bluuebunny/crossref_metadata_2025_split huggingface dataset:
Compaction behaviour of flax-preforms during forming for composites
Authors: Rayyaan Rishad , Yousaf Zeshan , Akonda Mahmudul , Potluri Prasad , Kennon William Richard 
Published: August 2024

Flax reinforced composites are becoming popular in automotive and civil industries due to their green production and recycling, and for good specific strength. To manufacture composites, firstly a multi-layer of flax preforms undergo compressive pressure before resin impregnation that causes nesting, wherein, fibres of one layer fit into the adjacent layers. This debulking of the preforms under compression is an important feature that determines the fibre volume fraction of composites. In this study, four flax structures such as: nonwoven tapes, unidirectional fabric, hopsack fabric, and nonwoven tape with glass veils were investigated for compaction behaviour under pressures between 1 and 10 bars, in single and multi-layer states, in dry and wet states, under different loading cycles, and in different ply orientations (0°/0° and 0°/90°). Nesting has been calculated for single- and multi-layer stacks. It was observed that the nonwoven structures shown greater thickness reduction compared to woven structures. Nesting factor was found to be higher than 1 for the nonwoven structures under compaction, indicating lower nesting, compared to the woven structures. In terms of thickness under repeated compaction, the reduction was the highest during first compressions, compared to the 2nd and 3rd compressions, for all the structures. When wettability was examined, thickness reduction for wet plies was higher for all the structures, compared to the dry phase. Finally, a comparative study was shown to evaluate fibre volume fractions of the composites.
Attitudes of Special Educators Towards Use of Socially Assistive Robots for Individuals With Autism Spectrum Disorder in Serbia and the United States
Authors: Stanojevic Cedomir , Piatt Jennifer , Sabanovic Selma 
Published: August 2024

Purpose This research explores the initial attitudes of special educators towards socially assistive robots (SAR) and considers how cultural and socioeconomic backgrounds shape these attitudes. Special educators providing services to individuals with autism spectrum disorder (ASD) in the United States and Serbia were surveyed, representing distinct cultural and socioeconomic contexts. Comparing their attitudes offers valuable insights into facilitating SAR adoption for ASD treatment across different cultural landscapes. Additionally, this study conducts a comparative analysis of cultural dimensions in the two countries to contextualize attitudes toward SAR use in ASD treatment. Methods A nonexperimental quantitative approach was employed utilizing a cross-sectional survey design with purposive samples of special educators who provide services to individuals with ASD in the U.S. and Serbia to establish initial attitudes toward SARs. Results The outcomes derived from this investigation reflect the pervasive influence of the cultural contexts. Apprehension has been identified as a significant factor shaping attitudes toward SAR adoption among the Serbian cohort, while a more favorable disposition towards this technology typifies the U.S. participants. The adoption and utilization of SARs, as reported by participants in the U.S., face relatively fewer attitudinal barriers.
A crisis awareness chain warning management model for patients with difficulties cooperating with magnetic resonance examinations
Authors: Wang Dan , Zhang Bicong , Zhao Hongliang , Zhang Yu , Hou Meng 
Published: August 2024

Objective This case–control study tested a crisis awareness-based chain warning management model for patients with difficulties cooperating with magnetic resonance imaging (MRI) examinations. Methods All participants experienced difficulties cooperating with MRI examinations and underwent cranial magnetic resonance spectroscopy (MRS) and MRI at the same hospital in China. The control group (n = 1233) underwent examinations from January to June 2023 and received routine nursing care (pre-examination safety notification, instructions on cooperating during the examination, post-examination observation). A crisis awareness chain warning management model was implemented for the intervention group (n = 1352), who underwent examinations from July to December 2023. The groups were compared on average time for examination completion, quality of care and occurrence of complications. Data were collected using a self-devised data collection form. Results The average length of time to complete MRS and MRI was shorter for intervention group patients than for control group patients. The intervention group showed better pre-examination preparation, examination success rate, image quality attainment rate, and one-time examination success rate, and lower incidence of examination-related complications. Conclusion This management model could increase MRI examination efficiency, improve quality of care, reduce complications and increase nurses’ understanding of nursing continuity and crisis awareness.
Effects of Quality of Integrity on Clinical and Structural Outcomes of Rotator Cuff Repair: A Retrospective Cohort Study of 504 Cases
Authors: Jo Chris Hyunchul , Lee Jung-in , Kim Kyunghoon , Ahn Eunmi , Oh Sohee 
Published: August 2024

