bluuebunny/crossref_metadata_2025_split huggingface dataset:
Leaders’ ambition and followers’ cheating behavior: The role of performance pressure and leader identification
Authors: Adeel Ahmad , Kee Daisy Mui Hung , Mubashir Anila Sadaf , Samad Sarminah , Daghriri Yahya Qasim 
Published: January 2023

PurposeWe seek to understand why and how leaders’ actions that are positive from organizational perspectives, drive to engage employees in cheating behaviors.Design/methodology/approachThe proposed mediated moderation model was tested in two separate studies, study 1 and study 2, with data collected from police officers and employees of Islamic banking respectively, and then analyzed with Mplus for random coefficient models for direct effects, indirect effects, and for mediated moderation.FindingsIt was found that leaders’ ambitions may enhance performance pressure on the subordinates, which in turn promotes their cheating behavior. Overall, we found that the traditional view of ambition theory only emphasizes good mechanisms such as motivation. However, to integrate with a social identity perspective, ambition would also cause pressure and pressure rather than motivation. Additionally, leaders’ ambitions are more strongly and positively related to the performance pressure and cheating behaviors of employees when subordinates also have high leader identification. The findings of this research suggested that leaders’ positive workplace behavior could also spawn subordinates’ unethical behaviors.Practical implicationsThrough this research, we can help policymakers understand that leaders’ positive desire in general and ambition, in particular, may not be necessarily associated with subordinates’ positive behaviors. Our results revealed that internalized with performance pressure, the leaders’ ambition is associated with subordinates’ cheating behavior. The findings of this research will help policymakers understand what might be promoting unethical behavior of employees. The cheating behavior of employees is not a singular level phenomenon of subordinates, it could also be triggered by contextual factors. Therefore, in developing policies for reducing the chance of cheating at work, the policymakers should also focus on the contextual factors that might be promoting cheating.Originality/valueAmbitious leaders tend to demonstrate high performance, also, performance pressure literature focuses efforts of the employees toward high performance. The dark side of these lines of researches is still underexplored. We shifted the conventional focus of understanding to the positive side of ambition and performance pressure by explaining the potential cost in the form of employees’ enhanced cheating behavior. The interplay between the relationship between leaders’ ambition and subordinates’ perception of leader identification also enhanced our understating about the boundary condition of the relationship between leaders’ ambition, performance pressure, and cheating behavior of subordinates.
Personality characteristics, defense styles, borderline symptoms, and non-suicidal self-injury in first-episode major depressive disorder
Authors: Peng Bo , Liao Jiwu , Li Yang , Jia Guangbo , Yang Jihui , Wu Zhiwei , Zhang Jian , Yang Yingjia , Luo Xinxin , Wang Yao , Zhang Yingli , Pan Jiyang 
Published: January 2023

BackgroundNon-suicidal self-injury (NSSI) is commonly seen in adolescents with depression and is a high-risk factor leading to suicide. The psychological mechanisms underlying depression with NSSI are still unclear. The purpose of this study was to explore the differences in personality traits, defensive styles, and borderline symptoms among first-episode youth patients with depression and self-injury compared with patients with depression without self-injury and healthy populations.MethodsThe current study recruited 188 participants, including 64 patients with depression and NSSI, 60 patients with depression without NSSI, and 64 healthy control subjects. Eysenck Personality Questionnaire, the Defense Style Questionnaire, the short version of the Borderline Symptom List, the Beck Depression Inventory, and the Ottawa Self-Injury Inventory were used to assess all participants.ResultsPatients with depression and NSSI showed more psychoticism than patients with depression without NSSI and healthy control subjects. Patients with depression and NSSI presented more intermediate defense styles than healthy control subjects. In the patients with depression and NSSI group, the frequency of self-injury in the last week was negatively correlated with mature defense styles and positively correlated with depressive symptoms and borderline symptoms. Further regression analysis showed that EPQ-psychoticism and depressive symptoms were independent risk factors for NSSI in patients with depression.ConclusionThis study found that patients with depression and self-injury presented more neuroticism, introversion, EPQ-psychoticism, immature defenses, intermediate defenses, and borderline symptoms. Self-injury frequency was negatively correlated with mature defense styles and positively correlated with depressive symptoms and borderline symptoms. EPQ-Psychoticism and depressive symptoms are risk factors for predicting non-suicidal self-injury in patients with depression.
The effect of life events, resilience, self-esteem, and coping styles on aggressive behavior among left-behind adolescents: Structural equation modeling
Authors: Zhang Jie , Li Yifei , Li Juan , Lyu Mengmeng , Chen Yiping , Yang Silan , Tan Chuxia , Tao Yingxiang , Ye Biyun , Zhang Jingping , Cheng Fangqun , Mao Ting 
Published: January 2023

