bluuebunny/crossref_metadata_2025_split huggingface dataset:
Jesus as a Socially (Ir)responsible Innovator: Seeking the Common Good in a Dialogue between Wisdom Christologies and Social Entrepreneurship
Authors: Woods Christine , Taylor Steve 
Published: January 2023

Abstract
This article examines the contribution of Jesus as an innovator to a public world in need of change. Jesus, as the fulfilment of God, is interpreted using the insights of Josef Schumpeter who argued for innovation as social change through creative recombination. The potential of recombination is located in the wisdom literature of the Hebrew Bible and then in Pauline literature, with ministry in 1 Corinthians portrayed as serving, gardening, building, resourcing, risking and parenting. These six practices are theorized as recombinations in which Paul seeks social change. Recombination is further tested through analysis of Jesus as a socially (ir)responsible innovator. An illustrative example, of an innovative Christian response to food insecurity, is provided to demonstrate a recombination that is socially (ir)responsible in challenging existing practices of consumption. Hence innovation is sourced in Jesus, as One who empowers socially (ir)responsible public formations that bear witness to God’s wisdom.
Explicitating Irony in a Cross-Cultural Perspective: Discursive Practices in Online Op-eds in French and in Hebrew
Authors: Weizman Elda 
Published: January 2023

Abstract
This paper sets up to show how irony and reservations are explicitated in online media discourse, comparing their realizations in French and Hebrew online op-eds in leading journals. A corpus-based qualitative and quantitative analysis relies on two sets of big corpora for each language. The pragmatic analysis distinguishes between explicitating self- and other’s presumed ironic intents, the target of irony, its locus and overall speaker’s meanings. The findings indicate that the French data-set uses the verb ironiser, which has no comparable equivalent in Hebrew. More puzzling are the similarities between the two data-sets: both in French and in Hebrew journalists choose to explicitate irony and reservations, and they do so using similar discursive patterns. Conflicting forces are at play: interpretation paths are opened by irony, and are then narrowed down by the journalist’s interpretations. The results are interpreted in terms of informativeness, accountability and commitment to speaker’s meaning.
The Smart Use of Smart Technologies in Teaching and Learning: Where we are and Where we Need to be
Authors: Steehler Andrew J. , Pettitt-Schieber Brian , Alexander Patricia A. 
Published: January 2023

Objective The advantages and popularity of technology among learners have vaulted it to the forefront of medical education. The current state of learning and teaching intertwined with technology in medical education and residency is described. Following these characterizations, consideration is given to changes worth exploring in the habits of mind and habits of action that medical students and residents exhibit to deepen their learning and improve their performance. Methods Review of literature was conducted to summarize relevant transformations in instructional practices in medical school and residency that can contribute to more effective learning environments. Results Learners have different approaches that will include differing uses of technology. Technology encourages multitasking, information overload, and the increasing prevalence of invalid information. Implementing bite-sized learning approaches, problem-based or case-based formats, questions, and alternative hypotheses encourages learners to channel technological innovations into their own styles of learning. Conclusion To build knowledge in the technological era of learning, do not take learners’ digital readiness for granted. Approach technology as a tool to be wielded when required and not as a crutch.
Factors associated with frequent or daily use of prescription opioids among adults with chronic pain in the United States
Authors: Kennedy Jae , Wood Elizabeth Geneva , Wu Chung-Hsuen 
Published: January 2023

Objectives We aimed to estimate utilization rates of prescription opioids among adults with chronic pain in the United States (US) and identify factors associated with the frequent or daily use of prescription opioids. Methods This was a case–control analysis of the 2019 National Health Interview Survey of adults. Results Over 50.2 million adults in the US reported chronic pain in the past 3 months, but only 10.5% of this group said they used prescription opioids frequently or daily to manage their pain. Adults with chronic pain were significantly more likely to use opioids if they had incomes below the federal poverty level (15.7%), relied on public health insurance (14.8%), had been hospitalized in the past year (17.8%), or rated their health as fair or poor (18.4%). The highest rates of opioid use were reported among adults with severe (24.4%) or moderate disability (18.9%). Conclusions Approximately 5.3 million adults use prescription opioids frequently or daily to manage chronic pain. These individuals should receive regular clinical assistance to manage their pain, including medication management and, when appropriate, referral to evidence-based treatment programs for opioid use disorder.
Measuring social responsibility towards employees in healthcare settings in Egypt and its interrelation to their job satisfaction
Authors: Abd-Rabou Mohamed , Ashry Mona , Elweshahi Heba 
Published: January 2023

