bluuebunny/crossref_metadata_2025_split huggingface dataset:
Who Practises Practice Theory (and How)? (Meta-)theorists, Scholar-practitioners, (Bourdieusian) Researchers, and Social Prestige in Academia
Authors: Holthaus Leonie 
Published: August 2020

Practice theory has become a popular and avowedly pluralistic research programme in European and Canadian international relations (IR). It promises the end of monolithic grand theorising and armchair analysis. Yet, taken together, practice theory’s pluralist character and methodological promises raise the question: who practises practice theory (and how)? I deal with this question through a discussion of three different, representative, and sociologically important books. On this basis, I depict three (ideal-)types of authorship. They include the (meta-)theorist, the scholar-practitioner, and the Bourdieusian researcher. I show that authors remake practice theory’s theoretical claims by relating practice to theory in different manners, such as deep theorising, reworking of experience in inductive theorising, and reflexive conceptualisation. I focus less on the enduring position of (meta-)theorists. I rather argue that the different academic practices indicate that the authors seek prestige within practice theory and neighboring scientific communities. For this purpose, I approach prestige as durable esteem due to occupational achievements. Finally, I ask how the new scientific demands of practice theory might impact young, less established academics. Type de manuscrit : Recension d’ouvrage Qui pratique la théorie de la pratique (et comment)? (Méta-)théoriciens, praticiens-chercheurs, chercheurs (bourdieusiens) et prestige social à l’Universit
Can We Eliminate Opioid Medications for Postoperative Pain Control? A Prospective, Surgeon-Blinded, Randomized Controlled Trial in Knee Arthroscopic Surgery
Authors: Hartwell Matthew J. , Selley Ryan S. , Terry Michael A. , Tjong Vehniah K. 
Published: August 2020

Background: Orthopaedic surgeons have a responsibility to develop responsible opioid practices. Growing evidence has helped define an optimal number of opioids to prescribe after surgical procedures, but little evidence-based guidance exists to support specific practice patterns to decrease opioid utilization. Hypothesis: After knee arthroscopic surgery with partial meniscectomy, patients who were provided a prescription for opioids and instructed to only fill the prescription if absolutely necessary for pain control would take fewer opioids than patients with opioids automatically included as part of a multimodal approach to pain control prescribed at discharge. Study Design: Randomized controlled trial; Level of evidence, 2. Methods: Patients undergoing arthroscopic partial meniscectomy were provided multimodal pain control with aspirin, acetaminophen, and naproxen and randomized to receive oxycodone as either included with their multimodal pain medications (group 1) or given an optional prescription to fill (group 2). Patients were contacted at time points up to 1 month after surgery to assess opioid utilization and medication side effects. The mean number of tablets utilized was the primary outcome measure, with a 50% reduction defined as a successful outcome. Results: A total of 105 patients were initially enrolled, and 95 (91%; 48 in group 1 and 47 in group 2) successfully completed the study. There was no significant reduction in the number of tablets utilized between groups 1 and 2 (3.5 vs 4.5, respectively; P = .45), days that opioids were required (2.2 vs 3.2, respectively; P = .20), or postoperative pain at any time point. The group with the option to fill their prescription had significantly fewer unused tablets remaining than the group with opioids included as part of the multimodal pain control regimen (75% of potentially prescribed tablets vs 82% of prescribed tablets; P < .001). Overall, 37% of patients did not require any opioids after surgery, and 86% used ≤8 tablets. Conclusion: Patients required a minimal number of opioids after knee arthroscopic surgery with partial meniscectomy. There was no difference in the number of tablets utilized whether the opioid prescription was included in a multimodal pain control regimen or patients were given an option to fill the prescription. Offering optional opioid prescriptions in the setting of a multimodal approach to pain control can significantly reduce the number of unused opioids circulating in the community. Registration: NCT03876743 (ClinicalTrials.gov identifier)
Approaching the mountain: A journey into the wilderness of large group thinking
Authors: Reicher Emma 
Published: August 2020

