bluuebunny/crossref_metadata_2025 huggingface dataset:
Rethinking Hill-Valley Binary: Methodological Nationalism and the Trends of Writing Sociology in India
Authors: Tamang Sangay , Kipgen Ngamjahao
Published: November 2019

This article attempts to engage with the trends of writing sociology in India by locating the argument within the discourse of coproduction of space, identity and belonging. It aims to interrogate colonial as well as post-colonial construal of hill-valley binaries in the context of the dictum of methodological nationalism in India. It is categorically imperative on our part to posit ‘the historicising the Himalayas’ in terms of colonial dispensation and coevolution of economy, culture, space, identity, belonging, nationalism, historiography and polity. Moving beyond established methodological, nationalism would not be an easy task as it entails heavy criticism mostly in the domain of political construction of national identity. However, the change of our analytical tools, objects and methods might contribute in developing a more inclusive social theory, not painted by self-evident sociological theory of the nation-state.
Prognostic Factors in Metastatic Cutaneous Squamous Cell Carcinoma of the Head and Neck
Authors: Bachar Gideon , Mizrachi Aviram , Rabinovics Naomi , Guttman Dan , Shpitzer Thomas , Ad-El Dean , Hadar Tuvia
Published: November 2019

Metastatic cutaneous squamous cell carcinoma (SCC) of the head and neck poses a significant therapeutic challengedue to its aggressive biologic behavior. We conducted a retrospective study of71 patients—58 men and 13 women, aged 28 to 88 years (mean: 71)—who had been treated atour university-affiliated tertiary care medical center for metastatic cutaneous SCCover a 15-year period. In addition to demographic data, we compiled and analyzed information on tumor characteristics, the site and extent of metastasis, treatment, follow-up, and outcome. Among the tumor factors, poorly differentiated carcinoma was an independent predictor of poorer disease-free survival, and olderage was found to be an independent predictor of poorer overall survival. We found no significant difference in disease-free or disease-specific survival among patients with parotid involvement, neck involvement, or both. In our series, the site of nodal involvement appeared to have no prognostic significance in patients with metastatic cutaneous SCC of the head and neck.
General Education Teachers’ Use of Evidence-Based Practices: Examining the Role of Student Race and Risk Status
Authors: Green Ambra L. , Lewis Timothy J. , Olsen Amanda A.
Published: November 2019

This exploratory study occurred in Title 1 schools located within a large urban area. The sample included 23 general educators and 551 students in second through fifth grade, with 57 students identified as at risk for an emotional or behavioral disorder. The purpose of this study was to determine (a) to what extent general education teachers used evidence-based practices—specifically, opportunities to respond, positive specific feedback, and precorrections—during classroom instruction, and (b) if those practices occurred at different rates across demographic groups (i.e., race and disability risk). The results indicated that teachers used higher rates of opportunities to respond and positive specific feedback with students not at risk compared with at-risk students. We did not find main effects of race or race-by-disability risk interaction effects. These findings support the need to continue examining teachers’ differing uses of evidence-based practices.
Barriers and facilitators to the implementation of individual placement and support (IPS) for patients with offending histories in the community: The United Kingdom experience
Authors: Khalifa Najat , Hadfield Sarah , Thomson Louise , Talbot Emily , Bird Yvonne , Schneider Justine , Attfield Julie , Völlm Birgit , Bates Peter , Walker Dawn-Marie
Published: November 2019

Introduction

We aimed to identify the barriers and facilitators to the implementation of a high fidelity individual placement and support service in a community forensic mental health setting.

Method

In-depth interviews were conducted with clinical staff ( n = 11), patients ( n = 3), and employers ( n = 5) to examine barriers and facilitators to implementation of a high fidelity individual placement and support service. Data was analysed using thematic analysis, and themes were mapped onto individual placement and support fidelity criteria.

Results

Barriers cited included competing interests between employment support and psychological therapies, perceptions of patients’ readiness for work, and concerns about the impact of returning to work on welfare benefits. Facilitators of implementation included clear communication of the benefits of individual placement and support, inter-disciplinary collaboration, and positive attitudes towards the support offered by the individual placement and support programme among stakeholders. Offences, rather than mental health history, were seen as a key issue from employers’ perspectives. Employers regarded disclosure of offending or mental health history as important to developing trust and to gauging their own capacity to offer support.

Conclusions

Implementation of individual placement and support in a community mental health forensic setting is complex and requires robust planning. Future studies should address the barriers identified, and adaptations to the individual placement and support model are needed to address difficulties encountered in forensic settings.
Open to competition? Competitive density and the growth of young New Zealand ventures
Authors: Whittaker D Hugh , Fath Benjamin , Fiedler Antje
Published: November 2019

Drawing on 180 survey responses from young, New Zealand-based ventures, we investigate effects of the number of perceived serious competitors on venture growth. We find empirical evidence for an inverse U-shaped relationship between competitive density and young venture growth. We further find that persistent innovation – requiring both initial innovative intent and a recent record of innovation – not only promotes young growth but also moderates the relationship between competitive density and young venture growth. Overall, the study shows that the growth of young ventures committed to persistent innovation is less affected by competitive dynamics compared to non-innovators.