Background: The clinical implications of structural integrity have been a subject of long debate. The oversimplified binary categorization of structural integrity into either healing or retear, along with faulty preoperative baselines for comparison, may contribute to the controversy. Purpose: To determine how the quality of structural integrity in a repaired cuff tendon affects both clinical and structural outcomes by dividing the patients into groups based on integrity and using the immediate postoperative baseline (time zero). Study design: Cohort study; Level of evidence, 3. Methods: A total of 504 patients with a full-thickness rotator cuff tear who underwent arthroscopic rotator cuff repair and were followed up for at least a year with magnetic resonance imaging (MRI) were included. The quality of structural integrity was graded using the Sugaya classification. To evaluate clinical outcomes, pain, range of motion, strength, functional scores, and overall satisfaction and function were used for within- and between-group analyses at the last follow-up. For the assessment of structural outcomes, the Goutallier classification for fatty infiltration (FI) and the tangent sign, occupation ratio, and normalized cross-sectional area for muscle atrophy (MA) were used. The baselines for these structural measurements were both the preoperative and the time-zero MRI scans. Results: The mean clinical follow-up period was 31.8 ± 27.5 months, and the MRI follow-up period was 10.9 ± 5.3 months. There were 178 (35.3%), 228 (45.2%), 58 (11.5%), 14 (2.8%), and 26 (5.2%) shoulders with Sugaya grades 1, 2, 3, 4, and 5, respectively. Regardless of structural integrity, all clinical outcomes at a mean follow-up of 31.8 months after repair significantly improved compared with those before repair. Only in shoulders with Sugaya grade 1 did the FI of the supraspinatus muscle improve significantly from baseline. FI of the infraspinatus muscle did not change significantly in those with grades 1 and 2 but worsened in those with grades 3 and 5. MA measured using the occupation ratio improved significantly in shoulders with Sugaya grades 1 and 2 but declined in those with grade 5. Conclusion: This study established a correlation between improved structural integrity of the repaired cuff tendon and enhanced structural outcomes in rotator cuff muscles. Furthermore, the findings revealed that both FI and MA could be reversed in patients exhibiting high-quality structural integrity. However, these structural improvements were not mirrored in the clinical outcomes.
Matrix-Assisted Autologous Chondrocyte Transplantation for the Treatment of Patellofemoral Chondral Lesions: Long-term Results at a Minimum 15-Year Follow-up
Authors: Boffa Angelo , Andriolo Luca , Angelelli Lucia , Pizzuti Valeria , Filardo Giuseppe , Zaffagnini Stefano , Di Martino Alessandro 
Published: August 2024

