bluuebunny/crossref_metadata_2025_split huggingface dataset:
Proximal Junctional Degeneration and Failure Modes
Authors: Cetik Riza M. , Glassman Steven D. , Dimar John R. , Campbell Mitchell J. , Djurasovic Mladen , Crawford Charles H. , Gum Jeffrey L. , Owens R. Kirk , McCarthy Kathryn J. , Carreon Leah Y. 
Published: May 2024

Study Design.
Case-control study.

Objective.
To introduce a classification system that will include the major types of degenerative changes and failures related to the proximal junction, and to determine the clinical course and characteristics for the different types of proximal junctional degeneration.

Background.
Proximal junctional kyphosis and failures are well recognized after adult spinal fusion; however, a standardized classification is lacking.

Materials and Methods.
The proposed system identified 4 different patterns of proximal junctional degeneration: (1) Type 1 (multilevel symmetrical collapse), (2) Type 2 (single adjacent level collapse), (3) Type 3 (fracture), and (4) Type 4 (spondylolisthesis). A single-center database was reviewed from 2018 to 2021. Patients 18 years or older of age, who underwent posterior spinal fusion of ≥3 levels with an upper instrumented vertebral level between T8 and L2, and a follow-up of ≥2 years were included. Radiographic measurements, revision surgery, and time to revision were the primary outcomes.

Results.
One hundred fifty patients were included with a mean age of 65.1 (±9.8) years and a mean follow-up of 3.2 (±1) years. Sixty-nine patients (46%) developed significant degenerative changes in the proximal junction and were classified accordingly. Twenty (13%) were type 1, 17 (11%) were type 2, 22 (15%) were type 3, and 10 (7%) were type 4. Type 3 had a significantly shorter time to revision with a mean of 0.9 (±0.9) years. Types 3 and 4 had greater preoperative sagittal vertical axis, and types 1 and 3 had greater final follow-up lumbar lordosis. Bone density measured by Hounsfield units showed lower measurements for type 3. Types 1 and 4 had lower rates of developing proximal junctional kyphosis. Type 1 had the lowest revision rate with 40% (types 2, 3, and 4 were 77%, 73%, and 80%, respectively, P = 0.045).

Conclusion.
This novel classification system defines different modes of degeneration and failures at the proximal junction, and future studies with larger sample sizes are needed for validation.

Level of Evidence.
Level III.
Are There Differences Among Evidence-Based Psychotherapies for Treating Different DSM-5 PTSD Symptom Clusters? A Systematic Review and Meta-analysis of Controlled Clinical Trials
Authors: Melani Marina S. , Paiva Jéssica M. , Mendlowicz Mauro V. , Vilete Liliane , Luz Mariana P. , Ventura Paula Rui , Passos Roberta Benitez Freitas , Berger William 
Published: May 2024

Abstract
Posttraumatic stress disorder (PTSD) is a heterogeneous disease defined by four Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) symptom clusters: reexperiencing, avoidance, negative alterations in cognitions and mood, and hyperarousal. There are effective evidence-based psychotherapies (EBPs) for PTSD. However, given the variety of PTSD clinical presentations, we conducted the first meta-analysis investigating whether DSM-5 PTSD symptom clusters show different responses to EBPs. We systematically reviewed the literature for controlled clinical trials in five databases, performed a meta-analysis, and evaluated the methodological quality of the studies. We screened 633 studies and included seven. Three showed high risk, two showed some concerns, and one showed a low risk of bias. The symptom clusters do not seem to respond differently to EBPs (SMD cluster B: −0.40; 95% confidence interval [CI], −0.87 to 0.08; cluster C: −0.49; 95% CI, −0.90 to −0.08; cluster D: −0.44; 95% CI, −0.94 to 0.05; cluster E: −0.54; 95% CI, −1.07 to −0.0), even when analyzed by the therapeutic focuses. The findings dovetail nicely with the network theory of PTSD symptom, as although it is a heterogeneous disorder, the EBPs seem to promote a kind of cascade of symptom improvement.
New Frontiers in Wide-Awake Surgery
Authors: Lalonde Donald H. , Gruber Meegan M. , Ahmad Amir A. , Langer Martin F. , Sepehripour Sarvnaz 
Published: May 2024

Learning Objectives:
After studying this article, the participant should be able to: 1. Explain the most important benefits of wide-awake surgery to patients. 2. Tumesce large parts of the body with minimal pain local anesthesia injection technique to eliminate the need for sedation for many operations. 3. Apply tourniquet-free surgery to upper and lower limb operations to avoid the sedation required to tolerate tourniquet pain. 4. Move many procedures out of the main operating room to minor procedure rooms with no increase in infection rates to decrease unnecessary cost and solid waste in surgery.