IntroductionWithout parental support, left-behind adolescents are more likely than their peers to experience negative emotions and demonstrate aggressive behavior in the same frustrating situation. However, research on this subject has been sparse. To fill this gap and identify potential targets for intervention, this study sought to examine the relationships among factors influencing left-behind adolescents’ aggressive behavior.MethodsA total of 751 left-behind adolescents were enrolled in a cross-sectional survey, with data collected using the Adolescent Self-Rating Life Events Checklist, Resilience Scale for Chinese Adolescents, Rosenberg Self-Esteem Scale, Coping Style Questionnaire, and Buss–Warren Aggression Questionnaire. The structural equation model was used for data analysis.ResultsThe results showed that left-behind adolescents reported higher levels of aggression. Further, the factors found to have a direct or indirect effect on aggressive behavior included life events, resilience, self-esteem, positive coping, negative coping, and household income. The results of confirmatory factor analysis indicated goodness of fit. In the face of negative life events, left-behind adolescents with high resilience, self-esteem, and positive coping were less likely to exhibit aggressive behavior (P &lt; 0.05).DiscussionLeft-behind adolescents can reduce their aggressive behavior by assuaging the adverse effects of life events via increased resilience and self-esteem as well as the adoption of positive coping strategies.
The double-edged sword of online access to work tools outside work: The relationship with flexible working, work interrupting nonwork behaviors and job satisfaction
Authors: Hartner-Tiefenthaler Martina , Mostafa Ahmed Mohammed Sayed , Koeszegi Sabine T. 
Published: January 2023

IntroductionInformation and communication technologies (ICTs) provide employees with online access to work tools outside work (OAWT), which can be seen as a double-edged sword fostering positive as well as negative aspects of flexibility. In our study, we investigated how OAWT relates to different forms of flexible working, work interrupting nonwork behaviors and job satisfaction.MethodWe used a randomized sample of 758 Austrian employees from a broad range of organizations and tested the hypotheses by means of structural equation modeling.ResultsOur findings revealed that OAWT is associated with available flexibility which relates positively to job satisfaction. However, at the same time, it is associated with required flexibility which relates negatively to job satisfaction and positively to work interrupting nonwork behaviors. OAWT has also been found to strengthen the positive relationship between required temporal flexibility and work interrupting nonwork behaviors, and attenuated the negative relationship between required temporal flexibility and job satisfaction.ImplicationsWe discuss the practical implications and develop recommendations on how organizations should deal with OAWT.
“Burnout felt inevitable”: Experiences of university staff in educating the nursing and allied health workforce during the first COVID-19 waves
Authors: O'Brien Lisa , Tighe Josephine , Doroud Nastaran , Barradell Sarah , Dowling Leah , Pranata Adrian , Ganderton Charlotte , Lovell Robin , Hughes Roger 
Published: January 2023

