bluuebunny/crossref_metadata_2025_split huggingface dataset:
Operationalizing Antiracism in Higher Education Community Engagement
Authors: Smith Stella , Medlin Kristin , Wendling Lauren 
Published: September 2022

Higher education must move beyond statements of solidarity towards action to support antiracist work at institutions. Although these statements of support are laudable, it can be challenging to successfully operationalize antiracism across all levels of an institution (individuals, activities/programs, courses, units, and entire institutions) and with all stakeholders (faculty, staff, students, and community partners). We suggest that community engagement is a key overlooked strategy and method for advancing antiracist agendas within institutions. Examples of how antiracist work actually manifests through community-university partnerships can help identify successful outcomes of antiracist practices and policies. This article will share findings from a series of dialogues engaging over 250 participants about the intersection of engagement and antiracism, and share a call to develop a set of metrics to assess and measure antiracism in higher education community engagement.
Exploring the impact of diversity training on the development and application of cultural competence skills in higher education professionals
Authors: Cabler Kendra , Hobson Hargraves Rosalyn , Jackson Holly 
Published: September 2022

This study explores how higher education professionals develop and demonstrate cultural competence in their professional roles. Through a mixed methods case-study approach, the study investigates how perceived levels of cultural competence in higher education professionals is shaped by participation in an extended diversity training program. Additionally, this study explores implications for individual career trajectories as a result of program completion and implementation of new learning. Study findings indicate that participants anticipate lasting effects from the training experience. The training introduced and ignited a reconfiguration of what it means to engage and work in spaces where institutional and organizational commitments are aligned with personal commitments. Following training, all participants expressed deep commitment to intentionally and actively cultivating a sense of belonging and inclusion in the workplace through shared language, shifts in policy, and more thoughtful interpersonal interactions with colleagues and peers.
Pregnancy Expectations and Experiences among Women in Southeast Ohio: Implications for Clinical Practice
Authors: Kingori Caroline , Darlington Kay-Anne , Kuhlman Jamie , Basta Tania 
Published: September 2022

Background/Objectives: Nearly 4 million women experience pregnancy every year in the United States. While there is research about medical outcomes related to pregnancy, especially in the context of disease, there is a dearth of research related to pregnancy expectations.
Methods: This qualitative study explored women’s expectations and experiences of pregnancy in Southeast Ohio. Participants attending a clinic were recruited for individual interviews onsite at the physician's office. Interviews were audio recorded and transcribed verbatim. Codes, in the form of descriptive labels such as words or brief phrases, were developed based on entire interviews.
Results: Results indicate that women experience pregnancy on a continuum, some women enjoyed the experience, some were ambivalent, while others did not enjoy the experience. Furthermore, some women reported that their expectations for pregnancy matched their experience(s), while others felt that their expectations did not match their experience. Some women also felt “judged” by other women and even health care providers if they did not “love” the experience.
Conclusions: Women experience pregnancy in a variety of ways, therefore, it is important that health care providers be sensitive to the notion that not all women enjoy the process, but they all want the same outcome of a healthy child. While it is important for health care providers to assess the physical health of the mother and the unborn child, this study demonstrated that it is also important to assess what an expectant mother knows about pregnancy and what she expects to happen.
Detecting Environmental Contamination of MRSA in Ambulances: A Novel and Efficient Sampling Methodology
Authors: Orellana Robert C. , Hoet Armando E. , Van Balen Joany C. , Lu Bo , Kelley Christina , Stevenson Kurt B. 
Published: September 2022