Background: A few studies have documented the long-term results of chondrocyte-based procedures for the treatment of patellofemoral cartilage lesions, but specific results are lacking after matrix-assisted autologous chondrocyte transplantation (MACT) for patellar and trochlear lesions. Purpose: To document the clinical results of MACT for the treatment of patellar and trochlear chondral defects at long-term follow-up. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 44 patients were prospectively evaluated after MACT for patellofemoral lesions. There were 24 patients affected by patellar lesions, 16 by trochlear lesions, and 4 with both patellar and trochlear defects. Clinical outcomes were analyzed using the International Knee Documentation Committee (IKDC) subjective form, EuroQol visual analog scale, and Tegner score for sport activity level before surgery and at follow-up time points of 5, 10, and a minimum of 15 years (mean final follow-up, 17.6 ± 1.6 years). A Kaplan-Meier survival analysis was performed to examine the survival to failure. Failure was defined as the need for a second surgery because of the persistence of symptoms related to the primary defect. Results: An overall significant improvement was documented from baseline to the last follow-up. The IKDC subjective score improved in the trochlear group from 41.0 ± 13.3 at baseline to 83.9 ± 21.6 at 5 years ( P < .005), remaining stable up to the final follow-up (81.3 ± 20.5). In the patellar group, the IKDC subjective score improved from 36.1 ± 14.4 at baseline to 72.3 ± 17.5 at 5 years ( P < .005), remaining stable up to the final follow-up (62.0 ± 20.3). Patients with trochlear lesions presented higher IKDC subjective scores compared with those with patellar lesions at 5 ( P = .029), 10 ( P = .023), and ≥15 years ( P = .006) of follow-up. Similar trends were documented for the Tegner score, while no differences were documented for the EuroQol visual analog scale score between patellar and trochlear lesions. There were 4 failures (9.1%) during the follow-up period. The Kaplan-Meier survival analysis did not show statistically significant differences between trochlear and patellar lesions. Conclusion: This hyaluronic acid–based MACT technique offered positive and durable clinical outcomes with a low failure rate at long-term follow-up in patients affected by patellofemoral cartilage lesions. However, trochlear and patellar lesions demonstrated a notable difference in terms of clinical findings and sport activity level, with significantly higher results for patients with trochlear lesions but less satisfactory outcomes for patients with patellar lesions.
Competing in the “war for talent” in nursing homes: A quantitative investigation
Authors: Gabutti Irene , Martini Lorena , Pandolfi Daniele , Apuzzo Luigi , Mantoan Domenico 
Published: August 2024

Purpose This study explores the characteristics of primary care organizations that are likely to attract and retain highly skilled professionals, meeting their expectations and increasing Person-Organization fit. Both “hard” dimensions (ownership) and organizational/managerial traits under the span of control of management are investigated. The objective is to raise awareness on how to mitigate unpopular features of primary healthcare organizations so to effectively compete in the war for talent. Methods This study has been carried out based on data extrapolated from a broader study conducted by the Italian National Agency for Regional Health Services and commissioned by the Italian Ministry of Health. Data deriving from Italian nursing homes was extrapolated from the broader public dataset and multiple regressions were carried out to detect associations between managerial variables and staff seniority. Findings Several significant associations were detected, suggesting that both physicians and nurses are affected by some investigated variables when deciding where to work and for how long. While some of these are common to the two categories of professionals (e.g., the presence of a nursing director), others are not (e.g., the presence of internal training programs). Original value The implications of this study are related to the need of increasing awareness of managers of nursing homes on those features that are likely to increase their attractiveness and long-lasting appeal to professionals. This is a paramount topic in times in which the war for talent is strong. A lack of attention on this field may lead to the inability to attract and retain staff in primary care settings and, in turn, to implement strategic trends of change healthcare systems are facing in Italy and worldwide.
Global vs Local: A Choice Influenced by Consumer Ethnocentrism Level
Authors: Yadav Shashi , Kishor Nawal 
Published: August 2024

Purpose: The purpose of the research is to investigate the determinants of consumer ethnocentrism (CE) and its influence on the actual purchase behaviour (APB) of domestic versus foreign products among Indians post COVID-19 pandemic using the theory of planned behaviour (TPB). Design/methodology/approach: To obtain the results, statistical techniques such as EFA, CFA, t-test, ANOVA and regression were applied to 861 responses, conducted via a structured questionnaire in the different metropolitan cities of India in two phases. Findings: Two major determinants of CE, i.e., patriotism and nationalism, are found. Indians have moderate to high ethnocentrism levels, and their tendency to be ethnocentric significantly differs across demographic traits; there is a significant influence of CE on attitude formation that subsequently leads to favourable intention and finally to APB. Practical implications: The findings indicate that marketers can feel confident in targeting both genders in their promotional campaigns as there were no pertinent variations in both genders’ ethnocentric tendencies. The increasing level of ethnocentrism will surely be an opportunity for Indian manufacturers and sellers. Their promotional tools must carry a visible message that the product is domestically manufactured and its consumption will lead to value addition in the country. Originality/value: The research provides insights to understand ethnocentrism through the lenses of TPB and social identity theory. The study will augment our understanding of the plausible reasons behind the increasing ethnocentrism among Indians, especially after the COVID-19 pandemic.
The Saga of Brand Equity: A Comprehensive Bibliometric Analysis
Authors: Mikul  , Mittal Ishwar 
Published: August 2024