IntroductionMaintaining progress in the face of looming burnout during the first 2 years of the COVID-19 pandemic was crucial for the health workforce, including those educating the next generation of health professionals. The experiences of students and healthcare practitioners have been explored to a greater degree than the experiences of university-based health professional educators.MethodsThis qualitative study examined the experiences of nursing and allied health academics at an Australian University during COVID-19 disruptions in 2020 and 2021 and describes the strategies that academics and/or teams implemented to ensure course continuity. Academic staff from nursing, occupational therapy, physiotherapy, and dietetics courses at Swinburne University of Technology, Australia provided narratives regarding the key challenges and opportunities they faced.ResultsThe narratives highlighted the strategies generated and tested by participants amidst rapidly changing health orders and five common themes were identified: disruption; stress; stepping up, strategy and unexpected positives, lessons, and legacy impacts. Participants noted challenges related to student engagement in online learning and ensuring the acquisition of discipline-specific practical skills during periods of lock-down. Staff across all disciplines reported increased workload associated with converting teaching to on-line delivery, sourcing alternative fieldwork arrangements, and dealing with high levels of student distress. Many reflected on their own expertise in using digital tools in teaching and their beliefs about the effectiveness of distance teaching for health professional training. Ensuring students were able to complete required fieldwork hours was particularly challenging due to constantly changing public health orders and conditions and staffing shortages at health services. This was in addition to illness and isolation requirements further impacting the availability of teaching associates for specialist skills classes.DiscussionSolutions such as remote and blended learning telehealth, and simulated placements were rapidly implemented in some courses especially where fieldwork could not be rescheduled or amended at the health settings. The implications and recommendations for educating and ensuring competence development in the health workforce during times when usual teaching methods are disrupted are discussed.
Optical spectral diagnostics of the oxygenation level in periodontal tissues and photodynamic therapy using methylene blue in children with cerebral palsy
Authors: Morozova Natalia S. , Kozlitina Iuliia A. , Makarov Vladimir I. , Loschenov Victor B. , Grinin Vasiliy M. , Ivanov Sergey Yu. , Kashtanova Maria S. 
Published: January 2023

Dental diseases occur in children with cerebral palsy three times higher than in healthy children. Low values of the unstimulated salivation rate (&lt;0.3 ml per minute), pH and buffer capacity, changes in enzyme activity and sialic acid concentration, as well as increased saliva osmolarity and total protein concentration, which indicates impaired hydration, are the factors in the development of a gingiva disease in case of cerebral palsy. This leads to increased bacterial agglutination and the formation of acquired pellicle and biofilm, leading to the formation of dental plaque. There is a tendency toward an increase in the concentration of hemoglobin and a decrease in the degree of hemoglobin oxygenation, as well as an increase in the generation of reactive oxygen and nitrogen species. Photodynamic therapy (PDT) with the use of photosensitizer methylene blue improves blood circulation and the degree of oxygenation in periodontal tissues, as well as eliminates a bacterial biofilm. Analysis of back diffuse reflection spectra makes it possible to conduct non-invasive monitoring determine tissue areas with a low level of hemoglobin oxygenation for precision photodynamic exposure.AimTo improve the effectiveness of phototheranostics methods using, namely PDT with simultaneous optical-spectral control, for the treatment of gingivitis in children with complex dental and somatic status (cerebral palsy).MethodsThe study involved 15 children (6-18 y.o.) with various forms of cerebral palsy, in particular, spastic diplegia and atonic-astatic form and with gingivitis. The degree of hemoglobin oxygenation was measured in tissues before PDT and on the 12th day. PDT was performed using laser radiation (λ = 660 nm) with a power density of 150 mW/cm2 with a five-minute application of 0.01% MB. The total light dose was 45 ± 15 J/cm2. For statistical evaluation of the results, a paired Student's t-test was used.ResultsThe paper presents the results of phototheranostics using methylene blue in children with cerebral palsy. An increase in the level of hemoglobin oxygenation from 50 to 67% (p &lt; 0.001) and a decrease in blood volume in the microcirculatory bed of periodontal tissues were shown.ConclusionPhotodynamic therapy methods with application of methylene blue make it possible to assess the state of the gingival mucosa tissue diseases objectively in real time, and to provide effective targeted therapy for gingivitis in children with cerebral palsy. There is a prospect that they can become widely used clinical methods.
Explanation of factors forming missed nursing care during the COVID-19 pandemic: A qualitative study
Authors: Safdari Ali , Rassouli Maryam , Elahikhah Maryam , Ashrafizadeh Hadis , Barasteh Salman , Jafarizadeh Raana , Khademi Fatemeh 
Published: January 2023