Background: Methicillin-resistant Staphylococcus aureus (MRSA) can be found in emergency medical services (EMS) ambulances. This poses an occupational risk and patient safety hazard. Screening for environmental contamination is often not performed due to limited resources and logistical challenges. This study’s objective was to compare traditional screening of individual surfaces versus “pooled sampling” to efficiently identify contamination.
Methods: A cross-sectional study, conducted among 145 Ohio EMS ambulances from 84 agencies, tested a novel pooled sampling methodology to detect MRSA contaminated ambulances. For ambulances screened using pooled sampling, 3 samples were collected within each ambulance. Pool One included cabinets, doorways, and ceiling bar. Pool Two included cot, seats, and backboard. Pool Three included steering wheel, kits, and clipboard. For ambulances screened with the traditional detection technique, each of the 9 aforementioned surfaces were sampled individually. Descriptive statistics and unadjusted and adjusted odds ratios (OR) were calculated to compare the 2 methods.
Results: Forty-seven of 145 ambulances (32.4%) had at least 1 of the 9 locations contaminated with MRSA. When comparing the 2 screening methodologies, no significant difference was observed regarding the overall detection of MRSA contaminated ambulances (24/60 [40%] versus 23/85 [27.6%], P value: 0.1000). This indicates that pooled sampling appears as an efficient method for identification of MRSA contaminated ambulances.
Conclusion: One-third of Ohio ambulances had MRSA contamination in this study. Therefore, an efficient methodology to identify contaminated ambulances with hazardous pathogens is incredibly valuable. Pooling can help save resources and simplify sampling logistics, all which could positively impact infection control practices in emergency medical services.
Developing Continuing Education for Ohio’s Local Boards of Health
Authors: Kingsbury Diana M. , Stefanak Matthew , Slenkovich Ken 
Published: September 2022

Background: Public health functions at the county level and city level through the work of local health departments (LHDs). Local boards of health (LBoHs) work closely with LHDs as an administrative oversight body. In 2013, legislation was passed in the state of Ohio pertaining to the accreditation of LHDs, which included a provision requiring that Ohio’s LBoH members engage in 2 hours of continuing education (CE) per year. To assist LBoHs in fulfilling these requirements, a partnership was developed between the Ohio Association of Boards of Health (OABH) and the Kent State University College of Public Health (KSU-CPH) to deliver CE content.
Methods: The process for developing the CE modules encompasses 3 steps: (1) needs assessment, (2) module development and delivery, and (3) evaluation. Feedback was solicited from Ohio’s LBoH members to determine topics of interest for CE modules. Taking this feedback, a curated set of 8 modules will be developed. Module content will be derived from graduate courses within KSU-CPH as well as from subject matter experts. The modules will be delivered online to LBoH members during their regularly scheduled meetings.
Results: This program proposes to fulfill state requirements that LBoH members regularly engage in CE. Partner-ing with KSU-CPH allows for the use of academic content in these trainings.
Conclusion: An adequately trained public health workforce is essential for a well-functioning public health system, which includes governing entities like LBoHs. There is limited understanding of how workforce development can be targeted specifically to LBoHs. This CE program contributes to current efforts to promote workforce development within the field of public health.
First Record of Spirometra erinaceieuropaei spargana Infection in Amphibians of South Asia: A Causative Agent of Surficial Abnormalities
Authors: Silva Praneeth , Dasanayake Tharanga , Jayasekara Dulan , Dharmarathne Chathuranga , Mahaulpatha Dharshani 
Published: September 2022

Background: Sparganosis is a zoonotic disease caused by Plerocercoid larvae (spargana) of the genus Spirometra. We aimed to provide molecular evidence for the infection of amphibians with Spirometra sp. in the inside and outside of Horton Plains National Park (HPNP), Sri Lanka.
Methods: The prevalence of sparganum infection in wild frogs (Truga eques and Minverya agricola) was investigated in the inside and outside of HPNP from June 2019 to April 2021.A total of 1,434 Amphibians samples were surveyed to examine the spargana infection from the study site. To identify the species identity of the collected spargana, a portion of the mitochondrial cytochrome c oxidase subunit 1 (cox1) gene and nuclear 18S rRNA gene were amplified, sequenced, and analyzed.
Results: A total of 539 infected amphibians (T. eques and M. agricola) samples were examined to survey from the study area. Spargana were detected in all dissected specimens belonging to the species Spirometra erinaceieuropaei that were genetically confirmed using the evolutionary conserved nuclear 18S rRNA gene and then compared to the GenBank deposit, indicating that S. erinaceieuropaei is the primary causal agent of sparganosis both inside and outside the HPNP.
Conclusion: Our finding is the first genetically confirmed record of S. erinaceieuropaei in amphibians in South Asia. However, further studies are needed to investigate the prevalence of sparagna infection in amphibians all over the island.
Aortik Kros Klemp ile Myokard İskemisi Yaratmadan Konjenital Düzeltilmiş Büyük Arter Transpozisyonlu Asendan Aortu Hipoplazik Tip A Kesintili Aortik Arkı Olan Hastanın Tedavisi
Authors: ÖTEYAKA Emre 
Published: September 2022