Summary:
Three disruptive innovations are changing the landscape of surgery: (1) minimally painful injection of large-volume, low-concentration tumescent local anesthesia eliminates the need for sedation for many procedures over the entire body; (2) epinephrine vasoconstriction in tumescent local anesthesia is a good alternative to the tourniquet and proximal nerve blocks in extremity surgery (sedation for tourniquet pain is no longer required for many procedures); and (3) evidence-based sterility and the elimination of sedation enable many larger procedures to move out of the main operating room into minor procedure rooms with no increase in infection rates. This continuing medical education article explores some of the new frontiers in which these changes affect surgery all over the body.
“Why Not Just go on PrEP?”: A Study to Inform Implementation of an HIV Prevention Intervention Among Hispanic/Latino Men Who Have Sex With Men in the Northeastern United States
Authors: Rogers Brooke G. , Toma Emily , Harkness Audrey , Arnold Trisha , Nagel Katherine , Bajic Jade , Maynard Michaela , Almonte Alexi , Nunn Amy , Chan Philip 
Published: May 2024

Background:
Preexposure prophylaxis (PrEP) is an effective biological option for HIV prevention yet persistent disparities in PrEP uptake and retention exist among Hispanic/Latino men who have sex with men (MSM). We evaluated barriers and facilitators to PrEP care among Hispanic/Latino MSM at risk for and living with HIV.

Setting:
A small urban setting in the Northeastern United States.

Methods:
This was a mixed-methods, exploratory, sequential, qualitative and quantitative pilot study among Latino MSM at-risk and/or living with HIV across (1) semistructured qualitative interviews (N = 15) and (2) cross-sectional survey (N = 98).

Results:
Participants reported a diverse range of sexual identities, HIV statuses, and PrEP statuses. Qualitative participants described feelings of isolation in both Hispanic/Latino and queer communities that made it challenging to learn about HIV prevention or PrEP from peers. Participants in the survey indicated that they would be more inclined to uptake PrEP if PrEP were offered in primary care settings (n = 61; 62.2%); there were specific LGBTQ+ affirming medical settings (n = 36; 36.7%); and/or they could meet other people who are currently on PrEP and sharing experiences online (n = 46; 46.9%) or in person (n = 38; 38.8%). Findings were organized to reflect determinants and implementation strategies that could be used to improve PrEP uptake among this population.

Conclusions:
This mixed-methods study identified several challenges and opportunities for increasing the reach of PrEP to Hispanic/Latino MSM. These findings should be used to inform tailored implementation strategies to promote PrEP uptake among this at-risk yet currently underserved population.
Opportunities and Applications of Educational Technologies in Surgical Education and Assessment
Authors: Fried Gerald M. , Varas Julián , Telem Dana A. , Greenberg Caprice C. , Hashimoto Daniel A. , Paige John T. , Pugh Carla 
Published: May 2024

Objective:
Describe the latest technological in surgical education and assessment.
Background:
Surgical education is challenged by continuously increasing clinical content, greater subspecialization, and public scrutiny of access to high-quality surgical care. Since the last Blue Ribbon Committee on surgical education, novel technologies have been developed, including artificial intelligence and telecommunication.

Methods:
The goals of this Blue Ribbon Sub-Committee were to construct a framework for applying these technologies to improve the effectiveness and efficiency of surgical education and assessment.
An additional goal was to identify implementation frameworks and strategies for centers with different resources and access. All subcommittee recommendations were included in a Delphi consensus process with the entire Blue Ribbon Committee (N = 67).

Results:
Our subcommittee found several new technologies and opportunities that are well-poised to improve the effectiveness and efficiency of surgical education and assessment (Tables 1–3). Our top recommendation was that a Multidisciplinary Surgical Educational Council be established to serve as an oversight body to develop consensus, facilitate implementation, and establish best practices for technology implementation and assessment. This recommendation achieved 93% consensus during the first round of the Delphi process.

Conclusions:
Advances in technology-based assessment, data analytics, and behavioral analysis now allow us to create personalized educational programs based on individual preferences and learning styles. If implemented properly, education technology has the promise of improving the quality and efficiency of surgical education and decreasing the demands on clinical faculty.
A systems thinking approach to international business education
Authors: Pilato Viviana , Voss Hinrich 
Published: May 2024

Purpose
International business (IB) education typically focuses on the multinational enterprise (MNE) and how it navigates varying institutional setups for its own benefit. This reductionist and MNE-centric approach underplays the influence these firms have on the societal and environmental fabric of the geographies they are operating in. This paper aims to propose integrating systems thinking into IB education to address this shortcoming with the intention to setup IB education to engage with wicked grand challenges.