Objectives Developing a valid tool to measure perceived social responsibility (SR) practices towards employees and examining the impact of employee-centered SR considerations on the employees’ job satisfaction. Methods A cross sectional survey of employees at three private hospitals was conducted. Data was collected using a self-administered questionnaire. It consists of baseline characteristics, structured SR measuring scale, job satisfaction questionnaire and Perception of Empowerment Instrument (PEI). Results The questionnaire developed to measure SR towards employees showed excellent internal consistency reliability (Cronbach’s alpha is > 0.7). A considerable number of SR criteria were perceived as partially or fully met by the majority of studied employees except for rewarding, training activities, salary satisfaction and enhancement activities. Significant correlation was found between employees’ job satisfaction and all domains of SR as well as employees’ empowerment. Multiple linear regression analysis showed that significant predictors of employee’s satisfaction are fulfillment of economic and social responsibility criteria as well as the level of perceived empowerment. Conclusions In healthcare industry in Egypt, fulfillment of the basis for SR is one of the predictors of achieving high job satisfaction. Extra-performance rewarding and career development should be looked at while managing human resources.
Molecular evidence of toxoplasmosis in people living with HIV in Pakistan
Authors: Zafar Arsalan , Khan Muhammad Kasib , Abbas Rao Zahid , Saqib Muhammad , Javed Hasnain 
Published: January 2023

Background Toxoplasma gondii is a zoonotically important parasite infecting almost all vertebrates. The parasite can easily infect humans through the fecal-oral route, particularly immunocompromised individuals, and children. Due to lack of epidemiological data regarding the occurrence of Toxoplasma gondii in people living with HIV in Pakistan, the present study was designed to estimate the prevalence of Toxoplasma gondii in people living with HIV. Methods Briefly, 384 blood samples were randomly collected from people living with HIV registered under Punjab AIDS Control Program. DNA of all samples was extracted and the 18S rRNA gene of T. gondii was amplified through polymerase chain reaction (PCR) by using genus-specific primers. The amplicons were spread on 1.5% agar rose gel and visualized under gel documentation system. Then the amplicons were purified from the gel and subjected to sequence and phylogenetic analysis. Results Overall prevalence of T. gondii was observed as 23.96%. The prevalence of T. gondii was significantly ( p <0.05) higher in females and in middle age group (26–40 years). Similarly, the prevalence was significantly ( p <0.05) higher in people with poor socioeconomic status, symptomatic patients, drugs users and people using unfiltered water for drinking. Furthermore, bodyweight (46–70 kg) and dry seasons also significantly ( p <0.05) affected the prevalence of T. gondii. Conclusions Our findings illustrated a high infection rate of toxoplasmosis in people living with HIV which could be a significant cause of mortality. More studies need to be conducted for other opportunistic infections caused by parasites and other pathogens.
A comparative study of isolation performance of electric automobile seat’s suspension added by negative-stiffness structure models
Authors: Li Shiming , Li Haitao , Zhang Li , Wang Xiangjie 
Published: January 2023