İnterrupted aortik ark tedavisi karmaşık bir süreçtir. Cerrahi rekonstrüksiyon genellikle myokard iskemisine neden olan aortik kros klempleme, kalbin durdurulması ve hatta kansız operasyon sahası için derin hipotermi gerektirir.Bu yazıda, normotermik şartlarda, kalbi durdurmadan çıkan aort, aortik ark ve proksimal desendan aort replasmanını selektif kanülasyon ve tüm vücut perfüzyonunu sağlayan cerrahi teknik ile tedavi ettiğimiz konjenital düzeltilmiş büyük arter transpozisyonu, tip A kesintili aortik ark ve hipoplazik asendan aortu olan hastamızı sunuyoruz.
Anahtar Kelimeler: Arkus aorta, Kesinti, Konjenital düzeltilmiş büyük arter transpozisyonu, Kanülasyon.
ABSTRACT
Treatment of interrupted aortic arch is complex. Surgical reconstruction consists of procedures that cause myocardial ischemia, such as aortic cross clamping, cardioplegia, and hypothermia. In this article, we present a patient with congenitally corrected transposition of great arteries together with Type A interruption as well as hypoplastic ascending aorta and the aortic arch. The replacement of the aorta, aortic arch, and the proximal descending aorta was performed under normothermic conditions without cardioplegia, which was achieved with a technique that preserves the systemic blood supply by using selective cannulation.
Aortic Arch, Interruption, Congenitally corrected transposition of great arteries, Cannulation.
Investigation of eye contact attempts of three-year-old children and their mothers in a play environment
Authors: Yurek Enes 
Published: September 2022

Eye contact has been defined as an exchange that mediates a significant part of non-verbal procedures between people. Though studies have been carried out on eye contact between adults, the number of studies dealing with the quality, process and messages of eye contact between children and attachment figures is limited. The goal of this study is to analyse the quality, process and messages of eye contact between three-year-old children and their mothers during their interaction in a play setting. It is a qualitative case study. Micro analysis was used as the analysis method. 14 three-year-old children, 8 girls and 6 boys, participated in the study with their mothers. A 10-minute play process was recorded in a standard setting with standard materials. Records were evaluated in periods cut with micro analysis method and transformed into graphics. Study results showed 374 attempts to make eye contact between children and their mothers. It was understood that majority of these attempts were initiated by the mothers and the success/failure rate of these attempts were close each other. It was observed that success rate of eye contact was higher when it was initiated by children and failure rate of eye contact was higher in cases when it was initiated by mothers. Causes of making eye contact shows that mothers were more likely to make eye contact when they ask questions, wait for an answer and control the child and children tried to make eye contact when they ask for approval of their mothers, chat and exchange ideas with them.
Keywords: Mother, child, interaction, eye contact.
Paralysis: A Rare Presentation of Lemierre's Syndrome
Authors: McGovern Madeline , Fried Tristan Blase , Mangan John , Hilibrand Alan S. 
Published: September 2022

Case:
A patient presented with acute paralysis in the setting of undiagnosed Lemierre's syndrome. Streptococcus pyogenes was the causative organism leading to internal jugular vein thrombosis, sternocleidomastoid abscess, vertebral osteomyelitis, and epidural phlegmon. The patient was treated both surgically, with abscess evacuation, hemicorpectomy, and fusion, and medically, with antibiotics and anticoagulation. Postoperatively, the patient regained upper extremity strength and lower extremity sensation, but the paraplegia remained.

