bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Multivariate Validity Analysis of the Pain-related Cognitive Processes Questionnaire
Authors: Day Melissa A. , Ward L. Charles , Jensen Mark P. 
Published: January 2018

Background:
The Pain-related Cognitive Processes Questionnaire (PCPQ) provides a multifaceted assessment of different styles of pain-related attentional processing. The present study examined the construct validity of the 4 PCPQ composite scales.

Methods:
Exploratory structural equation modeling was applied to data from 2 college student samples (N=544) to derive reference-variable factors that provided the context for drawing inferences regarding the construct validity of the PCPQ scales.

Results:
PCPQ scales were regressed on 8 orthogonal reference-variable factors that captured the common variance in 17 pain-related measures. A substantial proportion of the variance in the PCPQ Pain Diversion scale was predicted by factors reflecting: (1) use of distraction to reduce negative thoughts; (2) belief in the ability to control pain; and (3) pain catastrophizing. The PCPQ Pain Distancing scale was associated with factors reflecting: (1) belief in control over pain; (2) use of distraction; (3) efforts to punish negative thoughts; and (4) pain disability. PCPQ Pain Focus was predicted mostly by a factor reflecting pain catastrophizing, although emotional distress contributed an additional amount of variance. The PCPQ Pain Openness scale had a small negative relationship with the factor reflecting pain catastrophizing.

Conclusions:
The associations found in the exploratory structural equation modeling approach, as well as the PCPQ scale content and intercorrelations, support the validity of the PCPQ Pain Diversion, Pain Distancing, and Pain Focus scales. Given the lack of strong associations with the validity criteria assessed in this study, questions remain regarding the construct validity of the Pain Openness scale.
Expressing Human Milk in the NICU
Authors: Bujold Maude , Feeley Nancy , Axelin Anna , Cinquino Claudia 
Published: January 2018

Background:
Human milk has multiple benefits for human health; however, rates of infants receiving human milk at discharge in Canadian neonatal intensive care units (NICUs) are far below recommendations of the Baby Friendly Hospital Initiative supported by the Canadian Pediatric Association. Mothers of infants requiring NICU care usually need to express their milk, especially mothers of premature infants, since for some time their infant is unable to feed directly at the breast. Expressing human milk for an extended period can be challenging for mothers.

Purpose:
To document maternal experiences expressing human milk for their infant in the NICU as a closeness or separation experience, and to discover what factors gave rise to these perceptions.

Methods:
In this descriptive qualitative cross-sectional study, 15 mothers whose infants were hospitalized in a level III NICU and who were expressing human milk audio recorded their thoughts and feelings with a smartphone application for 48 hours while they were expressing milk. A thematic content analysis was used to analyze data.

Findings:
Expressing human milk for their hospitalized infant was a difficult experience for all mothers, and most described both closeness and separation feelings while expressing milk. Their feelings fluctuated depending on their coping mechanisms, perceived challenges, as well as their location and environment. Mothers were all pursuing their goal of continued milk expression with various levels of motivation.

Implications for Practice:
NICUs should adopt a family-centered approach to care whereby mothers' care needs related to milk expression are addressed. Nurses can ask open-ended questions to explore how mothers are coping, and they can assist mothers to find effective coping strategies to minimize the challenges related to milk expression to promote mother–infant closeness.

Implications for Research:
The impact of environment and location on mothers with hospitalized infants should be explored, as unit designs could be altered to foster closeness.
THE CURRENT SURGICAL MANAGEMENT OF LARGE, RECURRENT, OR PERSISTENT MACULAR HOLES
Authors: Tam Alex L. C. , Yan Peng , Gan Nicola Y. , Lam Wai-Ching 
Published: January 2018

Purpose:
To evaluate the current surgical options available for the management of large (>400 μm), recurrent, or persistent macular holes (MHs).