To evaluate the isolation performance of the negative-stiffness structure (NSS) used by the tuned-mass-damper (NSS-TMD) and the air pistons (NSS-AP) on improving the ride quality of the electrical automobile (EA), an EA’s dynamics model is built under the excitation of the road surface roughness and the in-wheel-motor. Based on the root mean square value of the driver’s seat acceleration response used to assess the driver’s ride quality, two models of the seat suspension added by NSS-AP and NSS-TMD are then simulated to compare the performance between NSS-TMD and NSS-AP in enhancing the ride quality of the EA. The study indicates that both NSS-TMD and NSS-AP added to the seat suspension improve the driver’s ride quality better than the seat suspension without the NSS. Particularly, the root mean square value of the driver’s seat acceleration with the NSS-AP is smaller than that of NSS-TMS by 17.2%. Additionally, when the EA is traveling on the road surfaces of ISO level A, level B, and level C with a high velocity of over 70 km/h, the root mean square value of the driver’s seat acceleration with the NSS-AP is also slowly increased and slower than that of the NSS-TMD. Moreover, the root mean square value of the driver’s seat acceleration with the NSS-AP is also reduced in comparison with the NSS-TMD under the change of the total mass of the in-wheel-motor and the rotor’s eccentricity. Thereby, the NSS-AP improves the EA’s ride quality better than the NSS-TMD; and the NSS-AP should be used on the seat suspension of the EA to further enhance the ride quality.
Influence of the spanwise grooves on aerodynamic characteristics of the compressor cascade and rotor under different reynolds numbers
Authors: Fu Wenguang , Yu Junyang , Sun Peng 
Published: January 2023

In order to study the influence of the suction surface spanwise grooves under different Reynolds numbers ( Re) on the loss characteristics of highly loaded compressor cascade and rotor. In the present study, numerical simulations were conducted to investigate the effects of the number and position of the suction surface spanwise groove on aerodynamic performance of the cascade with the final aim to extend the findings to a highly loaded transonic compressor rotor. Besides, the influence mechanism for the performance change of compressor cascade and rotor by spanwise groove at different Re was clarified. The combination 1-2-3-4-gro was selected as an optimal structure in accordance with the data weighting criterion. The investigation illustrates that, at high Re operating conditions, the spanwise grooves force the transition of boundary layer from laminar to turbulent, which causes a large turbulent boundary layer loss and increases the overall loss. But at low Re operating conditions, the laminar separation bubble is suppressed by spanwise grooves and the aerodynamic performance is improved. At Re = [Formula: see text], the total pressure loss can be reduced by 4.63% at the angle of attack of 0°. When this group scheme was applied to the highly loaded axial compressor transonic rotor, the stability margin of the rotor can be increased by 5.62% at Re = [Formula: see text] condition. Moreover, at 20 km height condition, with the increase of rotating speed, the influence of 1-2-3-4-gro groove group on rotor stability margin is not great, but its efficiency improvement effect is gradually enhanced, which shows that 1-2-3-4-gro can effectively reduce rotor flow loss and increase its aerodynamic performance within this Re range.
Adapting a communication coaching intervention for obstetric sonographers delivering unexpected news: A qualitative study
Authors: Kaur Essie , Arezina Jane , Bryant Louise , Pollak Kathryn I , Harrison Gill , Bender Atik Ruth , Coates Jen , Hardicre Natasha K. , Sicklen Roxanne , Horwood Karen , Lardner Teresa , Arnold Jon , Wallace Rebecca , Johnson Judith 
Published: January 2023

Introduction: Despite widespread recognition that communicating unexpected news during obstetric ultrasound examinations is challenging, there is a dearth of research investigating how to teach evidence-based communication to sonographers. Communication Coaching is a supportive, positive method that has previously been associated with improvements in communication, patient satisfaction, and reduced burnout in clinicians. However, to date, no study has coached sonographers. This study explored stakeholders’ views on a proposed Communication Coaching intervention and used these data to adapt the intervention for use with qualified obstetric sonographers. Methods: Semi-structured interviews were conducted with people who have a vested interest in unexpected news delivery and thematic analysis was conducted on the data. Eight sonographers, six people with lived experience of receiving unexpected news and six representatives from third-sector organisations who support expectant parents were recruited (18 women; 2 men, aged between 21 and 75 years). Results: Participants viewed the planned Communication Coaching intervention favourably and suggested adaptations. The two main themes were (1) the practicalities of coaching, and (2) content. The first theme had four subthemes: (a) brief and flexible structure, (b) online modality, (c) sensitive and positive coach and (d) organisational awareness. The second theme had three subthemes: (a) specific language and behaviour recommendations, (b) adaptable to different service-users and situations and (c) confer relevant emotional skills and techniques. Conclusions: Communication Coaching could be a feasible and acceptable intervention for qualified sonographers if specific, limited adaptations are made as recommended by the stakeholders. Further evaluation of the intervention in practice is necessary.
The position of the median nerve in relation to the palmaris longus tendon at the wrist: a study of 784 MR images
Authors: Hou Peng , Yu Weibin , Wang Chunyang , Qiu Shuo , Sun Luyuan , Zhang Wen 
Published: January 2023