BackgroundProviding nursing care to patients with COVID-19 has put additional pressure on nurses, making it challenging to meet several care requirements. This situation has caused parts of nursing care to be missed, potentially reducing the quality of nursing care and threatening patient safety. Therefore, the present study aimed at explaining the factors forming missed nursing care during the COVID-19 pandemic from the perspective of nurses.MethodsThis qualitative study was conducted using a conventional content analysis approach in Iran, 2020–2021. Data were collected from in-depth, semi-structured interviews with 14 nurses based on purposive sampling. Data analysis was performed simultaneously with data collection. Graneheim and Lundman's approach was used for data analysis, and MAXQDA software was used for data management. After transcribing the recorded interviews, to achieve the accuracy and validity of the study, the criteria proposed by Lincoln and Guba were considered and used.ResultsA total of 14 nurses with a mean age and standard deviation of 31.85 ± 4.95 and working in the COVID-19 wards participated in the study. The acquired data were categorized into four main categories: care-related factors, disease-related factors, patient-related factors, and organization-related factors. The category “care-related factors” comprised uncertainty in care, PPE-related limitations, attrition from care, and futile care. The category “disease-related factors” consisted of the extension of symptoms, unpredictable peaks of the disease, and restriction on the presence of patients' companions. The category “patient-related factors” included comorbidities, elderly patients, and deterioration of infected patients. Ultimately, the category “organization-related factors” consisted of restrictions on equipment supply, lack of human resources, weaknesses in teamwork, and an unsupportive work environment.ConclusionThe results of this study showed that several reasons including factors related to care, patient, disease, and organization cause missed nursing care. By modifying the related affecting factors and considering the effective mechanisms to minimize missed nursing care, it is possible to provide better services.
Socio-cultural perception of robot backchannels
Authors: Engwall Olov , Cumbal Ronald , Majlesi Ali Reza 
Published: January 2023

Introduction:Backchannels, i.e., short interjections by an interlocutor to indicate attention, understanding or agreement regarding utterances by another conversation participant, are fundamental in human-human interaction. Lack of backchannels or if they have unexpected timing or formulation may influence the conversation negatively, as misinterpretations regarding attention, understanding or agreement may occur. However, several studies over the years have shown that there may be cultural differences in how backchannels are provided and perceived and that these differences may affect intercultural conversations. Culturally aware robots must hence be endowed with the capability to detect and adapt to the way these conversational markers are used across different cultures. Traditionally, culture has been defined in terms of nationality, but this is more and more considered to be a stereotypic simplification. We therefore investigate several socio-cultural factors, such as the participants’ gender, age, first language, extroversion and familiarity with robots, that may be relevant for the perception of backchannels.Methods:We first cover existing research on cultural influence on backchannel formulation and perception in human-human interaction and on backchannel implementation in Human-Robot Interaction. We then present an experiment on second language spoken practice, in which we investigate how backchannels from the social robot Furhat influence interaction (investigated through speaking time ratios and ethnomethodology and multimodal conversation analysis) and impression of the robot (measured by post-session ratings). The experiment, made in a triad word game setting, is focused on if activity-adaptive robot backchannels may redistribute the participants’ speaking time ratio, and/or if the participants’ assessment of the robot is influenced by the backchannel strategy. The goal is to explore how robot backchannels should be adapted to different language learners to encourage their participation while being perceived as socio-culturally appropriate.Results:We find that a strategy that displays more backchannels towards a less active speaker may substantially decrease the difference in speaking time between the two speakers, that different socio-cultural groups respond differently to the robot’s backchannel strategy and that they also perceive the robot differently after the session.Discussion:We conclude that the robot may need different backchanneling strategies towards speakers from different socio-cultural groups in order to encourage them to speak and have a positive perception of the robot.
Spindle cell oncocytoma of the pituitary tumor: A rare case report and literature reviews
Authors: Chang Chia Ning , Shen Chiung Chyi 
Published: January 2023