Methods:
A review of the literature was performed, focusing on the epidemiology, pathophysiology, diagnosis, and surgical treatments of large, recurrent, or persistent MHs. Based on this review, a comprehensive overview was provided regarding the topic of large, recurrent, or persistent MHs and focused on recent surgical management updates.

Results:
For large MHs, variations of the inverted internal limiting membrane flap technique demonstrated promising rates of primary hole closure and significant visual acuity improvements. For recurrent or recalcitrant MHs, early repeat vitrectomy with extension of the internal limiting membrane peel remains the most straightforward and optimal surgical technique to achieve secondary closure. Regardless of the surgical approach, the goal of each technique described is to induce or aid in stimulating gliosis within the MH to maximize closure.

Conclusion:
Despite the high success rate of modern MH surgery, large, recurrent, or persistent MHs remain a challenge for retinal surgeons. This review provides a detailed summary on the rationality and efficacy of current surgical options.
Developing a core outcome domain set to assessing effectiveness of interdisciplinary multimodal pain therapy: the VAPAIN consensus statement on core outcome domains
Authors: Kaiser Ulrike , Kopkow Christian , Deckert Stefanie , Neustadt Katrin , Jacobi Lena , Cameron Paul , De Angelis Valerio , Apfelbacher Christian , Arnold Bernhard , Birch Judy , Bjarnegård Anna , Christiansen Sandra , C de C Williams Amanda , Gossrau Gudrun , Heinks Andrea , Hüppe Michael , Kiers Henri , Kleinert Ursula , Martelletti Paolo , McCracken Lance , de Meij Nelleke , Nagel Bernd , Nijs Jo , Norda Heike , Singh Jasvinder A. , Spengler Ellen , Terwee Caroline B. , Tugwell Peter , Vlaeyen Johan W.S. , Wandrey Heike , Neugebauer Edmund , Sabatowski Rainer , Schmitt Jochen 
Published: January 2018

Abstract
Interdisciplinary multimodal pain therapy (IMPT) is a biopsychosocial treatment approach for patients with chronic pain that comprises at least psychological and physiotherapeutic interventions. Core outcome sets (COSs) are currently developed in different medical fields to standardize and improve the selection of outcome domains, and measurement instruments in clinical trials, to make trial results meaningful, to pool trial results, and to allow indirect comparison between interventions. The objective of this study was to develop a COS of patient-relevant outcome domains for chronic pain in IMPT clinical trials. An international, multiprofessional panel (patient representatives [n = 5], physicians specialized in pain medicine [n = 5], physiotherapists [n = 5], clinical psychologists [n = 5], and methodological researchers [n = 5]) was recruited for a 3-stage consensus study, which consisted of a mixed-method approach comprising an exploratory systematic review, a preparing online survey to identify important outcome domains, a face-to-face consensus meeting to agree on COS domains, and a second online survey (Delphi) establishing agreement on definitions for the domains included. The panel agreed on the following 8 domains to be included into the COS for IMPT: pain intensity, pain frequency, physical activity, emotional wellbeing, satisfaction with social roles and activities, productivity (paid and unpaid, at home and at work, inclusive presentism and absenteeism), health-related quality of life, and patient's perception of treatment goal achievement. The complexity of chronic pain in a biopsychosocial context is reflected in the current recommendation and includes physical, mental, and social outcomes. In a subsequent step, measurement instruments will be identified via systematic reviews.
Emerging therapies for neuropathic pain: new molecules or new indications for old treatments?
Authors: Bouhassira Didier , Attal Nadine 
Published: January 2018

