bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical Course and Prognostic Factors in Non-Neovascular Age-Related Macular Degeneration with Subretinal Fluid
Authors: Lee Chang Hwan , Bae Kunho , Yoon Chang Ki , Park Un Chul , Park Kyu Hyung , Lee Eun Kyoung 
Published: December 2024

Purpose:
To investigate the clinical course and prognostic factors of age-related macular degeneration (AMD) without macular neovascularization (MNV) in patients presenting with pigment epithelial detachment (PED) and the associated subretinal fluid (SRF).

Methods:
Morphological characteristics of spectral-domain optical coherence tomography images were analyzed to determine anatomic outcomes. Factors associated with the progression to late AMD, defined as complete retinal pigment epithelium and outer retinal atrophy (cRORA) or MNV, were investigated.

Results:
Fifty eyes of 41 patients were included in this study. The most common SRF location was the angle of the PED (56%), and there was a significant decrease in SRF thickness and PED height and width over the follow-up period. Eleven (22%) eyes developed cRORA, and seven (14%) eyes developed MNV during a mean period of 52.1 months. Multivariate analysis revealed that hyperreflective foci and MNV in the fellow eye were associated with the development of cRORA, and higher PED height was a significant factor associated with the development of MNV.

Conclusions:
In patients with AMD, SRF can be accompanied by PED in the absence of MNV. Notably, patients with this characteristic entity can progress to late AMD, including cRORA and MNV, in a significant proportion of cases.
Hydroxychloroquine retinopathy in a 23-year-old male
Authors: Bousquet Elodie , Santina Ahmad , Somisetty Swathi , Morales Veronica Romero , Holland Gary N , Sarraf David 
Published: December 2024

Purpose:
To report a case of hydroxychloroquine (HCQ) retinopathy after long-term exposure in a 23-year-old male.

Methods:
Multimodal imaging including fundus photography, fundus autofluorescence (FAF), spectral domain optical coherence tomography (SD-OCT), and en face OCT were performed, in addition to functional testing with full-field electroretinography (ERG) and Humphrey visual field (HVF).

Results:
A 23-year-old man with a history of juvenile systemic lupus erythematosus and HCQ treatment for 13 years at a dosage of 200 mg/d (cumulative dose: 949 grams) presented to the retinal clinic (DS). Although fundus photography and FAF were unremarkable, SD-OCT and en face OCT showed paracentral ellipsoid zone loss with thinning of the outer nuclear layer, OS greater than OD consistent with HCQ retinopathy. HVF 10-2 showed possible nasal loss OU. Genetic testing revealed heterozygous mutations in the CNGA1 and CRX genes but full-field ERG was unremarkable without evidence of a cone dystrophy. Family history was negative for genetic disease.

Conclusion:
This report highlights a case of HCQ retinopathy in a young patient who started treatment at the age of 10 years. There are currently no specific guidelines for the screening of pediatric patients, and studies evaluating the effect of HCQ on children are lacking. Whether the genetic carrier status rendered the patient more susceptible to the toxic effect of HCQ remains to be determined.
Experiences of Nurse Educators Using Virtual Games in Nursing Education: A Qualitative Study
Authors: ORDU Yadigar , CALIŞKAN Nurcan 
Published: December 2024

ABSTRACT

Background
Virtual games developed for educational purposes have an important place in the education of nursing students.

Purpose
This study was designed to investigate the experiences of nurse educators regarding the use of virtual games in nursing education.

Methods
A descriptive qualitative design was used in this research, which was conducted between June and August 2022. The participants included 18 nurse educators, all of whom were working in the nursing department at several universities in Turkey and selected using purposeful sampling. The data were collected using the Educator Information Form and the Semi-Structured Interview Form. The participants were contacted by e-mail. Participant interviews, which took approximately 30–45 minutes to complete, were conducted online via Zoom. The interviews were recorded with participant approval and then transcribed verbatim. Braun and Clarke's method and MAXQDA 2022 software were used to analyze the data.

