bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring the role of attention towards balance in chronic dizziness: Development of the Balance Vigilance Questionnaire (Balance-VQ)
Authors: Ellmers Toby J , Kal Elmar C 
Published: July 2023

AbstractBackground and ObjectivesVigilance towards balance has been proposed to underpin various chronic dizziness disorders, including Persistent Postural Perceptual Dizziness (PPPD). The objective of this study is to develop (through patient input) a validated balance-specific measure of vigilance that comprehensively assesses the varied ways in which this construct may manifest.MethodsWe developed the Balance Vigilance Questionnaire (Balance-VQ) through patient and clinician feedback, designed to assess vigilance towards balance. We then validated the questionnaire in 497 participants consisting of patients diagnosed with chronic dizziness disorders (including 97 individuals diagnosed with PPPD) and healthy controls.ResultsThe final 6-item Balance-VQ was shown to be a valid and reliable way to assess vigilance towards balance. Scores were significantly higher in individuals diagnosed with PPPD compared to controls. Although scores were also higher in the PPPD group compared to individuals with diagnosed vestibular disorders other than PPPD, Balance-VQ scores did not discriminate between the two groups when confounding factors were controlled for.ConclusionsOur findings confirm that the Balance-VQ is a valid and reliable instrument for assessing vigilance towards balance. As symptom vigilance has been identified as a key risk factor for developing chronic dizziness following an acute neuro-otological insult, we recommend using the Balance-VQ as a screening tool in people presenting with such symptoms.Key Messages- Vigilance towards balance has been proposed to underpin the development and maintenance of chronic dizziness disorders, such as Persistent Postural Perceptual Dizziness (PPPD).- Clinically assessing balance vigilance is difficult, as no validated assessment method exists.- Through feedback from patients and clinicians, we developed a new scale capable of assessing this construct: The Balance Vigilance Questionnaire (Balance-VQ).- Our findings confirm that the Balance-VQ is a valid and reliable instrument for assessing vigilance towards balance.- We recommend using the Balance-VQ as a screening tool in people at risk of developing, or currently presenting with, chronic dizziness.
Meesho: mission possible?
Authors: Arora Sunny Vijay , Krishna Malay , Dhir Vidyut Lata 
Published: July 2023

Learning outcomes
This case can be used to teach students how to analyze innovative business models, as well as to trace their reasons for success and failure. The following objectives also align with categories in Bloom’s taxonomy (Forehand, 2010), consistent with the keywords underlined. More specifically, this case will enable students to learn the following: First, to analyze the distinctive features of a social commerce business model, and how these differ from a traditional e-commerce model. This objective maps to Discussion Question No. 1. This objective helps students to understand the value proposition of an unfamiliar business model (social commerce platform) and compare it with that of a familiar business model (e-commerce platform). Second, racing the causes for success and failure of a venture, using frameworks from entrepreneurship and strategy. This relates to Discussion Question No. 2. This objective helps students analyze strategic decisions of an entrepreneur in light of available resource constraints and by applying appropriate conceptual frameworks. Third, developing recommendations to help a new venture sustain its business model in the face of severe challenges. Discussion Question No. 3 covers this objective. This objective enables students to debate possible paths that the startup could take. The discussion on possible paths naturally causes students to create sustainable or viable options.

Case overview/synopsis
The case describes the challenge facing Vidit Aatrey, the founder and chief executive of Meesho, a social commerce venture headquartered in Bangalore, India, in October of 2022. While Meesho recorded the second-highest sales (by order volume) during India’s festive season, it also recorded layoffs and business closures. While Meesho’s core business of getting resellers to sell through its online platform seemed to be working, its new business ventures, such as expanding into the grocery business and into Indonesia, had failed and resulted in more than 300 layoffs. Meesho was also pressed for funding: valued at US$4.9bn, the global market for venture capital funding had chilled and now demanded profitability, not growth-at-all-costs. Meesho’s cash burn rate was about $40m per month, and Aatrey was hard pressed to come up with options for profitable growth.