Conclusion:
Lemierre's syndrome is a rare complication of oropharyngeal infection with a constellation of findings including jugular thrombophlebitis, metastatic abscesses, and frequent involvement of anaerobic pathogens that may present acutely with paralysis.
Combining Cylindrical Bone Graft and Headless Screw Fixation for Nonunion of the Medial Trochlea of the Elbow
Authors: Uno Tomohiro , Honma Ryusuke , Takahara Masatoshi , Satake Hiroshi , Oishi Ryuta , Maruyama Masahiro , Takagi Michiaki 
Published: September 2022

Case:
A 19-year-old handballer presented with elbow pain and nonunion of the medial trochlea of the elbow. He had undergone earlier surgery for an elbow injury at 6 years of age. Revision surgery for nonunion was performed using an extra-articular method combining cylindrical bone graft and headless screw fixation. Partial union was observed, and he resumed sports after 3 months, with his limb largely pain-free and functional. At the 21-month follow-up, bone healing was complete.

Conclusions:
Combining cylindrical bone graft and headless screw fixation using the extra-articular technique is an option for managing nonunion of the medial trochlea of the elbow.
Pathologic Periprosthetic Fracture After Radial Head Arthroplasty
Authors: Ozdag Yagiz , Foster Brian , Grandizio Louis C. 
Published: September 2022

Case:
We present 2 cases of pathologic periprosthetic radius fractures in the setting of osteolysis after radial head arthroplasty (RHA) with a porous-coated, press-fit implant. Both patients were managed with implant removal without subsequent instability. Although radiographic lucencies are common after RHA, progressive bone resorption can result in subsequent periprosthetic fractures.

Conclusion:
Although osteolysis after RHA is not always clinically significant, these cases demonstrate that this radiographic finding may indicate adverse clinical consequences. Surgeons who perform implant excision should be ready to address further instability as needed.

Level of Evidence:
Level V, case reports.
Acute Surgical Repair of Simultaneous Bilateral Proximal Hamstring Tendon Avulsion
Authors: Green Joshua S. , Moran Jay , Kahan Joseph B. , McLaughlin William M. , Wang Annie , Medvecky Michael J. 
Published: September 2022

Case:
Proximal hamstring tendon avulsions are rare injuries that can be successfully treated with surgical intervention. However, there are limited reports on the surgical and postoperative management of patients with bilateral avulsions. We report a 54-year-old male gym teacher with acute bilateral proximal hamstring 3-tendon nonbony avulsions who underwent simultaneous surgical repairs and a unique postoperative rehabilitation course. At 1-year clinical follow-up, the patient demonstrated significant improvements in activity levels and functionality, with no complications.

Conclusion:
Bilateral proximal hamstring 3-tendon nonbony avulsions can be successfully treated with a simultaneous surgical repair and a modified postoperative rehabilitation course.
Prosthetic Joint Infection Due to Mycobacterium senegalense After Exposure to Zebu Cattle
Authors: Jameson Andrew P. , Barker Seth M. , Urquhart Andrew G. , Pack Bryan 
Published: September 2022

Case:
A 69-year-old male patient, 5 years after a well-functioning total hip arthroplasty for severe osteoarthritis, presented with a 3-month history of progressive, unrelenting, “burning” pain in his right hip with accompanying fullness of the right thigh. Inflammatory markers were elevated, and imaging revealed a large unilocular fluid collection with communication to the hip joint. Aspiration was positive for Mycobacterium senegalense. A combination of surgical and antibiotic therapy successfully treated this patient.