Results
Five themes were identified: (a) opinions of the nurse educators, (b) feedback received by nurse educators from students, (c) nurse educator experiences, (d) nurse educator suggestions for the use of virtual games, and (e) nurse educator suggestions for virtual game developers.

Conclusions/Implications for Practice
The participants expressed support for using virtual games in nursing education; received both positive and negative related feedback from students; reported positive and negative experiences with these games; made suggestions for gaming methods and dissemination; and offered related planning, professional support, and other recommendations to game developers. The use of games in nursing education should be expanded, training programs should be organized for nurse educators considering game development, and similar studies should be conducted on larger study samples. The findings provide important information to nurse educators who are considering developing virtual games. The experiences of nurse educators regarding the use of virtual games are quite interesting, and the number of nurse educators involved in developing these games is quite low.
Development and Usability of an Adjustable Prosthesis for Aquatic Therapy
Authors: Atkins Anna , Hoppe-Ludwig Shenan , Guminiak Walter , Hendricksen Monica , Miller Laura 
Published: December 2024

ABSTRACT

Introduction
During aquatic therapy, without a prosthesis, individuals with lower-limb difference are limited in navigating stairs or ladders, performing gait training, balance, and strengthening exercises. A noncustom prosthesis for individuals with transtibial limb difference in aquatic therapy, consisting of interchangeable sockets and pylons, does not exist. Dilatancy has not been applied within a socket to provide an accommodative shape for multiple users.

Objectives
This study explores the development and usability of an adjustable prosthesis, utilizing dilatancy, for aquatic therapy.

Study Design
The design of this study is developmental.

Methods
Participants underwent an informed written consent process (IRB STU00219525). Three individuals (1 male, 55 years; and 2 female, 47 and 22 years) with unilateral transtibial amputations were recruited. A set of interchangeable adjustable sockets and pylons were developed. Utilizing dilatant properties, small particles under vacuum were assessed for their ability to provide a rigid, lightweight, and remoldable pouch within the socket. Participants trialed the prosthesis during two fittings and three aquatic therapy sessions. Upon completion, participants and treating therapists completed the System Usability Scale. Survey results were converted to a 100-point scale. Time to don the prosthesis was recorded, and socket comfort scores at the final session were averaged.

Results
The System Usability Scale indicated that the prosthesis was usable for aquatic therapy. Participant scores were 97.5, 95, and 87.5, and therapist’s scores were 92.5 and 85 of a total possible 100. Average socket comfort scores were 10, 9, and 7.6/10. Times to don the prosthesis were 5:45, 5:32, and 4:10 (minutes:seconds).

Conclusions
This system functioned successfully as a noncustom prosthesis for multiple users in aquatic therapy from the participant and therapists’ perspective.

Clinical Relevance
The novelty of this system is utilizing a prosthesis for multiple users, improving the rehabilitation capabilities during aquatic therapy.
Home dialysis: there's no place like home
Authors: Wallach Jeffrey D. , Medaura Juan A. , Stern Leonard 
Published: December 2024

Purpose of review
The rapid rise in incidence and prevalence of end-stage kidney disease (ESKD) over the past 50 years was matched by a drop-off in use of home dialysis and a proliferation of in-center hemodialysis across the United States. There is renewed interest in improving access to home dialysis modalities for patients with ESKD. The aim of this review is to update kidney care providers with clinical outcome data and new guidelines that promote patient-centered choices, and to address barriers to home dialysis uptake and continued use.

Recent findings
Recent literature, including changing practice guidelines for prescribing home dialysis and examining the goals of treatment from the patient and caregiver perspectives will be reviewed. We will examine the impact of newer care models to promote home dialysis for incident ESKD patients. Assisted home dialysis, home dialysis in a nursing home and the impact of new payment models rewarding home dialysis providers will be examined.