Abstract
Neuropathic pain represents a highly unmet medical need because most of the available treatments have a modest efficacy or dose-limiting side effects. Hence, novel therapeutic perspectives are warranted. Many compounds acting on new pain targets are in preclinical or early clinical development. Only few clinical trials have suggested their clinical relevance in neuropathic pain. This concerns in particular NaV1.7 antagonists and angiotensin type II inhibitors. Another type of emerging drug therapy in neuropathic pain is represented by drugs largely used for other indications, such as botulinum toxin A and the antiepileptic oxcarbazepine, which have recently found to be effective in peripheral neuropathic pain. Emerging nondrug medical therapy with promising results in neuropathic pain also encompasses noninvasive brain neurostimulation techniques, such as repetitive transcranial magnetic stimulation and transcranial direct electrical stimulation. In this article, we review emerging medical treatments for neuropathic pain that are clinically available or with promising results from clinical trials.
The Family Meeting as Therapeutic Intervention
Authors: Carney Maria Torroella , Liberman Tara 
Published: January 2018

Background:
Acute care hospitals provide care for older adults who have complex medical needs and fluctuating caregiving demands. Often one's ability to live independently can be threatened when faced with an acute illness in a hospital setting. It is in this acute care setting that the family meeting is most needed and recommended for treatment planning.

Areas of Uncertainty:
Meetings are often needed to establish care plans. However, there are challenges to holding family meetings. Some families are unable or unwilling to participate and there may be limited availability of space and time to conduct an adequate family meeting. These can contribute to delays in decision making.

Therapeutic Advances:
A family meeting is, therefore, a form of therapeutic intervention to be used during a patient's hospital stay. This article highlights the importance of family meetings as a means of medical intervention; describing the purpose, challenges, and education on carrying out the intervention. The primary reason for a family meeting is to facilitate communication between the health care team, decision makers, and caregivers. Participants should prepare ahead and a successful family meeting should follow a structured format to help minimize barriers and maximize therapeutic goals, including why the meeting is being called, who will participate, and when/where it will be held. A structured format allows for information to be shared from care provider to patient/family, including diagnosis, prognosis, therapy, and discharge plans and needs. At the end of the meeting, a summary should be provided.

Conclusions:
The population is aging and therefore these meetings need to become more common. The family meeting is an increasingly important component of a patient's care plan for those living longer and with complex medical conditions. Family meetings have shown improved outcomes and patient satisfaction, and therefore, should be viewed as a medical intervention.
Polygenic influences on dyslipidemias
Authors: Dron Jacqueline S. , Hegele Robert A. 
Published: January 2018

Purpose of review
Rare large-effect genetic variants underlie monogenic dyslipidemias, whereas common small-effect genetic variants – single nucleotide polymorphisms (SNPs) – have modest influences on lipid traits. Over the past decade, these small-effect SNPs have been shown to cumulatively exert consistent effects on lipid phenotypes under a polygenic framework, which is the focus of this review.

Recent findings
Several groups have reported polygenic risk scores assembled from lipid-associated SNPs, and have applied them to their respective phenotypes. For lipid traits in the normal population distribution, polygenic effects quantified by a score that integrates several common polymorphisms account for about 20–30% of genetic variation. Among individuals at the extremes of the distribution, that is, those with clinical dyslipidemia, the polygenic component includes both rare variants with large effects and common polymorphisms: depending on the trait, 20–50% of susceptibility can be accounted for by this assortment of genetic variants.

Summary
Accounting for polygenic effects increases the numbers of dyslipidemic individuals who can be explained genetically, but a substantial proportion of susceptibility remains unexplained. Whether documenting the polygenic basis of dyslipidemia will affect outcomes in clinical trials or prospective observational studies remains to be determined.
Psoriatic Arthritis in Nigeria
Authors: Akpabio Akpabio Akanimo , Olaosebikan Babatunde Hakeem , Adelowo Olufemi Oladipo 
Published: January 2018

Background
Psoriatic arthritis (PsA) is an extracutaneous manifestation of psoriasis occurring in 6% to 42% of patients. Both conditions are common among whites but rarely reported among black Africans.
Few African studies, however, have reported PsA frequencies of 0% to 4.6%, with a previous case report of 2 patients from a Nigerian rheumatology clinic.