JEL Classification: L10, L22, L26, O30
Social Support Moderates the Negative Association Between Reduced Driving and Life Satisfaction in Older Adults
Authors: Jones Vanya C. , Johnson Renee M. , Borkoski Carey , Rebok George W. , Gielen Andrea C. , Soderstrom Carl , Molnar Lisa J. , Pitts Samantha I. , DiGuiseppi Carolyn , Hill Linda , Strogatz David , Mielenz Thelma J. , Betz Marian E. , Kelley-Baker Tara , Eby David W. , Li Guohua
Published: November 2019

When older adults reduce their driving, there can be subsequent decreases in life satisfaction. In this cross-sectional study, we used baseline data from the multi-site Longitudinal Research on Aging Drivers (LongROAD) study to examine whether social support moderates the negative association between reduced driving and life satisfaction. The outcome variable was life satisfaction, and the main predictor variable was past-year reduced driving (yes/no). Emotional, instrumental, and informational social support were measured using PROMIS v2.0 (Patient-Reported Outcomes Measurement Information System) items. We used generalized linear regression models to examine how social support moderated the association between reduced driving and life satisfaction. Statistical adjustment for social support attenuated the negative effect of reduced driving on life satisfaction by ~10% for all three types of social support.
Social Participation and Health Outcomes Among Caregivers and Noncaregivers in Great Britain
Authors: Vlachantoni Athina , Feng Zhixin , Wang Ning , Evandrou Maria
Published: November 2019

This study investigates the relationship between social participation and health outcomes between caregivers and noncaregivers in Great Britain. Previous studies indicate that the impact of informal caregiving on the carer’s health is complex, and the intensity of care provision has an adverse impact on the caregivers’ health, while social participation could have a protective role in this respect. Using qualitative and quantitative data from Wave 8 of the 1958 National Child Development Study, the analysis shows that social participation has a positive effect on the carers’ mental health and subjective well-being. Individuals who did not engage in social participation reported lower levels of mental health and control, autonomy, self-realization and pleasure (CASP) scores than those engaged in social participation. The qualitative results showed the barriers to social participation of caregivers to be time, energy, and finance. We discuss ways in which the government could address such barriers to improve the level of social participation among caregivers.
Reflections on Three Decades of Research on Multidimensional Perfectionism: An Introduction to the Special Issue on Further Advances in the Assessment of Perfectionism
Authors: Flett Gordon L. , Hewitt Paul L.
Published: November 2019

In this article, we introduce this second special issue on the assessment of perfectionism along with an overview of developments in the perfectionism field over the past 30 years following the shift to studying perfectionism as a multidimensional construct. We examine some key contributions over the past decade, including the proliferation of meta-analyses and apparent rise over time in the prevalence of self-oriented, other-oriented, and socially prescribed perfectionism. We also outline what we consider to be seven definitive truths about the perfectionism construct and how these themes are reflected in the articles that follow. This special issue includes papers that describe abbreviated measures of existing perfectionism scales as well as new measures. Other papers in this special issue demonstrate the need to supplement a trait approach with a focus on cognitive perfectionism and to evaluate key mediators of the association between perfectionism and depression. Other research illustrates the usefulness of supplementing the predominant variable-focused approach with a person-centered approach. Collectively, the papers address several significant issues and outline key directions for future research in the next decade of research on multidimensional perfectionism.
Genre Knowledge and Writing Development: Results From the Writing Transfer Project
Authors: Driscoll Dana Lynn , Paszek Joseph , Gorzelsky Gwen , Hayes Carol L. , Jones Edmund
Published: November 2019

Using a mixed-methods, multi-institutional design of general education writing courses at four institutions, this study examined genre as a key factor for understanding and promoting writing development. It thus aims to provide empirical validation of decades of theoretical work on and qualitative studies of genre and the nature of genre knowledge. While showing that both simplistic and nuanced genre knowledge promote writing development, our findings suggest that nuanced genre knowledge correlates with writing development over the course of a semester. Based on these findings, we propose an expanded view of Tardy’s four genre knowledge components and argue for their explanatory power. We recognize these genre components can be cultivated by using three particular strategies: writing for nonclassroom audiences, using source texts explicitly to join existing disciplinary conversations, and cultivating two types of metacognitive awareness (awareness of the writing strategies used to complete specific tasks and awareness of one’s levels of proficiency in particular types of writing knowledge). Findings can be used to enrich first-year or upper-division writing curricula in the areas of genre knowledge, audience awareness, and source use.
On mechanical, thermal and morphological investigations of almond skin powder-reinforced polylactic acid feedstock filament
Authors: Singh Rupinder , Kumar Ranvijay , Pawanpreet  , Singh Mohit , Singh Jatenderpal
Published: November 2019