Summary
This concise review of recent pertinent literature should give the dialysis provider confidence in advising their patients on the benefits of home dialysis, a glimpse into the future landscape for home dialysis, and hopefully transform kidney care providers into unbiased patient advocates.
Complications after low-velocity ballistic femur fractures: a series of 104 patients at a level 1 trauma center
Authors: Fram Brianna R. , Chintalapudi Nainisha , Davis Jana , Yu Ziqing , Seymour Rachel B. , Karunakar Madhav A. ,   Evidence-Based Musculoskeletal Injury and Trauma Collective
Published: December 2024

Abstract

Objectives:
To report outcomes and risk factors of complications following low-velocity ballistic fractures of the femur.

Design:
Retrospective case series.

Setting:
Academic Level I trauma center.

Patients/Participants:
Retrospective series of 104 patients aged 18+ years presenting with low-velocity civilian ballistic femur fractures from 2011 to 2020 (OTA/AO types 31–33).

Intervention:
Treatment following ballistic femur fracture.

Main Outcome Measurements:
All cause complications.

Results:
Our cohort experienced a 39% complication rate and 19% reoperation rate, including 3 deep surgical site infections, 15 hardware failures, and 12 nonunions. All-cause complications did not differ significantly between OTA/AO or Gustilo classifications (P = 0.56, P = 0.94). Skin and muscle management, arterial injury, amount of contamination, or muscle loss did not differ significantly between those with and without complication. Factors not associated with increased complications included time to initial antibiotics, time from injury, operative time, duration of prophylactic antibiotics, and hospital length of stay. However, all of these factors were based on our typical clinical care routine within the standard of care and were not purposefully varied.

Conclusions:
We did not find any modifiable or nonmodifiable factors that increased risk of complication in our sample. We found that time to prophylactic antibiotics or time to operative debridement was within quality standards and was not associated with increased risk of complications. Our complication rate was similar to previous reports. While we found lower rates of vascular complications than previous reports and 0 cases of compartment syndrome, complication rates in our sample were driven by nonunion and implant failure. These continue to be challenging injuries with high rates of complications.

Level of Evidence:
IV.
Entirely Exophytic HPV-associated Endocervical Adenocarcinoma: A Rare But Potentially Aggressive Neoplastic Phenomenon
Authors: Zyla Roman E. , Talia Karen L. , Hodgson Anjelica 
Published: December 2024

A subset of human papillomavirus (HPV)-associated endocervical adenocarcinoma (EA) displays exclusively exophytic growth, with or without a classic villoglandular appearance. Given that increased depth and extent of destructive stromal invasion are associated with poorer prognosis for HPV-associated EA, it is believed that exclusively exophytic tumors are associated with a relatively indolent clinical course. There is, however, a paucity of data regarding the behavior of these neoplasms. We assembled a cohort of 73 patients with entirely resected cervix-confined HPV-associated EA treated with primary operative therapy. The tumors were classified based on architecture and presence/extent of stromal invasion, and histopathologic parameters, including the International Federation of Gynecology and Obstetrics (FIGO) 2018 substage and lymphovascular invasion (LVI). Clinical outcomes including local recurrence, metastasis, and death were evaluated. Of 73 tumors, 4 (6%) demonstrated exclusively exophytic growth (0.4–2.2 cm in maximal dimension). All lacked LVI as well as nodal involvement. None of the 4 patients with exclusively exophytic tumors received adjuvant therapy. Two of the 4 (50%), however, experienced recurrence and both patients eventually died of causes related to EA. Of the remaining 69 cases with a component of nonexophytic growth, <6% of patients experienced tumor recurrence. Our study has found that, in at least a subset of cases, exclusively exophytic HPV-associated EA is associated with adverse outcomes. Additional studies are needed to substantiate these findings and to identify additional features (pathologic, molecular, etc.) that may aid in identifying those patients who could benefit from more aggressive treatment.
Mirror resonances in
Be9
and
B9
within an
α+α+N
model
Authors: Odsuren Myagmarjav , Myo Takayuki , Kikuchi Yuma , Katō Kiyoshi 
Published: December 2024

Using an α+α+N three-body model, we describe the ground and excited unbound states above the three-body threshold of A=9 mirror nuclei. We investigate the energy levels of low-lying and highly excited resonances below ≈10MeV excitation energy of Be9 and B9 mirror nuclei with the complex-scaling method. The same number of solutions are found for both mirror nuclei, namely, thirteen resonances, 3/21−4−, 5/21−3−, 1/21−3−, 7/21,2−, and 9/2−, including the ground state for odd parity states, and eight resonances 5/21,2+, 3/21,2+, 7/21,2+, and 9/21,2+, for even-parity states with the exception of the low-lying 1/2+ state. These results are compared with experimentally observed and other theoretically calculated results. The band structures of odd and even parity states for both Be9 and B9 mirror nuclei are discussed in relation to the effect of the Coulomb energy difference.

