bluuebunny/crossref_metadata_2025_split huggingface dataset:
Influence of Activity Involvement and Place Attachment on Volunteer Interpreters’ Satisfaction in Taiwan
Authors: Pan Su-Lan , Wu C. , Chou Ju , Simpson Steven 
Published: September 2020

The purpose of this research was to establish a conceptual model of volunteer interpreters’ satisfaction in Taiwan. The objectives were: (1) to understand Taiwanese volunteer interpreters’ activity involvement, place attachment, and personal satisfaction and (2) to propose a hypothetical structural model representing the association between activity involvement, place attachment, and interpreters’ satisfaction. A total of 378 surveys were collected from volunteer interpreters at six Taiwan national parks and the Taipei Zoo. Based on the findings, research targets’ activity involvement was high and place attachment was moderate. Their satisfaction, however, was high. Furthermore, the results showed that the volunteer interpreters’ activity involvement and place attachment positively and significantly influenced satisfaction; their activity involvement also positively influenced place attachment. Based on the results, researchers proposed suggestions for agency managers who use volunteers, among them promoting interpreters’ activity involvement and place attachment in order to enhance volunteer satisfaction.
The application of the interpretive master planning process for natural and cultural resources and ecotourism to help reduce negative environmental impact on these sites: A Case Study of Ban Watchan Royal Project, Thailand
Authors: Danwandee Daranee , Summaniti Luxsana , Sri-ngrnyung Kriangsak 
Published: September 2020

The purpose of this research was for developing an interpretive master planning process for natural and cultural resource ecotourism based on a sustainable design concept. The objectives for the program were to educate people and encourage participation to set up an interpretation planning approach appropriate to know community needs and opinions within the resources’ sites and to assess the potential natural/cultural resources of the area, and protection to decrease environmental impacts on parks and natural areas, especially smoke from fire problems which seem to afflict almost of northern Thailand. The applied research uses tools such as questionnaires, observations, interview data, and site surveying, as well as the participatory process with stakeholders and government staff to create area mapping, and to set up planning and facilities development by the stake holders, the local government, and local people so that they may learn about and participate in the interpretive master planning process and learn how to encourage ecotourism of this area. The results of the research illustrated the advantage of interpretation of the natural and cultural resources with the concentration of a park or natural area to set appropriate knowledge and management learning an behavioral objectives for all users at the visitor center.
The Impact of Appropriate Interpersonal Touch (AIT) via Handshake on Perceived Credibility of Interpreter and Message
Authors: Shortt Mickey , Laird Shelby Gull , Darville Ray , Williams Pat Stephens 
Published: September 2020

The role of interpersonal touch has been studied in communication fields, demonstrating a handshake or other form of appropriate interpersonal touch (AIT) has rendered favorable results in rapport building with an audience as well as developing audience comfort and receptivity to messaging. This study aimed to determine if the use of a handshake prior to interpretive programming would increase the positivity of perception of a visitor toward interpreters and/or the message shared by interpreters. Four interpreters gave both control and test interpretive programs, with 404 participants completing surveys at the site for a period of about one month. The interpreters were then asked to reflect on their practice at the end of the study. The research also discusses viewpoints of professionals in the field of interpretation about the current use and perception of touch. Trough three angles, the research demonstrated that AIT positively affects a visitor's perception of the interpreter and the message shared. The research also highlights and discusses boundaries in the use of touch and next steps toward researching AIT's role in the field of interpretation.
Comparison of surgical indications and short- and long-term complications in 56 cats undergoing perineal, transpelvic or prepubic urethrostomy
Authors: Seneviratne Maheeka , Stamenova Polina , Lee Karla 
Published: September 2020

