bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychological Well-Being during the COVID-19 Lockdown: Labour Market and Gender Implications
Authors: Escudero-Castillo Israel , Mato-Díaz Fco. Javier , Rodríguez-Alvarez Ana 
Published: December 2022

Abstract

In the Spring of 2020, a great number of countries introduced different restrictive measures in order to cope with the COVID-19 pandemic. This article examines the labour market transitions of individuals brought about by some of those measures, and the effect of such transitions on psychological well-being. The fact that it has been possible to distinguish between unemployment transitions before the pandemic began and those resulting from the lockdowns is worth highlighting. Evidence is provided showing that unemployment due to the lockdown had a greater negative impact on psychological well-being than furloughs and teleworking. Gender differences confirm that women experienced greater adverse effects as compared to men. Specifically, women working at home exhibited greater negative effects when compared with those on furlough, probably due to a combination of work disruption and increased family obligations. Finally, on the contrary to men, women living in areas with more rigorous restrictions show a reduced probability of worse PWB when compared to those residing in areas without restrictions. This finding suggests that women are willing to sacrifice freedom of movement as long as restrictions protect their at-risk relatives.
Progress in the mechanism of acupuncture intervention on pain emotion and pain cognition mediated by limbic system
Authors: Ma Cui , Zou Yichun , Ye Yujuan , Cao Mengqi , Yan Xingke 
Published: December 2022

AbstractPain is a complex physiological and psychological activity, involving at least three dimensions, including pain sensation, pain emotion, and pain cognition. Acupuncture can clearly relieve the pain sensation of patients and improve pain emotion and pain cognition induced by pain; acupuncture participates in the multi-dimensional regulation of pain through brain regions of the limbic system such as anterior cingulate cortex (ACC), amygdala (AMY), and hippocampus. By analyzing relevant literature, it has been found that the regulation of acupuncture on pain emotion is mainly related to the activation of pertinent opioid receptors in the ACC, the decrease of the expression of extracellular signal-regulated kinase (ERK), and the promotion of the expression of glutamic acid (Glu) A1, metabotropic glutamate receptor-1 (mGluR1), and γ-aminobutyric acid aminobutyric acid (GABA) B2 protein in the AMY. The regulation of acupuncture on pain cognition is mainly related to the elevation of the expression of protein kinase A (PKA) and phospho-p38 mitogen-activated protein kinase (phospho-p38 MAPK) and the inhibition of cyclic adenosine monophosphate (cAMP)/PKA/cAMP response element-binding protein (CREB) signaling pathway in the ACC.
Efficient practical Byzantine consensus using random linear network coding
Authors: Braun Michael , Wiesmaier Alexander , Alnahawi Nouri 
Published: December 2022

AbstractUsing random linear network coding (RLNC) in asynchronous networks with one-to-many information flow has already been proven to be a valid approach to maximize the channel capacities. Message-based consensus protocols such as practical Byzantine fault tolerance (pBFT) adhere partially to said scenario. Protocol phases with many-to-many communication, however, still suffer from quadratic growth in the number of required transmissions to reach consensus. We show that an enhancement in the data transmission behavior in the quadratic phases is possible through combining RLNC with pBFT as one hybrid protocol. We present several experiments conducted on random network topologies. We conclude that using RLNC-based data transmission offers a significantly better performance under specific circumstances, which depend on the number of participating network nodes and the chosen coding parameters. Applying the same approach to other combinations of message-based consensus and network coding protocols promises not only a gain in performance, but may also improve robustness and security and open up new application scenarios for RLNC, e.g., running it on the application layer.
Enrichment and Conflict Between Work and Health Behaviors: New Scales for Assessing How Work Relates to Physical Exercise and Healthy Eating
Authors: Sonnentag Sabine , Kottwitz Maria U. , Koch Theresa J. S. , Völker Jette 
Published: December 2022

