Australian Nursing and Midwifery Board of Australia (NMBA) Registered Nurse (RN) standards for practice. Research Design: Fairclough’s approach to critical discourse analysis was applied in the examination of participant interview texts for the language used in relation to spirituality as well as power mechanisms which influenced the way the participants viewed spirituality's representation in the RN Standards for Practice. Participants: Three members of the RN Standards for Practice research and development team. Results: Findings indicate three discourses shaped the way participants viewed how spirituality is presently represented in the RN Standards for Practice. Discourses are (1) spirituality as part of holistic care, (2) spirituality as part of person-centered care, and (3) the professionalization of nursing. Conclusions: Participant interviews revealed these discourses exerted power over how spirituality was represented within the RN Standards for Practice. This has implications for the inclusion of spirituality in the practice standards and the practice of spiritual care.
Madness, virtue, and ecology: A classical Indian approach to psychiatric disturbance
Authors: Ram-Prasad Chakravarthi
Published: April 2021

The Caraka Saṃhitā (ca. first century BCE–third century CE), the first classical Indian medical compendium, covers a wide variety of pharmacological and therapeutic treatment, while also sketching out a philosophical anthropology of the human subject who is the patient of the physicians for whom this text was composed. In this article, I outline some of the relevant aspects of this anthropology – in particular, its understanding of ‘mind’ and other elements that constitute the subject – before exploring two ways in which it approaches ‘psychiatric’ disorder: one as ‘mental illness’ ( mānasa-roga), the other as ‘madness’ ( unmāda). I focus on two aspects of this approach. One concerns the moral relationship between the virtuous and the well life, or the moral and the medical dimensions of a patient’s subjectivity. The other is about the phenomenological relationship between the patient and the ecology within which the patient’s disturbance occurs. The aetiology of and responses to such disturbances helps us think more carefully about the very contours of subjectivity, about who we are and how we should understand ourselves. I locate this interpretation within a larger programme on the interpretation of the whole human being, which I have elsewhere called ‘ecological phenomenology’.
Accountability as a Virtue
Authors: Torrance Andrew
Published: April 2021

This opening article will offer a brief introduction to what it means to understand accountability as a virtue. To do so, I first propose a definition of the condition of accountability, which I go on to distinguish from responsibility. Based on this definition, I then present an account of the corresponding virtue of accountability.
A non-linear model for elastic hysteresis in the time domain: Implementation for multiple degrees of freedom
Authors: Dwaikat MMS , Spitas C , Spitas V
Published: April 2021

A model that captures the weak frequency sensitivity of elastic hysteretic damping is proposed for the time-domain simulation of structures with multiple degrees of freedom (MDOF) under free or forced vibration. The model is based on a recently proposed modification to the conventional single degree of freedom (SDOF) viscous damping model, utilising a correction factor computed based on the local instantaneous response to adjust the damping coefficient such that the dissipated energy remains insensitive to the frequency characteristics of the motion. The model compares favourably to the well-established viscous (incl. Collar’s frequency correction), Rayleigh and Reid MDOF models, is applicable to any type of loading and, unlike other classes of damping models, such as Rayleigh, modal, Bouc-Wen, Biot, and Collar/Neumark, does not require extensive calibration, knowledge of the past history of motion, or a priori knowledge of the excitation characteristics and frequency.
Nonlinear multi-mode electromagnetic insole energy harvester for human-powered body monitoring sensors: Design, modeling, and characterization
Authors: Iqbal Muhammad , Nauman Malik Muhammad , Khan Farid Ullah , Abas Emeroylariffion , Cheok Quentin , Aissa Brahim
Published: April 2021