Design/methodology/approach
This conceptual paper offers an approach for integrating complexity, criticality and diversity into IB education through teaching systems thinking capabilities.

Findings
Integrating systems thinking into IB education allows for a more realistic appreciation of IB’s contribution to addressing grand challenges. The authors propose a systems thinking perspective to IB education and offer how systems thinking capabilities could be taught in IB.

Originality/value
Grand challenges are characterised by wicked problems. Addressing them requires a multilevel, cross-disciplinary approach that takes into consideration the inter- and intradependencies of all actors within a system.
Do price consciousness, anti-socializing behavior and content add fuel to consuming online video streaming? A multigroup analysis and moderating role of gender and marital status
Authors: Baber Hasnan , Fanea-Ivanovici Mina , Pana Marius-Cristian , Manole Alina Magdalena 
Published: May 2024

PurposeVideo streaming consumption has become a social and economic phenomenon in an age where the share of online entertainment has become larger and larger in the total entertainment pie. Besides the advancement of technology, the pandemic further contributed to its development. The aim of this study is to analyze the role of price consciousness, anti-socializing behavior and choice of content in shaping the video streaming consumption. Furthermore, we look at the moderating role of gender and marital status on the hypothesized relationships.Design/methodology/approachThe data were collected from a sample of 533 Romanian respondents, and it was processed using Partial Least Square structural equation modeling. In addition, Necessary Condition Analysis was used to assess the necessity effect size of an independent variable for a specific outcome of a dependent variable.FindingsWe find that the main hypotheses are confirmed, and that gender as a moderating variable negatively influences the relationship between anti-socializing behavior and video streaming consumption.Research limitations/implicationsBesides the main findings pertaining to video streaming consumption determinants, psychology scholars concerned about the relationship between anti-socializing behavior and video streaming consumption as a part of the total time spent online could also benefit from the current findings.Practical implicationsThe results of this study will be helpful to industry players in designing their video streaming offer after taking into consideration the influence of the discussed variables on the consumption behavior.Social implicationsWhile anti-socializing behavior drives consumers to a digital environment for which they control the settings, the content being streamed is a cultural product, influenced by society and its consumption immerses the viewer in the cultural mores of the time and place the content was created in or depicts; hence, anti-socializing behavior does not mean a complete break from society, but rather a different instantiation of people’s need to connect with their social environment.Originality/valueThe novelty of this research stands in the integration of anti-socializing behavior as an explanatory factor of video streaming consumption, which has not yet been used in models explaining online consumption so far.
“Nothing compares to actually listening”: experiences with sacrificial listening and place-based education
Authors: Allen Amy , Stewart Carey , Engelhardt Mason 
Published: May 2024

PurposeRecent scholarship has called for researchers to recognize the urgency of place-based education as a critical component of social studies pedagogy. This study seeks to understand better the relationship between place-based education, sacrificial listening and difficult history.Design/methodology/approachIn this qualitative, arts-based research study, collaging is used to investigate how students use the theory of sacrificial listening while trying to make sense of difficult histories during a place-based history education experience. Students enrolled in a PBE experience received instruction about the theory of sacrificial listening at the beginning of a two-week course on the lasting impact of the civil rights movement. Students created a collage and responded to a reflection prompt about the course after engaging in course experiences, including travel to Oklahoma, Arkansas, Tennessee and Alabama.FindingsFindings in the study demonstrate how sacrificial listening appeared, both explicitly and implicitly, in the ways students processed difficult history during a place-based education experience. Ultimately, the study found, though students organized their thoughts in distinct ways, they all leaned on the theory of sacrificial listening to make sense of what they learned.Originality/valueFew studies have applied the theory of sacrificial listening as a pedagogical framework. Future research should build on this work, further investigating the theory as a pedagogical framework in conjunction with both place-based history education as well as other instructional settings.
Trains, trade, and transformation: A spatial Rogowski theory of America's 19th‐century protectionism
Authors: Scheve Kenneth , Serlin Theo 
Published: May 2024