The almond skin powder is one of the biodegradable and biocompatible food wastes that can be used as reinforcement in polylactic acid (PLA) for preparation of biomedical scaffolds/implants (for high mechanical performance) by fused filament fabrication. The present study deals with the melt processing of almond skin powder as reinforcement from 0 wt% to 5 wt% in the PLA matrix by twin-screw extrusion process. The results of the study suggested that reinforcing the almond skin powder as 2.5 wt% in the PLA matrix mechanically strengthens the feedstock filaments but the increase in the proportion up to 5 wt% reduces the mechanical strength to a significant level. A similar trend has been observed in differential scanning calorimeter observations for thermal stability analysis. As regard to the rheological property is concerned, the melt flow index shows a significant reduction with reinforcement of almond skin powder in PLA. The results are also supported by photomicrographic analysis (for surface properties) and Taguchi-based optimization of twin-screw extrusion process parameters (for multifactor optimization).
Preparation of cross-linked PVC-g-(St-MA) copolymer/organoclay nanocomposites and investigation of chemical characteristics, morphology, thermal, and mechanical properties
Authors: Izadpanah Reza , Rezaei Mostafa , Talebi Saeid
Published: November 2019

The goal of this work is to investigate the effect of incorporating organoclays on the cross-link structure, morphology, and thermomechanical properties of cross-linked organoclay/polyvinyl chloride grafted with styrene and maleic anhydride (PVC- g-(St-MA)) copolymer nanocomposites (CPN). Cloisite30B (C30B) and Cloisite15A (C15A) organoclays were used for the preparation of cross-linked PVC- g-(St-MA) nanocomposites by the solution mixing route. The nanoclay content in nanocomposites varied from 0.2 wt% to 1 wt%. The chemical structure and interaction between PVC- g-(St-MA) cross-linked segments and nanoclays were studied by Fourier transform infrared (FTIR) peaks deconvolution method. FTIR spectroscopy suggested the lowest extent of hydrogen bonding interaction for C30B containing sample, which decreased with clay content increment. The morphology of nanocomposites was studied by X-ray diffraction and transmission electron microscopy methods. Morphological observation revealed a near to the exfoliation state for organoclays in PVC- g-(St-MA) nanocomposite containing 1 wt% C30B. However, C15A/PVC- g-(St-MA) nanocomposite (C15A-CPN) exhibited partially intercalated and agglomerated morphology. Differential scanning calorimetry examination was conducted to measure the glass transition temperature ( Tg) of the segments. At the same clay content, the Tg of the C30B containing nanocomposites were higher than that of C15A samples. The mechanical properties of these nanocomposites were also investigated. As a consequence, C30B-CPN showed improved mechanical properties compared to C15A-CPN and cross-linked PVC- g-(St-MA) samples.
Are All Internships Equally Beneficial? Toward a Contingency Model of Internship Efficacy
Authors: Zuo Yuhan , Weng Qingxiong (Derek) , Xie Xiaoyun
Published: November 2019

This study was conducted to examine whether internships can boost graduates’ career development. In doing so, we develop a contingency model of internship efficacy. Employing signaling theory, we argue that internships serve as a signal of a graduate’s vocational capacity to their potential employers. We propose that major-related and nonmajor-related internships are differentially related to both starting salary and career outcomes (i.e., job compensation and job satisfaction) after 1 year and that three contextual factors (i.e., major-job fit, discipline type, and educational level) moderate the effects of internship experiences. Using two-wave data from 787 graduates in Eastern China, we found that while the influence of major-related internships was positive, nonmajor-related internship was negatively associated with starting salary. Moreover, this negative relationship was significant for graduates with a high job-major fit, graduates from science, technology, engineering, and mathematics disciplines, and postgraduates. The results suggest that internship experiences are not equally beneficial and challenge the notion that internships are always beneficial.
Stereotype Threat and Career Goals Among Women in STEM: Mediating and Moderating Roles of Perfectionism
Authors: Lin Chaihua , Deemer Eric D.
Published: November 2019

This study examines how the interplay between individual and contextual factors contributes to the academic and career outcomes of female science, technology, engineering, and mathematics (STEM) students. Hypotheses regarding the indirect influence of stereotype threat on STEM career goals were assessed. Data were collected from 323 undergraduate women students in STEM disciplines through an online survey. Using structural equation modeling, results revealed that (a) perfectionism mediated the relationship between stereotype threat and self-efficacy, and (b) stereotype threat was distally associated with career goals through the mediating mechanisms of perfectionism, self-efficacy, and interest. In an alternative model, perfectionism was also not found to moderate the indirect association between stereotype threat and interest. Recommendations for future research and implications for practice are presented.
Repatriates’ Work Engagement: Proactive Behavior, Perceived Support, and Adjustment
Authors: James Robinson
Published: November 2019