The current research in wearable electronics is trending towards miniaturization, portability, integration, and sustainability, with the harvesting of biomechanical energy seen as a promising route to improve the sustainability of these wearable electronics. Efforts have been made to prolong operational life of these harvesters, to overcome energy dissipation, lowering resonant frequency, attaining multi-resonant states as well as widening frequency bandwidth of these biomechanical energy harvesters. Herein, an electromagnetic insole energy harvester (EMIEH), capable of efficiently harvesting low-frequency biomechanical energy, has been designed, fabricated and experimentally tested. The core component in the device is the vibrating circular spiral spring, holding two magnets as the driving force on the central platform of the circular spiral spring, and just in-line with the upper and lower wound coils. It has been shown that the harvester exhibits higher sensitivity to low-frequency external vibrations than conventional cantilever-based designs, and hence allows low impact energy harvesting such as harvesting energy from walking, running and jogging. The experimentally-tested four resonant frequencies occurred at 8.9 Hz, 28 Hz, 50 Hz, and 51 Hz. At the first resonant frequency of 8.9 Hz under base acceleration of 0.6 g, the lower electromagnetic generator can deliver a peak power of 664.36 µW and an RMS voltage of 170 mV to a matching load resistance of 43.5 Ω. The upper electromagnetic generator can contribute an RMS voltage of 85 mV, corresponding to the peak power of 175 µW across 41 Ω under the same experimental condition. Finally, the harvester has been integrated into the shoe and it is able to charge a 100 µF capacitor up to 1 Volt for about 8 minutes foot movement. The result has remarkable significance in the development of wireless body monitoring sensors applications.
“Books, physical spaces, rules, people”: A holistic analysis of young Chinese children’s perceptions of public libraries
Authors: Wang Pianran , Xu Jianhua , Sturm Brian W. , Kang Qi , Wu Yingying
Published: April 2021

Young children’s perceptions of library services are often ignored when providing library services to this group. In order to reveal young children’s perceptions, grounded theory technique was used to analyze the interview data from 92 young Chinese children. The authors first proposed an integrated model of young children’s perceptions of Chinese public libraries, including the elements of books, physical spaces, rules, and people. Subsequently, the model is compared to the adult experts’ perspectives, revealing that young children could perceive all the experts’ proposed services and functions. Besides, they could perceive rules in libraries. Furthermore, young children were able to convert the abstract library classification index system to perceptible clues. The findings could be used to improve library services to accurately conform to young children’s perspectives.
The presence of lupus nephritis additionally increases the risk of preeclampsia among pregnant women with systemic lupus erythematosus
Authors: Bremme Katarina , Honkanen Sonja , Gunnarsson Iva , Chaireti Roza
Published: April 2021

Introduction

Pregnant women with systematic lupus erythematosus (SLE) have an increased risk of obstetric complications, such as preeclampsia and premature births. Previous studies have suggested that renal involvement could further increase the risk for adverse obstetric outcomes. Aims: The aim of this study was to compare the obstetric outcomes in a Swedish cohort of patients with SLE with and without lupus nephritis (LN).

Patients and methods

The study was conducted as a retrospective observational study on 103 women with SLE, who gave birth at the Karolinska University Hospital between the years 2000-2017. Thirty-five women had previous or active LN and 68 women had non-renal lupus. Data was collected from digital medical records. The outcomes that were analysed included infants born small for gestational age (SGA), premature birth, preeclampsia, SLE- or nephritis flare and caesarean section.

Results

Women with LN, both with previous and with renal flare during pregnancy suffered from pre-eclampsia more often compared to women with non-renal lupus (25.7% vs 2.9%, p = 0.001) and this complication was associated with premature birth (p = 0.021) and caesarean section (p = 0.035).

Conclusions

Lupus nephritis is a significant risk factor for adverse obstetric outcomes in women with SLE, including preeclampsia. Those patients could benefit from more frequent antenatal controls and more vigorous follow-up.
Fatty acid binding protein 4 (FABP4) and metabolic-related parameters in systemic lupus erythematosus active and non-active episode
Authors: Hamijoyo Laniyati , Putri Mirasari , Alita Vilya Rizkiyanti , Atik Nur , Syamsunarno Mas Rizky AA
Published: April 2021

Objective

To assess serum FABP4 and other metabolic-related parameters in Systemic Lupus Erythematosus (SLE) active and non-active episode.

Methods

Fifty-four SLE patients in Hasan Sadikin General Hospital, Bandung, Indonesia in 2018–2019 were recruited and serum samples were collected in their active and non-active episode status. Serum was analyzed for FABP4, leptin, glucose, and triglycerides. The clinical characteristics were analyzed from medical records. Disease activity was assessed with the SLEDAI-2K (≥4 defined as an active; <4 as non-active episode).