Objectives The aim of this study was to compare indications, complications and mortality rates for perineal urethrostomy (PU), transpelvic urethrostomy (TPU) and prepubic urethrostomy (PPU). Methods A retrospective review of, and follow-up owner questionnaire for, cats undergoing urethrostomy between 2008 and 2018, at a single referral hospital, were performed. Results Fifty-six cats underwent urethrostomy (PU, n = 37; TPU, n = 8; PPU, n = 11). The presenting problem was significantly associated with urethrostomy technique ( P <0.001). For PU cats, feline idiopathic cystitis (FIC; n = 21 [56.7%]) was the most common problem, whereas for PPU cats, trauma (n = 9 [81.8%]) was most common ( P <0.001). Urethrostomy technique was associated with imaging diagnosis ( P <0.001) of the urethral lesion. Most PU cats had no diagnostic imaging lesion (n = 15 [40.5%]) or obstructive calculi or clots (n = 10 [27.0%]), and all PPU cats had urethral rupture. Ten (90.9%) PPU cats had a pelvic lesion, while 21 (56.7%) PU cats had a penile lesion. TPU cats had a range of presenting problems and imaging diagnoses. Short- and long-term complications were reported in 33/55 (60.0%) and 11/30 (36.7%) cats, respectively. The number of cats with long-term complications was greater among PPU cats ( P = 0.02). Short-term dermatitis ( P = 0.019) and long-term incontinence ( P = 0.01) were associated with PPU. Short-term mortality was 5.6% and long-term mortality was 13.3%; both were independent of urethrostomy technique. Quality of life post-urethrostomy, across all techniques, was graded as good by 93% of owners. Conclusions and relevance In this study, PU was the most common feline urethrostomy technique indicated for FIC. Short-term urethrostomy complications are common, irrespective of urethrostomy technique. Long-term complications are less frequent but more common with PPU.
Examining key hotel attributes for guest sleep and overall satisfaction
Authors: Robbins Rebecca , Grandner Michael , Knowlden Adam , Severt Kimberly 
Published: September 2020

Introduction Despite the fact that hotels provide a venue for sleeping, there is surprisingly little research that has explored sleep among hotel guests. The aim of this study is to identify the relationship between hotel attributes (e.g., light in the guestroom, bed linens), guest sleep, and overall guest satisfaction. Methods Cross-sectional survey data were obtained from frequent business and leisure travelers (N = 609). Guest sleep satisfaction and overall guest satisfaction were measured on 5-point Likert scales. Participants were asked to report the extent to which hotel attributes (e.g., “Room too light or too dark”) related to their sleep on a scale from 1 (not at all) to 5 (very much). We used ordinal logistic regression to predict guest sleep and hotel satisfaction using hotel attributes as predictors while controlling for age, sex, and relationship status. Results Hotel guest sleep did not differ between business and leisure travelers. Hotel guest sleep was inversely associated with “uncomfortable bed linen,” “uncomfortable pillows,” and “sound from the air conditioning unit or heater.” Regression revealed that sleep satisfaction was a strong predictor of overall hotel satisfaction. Conclusions Our study suggests that guest sleep is be a critical component of the guest satisfaction equation. Importantly, our study illuminated the hotel attributes that offer the biggest contribution to hotel guest sleep and the specific steps for improving guest sleep.
Can music reminiscence approaches be used in moderate–severe dementia? A pilot of music mirrors
Authors: Camerlynck Marie-Frederique , Sedgwick Ottilie , Lister Helen 
Published: September 2020

Music-based therapies have been widely evaluated for individuals with dementia. Music Mirrors (MM) is a new music-based reminiscence tool that looks to improve person-centred care, encourage conversation and stimulate reminiscence. Since MM is designed for persons with mild dementia, this project looked to determine the feasibility, acceptability and efficacy of the tool with three individuals with moderate to severe dementia. Over 6 weeks, 12 sessions were conducted, assessing for mood and behavioural changes during and after each session. Despite limitations to the project, overall results suggest that MM can be beneficial to people with moderate to severe dementia.
Cartilage Oligomeric Matrix Protein–Derived Peptides Secreted by Cartilage Do Not Induce Responses Commonly Observed during Osteoarthritis
Authors: Andrés Sastre Enrique , Zaucke Frank , Witte-Bouma Janneke , van Osch Gerjo J.V.M , Farrell Eric 
Published: September 2020