Although the large group is a mandatory part of the Institute of Group Analysis London Qualifying Course, its history and theory have been absent from the curriculum. This fringe status can be seen as a reflection of the challenge the large group offers the analyst—trainee and practitioner alike. It exposes structures of power, reveals issues around race and gender, and brings historical trauma to light. The question is, are we willing to look within? My ‘journey into the wilderness’ is a step towards an answer. As such, this article is framed as field research, focusing on the lived experience of the large group, as well as revisiting its past. It moves between two paradigms of practice—developmental large groups in training institutes and discrete large groups at conferences—and seeks to define the purpose of this ritual, as well as set new ground lines for ethical practice. Through the use of large group material, I trace the theoretical language of koinonia, fellowship, dialogue, outsight and equivalence, and exemplify learnings around the mechanisms of projective processes. I suggest that a projection must be felt before it can be returned, but in such a multi-person setting, ‘countertransference’ does not do this work of integration justice. Finally, I address containment and introduce the concept of reverie/participation. Through this model the large group grants us an experience of embeddedness, and awakens our responsibility for the challenges of history making, and social change.
An Introduction to Catholic Economics: General Welfare, Competing Perspectives, and Human Nature
Authors: Binder Alexander D. 
Published: August 2020

Catholic economics is the interdisciplinary pursuit of joining Church teaching with economic science. The Church and its leaders, the Pope and Bishops, are primarily concerned with the salvation of souls and their general welfare, or the common good, and as such govern and guide the faithful to that end. Catholic scholars seeking to apply those teachings are free to and do debate the merits of particular policies or institutions. Catholic economists also question particular economic theories that contrast with Church teaching, especially with regard to human nature. This article examines these core elements of the Catholic Economics school of thought. JEL Classifications: A12, I31, Z12
Prevalence of antiphospholipid antibodies in patients with overt myocardial dysfunction in systemic lupus erythematosus. A case-control study
Authors: Gawalkar Atit A , Bahl Ajay , Ahluwalia Jasmina , Sood Ashwani , Sharma Aman , Sharma Shefali , Dhir Varun 
Published: August 2020

Background Small case-series have reported overt myocardial dysfunction to be associated with positive antiphospholipid antibodies in patients of systemic lupus erythematosus (SLE). However, there is no case-control study that has examined this association. Methods This case-control study recruited patients of SLE (fulfilling SLICC criteria) with overt myocardial dysfunction as cases and those without this as controls. Overt myocardial dysfunction was defined by echocardiography as global left ventricular dysfunction and reduced ejection fraction (<50%). Those patients with a prior diagnosis of anti-phospholipid antibody syndrome, coronary artery disease, rheumatic heart disease or severe pulmonary artery hypertension were excluded. Antibodies tested included lupus anticoagulant, anticardiolipin antibodies (IgM and IgG) and anti-beta 2 glycoprotein 1 antibodies (IgM and IgG). Patients with positive tests underwent repeat testing for persistent positivity after 12 weeks. Results This study included 51 patients (21 cases and 30 controls) having a mean (SD) age of 33 (13.3) years, and disease duration (median, IQR) of 28 months (12−38 months). The mean ejection fraction of cases was 31.7 (9.3)% while that of controls was 55.7 (1.7)% (p = 0.03). The frequency (percentage) of positive antiphospholipid antibodies was not significantly different between cases and controls (43%, 40%, p = 0.8). The frequency (percentage) of anti-cardiolipin antibody was also not significant between the groups (38%, 37%, p = 0.57). Serositis and leucopenia were more prevalent in SLE patients with myocardial dysfunction (p = 0.005). Conclusion This study did not find any significant association of anti-phospholipid antibodies with overt myocardial dysfunction in patients of SLE.
Wired to Exit: Exploring the Effects of Wayfinding Affordances in Underground Facilities Using Virtual Reality
Authors: Kostakos Panos , Alavesa Paula , Korkiakoski Mikko , Marques Mario Monteiro , Lobo Victor , Duarte Filipe 
Published: August 2020