Abstract
Studies suggest a mutual influence between work and health behaviors (physical exercise, healthy eating). To advance research on this phenomenon, we developed and validated short scales that capture enrichment and conflict experiences between work and health behaviors. Building on the work-family literature, we developed items assessing enrichment and conflict between (1) work and physical exercise and (2) work and healthy eating. In Study 1, we examined construct validity of the new scales, using confirmatory factor analysis. In Study 2, we refined the items, relying on expert ratings. In Study 3, we tested construct validity of the revised measures and examined their nomological net. We replicated the factor structure across Study 1 and Study 3. Analysis of the nomological net showed that enrichment experiences mainly correlate with job rewards, organizational health behavior climate, high exercise identity, high healthy-eater identity, physical exercise behavior, consumption of fruits and vegetables, and low body mass index (BMI). Conflict experiences mainly correlate with a high amount of effort invested into work, low exercise identity, low healthy-eater identity, no or limited physical exercise behavior, and the consumption of less fruits and vegetables.
Expanding Roles of Accredited Social Health Activists (ASHAs) in the 2019 Hepatitis E Outbreak in a Peri-urban Slum, Nagpur, India
Authors: Selvaraj Kalaiselvi , Sujiv Akkilagunta , Banerjee Sitikantha , Bandyopadhyay Kajari , Deshmukh Pradeep Ramrao 
Published: December 2022

Abstract

Objective:
Due to constraints in the dedicated health work force, outbreaks in peri-urban slums are often reported late. This study explores the feasibility of deploying Accredited Social Health Activists (ASHAs) in outbreak investigation and understand the extent to which this activity gives a balanced platform to fulfil their roles during public health emergencies to reduce its impact and improve mitigation measures.

Methods:
Activities of ASHAs involved in the hepatitis E outbreak were reviewed from various registers maintained at the subcenter. Also, various challenges perceived by ASHAs were explored through focus group discussion (FGD). During March to May 2019, 13 ASHAs involved in the hepatitis outbreak investigation and control efforts in a peri-urban slum of Nagpur with population of around 9000. In total, 192 suspected hepatitis E cases reported.

Results:
During the outbreak, ASHAs performed multiple roles comprising house-to-house search of suspected cases, escorting suspects to confirm diagnosis and referral, community mobilization for out-reach investigation camps, risk communication to vulnerable, etc. During the activity, ASHAs faced challenges such as constraints in the logistics, compromise in other health-related activities, and challenges in sustaining behavior of the community.

Conclusions:
It is feasible to implement the investigation of outbreaks through ASHAs. Despite challenges, they are willing to participate in these activities as it gave them an opportunity to fulfil the role as an activist, link worker, as well as a community interface.
Short mid-infrared watt-level all-fiber nonlinear pulse compressor above 100-MHz pulse repetition rate
Authors: Shang Jingcheng , Mei Chao , Zhao Shengzhi , Liu Yizhou , Yang Kejian , Wang Chun , Li Tao , Feng Tianli 
Published: December 2022

Abstract
We firstly report a 2-μm all-fiber nonlinear pulse compressor based on two pieces of normal dispersion fiber (NDF), which enables a high-power scaling ability of watt-level and a high pulse compression ratio of 13.7. With the NDF-based all-fiber nonlinear pulse compressor, the 450-fs laser pulses with a repetition rate of 101.4 MHz are compressed to 35.1 fs, corresponding to a 5.2 optical oscillation cycle at the 2-μm wavelength region. The output average power reaches 1.28 W, which is believed to be the highest value never achieved from the previous 2-μm all-fiber nonlinear pulse compressors with a high pulse repetition rate above 100 MHz. The dynamic evolution of the ultrafast pulse inside the all-fiber nonlinear pulse compressor is numerically analyzed, matching well with the experimental results.
Getting by in a bibliometric economy: scholarly publishing and academic credibility in the Nigerian academy
Authors: Mills David , Branford Abigail 
Published: December 2022