Methods
Case records of PsA patients from the Lagos State University Teaching Hospital Rheumatology Clinic seen over a 5-year period from January 2012 to December 2016 were retrieved and documented.
Psoriatic arthritis was diagnosed using the Classification Criteria for Psoriatic Arthritis. Data on demography, clinical features, laboratory parameters, imaging, and treatment were extracted from case records.

Results
Twelve PsA cases were identified out of 2330 patients (0.5%) seen during the study period. There were 9 males and 3 females. Age range was 24 to 67 years (mean, 45.3 ± 15.1 years). Duration of psoriasis ranged between 11 and 96 months (mean, 46.8 ± 33.6 months), whereas median duration of arthritis at presentation was 15 months (range, 4–72 months).
Oligoarthritis was the commonest presentation (58.3%). Dactylitis (66.7%) and enthesitis (44.7%) were frequent extra-articular features. All patients were negative for rheumatoid factor and human immunodeficiency virus. HLAB27 was negative in 5 patients tested.
Treatment was mostly with nonsteroidal anti-inflammatory drugs (100%) and methotrexate (75%). Only 1 patient received the biologic etanercept. Eight subjects (66.6%) showed initial improvement in skin and joint symptoms, of which 6 had a relapse within 6 to 12 months.

Conclusions
Psoriatic arthritis is rare among Nigerians and predominantly affects males in their fourth decade. Oligoarthritis is common, and extra-articular manifestations are frequent.
The effectiveness of internal corporate governance and audit quality: the role of ownership concentration – Malaysian evidence
Authors: AlQadasi Adel , Abidin Shamharir 
Published: January 2018

Purpose
This study is motivated by the competing views on whether internal governance mechanisms complement or substitute for external auditing, and how this association is affected by ownership concentration. The complementary view predicts that good internal governance mechanisms are related to high-quality audit. On the other hand, corporate governance mechanisms may be substituted for each other, so more investment in governance mechanisms leads to less investment in external auditing. Therefore, this study aims to examine the association between internal governance mechanisms and the demand for audit quality.

Design/methodology/approach
Data from Malaysian listed companies during the period 2009 to 2012 are used. Ordinary least square (OLS) regression is applied to analyse the data.

Findings
Companies with a higher concentration of ownership are less likely to demand extensive auditing. In addition, the study provides supporting evidence for the complementary association between a company’s governance and audit fees. However, the ownership concentration plays a minor role in the positive association between internal corporate governance and audit quality. Further tests are conducted and support the main findings.

Practical implications
Significant implications are provided for the audit profession in emerging economies, where concentrated ownership is common, to help policymakers and regulators in determining the power of controlling shareholders on audit quality and firm’s governance. The study’s findings open up avenues for further research.

Originality/value
This is the first work to address the role of ownership concentration in the association between corporate governance and audit quality; it suggests that the ownership structure must be considered in examining the effectiveness of corporate governance. The study also provides a comprehensive combination of internal governance mechanisms.
Multiple pathways linking environmental knowledge and awareness to employees’ green behavior
Authors: Safari Ali , Salehzadeh Reza , Panahi Razieh , Abolghasemian Samaneh 
Published: January 2018

PurposeThe purpose of the present research is to investigate the impact of environmental knowledge and awareness on green behavior with respect to behavioral intentions, environmental attitude and green commitment as mediator variables.Design/methodology/approachThe statistical population included the managers of Esfahan Mobarakeh Steel Company in Iran. In total, 135 questionnaires were distributed among relevant managers, out of which 120 questionnaires were returned and analyzed using structural equation modeling method.FindingsThe findings of the study showed that environmental knowledge and awareness has a significant direct effect on managers’ green behavior (β= 0.42). Also, environmental knowledge and awareness has a significant indirect effect on managers’ green behavior through behavioral intentions (β= 0.34), environmental attitude (β= 0.19) and green commitment (β= 0.33).Originality valueThis study is among the first to simultaneously investigate the multiple pathways from environmental knowledge and awareness to green behavior. The second contribution of the present study is considering green behavior of personnel in the iron and steel industry in a developing country.
A quantitative framework for lean and green assessment of supply chain performance
Authors: Thanki Shashank , Thakkar Jitesh 
Published: January 2018

Purpose
The purpose of this paper is to propose a balanced scorecard (BSC)- and strategy map-based quantitative framework for assessing the lean and green performance of the supply chain (SC). As the SC competitiveness demands efficient and effective utilization of resources throughout the value chain, not only adoption of lean and green SC paradigms but simultaneously its performance evaluation is also vital.