Background Wayfinding has been adopted in several intense evacuation and navigation simulations; however, the use of biometric measurements for characterizing physiological outcomes has been somewhat overlooked and applied only under limited laboratory conditions. Methods Twenty-four participants took part in a virtual reality (VR) experiment using a wayfinding installation with the Oculus Rift S head-mounted display (HMD). They were immersed in a simulation of a burning underground parking lot and tasked to navigate to the exit. The purpose of this research was to investigate the high-level effect of wayfinding assistive lights on behavioral, physiological, and psychological outcomes. Participants were split into two groups: the control group was exposed to a scene without assistive lights, and the experimental group was exposed to the same scene with assistive lights. Results Results indicate there was no statistically significant difference between the groups in traveled distance, pauses, turns, or game completion time. Curiously, differences between the two groups in heart rate (HR) outcomes were found to be statistically significant, with subjects in the control group displaying an increasing HR trend during simulation. Conclusions This finding, in accordance with previous studies that have shown the efficacy of landmarks and wayfinding affordances in reducing cognitive demands, suggests that assistive lights might contribute to improved brain wiring connectivity during the game. We discuss these findings in the context of a rich wayfinding affordances literature.
Can the use of an inclinometer improve acetabular cup inclination in total hip arthroplasty? A review of the literature
Authors: van Duren Bernard H , Royeca Joseph M , Cunningham Conor M , Lamb Jonathan N , Brew Chris J , Pandit Hemant 
Published: August 2020

Introduction: The angle of acetabular (cup) radiographic inclination is an important measurement in total hip arthroplasty (THA) procedures. Abnormal radiographic inclination is associated with dislocation, edge loading and higher failure rates. Consistently achieving a satisfactory radiographic inclination remains a challenge. Inclinometers have been increasingly used over the last decade. This paper reviews the literature to determine whether using an inclinometer improves the accuracy of acetabular cup inclination in THA. Methods: A systematic literature search was performed. The following search terms were used: (‘hip’ OR ‘hip replacement’ OR ‘hip arthroplasty’ OR ‘primary hip replacement’ OR ‘THR’ OR ‘THA’ OR ’Acetabular cup Inclination’) AND (‘Inclinometer’). Titles and abstracts were screened for relevance. Both radiographic and operative inclination comparisons were included. Results: 7 studies met the inclusion criteria. 2 were randomised control trials with level I evidence, and the remaining studies were cohort studies with level III/IV evidence. 5 were clinical and 2 experimental. In total there were 16 cohorts: 7 using an inclinometer, 6 freehand, and 3 using MAG techniques. All studies comparing radiographic inclination and 1 of 2 studies comparing operative inclination showed an improvement in the attainment of the optimal inclination. Similarly, the use of an inclinometer showed a reduction in the number of outliers when compared to MAG and freehand techniques. Discussion: This review demonstrates that using an inclinometer improved the surgeon’s ability to achieve their intended inclination (both operative and radiographic) and reduced the incidence of positioning outside the safe-zone. However, only 2 of the studies were randomised control trials and these resulted in opposing conclusions. Therefore, further studies looking at the use of inclinometers would prove useful in understanding their true benefit.
Economic evaluation and costs of telepsychiatry programmes: A systematic review
Authors: Naslund John A , Mitchell Lauren M , Joshi Udita , Nagda Dipal , Lu Chunling 
Published: August 2020