Purpose: The purpose of this research is to undertake a rigorous bibliometric analysis of the trends and patterns in brand equity research; to map the intellectual and social structure of brand equity; and to propose a transition plan for future work in this discipline. Methodology: This study has adopted (SPAR-4) systematic performance analysis and review technique. Following a specified search string, 1,842 journal articles from the previous 31 years (1992–2022) were pulled from the Scopus database. In order to comprehend the field’s knowledge base, various techniques of performance analysis and science mapping were employed using RStudio and VOSviewer. Findings: The results suggest that over the past three decades, both the volume and influence of brand equity studies have surged. Using co-citation analysis, we discovered four distinct subfields within the brand equity literature. Furthermore, the co-authorship network revealed that nations with little geographical, historical, and cultural proximity, such as the United States and South Korea exhibited the most active cross-country brand equity collaborations. Originality/Value: Despite the increasing amount of research being done on brand equity, the current look back is not adequate. This research is the first of its kind to provide practitioners, academics, and future scholars with valuable information about the intellectual and social structure of brand equity.
Life Course Models of Child Maltreatment: Effects on General Psychopathology Outcomes in a Longitudinal Sample
Authors: Wong Dylan R. , Anderson Kristen G. 
Published: August 2024

The study compared life course models (LCM; accumulation, recency, and sensitive period) of child maltreatment and general psychopathology in a large, national longitudinal data set of 1354 youth ages birth-16 years (657 boys, 53.2% Black, 59.7% <$40K caregiver income). Previous research has supported the accumulation and recency models, albeit with shorter or fewer time periods of outcome measurement. We extend this work by modeling the impact of combined abuse and neglect allegations on a general psychopathology factor (dysregulation profile). Cross-sectional structural equation models were constructed using LCMs and tested across two-year periods from 4–16 years old and compared using Akaike Information Criterion weights. The recency variable generally explained the greatest proportion of variance in psychopathology. Notably, maltreatment more proximal to the time of outcome measurement had the strongest effect, suggesting that more recent maltreatment may have stronger effects on general psychopathology. These results lend support to a recency effect of maltreatment on psychopathology outcomes, although substantive overlaps with the accumulation model are noted.
A qualitative study of patients’ experience during vaginal examination & transvaginal ultrasound in a tertiary hospital in Singapore
Authors: Lee Jean-Jasmin ML , Cheong Xinyi , Tan Tse Yeun , Zhong Yuting , Chua Caroline , Goy Wee Lip Raymond , Ang Seng Bin 
Published: August 2024

Background and objectives Vaginal digital examination and transvaginal ultrasound are routinely for clinical assessment. Many women find these procedures uncomfortable, embarrassing, and stressful. Negative experiences increase anxiety and discomfort experienced during subsequent examinations. Emotional distress and fear of pain result in women avoiding gynaecological screening and follow-up. This study uses qualitative methods to evaluate the experience of patients who have undergone both vaginal digital and transvaginal ultrasound examinations, collectively called pelvic examinations (PE) in the outpatient setting of a tertiary hospital in Singapore. Methods Qualitative semi-structured interviews were conducted on 12 participants aged 30-57 years. Interviews were audio-recorded, transcribed, audited, and analysed iteratively based on grounded theory. Emergent themes were first externally validated and finalized after rounds of deliberations amongst the investigators. This included descriptions and concepts reflecting the most important matters experienced by participants. Results Majority of participants found PE unpleasant and uncomfortable especially when providers were perceived to have poor communication and examination skills. Factors that improve their experience include a conducive environment that is, privacy, dim lights, and warm lubricant. Having adequate information before and during the procedure was important especially for first time. Conclusion Patient-centred care ensures a positive experience in relation to the themes found in this study. Gaps in HCP training on communication and procedure skills should be addressed. Efforts should be made improve the clinic environment and provide adequate information to patients.
Patient satisfaction with telemedicine for substance-related disorders
Authors: Farias María Alejandra , Badino Manuel , Fuster de Apocada María Jose 
Published: August 2024