Iatrogenic injury of the median nerve has been reported after endoscopic carpal tunnel release and corticoid injection. In 784 MR images of the wrist, the position of the median nerve in relation to the palmaris longus tendon was analysed. The ulnar edge of the median nerve was found medial to the palmaris longus tendon in 14% and 36% of patients at the proximal wrist crease and entrance of the carpal tunnel, respectively, compared with 23% and 40% of patients with carpal tunnel syndrome (88 patients). The position of the median nerve in relation to the palmaris longus tendon varies widely. It is suggested that the palmaris longus tendon may not be considered a safe landmark to locate the position of the median nerve and care should be taken when introducing an endoscopic instrument or during steroid injection for carpal tunnel syndrome. Level of evidence: IV
Anterior Cruciate Ligament Reconstruction Return-to-Sport Decision-Making: A Scoping Review
Authors: Golberg Eric , Sommerfeldt Mark , Pinkoski Adam , Dennett Liz , Beaupre Lauren 
Published: January 2023

Context: Clinical guidelines support the use of testing batteries to assess athlete readiness for return to sport (RTS) and risk of reinjury after anterior cruciate ligament (ACL) reconstruction (ACL-R). There is no consensus on the composition of the testing batteries. Test selection is based mainly on commonality in research, personal preference, and equipment availability. Including athletic performance assessments (APA) used in the athlete’s sport may assist RTS decision-making for stakeholders. Objective: To determine whether APA for speed, agility, strength, or cardiovascular endurance are (1) used in ACL-R RTS literature and (2) indicative of RTS or reinjury rates. Data Sources: A systematic search was performed in MEDLINE, EMBASE, CINAHL, SPORTDiscus, Scopus, Web of Science, and ProQuest Dissertations and Theses Global. Study Selection: Eligibility criteria were as follows: (1) athletes between 6 months and 2 years post-ACL-R, (2) commonly used APA, (3) peer-reviewed primary study with original published data. Study Design: Scoping Review. Level of Evidence: Level 4. Data Extraction: A total of 17 studies included 24 instances of APA with a high degree of heterogeneity for both tests and protocols. Results: Agility makes up 75% of the APA. Only 17.6% of studies reported RTS or reinjury rates, none of which reported a significant relationship between these rates and APA outcomes. Conclusion: Speed, strength, and cardiovascular endurance tests are underrepresented in ACL-R RTS literature. Compared with healthy controls, deficits in APA results for ACL-R athletes were common; however, many studies reported significant improvements in results for ACL-R athletes over time. There is some evidence that well-trained ACL-R athletes can match the performance of uninjured athletes in high-level sports.
Review of outcomes of combination therapy using yttrium 90 radioembolization and sorafenib/nivolumab for HCC with hepatic vein or IVC invasion
Authors: Chung Shiqi , Gogna Apoorva , Chandramohan Sivanathan , Lo Richard , Irani Farah Gillan , Venkatanarasimha Nanda 
Published: January 2023

Background A systematic review of the outcomes of combination therapy using Yttrium 90 radioembolization (Y90) and sorafenib/nivolumab for patients with hepatocellular carcinoma (HCC), with hepatic vein (HV) or inferior vena cava (IVC) invasion. The aim of this study is to summarise the results of different studies that used the combination therapy for HCC patients with tumor thrombosis involving the HV or IVC. Method A literature search was performed using keywords in Medline and Google Scholar limited to publications from 2010 to 2021. There were 173 articles identified during the initial literature search. During abstract screening, 81 articles were excluded. Another 83 did not contain information on hepatic vein or IVC invasion. Therefore, 9 articles met the eligibility criteria and were included in the synthesis. Results In total, 37 patients with hepatic vein or IVC invasion were identified. There were 31 patients who were given sorafenib, 7 were given nivolumab and 1 was given both sorafenib and nivolumab. Among the 37 patients, 21 had hepatic vein invasion, 22 had IVC invasion and 6 had both HV and IVC invasion. The median OS was 20.55 months and median PFS was 8.18 months. For the results, 23 patients were evaluated via modified RECIST (mRECIST) criteria and 14 were evaluated via RECIST 1.1. Conclusion The combination of local and systemic therapies demonstrated potential results for increased response rates, OS and PFS benefits. Further studies are required to determine the long-term outcomes of the combination therapy for this group of patients.
Nurses’ Short-Term Sickness Absences Before and After the Implementation of a Brief Napping Opportunity During Night Shifts
Authors: Sagherian Knar , Derickson Debra , Geiger-Brown Jeanne , Springer Cary M. , Mason Janice J. , Hinds Pamela S. 
Published: January 2023