Published by the American Physical Society
2024
Exploring the nexus between usage motivation and behavioral intention in metaverse hospitality and tourism: moderation and mediation insights
Authors: Wu Qi , Wang Junhui 
Published: December 2024

Purpose
This study aims to examine the relationship between metaverse usage motivations and metaverse behavioral intention through Self-Determination Theory.

Design/methodology/approach
This study analyzed a sample of 501 South Korean individuals aged 18 and older who had prior experience using the metaverse, using a moderated mediation model.

Findings
The results indicate a significant direct effect between metaverse usage motivation and tourist behavioral intention, with tourist satisfaction significantly mediating this relationship. In addition, the authenticity and flow of metaverse tourism also have significant moderating effects on the model.

Originality/value
These insights can inform targeted marketing strategies, guiding the future development of metaverse tourism and hospitality.
Capitalist messiahs fighting small-mindedness: hegemonic startup masculinity in a semi-peripheral context
Authors: Virágh Enikő Anna 
Published: December 2024

PurposeThe aim of this study is to explore the constructions of startup masculinity as a cultural ideal in the specific context of Hungary, a semi-peripheral country in Central and Eastern Europe. Drawing on Connell’s concept of hegemonic masculinity, the paper examines how the construction of startup masculinity, considered hegemonic in a given space and time, subordinates “others”.Design/methodology/approachThe study employs a critical discourse analysis of 143 media articles published in the Hungarian print and online Forbes magazine. It builds upon the concepts and theoretical models of hegemonic masculinity, entrepreneurial masculine identities, discursive identity construction and semi-peripherality.FindingsThe study highlights two key findings. Firstly, it reveals that the normative figure of the successful startup founder is not gender-neutral but discursively constructed as masculine, thereby excluding women. Secondly, it emphasises the hierarchical relationship between hegemonic startup masculinity and other masculinities rooted in the semi-peripheral, specifically Hungarian context, which are subordinated in the discourse. Thus, it discursively reproduces not only the hierarchical gendered relations in society, but the symbolical hierarchical relations between the core and the semi-periphery as well.Originality/valueBy examining hegemonic startup masculinity as a subordinating concept within a particular entrepreneurial and geographical context and by illuminating the significance of semi-peripheral locationality in hegemony construction, this paper contributes to both the understanding of masculinity in entrepreneurship literature and the decolonisation of masculinity studies.
No way out? The hurdles of exiting public rental housing in Kuala Lumpur
Authors: Khair Nurhayati , Mohd Aini Ainoriza , Zyed Zafirah Al Sadat 
Published: December 2024

Purpose
This study aims to identify the significant exit barriers encountered by tenants in public rental housing and analyze the moderating effects of sociodemographic factors on tenants’ decisions to leave public rental housing.

Design/methodology/approach
This study applied a quantitative methodology. Questionnaire survey was used as its main instrument for data collection. Responses were gathered from 328 tenants in the Program Perumahan Rakyat (PPR) through stratified random sampling. Data were analyzed using structural equation modeling partial least square (SEM-PLS).

Findings
The findings reveal that housing availability and the exit programs by DBKL are the most significant factors influencing exit barriers. Tenant income also impacts their decision to remain, as available housing often does not match their income levels. Policymakers and relevant agencies should collaborate to help tenants increase their income, facilitating their transition out of public rental housing.