This article examined the influence of academic repatriates’ proactive behavior, perceived organizational support, and coworker support on repatriation adjustment and work engagement. The study was conducted with a group of 102 (71 males, 31 females) Sri Lankan academic repatriates. Survey data were analyzed using structural equation modeling (SEM). Results indicated that repatriates’ proactive behaviors, perceived organizational, and coworker support had an important role to play in the prediction of repatriation adjustment. Further, results indicated the essential role of individuals, groups, and the organization on repatriation adjustment and work engagement of academic repatriates. By empirically investigating antecedents and consequences of repatriation adjustment of academic repatriates, this study broadens the context of repatriation research. Also, this study introduced adjustment as a predictor of work engagement and found it had more influence on engagement than the perceived support practices among academic repatriates.
Sur la Zone: A Critical Sociology of the Parisian Dangerous Classes (1871–1973)
Authors: Beauchez Jérôme , Zeneidi Djemila
Published: November 2019

This article contributes to the sociology of urban marginality and of the Lumpenproletariat and makes a rare attempt to describe la Zone, a territory on the edge of Paris that was occupied by the “dangerous classes” for over a century. The study takes an inductive approach fueling critical analysis with material drawn in part from social surveys and in part from literature and popular culture. It identifies a dialectical tension in the various descriptions of la Zone, which, despite strong social and political contrasts, converge in their shared distrust or even open suspicion of these Parisian margins. This discursive structure, made up of oppositions and combinations of contraries, also recalls the forms of social control to which the classes viewed as dangerous can be subjected, within this case study and beyond.
Reintegration for Post-treatment Cancer Survivors: A Concept Analysis
Authors: Ore Michelle L. , Foli Karen J.
Published: November 2019

Background: Cancer survivors who have completed active treatments experience challenges in the survivorship phase of cancer care. Survivors transitioning through an illness experience negotiate former roles and relationships and reevaluate their self-identity. Reintegration of post-treatment cancer survivors has not been analyzed; however, nurses with a clear understanding of reintegration influence holistic care. Purpose: The goal of this artricle is to provide a theoretical definition of the concept of reintegration for cancer survivors post-treatment. The definition is derived and supported from a multidisciplinary literature review. Method: The discussion was organized using the Walker and Avant approach to concept analysis. Findings: This concept analysis defined reintegration as a dynamic process involving the reorganization of former performance roles concurrent with the reevaluation of personal abilities. Survivors are involved in creating a new normal and post-treatment cancer survivor identity. Reintegration is characterized by transitional phases that may be cyclical and evolve with time. Finally, desired outcomes are based on perceived subjective and objective criteria of importance and are strengthened through multidimensional supportive networks. Conclusion: Incorporating the physical, social, emotional, spiritual, and community/environmental aspects of the cancer survivorship experience enhances reintegration.
Fault feature extraction of wind turbine gearbox under variable speed based on improved adaptive variational mode decomposition
Authors: Zheng Xiaoxia , Wang Shuai , Qian Yiqun
Published: November 2019

This paper proposes a study on gearbox fault feature extraction of wind turbine under variable speed condition using improved adaptive variational mode decomposition (VMD). Frequent changes in wind speed and critical noise interference make the vibration signal exhibit non-stationary characteristics. Although computational order tracking can transform non-stationary signals in the time domain into stationary angular signals, and then extract fault features from order spectrum obtained by FFT, the obtained order spectrum is liable to be polluted by noise or to appear order aliasing. To avoid order aliasing and eliminate noise interference, the original non-stationary signal is firstly processed using the improved adaptive VMD method called adaptive differential evolution – VMD (ADE-VMD). ADE-VMD can not only utilise the advantages of traditional VMD but also adaptively select narrow-band intrinsic mode function (NBIMF) to construct the reconstructed signal with less noise and without order aliasing. In the experiment, we compared the ADE-VMD method with other VMD methods such as GA-VMD, PSO-VMD and DE-VMD, and the results showed that ADE-VMD has excellent adaptive processing ability, and its convergence and optimisation speed are more remarkable. ADE-VMD can effectively filter the noise inference and avoid the order aliasing, so it is well suitable for fault feature extraction under variable speed.
More Than Craft and Criteria: The Necessity of Ars Spirituality in (Black Women’s) Poetic Inquiry and Research Poetry
Authors: Cutts Qiana M.
Published: November 2019

The author introduces ars spirituality as a reflexive practice in poetic inquiry. She examines Faulkner’s ars poetica and ars criteria and contends their focus on the craft, aesthetics, and evaluation of research poetry do not account for the ways in which spirituality influences Black women’s research poetry and poetic inquiry. The author argues Black women’s poetry—whether crafted from/for personal experiences, historical research, or transcripts—is born of the spirit and conceptualizes ars spirituality using the works of Audre Lorde and Cynthia Dillard. Three guiding principles of ars spirituality are discussed and an ars spirituality example is provided.
Cultural Competence in Home Healthcare Nursing: Disparity, Cost, Regulatory, Accreditation, Ethical, and Practice Issues
Authors: Narayan Mary Curry
Published: November 2019