AbstractWe study the effect of expanding trade on societal coalitions through its impact on development. We combine a majoritarian political model with a spatial model of trade to argue that trade‐induced economic change—by bringing new workers to locations closer to world markets—can lead to losses rather than gains in political power for the factors of production advantaged by increased trade. We study how this phenomenon explains rising protectionism in the United States from 1880 to 1900. Using county‐level changes in transportation costs induced by railroad expansion, our estimates indicate that falling costs increased population and farm values but reduced the proportion of farmers. Reduced transportation costs caused a reduction in vote shares for the Democratic Party, which favored liberal trade policies, and an increase in an original newspaper‐based measure of protectionist sentiment. Expanding trade alters not only political interests but also the geographic distribution of those interests.
Description and evidence on the supporting and enhancing neonatal intensive care unit sensory experiences (SENSE) program
Authors: Pineda Roberta , Misikoff Maya , Ghahramani Sahar , Smith Joan , Mathur Amit 
Published: May 2024

AbstractAimTo describe the supporting and enhancing neonatal intensive care unit (NICU) sensory experiences (SENSE) program, associated research and opportunities for further study.MethodsA review of current materials on SENSE program implementation, publications related to SENSE development, and research on program implementation and patient outcomes was conducted to describe the SENSE program and its associated research.ResultsThe SENSE program combines structured, evidence‐based, multisensory interventions with parent engagement in order to optimise outcomes in the complex NICU environment. Through a stepwise and scientific process, the SENSE program was developed to include specific doses and targeted timing (based on the infant's postmenstrual age, PMA) of evidence‐based interventions such as massage, auditory exposure, rocking, holding and skin‐to‐skin care for parents to provide their infants each day of NICU hospitalisation. It is adapted in context of concurrent medical interventions, infant behavioural responses, as well as NICU culture. The program is feasible to implement, acceptable to staff, and related to infants receiving more developmentally appropriate sensory exposures. Adaptations related to NICU culture and parent involvement have been reported. Research has identified relationships of the SENSE program to improved parent confidence, neurobehaviour and feeding at term age as well as improved communication 1 year of age.ConclusionThe literature related to the SENSE program is promising, but more research on efficacy and implementation is needed.
Loneliness is associated with more trust but worse trustworthiness expectations
Authors: Bellucci Gabriele , Park Soyoung Q. 
Published: May 2024

AbstractSubjective feelings of loneliness emerge due to unsatisfactory social relationships, representing a major risk for mental and physical well‐being. Despite its social nature, evidence on how loneliness affects social behaviours and expectations is lacking. Using Bayesian analyses and economic games, we show in three different studies that lonelier individuals trusted their partners to a greater extent despite less favourable trustworthiness expectations, showing a greater discrepancy between their trusting behaviours and their expectations of others' trustworthiness. Such discrepancy was reversed in extravert individuals who also reported to be less lonely. These results provide evidence on two opposing effects of loneliness as a motivator for social connections and promoter of social withdrawal, and demonstrate the moderating role of personality traits. This work contributes to a better understanding of how loneliness impacts social behaviour and social expectations, with important downstream clinical implications for varying health conditions associated with heightened feelings of loneliness.
Unveiling the psychological mechanisms of mutual help groups for addiction recovery: The role of social identity factors
Authors: Blondé Jérôme , Falomir‐Pichastor Juan Manuel , Desrichard Olivier 
Published: May 2024

AbstractThe effectiveness of mutual help groups (MHGs) in promoting addiction recovery has been widely acknowledged. However, the psychological mechanisms underlying the impact of MHGs remain somewhat uncertain. Drawing on a social identity perspective, this study investigated a sequential mediation model in which social support is posited as a driving factor that enhances abstinence maintenance through group identification, recovery identity, and self‐efficacy. A sample of 820 smokers, participating in a 6‐month collective smoking cessation programme which included access to an online help group, completed measures of social support, group identification, smoker/ex‐smoker identity, and self‐efficacy at the programme's outset. Smoking abstinence was assessed 6 and 9 months later. The findings supported the proposed model, indicating that social support was positively associated with MHG identification, which, in turn, was related to a stronger recovery identity. Subsequently, recovery identity was associated with increased self‐efficacy, and indirectly, with smoking abstinence at both measurement times. Additional analyses testing alternative mediation models further supported the validity of the proposed model. These findings suggest that social identity factors play significant roles in accounting for the effectiveness of MHGs for addiction recovery.
Replication of “How much does immigration boost innovation?”
Authors: Wright Taylor J. 
Published: May 2024

AbstractIdentifying the causal impact of immigration on outcomes commonly involves using a “shift‐share” or Bartik instrument, exploiting country‐specific immigration inflows (shifts) and location specific prior shares for the same countries. New findings suggest that identifying variation may come not from the shifts, as previously believed, but rather from the shares. In this paper, I first replicate Hunt and Gauthier‐Loiselle (HGL) who find skilled immigration increases innovation, and second employ new tests from the shift‐share literature. I find that the results of HGL replicate and hold up well to these new tests.