Complexity academic level
This case is intended for students of management at a master’s level in a course on entrepreneurship. At the authors’ institute, this case is used with MBA students in an elective course on entrepreneurship and also in an elective course in general management.

Supplementary materials
Teaching notes are available for educators only.

Subject code
CCS 3: Entrepreneurship
Virtual mobility in higher education in Brazil: factors of influence on satisfaction and continuity
Authors: Queiroz Fernanda Cristina Barbosa Pereira , Silva Christian Luiz da , Lima Nilton Cesar , Thomaz Solange Marlene , Queiroz Jamerson Viegas 
Published: July 2023

PurposeDuring the coronavirus disease 2019 (COVID-19) pandemic and social distancing, the Virtual Mobility Program (Promover) implemented in 2021 in Brazil aimed to allow students enrolled in Brazilian federal universities to take curricular components at other institutions of the system remotely. The main objective of this research was to identify the most important factors, in students' perception, that affected their satisfaction with virtual mobility (VM) and the factors that drive the intention to continue mobility.Design/methodology/approachData collection was performed through 433 questionnaires answered online. R software was used for descriptive analysis and SmartPLS to examine the relationship between independent and dependent variables through Structural Equation Modeling.FindingsA positive relationship was verified between the constructs, and the hypothesized relations were confirmed at statistically significant level, revealing the students' satisfaction with VM and their intention to continue exploring this online learning option through Promover. The results showed that the motivations for VM are linked to the pursuit of knowledge and more opportunities for training and work. Plus, the use of VM proved to be a motivator for student engagement and e-learning effectiveness.Originality/valueThe findings can be useful as they highlight the opportunity to expand VM programs for students, even after the return to on-campus academic activities.
PSR_ti model, an adapted pressure-state-response (PSR) framework for measuring tourism impacts: the case of Madrid
Authors: Gómez-Bruna Diana , Martín-Duque Clara , Alzua-Sorzabal Aurkene , Ruiz-Rua Aurora 
Published: July 2023

Purpose
Assessing the impacts generated by tourism has become an essential element for the industry’s sustainability. The increasing intensity of the impacts and the need to evaluate them from a resident’s perspective calls for new approaches to assist tourism management. This paper aims to advance from the pressure-state-response framework (PSR) to measure the tourism impacts in urban destinations with a holistic model called PSR-ti.

Design/methodology/approach
A multiple linear regression method was adopted to apply the PSR-ti model in the city of Madrid, estimating the relationship between the pressure (objective) and state (subjective) variables. Local statistical yearbook data was used to construct the pressure variables. Regarding the state variables, a survey was designed to assess residents’ perceptions of tourism. A total of 652 responses were obtained.

Findings
The results obtained from the study of pressure indicators unveil that these indicators can support decision-making processes as an underused management tool. This work represents a step forward in considering the transversality of tourism concerning urban planning, the development of equipment and infrastructures or activities such as commerce and culture for the analysis of the state indicators; the results obtained determine the need to periodically evaluate the perception of residents on the impacts of tourism, given its crucial role in the sustainability of the destination.

Originality/value
The PSR-ti model offers a holistic vision, including objective and subjective indicators in the model, which enhances the appraisal of the impacts of tourism by identifying pressure and state factors as a starting point for possible responses by the decision makers of the tourist destination.
Imaginaries about intangible cultural heritage and tourism in Mexican Bajio cities
Authors: Sánchez-Aguirre Driselda P. , Alvarado-Sizzo Ilia 
Published: July 2023

Purpose
The purpose of this paper is to compare the imaginaries of Generation Z inhabitants of heritage cities in the Mexican Bajio regarding their city of residence and the institutional imaginary of urban tourism.

Design/methodology/approach
A total of 186 students from five Mexican heritage cities completed an online questionnaire and participated in focus groups. The authors used a mixed approach with qualitative analysis for open-ended responses and a Kruskal Wallis test to measure attitudes towards tourism and its relationship to place attachment and intangible cultural heritage identification.