Home healthcare patients, who are members of minority, marginalized, or vulnerable patient populations, are at risk for healthcare disparities. Inadequate attention to the needs of the many different types of diverse patient populations seen by home health agencies could compromise an agency’s outcome indicators, reimbursement in value-based payment programs and responsibility to deliver equitable quality care. Culturally competent home health nurses may have a role in decreasing disparities and improving patient outcomes. This article discusses the incidence of disparities in home health care and highlights literature about the economic, regulatory, accrediting, policy, social justice, and ethical issues surrounding disparate and inequitable care for home healthcare patients. Patients in need of culturally competent care include those characterized by diversity related to race, ethnicity, language, religion, socioeconomic status, sexual orientation, gender identification, mental and physical disabilities, and stigmatized diagnoses (e.g., obesity and substance abuse). Home healthcare nurses who strengthen the cultural competence of their care may be able to decrease the incidence of disparate outcomes. By investing in the cultural competence of their home healthcare nurses, agencies may strengthen their commitment to their missions and the financial health of their agencies.
Approach to the Assessment and Management of Pediatric Patients With Atopic Dermatitis: A Consensus Document. Section I: Overview of Pediatric Atopic Dermatitis
Authors: Lara-Corrales Irene , Bergman James N. , Landells Ian , Ramien Michele L. , Lansang Perla
Published: November 2019

Pediatric atopic dermatitis (AD) is one of the most common dermatoses encountered by health-care providers treating children. Diagnosis of AD is clinical, with no universally accepted biomarkers or assessment tools. Patient-reported outcomes and subjective assessments of quality of life in both the patient and family are important considerations when treating pediatric AD. Here, we provide an overview of pediatric AD epidemiology, its clinical presentation, burden, diagnosis, and assessment, with a focus on implications for patient counseling in order to optimize care.
Perspectives on non-clinical health care workers’ moral obligation to report for work during virulent epidemics: an exploration in Guinea
Authors: Kpanake Lonzozou , Adjiwanou Vissého , Sorum Paul Clay , Mullet Etienne
Published: November 2019

Objectives

To examine the views of non-clinical health care workers (NCHW) and lay people in Guinea on NCHWs’ moral obligation to work during epidemics.

Methods

NCHWs ( N = 227) and lay people ( N = 253) were presented with theoretical vignettes of NCHWs who refused to work during a virulent epidemic and invited to rate the extent to which such decision was acceptable. Vignettes varied in four factors: level of risk of getting infected; the nature of the infection (Ebola, influenza, tuberculosis); working conditions and the NCHW’s family status.

Results

Three general qualitatively different positions were identified: (a) NCHWs have an unlimited moral obligation to work, irrespective of circumstances (10% of study participants); (b) NCHWs do not have a moral obligation to work (12%), and (c) the moral obligation to work depends entirely on circumstances (58%), while 19% of participants did not express any position.

Conclusions

Only a small proportion of NCHWs and lay people in Guinea considered that NCHWs’ refusal to work during an epidemic is always unacceptable. Policy makers planning for future epidemics need to take account of NCHWs’ moral dilemmas in deciding whether to report to work during epidemics and provide appropriate working conditions.
The virtual physical exam in the 21st century
Authors: Ansary Ali M , Martinez Joseph N , Scott John D
Published: November 2019

The modern Western medical encounter follows a strict framework that weaves subjective and objective components into a unifying diagnosis. As health care changes to incorporate new technology, such as virtual health care, the components that lead to diagnosis must likewise evolve. The virtual physical exam has limitations compared with the traditional exam. Despite this limitation, every year more patients are seen virtually with high satisfaction. Data have shown that supplementary real-time patient–provider video telemedicine increases access and extends established patient–physician relationships which will likely fuel increased telemedicine adoption even further. However, to date, there are limited data regarding the validity of the virtual examination compared with the traditional physical exam. In this paper, we review the use of developing technology related to the virtual physical exam.
What choice? Risk and responsibilisation in cardiovascular health policy
Authors: Hutchison Jacqueline , Holdsworth Julia
Published: November 2019

Employing a policy-as-discourse approach, we explore how the language of choice, risk and responsibilisation influences cardiovascular disease policy. We analyse four key pieces of public health literature produced in the UK between 1999 and 2013 that consider the prevention and treatment of coronary heart disease: Saving Lives: Our Healthier Nation; National Service Framework for Coronary Heart Disease; Mending Hearts and Brains and Cardiovascular Disease Outcomes Strategy. This critical discourse analysis problematises how neoliberal discourses of responsibilisation, risk and choice operate to govern health practices. Textual analysis reveals there are multiple dimensions evident in the way that responsibility for health is framed. Organisations are considered responsible ‘for’ illness prevention strategies and service provision, while individuals are conceptualised as responsible ‘to’ maintain healthy lifestyles. Conceptualising individuals as responsible health-conscious consumers enables a backward-looking narrative that holds individuals to account. Furthermore analysis reveals assumptions and messages that demonstrate the operation of moral discourses around patient behaviour. We suggest moral dimensions to public health strategies obscure the structural disparities that influence healthy life chances, imposing a system of limitations and exclusions that lead to allocation of liability and attributing blame for illness.
The Islamic State’s destruction of Yezidi heritage: Responses, resilience and reconstruction after genocide
Authors: Isakhan Benjamin , Shahab Sofya
Published: November 2019