Conclusion:

Mycobacterium senegalense is a rare cause of prosthetic joint infection. A combination of surgical and antimicrobial management is required for effective treatment.
Does China's Fertility Policy Induce Employment Discrimination against Women in Labor Market? A Nationwide Correspondence Experiment
Authors: Li Xun , Wen Dan , Ye Lin , Yu Jiang 
Published: September 2022

Abstract
We apply a two-wave nationwide correspondence experiment to assess the effects of the two-child and three-child policies on employment discrimination against women in China's labor market. Using 13,751 observations collected through this experiment, we find that the announcement of the two-child policy led to a 4.9% decrease in total interview callbacks overall, and decreases of 4.3%, 5.7%, and 5.6% for single women, those married with no children, and those married with one child, respectively. The implementation of the three-child policy led to a 10.4% decrease, but only for married women with two children. The callback rates of women who even didn't disclose marriage and fertility status information decreased by 4.5% under the universal two-child policy and 6.6% after the three-child policy. Our findings point to the importance of tailoring supplementary policy towards firms and women in specific group.
Emotionally affective imaginations influence the Adaptive Force in young women: unpleasant imaginations reduce instantaneously the muscular holding capacity
Authors: Schaefer Laura V , Dech Silas , Wolff Lara L , Bittmann Frank N 
Published: September 2022

Abstract
The influence of emotionally affective imaginations on the Adaptive Force (AF) in healthy participants was recently shown in an exploratory study. The AF describes the neuromuscular capacity to adapt to increasing forces, which was suggested to be especially vulnerable for interfering inputs. This study investigated the influence of pleasant and unpleasant food imaginations on the manually assessed AF of elbow/hip flexors objectified by a handheld device in 12 healthy women in an improved design. The maximal isometric AF was significantly reduced during unpleasant vs. pleasant imaginations and baseline (p < 0.001, dz=0.98–1.61). During unpleasant imaginations muscle lengthening started at 59.00 ± 22.50 % of maximal AF, in contrast to baseline and pleasant imaginations during which the isometric position could be maintained mostly during the entire force increase up to ~97.90 ± 5.00 % of maximal AF. Healthy participants showed an immediately impaired holding function triggered by unpleasant imaginations presumably related to negative emotions. Hence, the AF seems to be suitable to test instantaneously the effect of emotions on motor function. Since musculoskeletal complaints can result from muscular instability, the findings provide insights into the understanding of the causal chain of linked musculoskeletal pain and mental stress. A described case example (current stress vs. positive imaginations) underpins the hypothesis this approach might support psychomotor diagnostics and therapeutics.
Lung muscarinic receptor occupancy by tiotropium: translational Positron Emission Tomography studies in non-human primates and humans
Authors: Cselényi Zsolt , Jucaite Aurelija , Ewing Pär , Stenkrona Per , Kristensson Cecilia , Johnström Peter , Schou Magnus , Bolin Martin , Halldin Christer , Larsson Bengt , Grime Ken , Eriksson Ulf G , Farde Lars 
Published: September 2022

Abstract
Purpose
Molecular imaging has not been used to support the development of drugs for the treatment of pulmonary disorders. The aim of the present translational study was to advance quantitative pulmonary PET imaging by demonstrating occupancy of the reference asthma drug tiotropium at muscarinic acetylcholine receptors (mAChR).
Materials and methods
PET imaging was performed using the muscarinic radioligand [11C]VC-002. The key methodological step involved estimating muscarinic receptor binding while disentangling it from the background of non-specific binding. The relationship between tiotropium exposure and receptor occupancy (RO) was assessed in non-human primates (NHPs) after intravenous injection of tiotropium doses at a broad dose interval (0.1-1mg/kg). The feasibility of measuring RO in the human lung was then confirmed in seven healthy human subjects after inhalation of a single therapeutic dose of tiotropium (18mg).
Results
There was an evident effect of tiotropium on [11C]VC-002 binding to mAChRs in lungs in both NHPs and humans. In NHPs, RO was 11 to 78% and increased in a dose dependent manner. Non-displaceable binding in NHPs was about 10% of total binding. In humans, RO was 6-65%, and non-displaceable binding was about 20% of total binding at baseline.
Conclusions
The results demonstrate that [11C]VC-002 binds specifically to mAChRs in the lungs enabling the assessment of RO following administration of muscarinic antagonist drugs. Furthermore, the methodology has potential not only to support early drug development, but also for evaluating changes in lung receptor distribution in a diagnostic setting, during disease or in response to therapy.