Results

Significantly correlation of Systolic Blood Pressure (SBP) (p = 0.001, r = 0.59) and C3 (p = 0.04, r = 0.47) between active and non-active episode. In non-active episode, there was significant correlation of FABP4 with Diastolic Blood Pressure (DBP) (p = 0.04, r = 0.26) and blood glucose (p = 0.01, r = −0.39). In active episode, there was significant correlation FABP4 with SBP (p = 0.04, r = −0.28) and triglyceride (p = 0.002, r = 0.55).

Conclusion

FABP4 correlates with high DBP in the non-active and high triglyceride serum in the active episode.
Surviving the Rookie Virus, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV2): The Immunopathology of a SARS-CoV2 Infection
Authors: Tsai Sheng Feng , Lu Kang-Yun , Chuang Hong-Meng , Liu Ching-Ann
Published: April 2021

Until July 29th, the number of confirmed coronavirus (COVID-19) cases worldwide has risen to over 16 million, within which 655 k deaths. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) emerges as the 11th global pandemic disease, showing the highest infectivity and lowest infection fatality rate. In this review, we compare the immunopathology among SARS-CoV, Middle East respiratory syndrome coronavirus, and SARS-CoV2. SARS-CoV2 is similar to SARS-CoV; it can cause lymphocytopenia and a rising granulocyte count. Here we point out the human body and concentrated society make for an excellent incubator for virus evolution. Most research energies put into developing the SARS-CoV2 vaccine are trying to block virus infection. Sixty-five percent of severe patients die with multiple organ failure, inflammation, and cytokine storm, which indicates that the patient’s immune system maintains functionality. Finding a way to trigger the specific T cell subset and plasmablast in our body is the best shot to get away with SARS-CoV2.
Prescribing unapproved medical devices? The case of DIY artificial pancreas systems
Authors: Roberts Joseph T.F. , Moore Victoria , Quigley Muireann
Published: April 2021

In response to slow progress regarding technological innovations to manage type 1 diabetes, some patients have created unregulated do-it-yourself artificial pancreas systems (DIY APS). Yet both in the United Kingdom (UK) and internationally, there is an almost complete lack of specific guidance – legal, regulatory, or ethical – for clinicians caring for DIY APS users. Uncertainty regarding their professional obligations has led to them being cautious about discussing DIY APS with patients, let alone recommending or prescribing them. In this article, we argue that this approach threatens to undermine trust and transparency. Analysing the professional guidance from the UK regulator – the General Medical Council – we demonstrate that nothing within it ought to be interpreted as precluding clinicians from initiating discussions about DIY APS. Moreover, in some circumstances, it may require that clinicians do so. We also argue that the guidance does not preclude clinicians from prescribing such unapproved medical devices.
Effect of Nature Experience on Fronto-Parietal Correlates of Neurocognitive Processes Involved in Directed Attention: An ERP Study
Authors: Sahni Pooja , Kumar Jyoti
Published: April 2021

Background:

Several studies have demonstrated that brief interactions with natural environments can improve cognitive functioning. However, the neurocognitive processes that are affected by natural surroundings are not yet fully understood. It is argued that the “elements” in natural environment evoke “effortless” involuntary attention and may affect the neural mechanisms underlying inhibition control central to directed attention.

Methods:

The present study used electroencephalography (EEG) to investigate the effects of nature experience on neurocognitive processes involved in directed attention. During EEG recordings, participants ( n = 53) were presented nature audio/video as stimuli to evoke nature experience, and flanker task was administered both before and after nature experience. An open eye rest condition was included randomly in either before or after nature experience cognitive task as a control condition.

Results:

The event-related potential analysis demonstrated a significant improvement in the response time after the nature experience. The analysis also demonstrated a significant difference for the inhibitory control process in fronto-parietal N2 ( P < .01) and P3 ( P < .05) for incongruent trials subsequent to nature experience. The spectral analysis also found an increase in alpha in all five brain regions (all Ps < .01) and fronto-central theta power ( P < .01).