Findings
The results showed a strong relationship between place attachment and perception of tourism, but attitudes towards tourism varied among the cities, and San Juan del Río was an outlier. Among the categories of intangible cultural heritage, oral traditions showed the least agreement between youth and institutional imaginaries.

Originality/value
Few studies have considered Mexican youth and their imagery of the small/medium-sized city in which they live when it is promoted as an urban tourist destination.
Measuring visitor flows using mobile positioning data in three Hungarian second-tier cities
Authors: Kovács Zoltán , Smith Melanie , Teleubay Zhanassyl , Kovalcsik Tamás 
Published: July 2023

Purpose
The research analyses the spatial-temporal behaviour of international visitors using mobile positioning data (MPD) in three second-tier cities in Hungary: Szeged, Debrecen and Pécs. The purpose of this study is to identify the origins of visitors, length of stay, seasonal concentrations and mobility between cities.

Design/methodology/approach
A large volume of data generated by foreign mobile phone users was processed and analysed for six consecutive months in 2018. The movements of around 3.5 million foreigners visiting Hungary were captured.

Findings
The data showed significant differences in tourist turnover, mobility patterns and flows indicating different levels of tourism activity and potential in the three cities. This included day trips, cross-border tourism, seasonal fluctuations and activity-driven demand (e.g. special events and cultural tourism).

Research limitations/implications
MPD cannot fully explain or predict drivers of visitor behaviour, such as purpose of visit, the precise activities that they undertake there and the experiences that they gain. It can, however, provide information on spatial and temporal flows, patterns and concentrations of visitors.

Practical implications
The investigated cities should follow distinct tourism development policies to attract more tourists and strengthen the links with their neighbouring destinations at the same time as differentiating themselves through marketing as competitive alternative destinations.

Social implications
Augmenting tourism has socio-economic implications for residents and communities. The development of cultural tourism and local event-based tourism must incorporate community needs.

Originality/value
The paper analyses the extent to which MPD can provide insights into visitors’ spatio-temporal mobility and flows in relatively under-visited second-tier cities and it highlights opportunities and gaps for big data research in an urban context.
Rethinking ‘Crowding Out’ and the Return of ‘Private Affluence and Public Squalor’
Authors: Lansley Stewart 
Published: July 2023

AbstractThis article traces the history of ‘crowding out’, and its use as a justification for austerity and state deflation from its origins in the 1920s to its latest post‐2010 incarnation. It examines why governments have kept turning to austerity and continue to justify it on the grounds that public sector activity crowds out more productive private activity, despite the accumulated evidence that this traditional pro‐market formulation has failed to deliver its stated goals. It examines three other embedded forms of crowding out that have been highly damaging—leading to weakened social resilience and more fragile economies—but which have been ignored by both governments and mainstream political economists.
Factors associated with survival in paediatric and adolescent renal cell carcinoma: a population‐based study
Authors: Zhao Lingling , Liu Wenyuan , Chu Likai , Luo Laiyue 
Published: July 2023

AbstractBackgroundThe purpose of this study was to conduct a population‐based study to determine the prognosis of renal cell carcinoma (RCC) in children and adolescents.MethodsPatients with RCC who were registered in the Surveillance, Epidemiology, and End Results (SEER) program between 2000 and 2018 had their demographic and clinical characteristics evaluated retrospectively. The log‐rank test was used to compare survival curves. Kaplan–Meier estimates were used to generate survival curves based on various factors. To identify factors associated with overall survival, Cox proportional‐hazards regression was used.ResultsA total of 251 patients were enrolled in the study. For all patients, the overall survival (OS) rates at 3‐ and 5‐ year were 93.5% and 92.0%, respectively. A multivariable study revealed that the following factors were independently associated with overall survival: sex, race, histologic type, SEER stage, AJCC stage, and type of surgery. Cox analysis showed that white patients had the lowest risk of mortality (hazard ratio (HR) 2.58, 95% confidence interval (CI), 1.33–4.99; P = 0.005), compared with black patients. Patients having metastatic disease had significantly higher mortality risk (HR 43, 95% CI, 14.8–125; P < 0.001) than the patients with localized tumour.ConclusionsOur study emphasizes the importance of race, SEER stage, and surgery in the prognosis of paediatric RCC, providing valuable epidemiological evidence for clinical practice. Economic studies assessing a race/ethnic group specific strategy are also required.
Gusts of revulsion: Édouard Verreaux's imperial tableaux at the Exposition Universelle of 1867
Authors: Hornstein Katie 
Published: July 2023