AbstractWhy are Nigeria’s universities launching a growing number of open access journals while simultaneously expecting their academic staff to publish ‘internationally’? And what impact do these expectations have on Nigerian journals? Drawing on interviews with editors and publishers, we describe the emergence of a hyperlocal ‘credibility economy’ within the Nigerian academy. The great majority of Nigerian scholarly journals are excluded from Scopus and Web of Science, the two main global citation indexes. Stigmatized by geography, Nigerian journals are ignored, rendered invisible, classed as poor quality or condemned as ‘predatory’. Historicizing these trends, we illustrate our argument with four case studies: two science and technology journals hosted by universities and two independent publishers, one with expertise in African studies, the other in information studies. In each case, we explore the motivations, commitments and strategies of editors and publishers. Their stories exemplify the impact of colonial histories, global discourses and bibliometric infrastructures on African research publishing cultures. The histories, logics and fragilities of this regional research ecosystem reveal how Africa’s scholars and publishers are getting by – but only just – amid the metricized judgements of the global research economy.
Evaluation of bioelectrical impedance analysis in measuring body fat in 6-to-12-year-old boys compared with air displacement plethysmography
Authors: Mahaffey Ryan , Brown Nicola , Cramp Mary , Morrison Stewart C. , Drechsler Wendy I. 
Published: December 2022

AbstractAir displacement plethysmography (ADP) has been considered as the ‘standard’ method to determine body fat in children due to superior validity and reliability compared with bioelectrical impedance analysis (BIA). However, ADP and BIA are often used interchangeably despite few studies comparing measures of percentage body fat by ADP (%FMADP) with BIA (%FMBIA) in children with and without obesity. The objective of this study was to measure concurrent validity and reliability of %FMADP and %FMBIA in 6-to-12-year-old boys with and without obesity. Seventy-one boys (twenty-five with obesity) underwent body composition assessment. Ten boys participated in intra-day reliability analysis. %FMADP was estimated by Bodpod using sex- and age-specific equations of body density. %FMBIA was estimated by a multi-frequency, hand-to-foot device using child-specific equations based on impedance. Validity was assessed by t tests, correlation coefficients and limits of agreement (LoA); and reliability by technical error of measurement (TEM) and intraclass correlation coefficients (ICC). Compared with %FMADP, %FMBIA was significantly underestimated in the cohort (–3·4 ± 5·6 %; effect size = 0·42) and in both boys with obesity (–5·2 ± 5·5 %; ES = 0·90) and without obesity (–2·4 ± 5·5 %; ES = 0·52). A strong, significant positive correlation was found between %FMADP and %FMBIA (r = 0·80). Across the cohort, LoA were 22·3 %, and no proportional bias was detected. For reliability, TEM were 0·65 % and 0·55 %, and ICC were 0·93 and 0·95 for %FMBIA and %FMADP, respectively. Whilst both %FMADP and %FMBIA are highly reliable methods, considerable differences indicated that the devices cannot be used interchangeably in boys age 6-to-12 years.
OP51 Improving Childhood Cancer Management And Financing In Ghana: Results From Stakeholder Mapping and Analysis
Authors: Owusu Richmond , Heupink Lieke Fleur , Gulbi Godwin , Asare Brian , Nonvignon Justice , Chola Lumbwe 
Published: December 2022