After conquering large swathes of northern Iraq, the Islamic State undertook an aggressive genocidal campaign against the Yezidi people in which they not only executed and enslaved thousands of innocent civilians, but also damaged or destroyed several key Yezidi temples and shrines. Drawing on a small sample of in-depth semi-structured interviews with Yezidi men and women from two regions conquered by the Islamic State, this article documents the effect this wave of persecution has had on these Yezidi individuals. It finds that the attacks by the Islamic State on Yezidis and their heritage sites have caused considerable suffering among the community, in part because of their inability to practise their intangible religious rituals and customs. However, the Yezidi people have also demonstrated remarkable resistance and resilience to the Islamic State genocide in terms of returning to their ancient homelands, reconstructing their heritage sites and the re-emergence of their intangible religious heritage practices. The article concludes by noting that the new insights gleaned from these interviews are a step towards better understanding the relationship between tangible and intangible heritage in the wake of conflict, genocide and mass heritage destruction.
San Pedro river archive
Authors: Lantto Mirjami
Published: November 2019

In this experimental photo essay, I begin to craft an imaginative archive of the San Pedro river (Arizona) as a tentative conversation between geomorphology and creativity. Through several visits to this site, I experimented with incorrectly exposed photography as an alternative way of understanding geomorphological research, which must constantly compromise on the detail and resolution of spatial and temporal data. The violently dynamic river system begun to quite literally suspend the concept of a riverscape ‘archive’, which prompted imaginations of a curiously disposed archivist.
Horticultural Therapy in Patients With Dementia: A Systematic Review and Meta-Analysis
Authors: Lu Li-Chin , Lan Shao-Huan , Hsieh Yen-Ping , Yen Yea-Yin , Chen Jong-Chen , Lan Shou-Jen
Published: November 2019

Background:

World Health Organization has communicated that dementia as a public health priority in 2012. Behavioral and psychological symptoms of dementia are the main reason results in hospitalization of dementia patients. Horticulture is one of the favorite activity for many peoples to relax their minds.

Objectives:

To investigate psychological health benefits of horticulture intervention in dementia patients.

Methods:

The databases including Cochrane Library, ProQuest, PubMed, EMBASE, EBSCO, Web of Science, and Ovid Medline were searched up to August 2017.

Results:

Twenty-three articles for systematic review, whereas 8 articles were included in meta-analysis. Meta-analysis verified the beneficial effect of horticultural therapy (HT) on agitation level (standard mean difference: −0.59; P < .00001); increase time spent on activity engagement (mean differences [MD]: 45.10%, P < .00001); decrease time for doing nothing (MD: −29.36%, P = .02).

Conclusions:

Patients with dementia benefit from horticultural by alleviating their degrees of agitate behaviors, increasing time of engaging in activities and decrease time of doing nothing.
Intraoperative Fragmentation and Retention of Endovascular Devices: Clinical Consequences and Preventative Strategies
Authors: Endicott Kendal M. , Drucker Charles B. , Orbay Hakan , DuBose Joseph J. , Nagarsheth Khanjan , Toursavadkohi Shahab , Sarkar Rajabrata
Published: November 2019

Background:

Expanded applications and increasing volumes of complex endovascular procedures have increased the risk of unintended intraoperative fragmentation and retention of catheters and sheaths. We describe a series of retained or fragmented endovascular devices, a quality improvement program to address this unmet need for improved detection of catheter fragmentation, and the results of this program.

Methods:

Cases utilizing endovascular devices that resulted in a retained catheter fragment were identified and analyzed during divisional quality improvement review. One consistent area of concern was operating room (OR) staff unfamiliarity with verifying the integrity of an endovascular device. In response, a slide-based training protocol of focused, endovascular nursing education was implemented. Following perceived lack of improvement after this approach, we developed a handheld visual reference display of the tips of common catheters and sheaths. Staff was surveyed before and after intervention to assess the educational value of the display and the impact on staff device familiarity.

Results:

All 4 described cases resulted in an unplanned return to the OR for retrieval of the fragmented catheter or sheath. No thromboembolic complications were observed, although associated intra-arterial thrombus was noted in 2 cases. Thirty-four OR nurses were polled to trial the visual reference display initiative, with 70% of those reporting primary surgical assignments outside of cardiovascular ORs. Introduction of the new visual reference display improved staff confidence in their ability to identify a broken device (2.4-3.7, P < .001). This improvement was most significant in OR staff with primary assignments in noncardiovascular services.