Introduction Telemedicine has been shown to be an effective approach for people with substance-related disorders. Analyzing patient satisfaction with telemedicine is necessary for improving treatment outcomes. This study aims to assess patient satisfaction with telemedicine for substance-related disorders at the Centro Asistencial Córdoba in Argentina. Methods A cross-sectional, descriptive, and correlational design was carried out. A patient satisfaction survey was created, consisting of eight questions and a quality-of-life question, which was administered to N = 115 patients. Results The results showed that more than 90% agreed with the ease of use of virtual consultations, 82% felt they received the same level of care as if the consultation had been in person, 86% agreed with the adequacy of time utilized during the virtual session, and over 85% agreed to repeat their telemedicine treatment. Regarding the composite variable “users’ assessment of telemedicine,” we found an average of 17.41 ± 2.80. Concerning satisfaction with virtual care and the previous use of telemedicine, 95.7% were satisfied, and nearly 61.7% reported not having used virtual care previously. In terms of money and time saved, 93.9% saved money with virtual consultations, 66.1% saved more than two hours per week, 23.5% saved more than one hour per week, and 10.4% saved less than one hour per week. Conclusions Overall, there is significant approval of telemedicine among users of substance-related disorders services. In particular, they were satisfied with the time employed, the benefits of saving time and money, and the ease of use of telemedicine; furthermore, they were positive about undergoing telemedicine treatment in the future.
Implementation of a conversational, videoconferencing-based therapy group for postpartum depression and anxiety symptoms: A pragmatic evaluation
Authors: Hussain-Shamsy Neesha , Wasserman Lori , Slyfield Cook Greer , Macdonald Kaeli , Greene Keisha , Barker Lucy C. , Zaheer Juveria , Mukerji Geetha , Vigod Simone N. , Seto Emily 
Published: August 2024

Background Group psychotherapy is an effective treatment for postpartum depressive and anxiety symptoms, and interpersonal connection and support through the group process can aid recovery. Little is known about the implication of the delivery of interpersonally oriented group therapy in this population through videoconferencing. Objective To pragmatically evaluate the implementation of a conversationally-oriented postpartum videoconferencing psychotherapy group for depression and anxiety within the clinical setting. Methods Over 8 weeks, five to six patients and one therapist facilitator (closed group) meet weekly for 1 hour via a secure videoconferencing platform. We evaluated group adoption metrics for all postpartum videoconferencing psychotherapy groups offered during the evaluation period (October 2021–August 2022), and offered patients the opportunity to complete baseline and post-group quality improvement surveys to evaluate outcomes including acceptability (Satisfaction with Therapist and Therapy Scale-Revised, STTS-R), group process (Group Questionnaire, GQ), and effectiveness (Edinburgh Postnatal Depression Scale, EPDS). Results Of 153 patients ( n = 26 groups), most (72.5%) attended >70% of group sessions. Of 137 patients ( n = 24 groups) who were sent surveys, n = 50 (36.5%) completed both baseline and post-group surveys. Mean ( SD) ratings were high for acceptability (STTS-R-therapy: 25.0/30 (3.1); STTS-R-therapist: 27.6/30 (2.3)) and group process with GQ ratings of 81.4/91 (7.8) (positive bond), 34.1/56 (3.8) (positive working relationship) and 23.5/63 (4.4) (negative relationship). Patients with probable depression (EPDS ≥ 13) significantly decreased from n = 23 (50%) to n = 19 (41.3%, p < .001), although the absolute score difference was minimal. Discussion Videoconferencing-based group therapy can be implemented with a robust group process and acceptability in the postpartum period. Impact on clinical outcomes should be further investigated.