AbstractUnlike the vast majority of large‐scale showpieces exhibited at nineteenth‐century universal exhibitions, Édouard Verreaux's taxidermy group, Lion Attacking a Dromedary, has defied the odds and has survived well past its initial public display in the Tunisian section of the 1867 Exposition Universelle in Paris. In the context of its original ethnographic display in a space dedicated to the promotion of French colonialism, Verreaux's ambitious taxidermy tableau would have been understood as a representation of authentic life in Tunisia. This illusion of authenticity issued from the object's expert mimicking of the period's artistic conventions for depicting the relationship between people and animals in North Africa by artists such as Horace Vernet, Eugène Delacroix, Antoine‐Louis Barye, and others. Instead of paint or plaster, Verreaux's composition took the form of an uncanny assemblage of body parts taken from a camel, two lions, and an anonymous human: in so doing, Verreaux used the tragic material of living beings to create a literal interpretation of the aesthetic tropes of French orientalism; with this world's fair showpiece, he thus violently bridged the theoretical and material divide between art and life. In this essay, I take these conjunctions between the “real” and the imaginary as a point of departure for discussing the feigned credulity of Lion Attacking a Dromedary. I contend that Verreaux's Lion Attacking a Dromedary should be considered as an imperial tableau, that is, as a didactic object that participated in training nineteenth‐century viewers to be what the historian Ariella Azoulay has called “imperial citizens” by drawing equivalences between nature and culture, and between representation and reality.
Challenges and solutions for therapeuticTCR‐based agents
Authors: Malviya Manish , Aretz Zita E. H. , Molvi Zaki , Lee Jayop , Pierre Stephanie , Wallisch Patrick , Dao Tao , Scheinberg David A. 
Published: July 2023

SummaryRecent development of methods to discover and engineer therapeutic T‐cell receptors (TCRs) or antibody mimics of TCRs, and to understand their immunology and pharmacology, lag two decades behind therapeutic antibodies. Yet we have every expectation that TCR‐based agents will be similarly important contributors to the treatment of a variety of medical conditions, especially cancers. TCR engineered cells, soluble TCRs and their derivatives, TCR‐mimic antibodies, and TCR‐based CAR T cells promise the possibility of highly specific drugs that can expand the scope of immunologic agents to recognize intracellular targets, including mutated proteins and undruggable transcription factors, not accessible by traditional antibodies. Hurdles exist regarding discovery, specificity, pharmacokinetics, and best modality of use that will need to be overcome before the full potential of TCR‐based agents is achieved. HLA restriction may limit each agent to patient subpopulations and off‐target reactivities remain important barriers to widespread development and use of these new agents. In this review we discuss the unique opportunities for these new classes of drugs, describe their unique antigenic targets, compare them to traditional antibody therapeutics and CAR T cells, and review the various obstacles that must be overcome before full application of these drugs can be realized.
Struggling with unnecessary suffering—Registered nurses' experiences of delayed decisions on treatment without consent in forensic psychiatric inpatient care
Authors: Antonsson Helena , Dahliavy Liv , Mouline Hassan , Molin Jenny 
Published: July 2023