Conclusion:

Current OR standard operating procedures fail to address the potential for unintentionally retained catheters and wires during endovascular procedures. Our novel visual reference display of common endovascular items rather than conventional in-service training improved the ability of staff to identify device fragmentation at the time of the index procedure.
Automating Dynamic Consent Decisions for the Processing of Social Media Data in Health Research
Authors: Norval Chris , Henderson Tristan
Published: November 2019

Social media have become a rich source of data, particularly in health research. Yet, the use of such data raises significant ethical questions about the need for the informed consent of those being studied. Consent mechanisms, if even obtained, are typically broad and inflexible, or place a significant burden on the participant. Machine learning algorithms show much promise for facilitating a “middle-ground” approach: using trained models to predict and automate granular consent decisions. Such techniques, however, raise a myriad of follow-on ethical and technical considerations. In this article, we present an exploratory user study ( n = 67) in which we find that we can predict the appropriate flow of health-related social media data with reasonable accuracy, while minimizing undesired data leaks. We then attempt to deconstruct the findings of this study, identifying and discussing a number of real-world implications if such a technique were put into practice.
Interval estimation for contact stiffness of bolted joint with uncertain parameters
Authors: Zhao Yongsheng , Wu Hongchao , Yang Congbin , Liu Zhifeng , Cheng Qiang
Published: November 2019

Bolted joints are elements used to create resistant assemblies in the mechanical system, whose overall performance is greatly affected by joints’ contact stiffness. Most of the researches on contact stiffness are based on certainty theory whereas in real applications the uncertainty characterizes the parameters such as fractal dimension D and fractal roughness parameter G. This article presents an interval estimation theory to obtain the stiffness of bolted joints affected by uncertain parameters. Topography of the contact surface is fractal featured and determined by fractal parameters. Joint stiffness model is built based on the fractal geometry theory and contact mechanics. Topography of the contact surface of bolted joints is measured to obtain the interval of uncertain fractal parameters. Equations with interval parameters are solved to acquire the interval of contact stiffness using the Chebyshev interval method. The relationship between the interval of contact stiffness and the uncertain parameters, that is, fractal dimension D, fractal roughness parameter G, and normal pressure, can be obtained. The presented model can be used to estimate the interval of stiffness for bolted joints in the mechanical systems. The results can provide theoretical reference for the reliability design of bolted joints.
Comparing Masters athletes with varying degrees of coaching for psychological need satisfaction and frustration
Authors: Hoffmann Matt D , Young Bradley W , Rathwell Scott , Callary Bettina
Published: November 2019

Exploratory research suggests Masters athletes (MAs; adult athletes >35 years) derive benefits from the coached context. This study sought to compare groups of MAs with varying degrees of coaching for reports of psychological need satisfaction and frustration. A total of 561 individual sport MAs completed surveys assessing psychological need satisfaction and frustration. MAs self-categorized into one of three groups: (1) coached MAs ( n =  284), (2) moderately coached MAs ( n =  92), and (3) non-coached MAs ( n =  185). Analyses comprised ANOVAs followed by Games-Howell post hoc tests. Coached and moderately coached MAs reported greater relatedness satisfaction than non-coached MAs. Coached MAs also reported greater relatedness satisfaction than moderately coached MAs. Coached and moderately coached MAs reported greater autonomy frustration than non-coached MAs, whereas coached MAs reported lower relatedness frustration than moderately coached and non-coached MAs. The findings suggest the coached context assists adult athletes in fulfilling their need for belongingness. Similarly, results imply that receiving frequent exposure to coaching helps MAs experience lower feelings of relatedness frustration. Lastly, findings suggest that the structure provided by coaches can have the inevitable consequence of slightly frustrating MAs’ autonomy. Future research should explore how coach-mediated processes explain MAs’ psychological need satisfaction and frustration.
Which patient-reported outcomes shall we use in hand surgery?
Authors: Marks Miriam
Published: November 2019

Nowadays, the use of patient-reported outcome measures to monitor a treatment effect in daily practice or to quantify study outcomes is indispensable. In hand surgery, there is a wide variety available. This article provides an overview about the most common hand-specific, upper-extremity specific and general quality of life patient-reported outcome measurement instruments with adequate psychometric properties. A checklist and a decision tree are provided for choosing the appropriate instrument when evaluating patients with hand conditions.
Functional outcomes after surgery for thumb carpometacarpal joint arthritis
Authors: Giddins Grey
Published: November 2019

There are a number of possible assessments of functional outcomes for thumb carpometacarpal joint arthritis. The most important and easiest to measure is pain, but it is not the only material outcome. Functional scores for measuring the outcome of the treatment of thumb carpometacarpal joint arthritis have been recommended for some time, but are still not widely used even in published studies. It is also unclear which functional scores are the most valuable. Easily used scores, such as the Disabilities of the Arm Shoulder and Hand questionnaire, are freely available, but may not be sensitive enough to assess outcomes especially of thumb carpometacarpal joint arthroplasty. The optimal functional outcome measurement would be weighted for the individual patient. A minimum dataset needs to be defined in order to compare studies and derive meaningful data.
Impact of body temperature at admission on inhospital outcomes in patients with takotsubo syndrome: insights from the Tokyo Cardiovascular Care Unit Network Registry
Authors: Kimura Akihisa , Yoshikawa Tsutomu , Isogai Toshiaki , Tanaka Hiroyuki , Ueda Tetsuro , Yamaguchi Tetsuo , Imori Yoichi , Maekawa Yuichiro , Sakata Konomi , Murakami Tsutomu , Arao Kenshiro , Nagao Ken , Yamamoto Takeshi , Takayama Morimasa
Published: November 2019

Background:

Takotsubo syndrome occasionally occurs in patients with fever due to underlying diseases. However, the impact of body temperature on inhospital prognosis of patients with takotsubo syndrome remains unknown.

