bluuebunny/crossref_metadata_2025_split huggingface dataset:
Learning, translating, and applying the perceive, recall, plan, perform system of task analysis assessment to practice: Occupational therapists’ experiences
Authors: Burrows Wendy , Hocking Clare , Chapparo Christine 
Published: December 2021

Introduction This study explored occupational therapists’ experiences of embedding the Perceive, Recall, Plan, Perform System of Task Analysis (PRPP) assessment in practice and gained understandings of the clinical utility. Methods Qualitative interpretive description research using data from semi-structured interviews with 11 New Zealand registered occupational therapists and a focus group with two Māori occupational therapists. Thematic data analysis was used to develop themes. Results Five themes emerged: Resonating with practice as it should be, Translating to practice, Communicating assessment findings using an occupational performance focus on cognition, Validating the practice fit and Cultural application. Participants described the PRPP assessment as a flexible tool, which was applied in different ways in varied practice settings, with clients performing a range of culturally specific occupations. Embedding the assessment in practice was an involved process that challenged many participants’ existing assessment procedures and included managing team expectations to perform cognitive-based assessments. Conclusions The PRPP assessment added value to occupational therapists’ practice. Effective implementation of the assessment required a secure occupation-focused perspective and client-centred culturally responsive communication skills. Commitment was needed to both adopt a new assessment process and to communicate occupation-based assessment results. Participants connected as social learners to address practice challenges post-training.
Effects of temperature and thermal cycles on the mechanical properties of expanded polystyrene foam
Authors: Tahir Muhammad Naeem , Hamed Ehab 
Published: December 2021

Understanding the effects of high temperature and thermal cycles on the mechanical properties of expanded polystyrene (EPS) foam is critical for its use in sandwich panels. This paper presents an experimental investigation of these effects in typical environmental conditions that exist in construction applications. A total of 117 small specimens were cut from metal-faced sandwich panels with EPS core and were exposed to different numbers of thermal cycles and/or sustained high temperatures. The specimens were then loaded under compression, tension, and four-point bending for evaluating the degradation of the mechanical properties of the foam. The thermal cycles reflect typical surface temperature during daily summer conditions, with a period of 24 h each and with a temperature varying between 24°C to 80°C. The results show that the modulus of elasticity of EPS foam in compression reduced by about 38% after exposure to thermal cycles for 45 days, whereas the tensile and shear moduli reduced by about 5.7% and 13.8%, respectively. Exposure to sustained high temperature after thermal cycles led to larger degradation of the elastic and shear moduli in the range of 38%–50%. These degradations can lead to early failures in applications that rely on the EPS foam as a structural component like in insulating sandwich panels.
Effects of third-language learning on inhibitory control with consideration of task complexity and language proficiency
Authors: Ma Dongmei , Wang Xinyue , Gao Xuefei 
Published: December 2021

Aims and Objectives: The present study explores the question of whether learning a third language (L3) in an English as a foreign language (EFL) classroom setting induces improved inhibitory control compared with that found in bilinguals, considering task complexity and language proficiency. Methodology: Thirty-six Chinese–English second language (L2) young adult learners and 121 Chinese–English–Japanese/French/Russian/German L3 young adult learners with three levels of L3 proficiency participated in the study. Simon arrow tasks were employed to measure two types of inhibitory control: response inhibition (the less complex task with univalent stimuli) and interference suppression (the more complex task with bivalent stimuli). Data and Analysis: Statistics using ANOVAs and multiple comparisons were employed to analyze the effects of L3 learning on the reaction time and accuracy for response inhibition and interference suppression, respectively. Findings: The results demonstrated that L3 learners did not outperform L2 learners in the two types of inhibitory control: response inhibition (less complex) and interference suppression (more complex). Moreover, L3 learners with a higher proficiency did not display better inhibitory control than those with a lower proficiency in response inhibition and interference suppression. However, as the L3 proficiency increased, some specific aspects of inhibitory control did improve and exhibited a nonlinear pattern. Originality: The present study extends bilingual advantage in inhibitory control to formal L3 learning, exploring whether bilingual advantage in inhibitory control also appears in L3 learners, considering task complexity and language proficiency. Significance/implications: The present study contributes to the theory of the relationship between multilingualism and inhibitory control by showing that this relationship may be more complex than it is understood currently. Learning an additional language to L2, particularly short-term learning, may not lead to an incremental advantage in overall inhibitory control. However, as learning time increases, changes may appear in specific aspects of inhibitory control, and may be a nonlinear one.
Successful Sac Embolization to Eliminate a Type 2 Endoleak After Thoracic Endovascular Aortic Repair by Penetration of a Vascular Plug Implanted in a Left Subclavian Artery
Authors: Nagatomi Satoru , Ichihashi Shigeo , Kanamori Daigo , Yamamoto Hiroshi 
Published: December 2021