Conclusion:

The findings suggest that improved inhibitory control processes could be one of the aspects of enhanced directed attention after nature experience. Increased alpha along with theta indicates a relaxed yet alert state of mind after nature experience.
Assessing Perceived Future Decent Work Securement Among Chinese Impoverished College Students
Authors: Wei Jingyi , Chan Sow Hup Joanne , Autin Kelsey
Published: April 2021

Drawing from Psychology of Working Theory (PWT), the current study sampled 254 college students from impoverished families in China and examined their perceptions of access to future decent work as predicted by subjective social status and marginalization and mediated by work volition and career adaptability. As impoverished college students are socioeconomically disadvantaged and thus cannot afford college expenses, understanding their perception regarding future careers echoes the call for renewing the focus on equity and diversity within vocational psychology. Findings supported subjective social status as an indirect predictor of perceptions of future decent work via work volition. Work volition and career adaptability directly predicted perceptions of future decent work. Additionally, there is a significant conditional indirect effect between subjective social status, work volition, and perceptions of future decent work. Specifically, the effect was only significant for first-year students. Overall, this study adds new evidence on the applicability of the PWT among student populations. Implications for career researchers, vocational counselors, and student affairs professionals are provided.
“I Quit!”: White Privilege, White Fragility, and White-Hot Rage: A Poetic Response in Five Acts
Authors: Persky Julia
Published: April 2021

This work consists of five narrative poems that correspond to five moments, Acts, related to a lesson about institutional racism and White privilege, presented to preservice teachers, via Zoom. That White privilege, White fragility, and institutional racism exist is well established, as is the necessity of commitment to preparing preservice teachers for cultural competence and responsiveness. Therefore, the poetry is presented without a literature review, in an effort to highlight the layered tensions of the author’s lived experience, the precarious positionality of tenure-track faculty, and the potential consequences of choices made, to teach (or not) controversial content.
Impact of anti-cancer drugs shortages in oncology and hematology departments in a Moroccan hospital
Authors: Cherif Chefchaouni Ali , Moutaouakkil Youssef , Adouani Badr , Tadlaoui Yasmina , Lamsaouri Jamal , Bousliman Yassir
Published: April 2021

Introduction

Drug shortages have been a growing global problem in recent years. Some of them are of vital necessity and importance for the patient, such as those used to treat pathologies in clinical hematology and oncology departments. The objectives of this study are to determine the impact of anti-cancer drugs shortages on both: treatment and patient in the hematology and oncology departments, to describe the actions that have been put in place to manage the shortages and to survey patients about their perspectives and experiences.

Materials and methods

It was a prospective, observational study, it took place in the oncology and hematology departments. It was carried out with the help of an operating sheet, which contained two parts: patient and treatment data. This sheet was filled out after the interview with the patient and on the basis of the medical file.

Results

Of the 101 patients interviewed, 67.3% were impacted by the shortage of drugs. The treated pathology that was most impacted by the rupture was Non-Hodgkin lymphoma (55.8%), vincristine was the drug most responsible for the shortages (34%). Most patients (51.4%) went to a non-local pharmacy to buy the medicine that was in short supply in the hospital. Delayed care was the main impact of the drug shortage (42.6%). As a result of these shortages, the majority of patients (45.6%) were frustrated and anxious about the situation.

Conclusion

Drug shortages have a profound impact on patient safety, clinical outcomes, quality of treatment, hospital management and other important factors. In-depth collaboration between different health actors and timely communication strategies are essential elements of an effective drug shortage management plan.
Perceived Oral Health Literacy, Behaviors, and Oral Health Care among Caregivers to the Homebound Population
Authors: Wilk Agata , LaSpina Lisa , Boyd Linda D. , Vineyard Jared
Published: April 2021