Objective Telepsychiatry involves use of telecommunications technology to deliver psychiatric care and offers promise to reduce costs and increase access to mental health services. This systematic review examined cost reporting of telepsychiatry programmes for mental healthcare. Methods We systematically searched electronic databases for studies reporting costs, including economic evaluations such as cost-effectiveness analyses, or costs of developing telepsychiatry programmes for clinical care of mental disorders. Included studies enrolled participants with mental disorders and involved telepsychiatry for depression, anxiety disorders, serious mental illnesses including schizophrenia spectrum disorders and bipolar disorder, post-traumatic stress disorder, dementia or epilepsy. Results Twenty-six unique studies met inclusion criteria (17,967 participants), with most targeting depression ( n = 7; 27%), general mental disorders and screening ( n = 7; 27%), child mental health ( n = 4; 15%) and geriatric mental health ( n = 4; 15%). Nearly all studies ( n = 25; 96%) compared telepsychiatry programme costs with either standard in-person consultation or usual care, with 15 (60%) reporting that telepsychiatry programmes were less expensive, and 8 (32%) showing telepsychiatry programmes were more expensive. Three studies reported cost-effectiveness analyses, favouring telepsychiatry programmes, but at highly elevated cost-effectiveness thresholds. Few studies reported costs of developing or delivering telepsychiatry programmes. Conclusion Costs of telepsychiatry programmes varied widely, with substantial heterogeneity in how costs were defined and reported. Some programmes cost less than in-person services while others cost more. Therefore, rigorous cost-effectiveness studies following established standards in economic evaluation are needed to inform implementation and sustainability of these programmes in health systems.
Association between interarm blood pressure differences and diabetic retinopathy in patients with type 2 diabetes
Authors: Lee Ji Hyun , Kim Ye An , Lee Young , Bang Woo-Dae , Seo Je Hyun 
Published: August 2020

Background: The effect of interarm blood pressure difference on the development of diabetic retinopathy, proteinuria and chronic kidney disease remains unknown. We investigated to determine the impact of interarm blood pressure difference on the prevalence of diabetic retinopathy, proteinuria and chronic kidney disease in patients with type 2 diabetes. Methods: The study included 563 patients with diabetes, who were evaluated with a simultaneous bilateral blood pressure measurement. The cutoff values for interarm blood pressure difference were 5, 10 and 15 mmHg. Logistic regression analysis was used to explore the relation between interarm blood pressure difference and diabetic retinopathy, proteinuria and chronic kidney disease. Results: Diabetic patients with systolic interarm blood pressure difference ⩾5, ⩾10 and ⩾15 mmHg showed an increased risk of diabetic retinopathy [adjusted odds ratio = 1.48 (95% confidence interval = 1.01–2.18), odds ratio = 1.80 (95% confidence interval = 0.99–3.22), odds ratio = 2.29 (95% confidence interval = 1.00–5.23)] after adjustment. There were significant associations between interarm blood pressure difference ⩾5 and ⩾10 mmHg and proteinuria [odds ratio = 1.68 (95% confidence interval = 1.15–2.44), 1.89 (95% confidence interval = 1.05–3.37)]. Conclusion: The association between interarm blood pressure difference and the presence of diabetic retinopathy emerged even for systolic interarm blood pressure difference ⩾5 mmHg without interaction of systolic blood pressure. Systolic interarm blood pressure difference should be considered a surrogate marker for vascular complication in patients with type 2 diabetes.
Retrospective collection of 90-day modified Rankin Scale is accurate
Authors: Wang Mengxi , Rajan Suja S , Jacob Asha P , Singh Noopur , Parker Stephanie A , Bowry Ritvij , Grotta James C , Yamal Jose-Miguel 
Published: August 2020

Background: The 90-day modified Rankin Scale is a widely used outcome after stroke but is sometimes hard to ascertain due to loss to follow-up. Missing outcomes can result in biased and/or inefficient estimates in clinical trials. The aim of this study is to assess the validity of acquiring the 90-day modified Rankin Scale at a later point of time when the patient has been lost at 90 days to impute the missing value. Methods: Participants who had prospectively completed a 90-day modified Rankin Scale questionnaire on their own in the Benefits of Stroke Treatment Using a Mobile Stroke Unit study were randomly interviewed to recall the 90-day modified Rankin Scale at 6, 9, or 12 months after hospital discharge over the phone. Concordance between the two scores was assessed using kappa and weighted kappa statistics. Logistic regression was used to identify factors associated with inconsistent reporting of the 90-day modified Rankin Scale. Results: Substantial agreement was observed between in-the-moment and retrospective 90-day modified Rankin Scale recalled at 6, 9, or 12 months (weighted kappa = 0.93, 95% confidence interval: 0.89–0.98; weighted kappa = 0.93, 95% confidence interval: 0.85–1.00 and weighted kappa = 0.89, 95% confidence interval: 0.82–0.95, respectively). Conclusion: Retrospective recall of 90-day modified Rankin Scale at a later time point is a valid means to impute missing data in stroke clinical trials.
Blood biomarkers for the diagnosis and differentiation of stroke: A systematic review and meta-analysis
Authors: Misra Shubham , Montaner Joan , Ramiro Laura , Arora Rohan , Talwar Pumanshi , Nath Manabesh , Kumar Amit , Kumar Pradeep , Pandit Awadh K , Mohania Dheeraj , Prasad Kameshwar , Vibha Deepti 
Published: August 2020