Methods:

Using the patient cohort in the Tokyo Cardiovascular Care Unit Network Registry from 2013 to 2015, we identified 421 eligible patients whose data on body temperature at admission were available and classified them into three groups: high body temperature group (≥37.5°C; n=27), normal body temperature group (36.0–37.4°C; n=319), and low body temperature group (≤35.9°C; n=75). We compared the patient characteristics and inhospital outcomes among the three groups.

Results:

On admission, the high body temperature group showed a higher proportion of men and preceding physical triggers, higher heart and respiratory rates, and higher C-reactive protein level than the other groups. Inhospital all-cause mortality was significantly higher in the high body temperature group than in the normal or low body temperature group (18.5% vs. 2.2% vs. 4.0%, respectively, P<0.001). Both cardiac mortality (11.1% vs. 1.3% vs. 1.3%, P=0.001) and non-cardiac mortality (7.4% vs. 0.9% vs. 2.7%, P=0.031) were also significantly higher in the high body temperature group. Multivariable logistic regression analysis showed that high body temperature (reference: normal body temperature) was significantly associated with higher inhospital mortality (adjusted odds ratio 4.22; 95% confidence interval 1.15–15.51; P=0.030).

Conclusions:

Our findings suggest that high body temperature at admission is a strong predictor of inhospital mortality in patients with takotsubo syndrome. Febrile takotsubo syndrome patients may need to be managed with recognition of life-threatening conditions from the time of diagnosis, no matter what the causes of fever are.
A critically modern ecological economics for the Anthropocene
Authors: Wironen Michael B , Erickson Jon D
Published: November 2019

Ecological economics recognizes economic activity as a biophysical process mediated by social systems and ultimately subject to the constraints of a finite earth system. The Anthropocene discourse appears as validation of the central concerns of ecological economics yet throws into relief its limits as a normative transdiscipline oriented toward social transformation. We review ecological economics in light of two overarching challenges: first, negotiating between biophysical reality and plural constructed social realities, so as to create legitimate grounds for a sustainability transition; second, accounting for multi-level, multi-scale social and political action, which demands a means for arbitrating among competing normative propositions. We argue that attempts to address these challenges within ecological economics have been inconsistent and relatively scarce, reflecting an unresolved tension regarding modern and postmodern social theory. We demonstrate that a critically modern ecological economics could draw on aligned social movements and build on deliberative theory as a foundation for social and political change fit for navigating the Anthropocene.
Don’t Interrupt! A Case Report of Continuing Peritoneal Dialysis After Endoscopic Gastric Tumor Resection
Authors: Silverstein William K. , Teshima Christopher , Jolly Simran , Perl Jeffrey
Published: November 2019

Rationale:

The evidence supporting the safety of restarting peritoneal dialysis (PD) immediately after abdominal surgery and interventions is scant. In particular, there are no reported cases characterizing periprocedural management of PD for patients undergoing endoscopic submucosal dissection for gastric intramucosal tumor removal.

Presenting concerns of the patient:

A 66-year-old female with end-stage kidney disease secondary to diabetic nephropathy, currently on nocturnal automatic PD, presented with new iron-deficiency anemia. Workup revealed an intramucosal gastric lesion proximal to the pylorus, without surrounding lymph node involvement. Endoscopic submucosal dissection was performed with en bloc endoscopic resection of a 5-cm, partially flat, partially sessile mass along the posterior wall and lesser curvature of the gastric antrum. Pathology revealed low-grade dysplasia without features of malignancy. There was no evidence of hemorrhage or leak post-dissection.

Diagnoses:

The clinical presentation was consistent with an uncomplicated endoscopic submucosal dissection.

Interventions:

Peritoneal dialysis was held for 48 hours and restarted thereafter with no complications. The patient did not require bridging with hemodialysis.

Outcomes:

The patient had an uncomplicated post-endoscopic course, with no subsequent episodes of PD-associated peritonitis after at least 6-month follow-up.

Novel finding:

This is the first reported case of PD reinitiation after endoscopic submucosal dissection of a gastric tumor.
Education for citizenship: Implications for Christian education in Spain
Authors: Paige Carol A
Published: November 2019

The concept of citizenship has changed and evolved over time. Spain, as part of the European Union, has been included in a paradigm shift from a focus on nationalism to the concept of global citizenship. This has spurred a national controversy over the way in which Spanish students should be educated about citizenship. This article provides a concise history of citizenship education in Spain. An overview of the Education for Citizenship and Human Rights (EfC) curriculum is also incorporated with a description of the controversy surrounding its implementation as a mandatory school subject. It concludes with an explanation of Kingdom citizenship and implications and recommendations for Christian schools.