IntroductionCoverage of childhood cancer treatment under the Ghanaian National Health Insurance Scheme (NHIS) has been a policy discussion recently. To improve priority setting, Ghana introduced and used health technology assessment (HTA) processes to guide the resource allocation. To understand the role of stakeholders throughout the HTA lifecycle and for this decision, a stakeholder mapping and engagement was undertaken. We share our results of this mapping and analysis for improving management and financing of childhood cancers in Ghana.MethodsWe used two main approaches; first, we undertook a systematic policy documents and literature review of stakeholders relevant in childhood cancer management and financing in Ghana. This was followed by a stakeholder engagement workshop of key stakeholders from the Ministry of Health, Ghana Health Service (GHS), National Health Insurance Authority (NHIA), academia, non-governmental organizations (NGOs), private sector, teaching hospitals, patient groups, and civil society organizations. Participation was done in-person and virtual. Questions were moderated using a focus group discussion approach where responses were recorded. Data were analysed using synthesis and development of themes. Mapping of stakeholders was done using Mendelow’s power-interest grid.ResultsThe mapping identified eight key stakeholders in different roles: policy makers (Ministry of Health), payer (NHIA), healthcare providers (teaching hospitals, GHS, private hospitals), pharmaceutical companies, patient group (Ghana Parents Association for Childhood Cancers), and advocacy group (NGOs). Analysis showed that power and interest are concentrated with Ministry of Health and NHIA primarily because of control over resources. Also, while healthcare providers, patient groups, and advocacy groups have high interest, their power ranges from low to moderate. Further analysis of data from the workshop revealed that inability to pay for high cost of treatment leads to treatment abandonment. Payment for treatment was mainly out-of-pocket and by donation from philanthropist.ConclusionsThere was a strong will from stakeholders to extend coverage of the NHIS to childhood cancers in Ghana. Stakeholder engagement is a powerful tool and should be an integral part of every HTA process.
OP87 Value From A Multi-stakeholder Perspective: A Framework To Assess Digital Health Solutions For Improving Chronic Disease Management
Authors: Haig Madeleine , Main Caitlin , Chavez-Montoya Danitza , Kanavos Panos 
Published: December 2022

IntroductionInnovative digital health technologies (DHTs) may present new aspects of value that are not appropriately accounted for in current health technology assessments. In discovering what value means in the context of DHTs, multi-stakeholder collaboration is essential.MethodsA scoping literature review was conducted to identify current value assessment criteria and proposed methodologies across three health systems: United States of America, United Kingdom, and Germany. A Delphi exercise was conducted with stakeholders from the following groups: users, healthcare practitioners, decision-makers, supply-side actors, and influencers. Based on a review of assessment frameworks in the study countries and consultations with experts from each stakeholder group, researchers proposed value constructs in five domains: health inequalities, data rights and governance, technical and security, economic characteristics, clinical characteristics, and user preferences. In Delphi round one, participants commented on the proposed constructs and submitted their own. A thematic analysis identifying key concepts and themes of the participant proposed constructs and comments was used to incorporate this information for round two. Then, participants rated each value construct on an ‘importance’ Likert scale in two decision contexts: user-facing DHTs and system-facing DHTs. In round three, participants were presented with the consensus judgement for each construct, with the opportunity to change their answer. Value constructs with equal to or greater than 70 percent consensus were included in the final framework. Rounds four and five were, respectively, value judgements on a Likert scale and a presentation of consensus for a therapeutic area to test the final framework.ResultsInitially 32 value constructs were proposed by researchers, 20 of which were changed or removed based on round one feedback. Additional constructs were added based on participant suggestions resulting in forty-five value constructs in round two. The final framework will be available after round three closes on 20 December 2022.ConclusionsThe multi-stakeholder Delphi approach ensures that all suggestions and value judgements are weighted equally across stakeholder groups. The resultant value framework can be used to inform policymaking around health technology assessment of DHTs.
PD20 Real-World Evidence To Support Single Arm Trials Of Oncology Interventions: Necessity or ‘NICE’ (National Institute for Health and Care Excellence) to Have?
Authors: Falla Edel , Gaultney Jennifer 
Published: December 2022