Background Correct diagnosis of stroke and its subtypes is pivotal in early stages for optimum treatment. Aims The aim of this systematic review and meta-analysis is to summarize the published evidence on the potential of blood biomarkers in the diagnosis and differentiation of stroke subtypes. Methods A literature search was conducted for papers published until 20 April 2020 in PubMed, EMBASE, Cochrane Library, TRIP, and Google Scholar databases to search for eligible studies investigating the role of blood biomarkers in diagnosing stroke. Quality assessment was done using modified Quality Assessment of Diagnostic Accuracy Studies questionnaire. Pooled standardized mean difference and 95% confidence intervals were calculated. Presence of heterogeneity among the included studies was investigated using the Cochran's Q statistic and I2 metric tests. If I2 was < 50% then a fixed-effect model was applied else a random-effect model was applied. Risk of bias was assessed using funnel plots and between-study heterogeneity was assessed using meta-regression and sensitivity analyses. Entire statistical analysis was conducted in STATA version 13.0. Results A total of 40 studies including patients with 5001 ischemic strokes, 756 intracerebral hemorrhage, 554 stroke mimics, and 1774 healthy control subjects analyzing 25 biomarkers (within 24 h after symptoms onset/after the event) were included in our meta-analysis; 67.5% of studies had moderate evidence of quality. Brain natriuretic peptide, matrix metalloproteinase-9, and D-dimer significantly differentiated ischemic stroke from intracerebral hemorrhage, stroke mimics, and health control subjects ( p < 0.05). Glial fibrillary acidic protein successfully differentiated ischemic stroke from intracerebral hemorrhage (standardized mean difference −1.04; 95% confidence interval −1.46 to −0.63) within 6 h. No studies were found to conduct a meta-analysis of blood biomarkers differentiating transient ischemic attack from healthy controls and stroke mimics. Conclusion This meta-analysis highlights the potential of brain natriuretic peptide, matrix metalloproteinase-9, D-dimer, and glial fibrillary acidic protein as diagnostic biomarkers for stroke within 24 h. Results of our meta-analysis might serve as a platform for conducting further targeted proteomics studies and phase-III clinical trials. PROSPERO Registration ID: CRD42019139659.
Outcomes and complications of operative versus non-operative management of distal radius fractures in adults under 65 years of age
Authors: DeGeorge Brent R. , Van Houten Holly K. , Mwangi Raphael , R Sangaralingham Lindsey , Kakar Sanjeev 
Published: August 2020

To compare the outcomes of non-operative versus operative treatment for distal radius fractures in patients aged from 18 to 64 years, we performed a retrospective analysis using the OptumLabs® Data Warehouse using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis codes of distal radius fracture. Of the 34,184 distal radius fractures analysed, 11,731 (34%) underwent operative management. Short-term complications within 90 days of fracture identified an overall complication rate of 16.6 per 1000 fractures and the 1-year upper extremity-specific complication rate was 287 per 1000 fractures. Overall, post-injury stiffness was the most common 1-year upper extremity-specific complication and was associated with operative management (202.8 vs. 123.4 per 1000 fractures, operative vs. non-operative, p < 0.01). Secondary procedures were significantly more common following non-operative management (8.7% vs. 43%, operative vs. non-operative, p < 0.01) with carpal tunnel release representing the most common secondary procedure. Operative management of distal radius fractures resulted in significantly fewer secondary procedures at the expense of increased overall 1-year complication rates, specifically stiffness. Level of evidence: III