AbstractChemical restraints are used in forensic psychiatric inpatient care, however with caution as it can feel like an assault against patients' integrity. When waiting for decisions on treatment without consent, nursing staff are expected to care for patients with severe mental ill‐health without the use of medical treatment, often with a feeling of already having tried all other available means. Knowledge about how registered nurses experience such situations is sparse but could contribute to the development of both teamwork and nursing approaches that could mean reduced suffering for patients. The aim of this study was to describe registered nurses' experiences of delayed decisions on treatment without consent in forensic psychiatric inpatient care. Eleven semi‐structured interviews were conducted with registered nurses working in forensic psychiatric units in Sweden. Data were analysed through qualitative content analysis. The result showed that experiences of treatment without consent were about striving to protect patients from harm, striving for collaboration during difficult circumstances and striving to do good. This was interpreted as a struggle with unnecessary suffering. For registered nurses to be able to handle such challenging situations and relieve suffering for patients, experience and master‐level education in mental health nursing are highlighted. Another aspect that is highlighted is the importance of having consultants familiar with the circumstances at the unit. A method for joint reflection is suggested, to promote an open‐minded work culture with a well‐functioning decision‐making process and ensure that both consultants and nursing staff have support.
Design for Narrative Change. A Pedagogical Model for Interactive Digital Narratives
Authors: Mariani Ilaria , Ciancia Mariana 
Published: July 2023

AbstractNarratives mirror shared interpretations of the world. Still, dominant narratives prevail, pushing non‐hegemonic narratives in the corner. A change in the creation, interaction and distribution of narratives can support the design of counter‐narratives able to feed social change. Interactive Digital Narrative (IDN) can be considered an emerging experimental context in which designers, researchers and practitioners from various domains operate to develop story‐based content addressing relevant social or societal issues. The IDN social constructivist role in encouraging or influencing individuals and collectivities towards social change is a relevant design issue especially from an educational perspective. Specifically, it features methodologies and praxis not yet systematised, in need of exploration and formalisation. Recognising the contribution of an approach combining transdisciplinary methods and tools, the article presents a pedagogical model for designing IDNs as complex interactive systems able to impact culture and society based on empirical study from a design course in the higher education context. Composed of theoretical and operational frameworks, the pedagogical model orients the multilayered design process for building engaging, interactive narrative artefacts systematising and operationalising knowledge from the domains of Communication for Social Change, storytelling and IDN in an iterative design process.
Association between atopic dermatitis and school readiness in preschool children
Authors: Lee Eun , Kim Ju Hee , Cha Hye Ryeong , Ha Eun Kyo , Shin Jeewon , Lee Won Seok , Lee Seung Won , Han Man Yong 
Published: July 2023

AbstractBackgroundAlthough atopic dermatitis (AD) in children affects diverse stages of life, no studies have reported on the association between school readiness and AD.MethodsThis study used Korean National Health Insurance data and the Health Screening Program for Infants and Children. Among all children born between 2008 and 2012 in Korea, those who were assessed for school readiness through questionnaires in a health screening program performed at 54 and 60 months old were enrolled. AD was defined based on the International Classification of Diseases codes, with two or more prescriptions of topical corticosteroids during the first 54–60 months of life. The primary outcome was the association between school readiness and AD. The questionnaire relating to school readiness comprised six items – cognitive skills, social development, activeness, concentration, emotional development, and language skills. Logistic regression analysis was used to identify the associations between school readiness and AD.ResultsThis study included 239,673 children without AD and 38,229 children with AD. The average age at which school readiness was assessed was 4.8 years. AD was associated with vulnerability in activeness (adjusted odds ratio: 1.127; 95% confidence interval: 1.071–1.186) and concentrations (1.170; 1.093–1.254). The impact of AD on concentrations showed consistent results regardless of sex, exposure to systemic corticosteroids and antihistamines, and age at the diagnosis of AD.ConclusionsChildren with AD have vulnerability in school readiness in the aspects of activeness and concentration.