IntroductionThe recent National Institute for Health and Care Excellence (NICE) consultation on methods for health technology evaluation (HTE) outlined plans to include guidance on the role of real-world evidence (RWE) in HTE. This is particularly pertinent for interventions where the evidence base consists of a single arm trial (SAT) design, which is more frequently observed in oncology. This study reviewed the influence of RWE submitted as part of the evidence base for NICE oncology appraisals.MethodsA search for NICE HTEs was conducted for interventions supported by SATs from January 2017-November 2021. Evidence was stratified by submission packages with SAT evidence alone or in combination with randomized controlled trial (RCT) evidence, with or without RWE.ResultsThirty-two decisions for interventions supported by SATs were made by NICE between 2017-2021, all in oncology indications. Fifty percent were supported by SAT evidence and fifty percent by RCT plus SAT evidence, both with or without RWE. A lower proportion of RCT/ SAT HTEs submitted RWE compared to SAT HTEs (fifty vs ninety four percent). Seventy five percent and nineteen percent of SAT HTEs received a positive recommendation, with and without restrictions, irrespective of submitting RWE. One negative decision was observed for SATs supported by RWE. Sixty three percent and thirty eight percent of RCT/ SAT HTEs received a positive recommendation, with and without restrictions. Overall, the proportion of positive recommendations were lower for HTEs submitting RWE (ninety six percent) compared to HTEs not submitting RWE (one hundred percent), which is in contrast to recent findings specific to orphan oncology HTEs (one hundred versus seventy eight percent).ConclusionsRWE was more commonly submitted to support SAT HTEs, than RCT HTEs. The use of RWE seems to be established as a necessity to supplement a SAT evidence base, whereas RWE is more generally a nice to have in RCT HTEs. However, RWE appears to positively influence decision-making for orphan oncology indications with a more neutral influence for non-orphan indications.
Existential distress and meaning making among female breast cancer patients with cancer-related fertility concerns
Authors: Carr Alaina L. , Roberts Sydneyjane , Bonnell Levi N. , Kolva Elissa 
Published: December 2022

AbstractObjectivesThe current study explored the impact of cancer-related fertility concerns on existential distress and meaning making among female breast cancer (BC) patients of childbearing age and assessed support needs.MethodsThe current study was embedded within a larger study. A seven-question online survey was administered to female BC participants to explore meaning and identity in their lives. Applied thematic analysis was used to analyze participants’ written responses.ResultsA total of 98 participants completed the survey, the majority of whom identified as white, married or partnered, and employed full time and with stage I or II BC. More than 50% of the participants expressed a need for support from a counselor or support group during their cancer experience. Three subthemes emerged related to existential distress and cancer-related fertility concerns: (1) loss of womanhood: treatment-related physical changes impact on gender identity; (2) existential distress due to treatment decisions impacting fertility; and (3) shattered vision: cancer-related infertility impact on meaning and purpose. Four subthemes emerged related to meaning making with fertility-related existential concerns: (1) coping with loss of meaning, (2) re-evaluating priorities in life; (3) resilience to loss, and (4) persistent loss of meaning.Significance of ResultsStudy results offer valuable insights into the experiences of female BC survivors’ cancer-related fertility on existential distress and meaning making. Development of psychological interventions targeted to support this population to cope with existential distress due to cancer-related fertility concerns and meaning making are needed to improve the quality of life of this population.
Time for religion? Liberalism, Haredi Jews, and state regulation of nonpublic schools
Authors: Tampio Nicholas 
Published: December 2022

AbstractPolitical theorists argue that justice requires treating people's time as having equal worth. In this article, I contend that justice sometimes requires making exceptions to uniform time rules. The article focuses on New York State's regulations for nonpublic schools and how they affect Haredi (ultra-Orthodox) Jewish day schools, or yeshivas. Dissatisfied yeshiva graduates, the state education department, and several liberal political theorists assert that the state should pressure yeshivas to dedicate more time to secular studies. Reconstructing Horace Kallen's argument against the melting pot conception of citizenship and for cultural pluralism, I maintain that liberal states should be generous toward non-liberal ways of life on condition that they do not systematically abuse children or pose a danger to public safety. A liberal education landscape may sustain many kinds of schooling, including ones that outsiders think waste time.