Objective To evaluate if 3 peptides derived from the cartilage oligomeric matrix protein (COMP), which wounded zones of cartilage secrete into synovial fluid, possess biological activity and might therefore be involved in the regulation of specific aspects of joint regeneration. Methods The 3 peptides were produced by chemical synthesis and then tested in vitro for known functions of the COMP C-terminal domain from which they derive, and which are involved in osteoarthritis: transforming growth factor-β (TGF-β) signaling, vascular homeostasis, and inflammation. Results. None of the peptides affected the gene expression of COMP in osteochondral progenitor cells ( P > 0.05). We observed no effects on the vascularization potential of endothelial cells ( P > 0.05). In cultured synovium explants, no differences on the expression of catabolic enzymes or proinflammatory cytokines were found when peptides were added ( P > 0.05). Discussion and Conclusions The 3 peptides tested do not regulate TGF-β signaling, angiogenesis and vascular tube formation, or synovial inflammation in vitro and therefore most likely do not play a major role in the disease process.
Poorer Diet Quality Observed Among US Adults With a Greater Number of Clinical Chronic Disease Risk Factors
Authors: Fanelli Stephanie M. , Jonnalagadda Satya S. , Pisegna Janell L. , Kelly Owen J. , Krok-Schoen Jessica L. , Taylor Christopher A. 
Published: September 2020

Background Obesity and chronic disease risk are significantly related to healthy lifestyle behavior, including dietary intakes. Further, the interrelated etiology of many chronic conditions supports the comorbidity in US adults to manage multiple diagnoses. The purpose of this study was to assess diet quality across varying numbers of existing conditions, including obesity, hypercholesterolemia, hyperglycemia, and hypertension. Methods Cross-sectional analysis of data from 17 356 adults aged 45 years and older from the 2005-2016 National Health and Nutrition Examination Survey were assessed for the presence of overweight or obesity (body mass index >25 kg/m2), hyperglycemia (glycated hemoglobin >5.7%), hypercholesterolemia (>200 mg/dL), and high blood pressure (>120/80 mm Hg). Overall diet quality was assessed using Healthy Eating Index 2015 scores computed from the intakes reported during the 24-hour dietary recall collected in the mobile examination center. The total score (range 0-100) is based on the sum of 13 subscales that represent concordance with the Dietary Guidelines for Americans. Results Few adults presented with no markers of chronic disease (n = 407), with other presenting 1 indicator (n = 1978), 2 indicators (n = 4614), 3 indicators (n = 6319), and all 4 indicators (4038). While there was no significant difference in mean energy intakes on the day of intake, those with all 4 markers of chronic disease had a significantly poorer diet quality ( P < .001) and consumed significantly more saturated fat ( P = .026), but significantly less total carbohydrates, dietary fiber, and added sugars ( P < .005). While mean consumption of protein was lowest in those with more chronic conditions, the differences were not significant. Conclusion Overall dietary intakes from the day of intake indicated that those with a greater number of chronic conditions presented with poorer overall dietary intakes. The foundational intervention strategy across all evidence-based treatment strategies is the promotion of healthy lifestyle behaviors.
Sleep and Safety Decision-Making Among Truck Drivers
Authors: Heaton Karen , Mumbower Rachael , Childs Gwen 
Published: September 2020

Background: Restorative sleep is essential for the level of cognitive performance required of truckers to drive safely. The purpose of this qualitative descriptive study was to describe and explore sleep-related and safety decision-making among truck drivers. Methods: Flyers and snowball sampling were used to recruit truck drivers into the study. Semi-structured interviews were conducted to determine personal and professional influences on sleep and safety decision-making and preferences for receiving health information. Thematic analysis was conducted to generate descriptions of participants’ experiences. Findings: The sample consisted of 10 White males with a mean of 22 years of truck-driving experience. Weather conditions and drowsiness were the most commonly described conditions that required sleep decision-making by the participants. Four themes impacting sleep- and safety-related decision-making emerged including sentinel events, evolving driver characteristics, relationships, and company-level factors. Conclusion/Application to Practice: Findings from this study suggest that there are both internal and external factors influencing sleep and safety decision-making among truck drivers. Personal relationships with important others, such as family members, and professional relationships with company dispatchers were important influences among participants. During encounters with truck drivers, occupational health nurses should assess sleep quality and quantity and review healthy sleep hygiene strategies with them and their family members, if they are available. Future larger studies are necessary to inform the development of interventions and company policies to promote healthy sleep among truck drivers.
Anterior Pelvic Plane: A Potentially Useful Pelvic Anatomical Reference Plane in Assessing the Patients’ Ideal Pelvic Parameters Without the Influence of Spinal Sagittal Deformity
Authors: Liu Chao , Hu Fanqi , Li Zhizhong , Wang Yan , Zhang Xuesong 
Published: September 2020