This study aimed to explore the level of perceived oral health literacy (OHL) among caregivers of the homebound population in the Chicago metropolitan area and how caregivers’ OHL impacts their oral care to the homebound population. The relationships between demographic characteristics, perceived OHL levels, personal oral health behaviors, and oral health care to clients were also assessed. This cross-sectional survey research examined 69 caregivers of the homebound population employed by home health agencies. The OHL was determined by the validated Health Literacy in Dentistry Scale (HeLD-14). Independent t-tests, chi-square tests set at p < .05 significance level, and logistic regressions were used for analysis. The mean age of participants was 43. The HeLD-14 scores indicated a high perceived OHL among this group. Caregivers came from diverse groups, and the majority spoke a second language at home. About 93% performed oral self-care the recommended amount of time or more, while only 57% did it for their clients. Those who cleaned clients’ mouth twice a day had a higher OHL score ( M = 23 compared to M = 19). About 43% did not check for sores in the client’s mouth, and those who checked had a higher OHL score ( M = 25 compared to M = 19). Controlling for OHL, age was a good predictor of oral care frequency to clients. These findings provide current evidence and add to the body of knowledge on OHL among homebound individuals. The results provide insights for designing a preventive approach in oral health care to the homebound population.
Influence of turbulent cavitating flow on performance characteristics of spiral groove liquid film seal
Authors: Wang Yunlei , Wu Jiu Hui , Xu Lushuai
Published: April 2021

Spiral groove liquid film seal is expected to be the prime candidate for application to high-speed liquid-oxygen turbopumps, and the lubricant flow between the sealing faces is turbulent due to the liquid-oxygen properties and the working conditions. Based on the Ng–Pan model and mass-conserving algorithm, the modified dynamic Reynolds equation considering flow regime and cavitation is obtained, which is solved by the finite-difference method. The effects of flow regime and cavitation on the performance of spiral groove liquid film seal are analyzed. The results indicate that the balanced film thickness and opening force increase due to the turbulent flow. The cavitation ratio increases in the laminar–turbulent transition region, which reduces the opening force and liquid film stiffness.
Political regimes and foreign investment in poor countries: Insights from most similar African cases
Authors: Goldsmith Arthur A
Published: April 2021

When foreign investors choose to invest in a poor country, do they favor democracies or autocracies? Despite extensive time-series cross-national empirical work on this question, the answer is unclear. To move the debate forward, I use a novel approach based on a most-similar case design. I observe four African countries before, during, and after democratization, and evaluate whether the change in regime type over time affected their ability to attract foreign investment—both relative to their baseline level of investment and in comparison with the investment patterns of four matching countries that did not experience democratization. I also control for the effects of natural resource scarcity and abundance. My difference-in-differences pairwise case analysis indicates the introduction of competitive political institutions is immaterial for foreign investment, whereas the consolidation of these institutions conveys a small investment advantage.
Digital placemaking and the datafication of forced migrants
Authors: Witteborn Saskia
Published: April 2021

The article conducts a conceptual discussion of digital placemaking practices related to forced migration. The literature has demonstrated that displaced people engage in digital placemaking to create belonging and to actualize aspirations. Simultaneously, state and suprastate actors expand digital data practices, which construct forced migrants as categories in digital place, thereby configuring their access to physical locations and to socio-legal positioning. This article argues that the digital data practices of both state and suprastate actors, such as biometric registration and metadata tracing, appropriate digital placemaking practices by forced migrants and dissect migrants’ subjectivity into data fragments that become agentic in shaping how the people access physical territory, identities, and resources. The article highlights opportunities for researching forced mobilities, place, and technologies. These opportunities include the study of nonhuman actors in placemaking processes, exploring the locus of agency in digital placemaking, and studying the intersections between embodied and digital placemaking practices.
Televascular consultation is one answer to rural vascular surgery shortage
Authors: Li Jing , Green Derrick L , Santilli Steve , Ihnat Dan , James Valentine R , Reed Amy B
Published: April 2021