IntroductionSpindle cell oncocytoma (SCO) of the pituitary gland is increasingly established with improvements in histological and immunohistochemical examination. However, the diagnosis was often mistaken based on imaging studies and nonspecific clinical manifestations.PurposeThis case is presented to provide an overview of the characteristics of the rare tumor as well as to demonstrate the difficulties in diagnosis and current treatments.Clinical discussionThe pathogenesis of SCO remains unclear, and a possible origin was described. Further research is needed to optimize pre-operative diagnosis and surgical strategy.ConclusionSCO should be considered when images indicate some features. Gross total resection (GTR) after surgery seems to have better long-term tumor control, and radiotherapy may help decrease tumor progression in patients with non-GTR. Regular follow-up is advised because of the higher recurrence rate.
Case report: Pylorus-preserving pancreatoduodenectomy for focal congenital hyperinsulinism in a 5-month-old baby
Authors: Spagnoletti Gionata , Larghi Laureiro Zoe , Maria Fratti Alberto , Maiorana Arianna , Garganese Maria Carmen , Pizzoferro Milena , Dionisi-Vici Carlo , Spada Marco 
Published: January 2023

BackgroundIn focal congenital hyperinsulinism (CHI), surgery is the gold standard of treatment, even for lesions localized in the head of the pancreas. We report the video of the pylorus-preserving pancreatoduodenectomy performed in a five-month-old child with focal CHI.Operative techniqueBaby was placed in the supine position with both arms outstretched to the up. After transverse supraumbilical incision and mobilization of ascending and transverse colon, exploration and multiple biopsies of the tail and the body of the pancreas ruled out multifocality. Pylorus-preserving pancreatoduodenectomy was performed according to the following steps: extended Kocher maneuver, followed by retrograde cholecystectomy and common bile duct isolation; division of the gastroduodenal artery and of the gastrocolic ligament; division of the duodenum, Treitz ligament and jejunum; transection of the pancreatic body. The reconstructive time was with: pancreato-jejunostomy; hepaticojejunostomy; pilorus-preserving antecolic duodeno-jejunostomy. The anastomoses were accomplished with synthetic absorbable monofilament sutures; two drains were placed close to the biliary and pancreatic anastomoses and to the intestinal anastomosis, respectively. Total operative time was 6 h, with no blood loss and/or intra-operative complications, immediate normalization of blood glucose levels and discharge from surgical ward 19 days after surgery.ConclusionsSurgical treatment of medical unresponsive focal forms of CHI is feasible in very small children: it is mandatory to refer the baby to a high-volume centre for a multidisciplinary management involving hepato-bilio-pancreatic surgeons and experts in metabolic disease.
Malacoplakia of the bladder combined with infected renal calculi: A case report
Authors: He Qunjun , Wang Yi , Chen Xian , Xia Baopiao , Zeng Xuqiang , Wang Binhui , Fang Yong , Liu Shulin , Xu Wujun 
Published: January 2023

IntroductionThe malacoplakia of the bladder is a rare chronic acquired infection- associated granulomatous disease and even less common in combination with urinary stones.Case PresentationWe report the case of a 58-year-old female patient with malacoplakia of the bladder combined with renal calculi. The patient was admitted to the hospital with bilateral low back pain for one month and space-occupying lesions of the bladder for three days. Preoperative imaging suggested space-occupying lesions of the bladder: high probability of bladder cancer. Following the anti-infection treatment, the transurethral electrodesiccation was performed on the space-occupying lesions of the bladder. Pathological examination confirmed the diagnosis of malacoplakia of the bladder. Left-sided percutaneous nephrolithotomy was performed electively to remove the predisposing factors of infection. After the operation, the patient continued to receive anti-infection treatment for two months. The patient had a good prognosis in the six-month follow-up.ConclusionsMalacoplakia of the bladder is easily misdiagnosed as bladder cancer before operation, and the diagnosis depends on pathological diagnosis. Complete removal of urinary calculi, infection and other inducing factors, is beneficial to the treatment of malacoplakia of the bladder.