Study Design: Observational study. Objective: This study was aimed at investigating the reliability of anterior pelvic plane (APP) as an anatomical reference plane for assessing the patients’ pelvic incidence in patients with ankylosing spondylitis kyphosis deformity. Methods: The globe kyphosis (GK), lumber lordosis (LL), thoracolumbar kyphosis (TLK), thoracic kyphosis (TK), anatomical cervical 7 sacrum angle (aC7SA), and cervical 7 sacrum angle (C7SA) were measured on full-length spine radiography imagines. The pelvic incidence (PI), anatomical pelvic tilt (aPT), and anatomical sacral slope (aSS) were measured on the pelvic synthesized 2D lateral radiography imagines. Because the angle between APP and vertical line was about 4°, Angle1 and tPT were calculated using the following formulas: Angle1 = aC7SA − 4; PT = aPT + 4. According to the study conducted by Vialle, traditional PT (tPT) was calculated using the following widely accepted formula: tPT = PI * 0.37 − 7. Measured PT (mPT) was also measured on the full-length spine radiography imagines. Results: The data analysis showed that PI, mPT, aSS, aPT, and APPA were 50.83 ± 13.44°, 32.52 ± 4.64°, 41.36 ± 9.46°, 8.56 ± 6.80°, and 23.95 ± 5.17°, respectively. There was no significant difference between the PT and tPT (12.56 ± 6.80, 11.49 ± 4.73; P = .152). So, the results demonstrated that the PT could play the equivalent effect as tPT did for making surgical plans in patients with kyphosis deformity. Conclusion: The pelvic anatomical reference plane had potential to be used in assessing the patients’ ideal pelvic incident without the influence of spinal sagittal deformity. The aPT+4 may represent patients’ postoperative ideal PT.
Midterm results of revision total hip arthroplasty for migrated bipolar hemiarthroplasty in patients with hip osteoarthritis using cementless cup with the rim-fit technique
Authors: Tanaka Takeyuki , Kaneko Taizo , Hidaka Ryo , Hashikura Kazuaki , Ishikura Hisatoshi , Moro Toru , Tanaka Sakae 
Published: September 2020

Purpose: The results of reamed bipolar hemiarthroplasty (BHA) in patients with hip osteoarthritis (OA) are reported to be unfavorable. Acetabular reaming for sufficient bony coverage caused bipolar head migration into the superomedial direction, and most patients required revision surgeries. Several methods are applicable to treat decreased bone stock. This study aimed to investigate the midterm results of revision surgeries using the cementless cup with the rim-fit technique. Methods: Between 1996 and 2014, acetabular revision surgeries using the cementless cup with the rim-fit technique were performed in 86 hips (74 patients). We evaluated radiographic outcomes, including positional change of the rotation center of the artificial femoral head, presence of implant loosening, and filling of the initial gap. We also evaluated clinical outcomes, including the Harris hip score (HHS), and postoperative complications. Results: The average positional changes from BHA to prerevision surgeries were 8.0 mm superiorly and 4.1 mm medially. The average changes from prerevision to postrevision surgeries were 3.7 mm inferiorly and 2.4 mm laterally. No implant loosening was found in all cases; the initial gap between the acetabular host bone and the acetabular cup was filled in 53 (93%) among 57 hips. The average HHS improved from 65.9 before revision surgeries to 83.8 in the latest follow-up. Dislocation and postoperative periprosthetic fracture occurred in two and five hips, respectively; no cases required rerevision surgeries. Conclusion: There were favorable midterm results of the revision total hip arthroplasty for migrated BHA in patients with hip OA using cementless cup with the rim-fit technique.
Development of a patient-oriented outcome measure for patients with hand and elbow disorder: HandQ
Authors: Uehara Kosuke , Miura Toshiki , Takashi Ohe , Doi Tokuhide , Tanaka Sakae , Morizaki Yutaka 
Published: September 2020