Telemedicine provides an opportunity for virtual consultation between physicians and patients in remote locations. We sought to evaluate whether telemedicine consultation for vascular surgery can replace direct visits for patients in remote areas. Patients undergoing telemedicine consultation from 2014–2019 at the Veterans Affairs Medical Center (VAMC) with a large rural catchment area, were reviewed. Primary outcomes included diagnosis, type and number of telemedicine visits, and types of surgical procedures scheduled after initial visit. 574 patients participated in 708 out-patient telemedicine consultations conducted by four vascular surgeons and two advanced practitioners. Visits took place at 21 clinics across Minnesota ( n = 305), North Dakota ( n = 96), South Dakota ( n = 82), Wisconsin ( n = 20), and Iowa ( n = 2) with an average distance of 159 miles from the VAMC. There were 429 (75%) new patient visits and 279 (25%) follow-ups. After initial telemedicine consultation, 236 (55%) patients were booked for procedures. Telemedicine is feasible for vascular surgery consultation and increases patient convenience with decreased overall travel expense and wait time. Telemedicine can be a viable solution to the shortage of vascular surgeons in the rural United States.
Using qualitative content analysis to understand the active ingredients of a parent-mediated naturalistic developmental behavioral intervention
Authors: Frost Kyle M , Russell Kaylin , Ingersoll Brooke
Published: April 2021

Although naturalistic developmental behavioral interventions have a sizable and growing evidence base for supporting the development of children on the autism spectrum, their active ingredients and mechanisms of change are not well understood. This study used qualitative content analysis to better understand the intervention process of a parent-mediated naturalistic developmental behavioral intervention. Caregivers completed weekly written reflection responses as they learned each intervention technique. These responses were coded, and code co-occurrences were examined to understand the relationship between implementation of specific intervention techniques and potential mechanisms of change according to caregiver observations. The responses were subsequently compared to a theoretical causal model derived from the intervention manual. Many responses were consistent with the intervention theory; however, some theoretical outcomes were not reported by caregivers, and caregivers described some potential mechanisms that were not explicitly stated in the intervention theory. Importantly, we found that individual techniques were associated with various mechanisms, suggesting that global measures of social communication may be insufficient for measuring context-dependent responses to individual intervention techniques. Our findings point to specific observable behaviors that may be useful targets of measurement in future experimental studies, and as indicators of treatment response in clinical settings. Overall, qualitative methods may be useful for understanding complex intervention processes.

Lay abstract

Although naturalistic developmental behavioral interventions are supported by research for supporting the development of children on the autism spectrum, how they work is not well understood. This study reviewed parent reflection comments in a systematic way to better how one such treatment worked, when delivered by caregivers. Caregivers completed weekly written reflection responses as they learned how to use the treatment techniques. We studied these responses to understand caregiver perspectives on how their children responded to the techniques. The responses were then compared to a theory of how the treatment works. Many responses were consistent with the treatment theory; however, others were not. We found that individual techniques were associated with different child responses, suggesting that general measures of social communication may not measure these specific short-term changes. Our findings point to specific behaviors that may be useful to measure in future research, or useful as indicators of treatment response in clinical practice settings. Overall, qualitative methods may be useful for understanding complex treatment processes.
Between facts and ambiguity: Discourses on medical cannabis in Swedish newspapers
Authors: Abalo Ernesto
Published: April 2021

Aim:

This study examines the discursive construction of medical cannabis in Swedish newspapers, with the aim of understanding how the news media recontextualise the medical potential of cannabis.

Design:

The study is centred on the concept of recontextualisation, which focuses on how discourses are reinterpreted and reshaped when moving from one context to another, with a special focus on recontextualisation in relation to the media. Methodologically, the study uses critical discourse analysis to qualitatively analyse 134 articles of different subgenres, published in four Swedish newspapers between 2015 and 2020.

Results:

The study shows that medical cannabis is constructed around myriad topics and contexts, ranging from news that focuses on the medical potential of cannabis to articles where medical cannabis is mentioned in passing and constructed in a more abstract form. The media have difficulties retaining a conceptual boundary between medical and recreational cannabis. Moreover, the study shows that the medical potential of cannabis is discursively constructed using three different discourses: patient discourse, strong science discourse, and weak science discourse.

Conclusions:

The study suggests that there is a widening of the debate on cannabis in the Swedish public sphere, giving more recognition to the potential medical use of cannabis. The media, however, show difficulties in refining discourses on medical cannabis, which results in an altering between constructions that are strongly connected to science, and those that are not.