Background Nurses who work at night have used naps to alleviate their sleepiness and fatigue. Research has shown night shifts, sleepiness, and fatigue predict nurses’ missed workdays. Thus, nighttime napping may have a beneficial consequence of reducing nurses’ sickness absences. The purpose of this brief report was to describe the difference in rates of short-term sickness absence before and after implementation of a 30-min nap opportunity in one U.S. hospital for 12-hr shift nurses. Methods The study was a retrospective pre–post evaluation design. Eight units provided nap opportunities for the nurses. Full-time nurses were classified into night and rotating shifts based on their 2 years of scheduling patterns. Absence data were extracted from the hospital’s timekeeping system and annual absence rates were computed. A single linear mixed model with rank transformed data was conducted for each group. Median estimates, minimum and maximum, and p-values were reported. Findings The median absence rates for night shift nurses were 4.3% and 4.0% for the pre-napping and post-napping implementation periods, respectively; however, this difference was not statistically significant ( p = .241). The median absence rates for rotating shift nurses were 2.0% and 3.9% for the pre-napping and post-napping implementation periods, respectively; and the difference increase was statistically significant ( p < .001). Conclusion/Application to practice A nap policy which provides nurses with the opportunity to take nighttime naps did not benefit their sickness absence rates. Future research needs to examine the actual napping process on sickness absences, as well as explore other sickness management avenues.
Fracture resistance of resin endocrowns with and without fiber reinforced composite base material: A preliminary study
Authors: Kaya Büyükbayram Işıl , Güven Mehmet Esad , Ayman Deniz , Şener Yamaner Işıl Damla , Cakan Engin Fırat 
Published: January 2023

Objective: The aim of this study was to investigate the effects of fiber-reinforced composite base material on fracture resistance and fracture pattern of endodontically treated maxillary premolars restored with endocrowns using two different resin nanoceramic computer-aided design and computer-aided manufacturing (CAD/CAM) restorative material. Methods: Forty extracted sound maxillary premolars with an occlusal reduction of 2 mm above the cementoenamel junction (CEJ) was performed following root canal treatment. Mesial interproximal box was prepared for each tooth at the margin of the CEJ and randomly distributed into four groups ( n = 10) as follows: Group A, no resin build-up in the pulp chamber; Group B, 2 mm of fiber-reinforced composite (FRC) build-up (EverX Posterior, GC).; Group C, no resin build-up in pulp chamber; Group D, 2 mm of FRC build-up. Groups A and B were prepared with resin nanoceramic (RNC) consisting ceramic nanofillers (Lava Ultimate 3 M ESPE), while Group C and D were prepared with RNC consisting ceramic nanohybrid fillers (Cerasmart GC Corp). All samples were subjected to 1,200,000 chewing cycles (1.6 Hz, 50 N) and 5000 thermal cycles (5°C–55°C) for artificial aging on a chewing simulator with thermal cycles (CSTC). Samples that survived the CSTC test without being damaged were subjected to a load-to-fracture test. Results: The highest mean fracture strength was found in Group D (936.0 ± 354.7) and lowest in Group A (684.2 ± 466.9). Fracture strength was higher in groups where FRC was used as a base material than plain restorations. However, there were no significant differences between the Lava and Cerasmart groups with and without FRC ( p > 0.05). Most of the samples were irreparably fractured under CEJ. Conclusion: Using short FRCs as a resin base material did not significantly improve fracture resistance. Cerasmart and Lava blocks had similar fracture resistance and fracture pattern.