Purpose: The Disabilities of the Arm, Shoulder, and Hand (DASH) is the most widely used patient-oriented outcome measure for the upper extremities in the world, and high reliability and validity of it has already been confirmed. However, there are several problems with using the DASH, some of which are culturally related. We aimed to (1) develop a patient-oriented disease-specific outcome measure for patients with disorders of the hand and elbow, which we call the HandQ and (2) examine the practical applicability, reliability, and validity of the HandQ for any patient with disorders of the hand and elbow. Methods: A total of 216 patients were surveyed with the HandQ, as well as the Hand20 and the DASH to assess psychometric characteristics. Results: There were no considerable floor and ceiling effects regarding the total HandQ score. Test–retest reliability and internal consistency determined using the intraclass correlation coefficient (0.942) and Cronbach’s α test (0.961) were excellent. The HandQ was well correlated with the Hand20 and the DASH scores. Scree plot showed unidimensionality of the HandQ, and the graphical model showed the questionnaire items of the HandQ had reasonable correlation among each item. Conclusions: The HandQ has a sufficient reliability and internal consistency, and an excellent validity, and was shown to be able to be practically applicable in all patients with hand and elbow disorders.
Objective visualization of the effect of different knee flexion angles on medial-lateral displacement of the knee center in frontal plane during single-Leg Squat
Authors: Cotic Matthias , Ksoll Korbinian , Beitzel Knut , Seiberl Wolfgang , Imhoff Andreas B. , Schwirtz Ansgar , Kreuzpointner Florian , Achtnich Andrea 
Published: September 2020

Introduction: The subjective single-leg squat (SLS) test can be used as a functional diagnostic agent to prevent knee injuries. [1] However, there are missing objective data about its functional rating, performance, squat depth and medio-lateral knee displacement in the frontal plane. [2] There-fore, the purpose of this pilot study was to evaluate the medio-lateral knee displacement in the frontal plane with a 3D motion capture system at different knee flexion angles during the SLS in healthy patients. Hypotheses: The hypothesis was that according to different knee flexion angles, there is a variability of medial knee displacement (= valgus positions) in healthy patients. Methods: 17 healthy and sporty subjects (9 ♀/ 8 ♂, age 25±4 years, BMI 24±2 kg/m2) participated in this study. Exclusion criteria were balance disorders, hip knee and/ or ankle complaints, sur-gery history, high deviation in lower extremity axis (i.e. Genu varum/ Genu valgus). Knee dis-placement was measured by 3D motion analysis system (Vicon Motion Systems, Oxford, UK) using a modified method of Krosshaug et al. [3] Thus, knee displacement was defined as distance between knee joint center and reference plane including the calculated hip and ankle joint center and the fixed toe marker on the second metatarsal head. A positive knee dis-placement was associated with a knee valgus, a knee varus was described as negative knee displacement. Every participant did 12 single-leg squats on each side. Results: The following knee flexion angles of all SLSs were captured (°, mean and standard deviation (±)): start position at 11 ± 6; downward phase at 40 ± 0 and 60 ± 0; maximum at 86 ± 16; up-ward phase at 60 ± 0 and 40 ± 0; end position at 8 ± 6. The medio-lateral knee displacement of all SLSs showed at the mentioned knee flexion an-gles the following values respectively (mm, median, interquartile range (25th - 75th quartile)): -12 (-19 to -5); 0 (-9 to 7); 13 (-2 to 28); 38 (8 to 61); 17 (0 to 36); 4 (-6 to 16); -15 (-22 to -7). Conclusion: According to different knee flexion angles, there is a variability of medio-lateral knee dis-placements in healthy patients. This variability should be included in the functional rating of a SLS as well as in the interpretation of different knee pathologies. Moreover, it provides an objective basis in the prediction of knee injuries.