Research limitations/implications
This study is limited to the factors influencing the tenant from exiting PRH. Furthermore, the study specifically targeted those who rent public housing under DBKL administration may neglect the perspectives of other stakeholders, such as DBKL management, property owners and policymakers. Therefore, the findings are insufficient in representing tenants other than those under the DBKL’s administration. While the causes may be similar, the opinions and consequences would vary among other tenants depending on their socio-demographic profiles.

Practical implications
This research offers a more comprehensive understanding of the exit barriers tenants’ encounter in PRH. The results gained from this study will assist policymakers in developing a more comprehensive initiative that will assist tenants in exiting PRH. DBKL can effectively engage PRH tenants to provide a strategic departure mechanism for better solutions. Furthermore, DBKL can offer aid in locating cheap housing options for tenants who may have limited access to information on the availability of such homes.

Social implications
This discovery will also be advantageous for prospective tenants who have been on the waiting list for several years, eagerly awaiting the vacancy of units previously occupied by other tenants. Furthermore, residents who successfully vacate public rental housing (PRH) will need to be considered for incentives to promote the success of the housing pathway. This will lead to the attainment of the equitable allocation that has been identified as the primary concern of PRH.

Originality/value
This study seeks to clarify the exit barriers encountered by tenants in PRH and identifies the significant factors contributing to the low turnover rate of tenants. The study is relevant for DBKL and policymakers in promoting the success of housing pathways to ensure fairness and efficiency in the principles of public housing.
Digital distractions and work-leisure balance: excessive information through digital consumption and its impact on work ethic among Muslims
Authors: Zafar Muhammad Bilal , Abu-Hussin Mohd Fauzi , Sulaiman Ahmad Azam 
Published: December 2024

Purpose
Excessive digital consumption can lead to a blurring of boundaries between work and leisure. This paper aims to investigate the influence of digital consumption on the work ethic among Muslims, integrating demographic variables like gender and marital status into the analysis.

Design/methodology/approach
Using data from the 7th wave of the World Values Survey, this study focuses on a subset of 12,979 employed Muslims to assess the relationships between their engagement with digital media and their work-related values. Multiple linear regression models are used to analyze the effects of various digital platforms, including mobile phones, social media and internet usage, on the perceived importance of work and related ethic principles.

Findings
The findings indicate a significant negative impact of over digital consumption on work ethic, suggesting that increased digital engagement and tech-overload may undermine traditional work values. The relationship persists in all models on success inclusion of control variables, which confirms the robustness of the relationship. However, this relationship varies among demographic groups, with males and singles being more susceptible to the negative impacts compared to females and married individuals.

Originality/value
The study contributes to understanding how digital consumption influences traditional work values and offers recommendations for balancing digital consumption to maintain a robust work ethic in modern digital societies.
Sentiments in the cryptocurrency market: an in-depth analysis of influential factors applying ISM-MICMAC and AHP
Authors: Sharma Diya , Ghosh Renu , Shri Charu , Khatter Divya 
Published: December 2024

PurposeCryptocurrency, an emerging asset class, is a virtual form of currency that uses cryptography for security and operates on decentralised networks based on blockchain technology. It offers both challenges and opportunities for investors, particularly in terms of diversification, risk management and potential returns. Considering this, the present study attempts to investigate the sentimental factors influencing cryptocurrency while unravelling the intricate interplay among these factors.Design/methodology/approachTo achieve this, interpretive structure modelling (ISM) identifies the hierarchical model of critical sentimental factors, while Cross-Impact Matrix Multiplication Applied to Classification (MICMAC) explores their dependency and driving power. Analytic hierarchy process (AHP) is adopted to rank the drivers.FindingsFindings reveal that the pandemic, war, religiosity and economic uncertainty are top-level factors dominantly shaping cryptocurrency trends. Simultaneously, Google Search Trends and Herding emerge as the most dependent factors, influenced by sentiments that emerged from other factors.Practical implicationsThe study unpacks implications, acknowledges limitations and proposes avenues for future research.Originality/valueBy exploring the interactive interrelationships among identified sentimental factors through ISM-MICMAC analysis and ranking via the AHP, this paper will have a great influence while contributing towards this evolving field.