Design/methodology/approach
The lean and green SC performance measures are classified into four categories of BSC. A fuzzy decision-making trial and evaluation laboratory (DEMATEL) methodology combined with analytical network process is proposed for examining the causal relationships between BSC perspectives and respective assessment criteria. The application of the proposed assessment framework is demonstrated for the case of Indian textile SC.

Findings
The research delivers a quantitative assessment framework for evaluating lean and green performance of the SC. The results obtained for a typical case of Indian textile SC revealed that “delivery performance,” “profitability” and “operational cost” are the most crucial performance measures. The perspective of “internal processes” is the most significant of all BSC perspectives while “learning and growth” perspective acts as the driving force to improve lean and green SC performance.

Originality/value
The paper makes two contributions in the domain of lean and green assessment of SC performance. First, it proposes an evaluation framework to investigate into the causal relationships among the BSC perspectives and related factors. Second, it undertakes an empirical investigation for Indian textile SC to develop key managerial insights and provide policy-related recommendations.
The impact of undergraduate occupational therapy students’ interpersonal skills on their practice education performance: A pilot study
Authors: Yu Mong‐Lin , Brown Ted , White Carolynne , Marston Celia , Thyer Laura 
Published: January 2018

Background/aimInterpersonal skills such as active listening, verbal communication and body language are essential competencies for occupational therapists, and students are expected to demonstrate these skills when completing practice placements. To investigate whether interpersonal skills are predictive of occupational therapy students’ practice performance.MethodsA cross‐sectional study was conducted involving third and fourth year occupational therapy undergraduate students (n = 70). Students’ interpersonal skills were measured using the Interpersonal Communication Competence Scale (ICCS), Listening Styles Profile (LSP‐R) and Active‐Empathic Listening Scale (AELS). Students’ practice performances at the mid‐way and final points of their placements were measured using the Student Practice Evaluation Form‐Revised (SPEF‐R). The relationships between students’ interpersonal skills and practice performance were examined using univariate and multi‐variate regressions.ResultsHigher ICCS Interaction Management subscale scores predicted better SPEF‐R Self‐Management Skills at the mid‐way point through practice placements (β = 1.93, SE = 0.76), and better Professional Behaviours (β = 1.28, SE = 0.64) and better Service Evaluation Skills (β = 2.84, SE = 0.95) at the final SPEF‐R completion point. Higher ICCS Empathy subscale scores predicted lower SPEF‐R Documentation scores at the mid‐way point (β = −0.81, SE = 0.38), while higher ICCS Supportiveness subscale scores predicted lower mid‐way SPEF‐R Service Provision scores (β = −2.84, SE = 1.77). No ICCS subscale scores were predictive of the SPEF‐R communication, co‐worker communication and information gathering subscale scores. As well, LSP‐R and AELS subscale scores were not predictive of the SPEF‐R subscale scores.ConclusionWhile predictive relationships were not found between occupational therapy students’ communication, co‐worker communication and information gathering skills, this preliminary evidence indicates that students’ interpersonal skills (including interaction management and empathetic supportiveness) were predictive of some notable SPEF‐R competencies (including Professional Behaviours, Self‐Management, Documentation, Service Provision and Service Evaluation). Therefore, students’ exposure to professional interpersonal skills should be incorporated into the curriculum of academic education programs with the aim of better preparing them for practice education.