Purpose: To describe a technique of vascular plug penetration by a guidewire with a heavy tip load for additional embolization of a type 2 endoleak after endovascular aortic aneurysm repair (EVAR). Technique: The technique of vascular plug penetration is effective for additional embolization of a type 2 endoleak, when large arteries such as left subclavian artery (LSA) or hypogastric artery remain patent even after the embolization of the vessel has been performed using a vascular plug and are responsible for the endoleak. A tapered guidewire with a heavy tip load enables the penetration of the disk of the plug, followed by introduction of a microcatheter into the endoleak nidus. In the presented case, the technique successfully eliminated a type 2 endoleak in a thoracic aortic aneurysm for which a patent LSA despite the embolization by a vascular plug was responsible. Conclusion: The technique of vascular plug penetration allows an access to an endoleak cavity via a vascular plug placed in an aortic side branch for additional embolization of a type 2 endoleak after EVAR.
Association of High-Sensitivity C-Reactive Protein With Aneurysm Sac Shrinkage in Patients Undergoing Endovascular Abdominal Aneurysm Repair
Authors: Kano Masaki , Nishibe Toshiya , Dardik Alan , Iwahashi Toru , Ogino Hitoshi 
Published: December 2021

Purpose: The factors associated with aneurysm sac shrinkage after endovascular aneurysm repair (EVAR) are not well established. As inflammation is implicated in aneurysm pathophysiology, we hypothesized that high-sensitivity C-reactive protein (hsCRP) was associated with aneurysm sac shrinkage after EVAR and compared the preoperative level of hsCRP between patients with and without postoperative aneurysm sac shrinkage after EVAR. Methods: From November 2013 to April 2019, 143 patients undergoing EVAR using Gore C3 Excluder (W. L. Gore & Associates, Inc, Flagstaff, Arizona) at our university hospital were included in this study. Aneurysm sac size was compared between that on baseline preoperative computed tomography (CT) and that on postoperative CT scans. A change in aneurysm sac size ≥5 mm was considered to be significant, whether due to enlargement or shrinkage. Results: Aneurysm sac size showed a significant decrease from 50.6 ± 9.8 mm to 47.1 ± 10.3 mm at 1 year. At 1 year postoperatively, aneurysm sac shrinkage (≥5 mm) was observed in 48 patients (34%), a stable aneurysm sac was noted in 93 patients (65%), and aneurysm sac enlargement was noted in 2 patients (1.4%). The mean preoperative hsCRP was 0.33 ± 0.54 mg/dL. Univariable analysis showed that preoperative hsCRP (p=0.029) and the presence of a renal cyst (p=0.002) were associated with aneurysm sac shrinkage. Multivariable analysis showed that preoperative hsCRP [>0.19mg/dL] (odds ratio [OR] = 0.22; 95% confidence interval [CI] = 0.05–0.96; p=0.042), and the presence of a renal cyst (OR = 0.31; 95% CI = 0.15–0.67; p=0.002) were independent risk factors for aneurysm sac shrinkage after EVAR. Conclusions: The level of preoperative hsCRP was independently associated with aneurysm sac shrinkage after EVAR in patients with abdominal aortic aneurysms. These data suggest that the high level of hsCRP can be a negative predictor for aneurysm sac shrinkage after EVAR.
Human Resource Development Review’s 20th Anniversary of Publication: Main Topics and Influence
Authors: Park Sunyoung 
Published: December 2021

To celebrate Human Resource Development Review’s ( HRDR’s) 20th anniversary of publication, I was asked by the HRDR Editor-in-Chief to conduct a topic analysis of HRDR articles over the past two decades. The purpose of this study, therefore, is to identify major topics from all HRDR articles published from 2002–2021 by reviewing keywords and citation frequency. After identifying 394 articles (excluding editorials), the main topics and the most influential articles were identified. Literature review articles followed by employee engagement were the most frequently cited over the past 20 years. In the future, there is a need to conduct more in-depth analysis to better understand the relevant topics and influence of HRDR articles using accurate categories and advanced techniques.
Carotid Artery Dissection and Ischemic Stroke Following Cervical Chiropractic Manipulation: Two Case Reports
Authors: Chen Yimin , Mofatteh Mohammad , Nguyen Thanh N. , Wellington Jack , Wei Wenlong , Liang Wenjun , Chen Gan , Hu Zhaohui , Ouyang Kexun , Yang Shuiquan 
Published: December 2021

Objective Patients can be at risk of carotid artery dissection and ischemic stroke after cervical chiropractic manipulation. However, such risks are rarely reported and raising awareness can increase the safety of chiropractic manipulations. Case Report We present two middle-aged patients with carotid artery dissection leading to ischemic stroke after receiving chiropractic manipulation in Foshan, Guangdong Province, China. Both patients had new-onset pain in their necks after receiving chiropractic manipulations. Excess physical force during chiropractic manipulation may present a risk to patients. Patient was administered with recombinant tissue plasminogen activator after radiological diagnoses. They were prescribed 100 mg and clopidogrel 75 mg daily for 3 months as dual antiplatelet therapy. There were no complications over the follow-up period. Conclusion These cases suggest that dissection of the carotid artery can occur as the result of chiropractic manipulations. Patients should be diagnosed and treated early to achieve positive outcomes. The safety of chiropractic manipulations should be increased by raising awareness about the potential risks.
Multimodal Imaging Biomarker-Based Model Using Stratification Strategies for Predicting Upper Extremity Motor Recovery in Severe Stroke Patients
Authors: Lee Jungsoo , Kim Heegoo , Kim Jinuk , Chang Won Hyuk , Kim Yun-Hee 
Published: December 2021

Background. Various prognostic biomarkers for upper extremity (UE) motor recovery after stroke have been reported. However, most have relatively low predictive accuracy in severe stroke patients. Objective. This study suggests an imaging biomarker-based model for effectively predicting UE recovery in severe stroke patients. Methods. Of 104 ischemic stroke patients screened, 42 with severe motor impairment were included. All patients underwent structural, diffusion, and functional magnetic resonance imaging at 2 weeks and underwent motor function assessments at 2 weeks and 3 months after stroke onset. According to motor function recovery at 3 months, patients were divided into good and poor subgroups. The value of multimodal imaging biomarkers of lesion load, lesion volume, white matter integrity, and cortical functional connectivity for motor recovery prediction was investigated in each subgroup. Results. Imaging biomarkers varied depending on recovery pattern. The integrity of the cerebellar tract ( P = .005, R 2 = .432) was the primary biomarker in the good recovery group. In contrast, the sensory-related corpus callosum tract ( P = .026, R 2 = .332) and sensory-related functional connectivity ( P = .001, R 2 = .531) were primary biomarkers in the poor recovery group. A prediction model was proposed by applying each biomarker in the subgroup to patients with different motor evoked potential responses ( P < .001, R 2 = .853, root mean square error = 5.28). Conclusions. Our results suggest an optimized imaging biomarker model for predicting UE motor recovery after stroke. This model can contribute to individualized management of severe stroke in a clinical setting.
Patient Comprehension of Trigger Finger Concepts Based on Distribution Format: A Randomized Controlled Trial of Handout Versus Video
Authors: Toci Gregory R. , Filtes Peter , Lau Vincent , Imbergamo Casey , Varghese Bobby , Tawfik Amr , Sirch Francis , Fletcher Daniel , Katt Brian M. 
Published: December 2021

Background: Patient comprehension is an essential part of optimizing medical outcomes. It is unknown which format is most effective in delivering this information. In addition to a face-to-face conversation, a paper handout is often given as an educational supplement at the conclusion of a visit. Secondary to advances in technology and the ubiquity of the Internet, medical videos have gained popularity. The purpose of this randomized controlled trial was to determine whether the educational material format (paper handout vs video) resulted in a difference in either comprehension of the condition or satisfaction with the delivery of the information. Methods: Patients aged ≥18 years with a diagnosis of trigger finger were prospectively enrolled and randomized to receive either a paper handout or video link with information regarding the pathophysiology, diagnosis, and treatment of trigger finger. Survey assessments were then distributed, consisting of 7 questions related to trigger finger and 1 question related to patient satisfaction. Continuous data were compared using 2-sample t tests, and categorical data were compared with χ2 tests. Alpha was 0.05. Results: Seventy-one patients were enrolled, and 60 completed their survey (response rate: 85%). The video group had significantly higher comprehension scores (82% vs 71%, P = .04) and significantly higher satisfaction scores (9.4 vs 8.6, P = .02). Conclusions: Those who received their educational material in a video format had greater comprehension of their condition and higher satisfaction compared with those receiving a paper handout. Medical providers should consider using video formats to provide supplemental educational materials to their patients.
Using Sentiment Analysis to Understand What Patients Are Saying About Hand Surgeons Online
Authors: Tang Justin E. , Arvind Varun , White Christopher A. , Dominy Calista , Kim Jun S. , Cho Samuel K. , Walsh Amanda 
Published: December 2021

Background: Physician review websites have influence on a patient’s selection of a provider. Written reviews are subjective and difficult to quantitatively analyze. Sentiment analysis of writing can quantitatively assess surgeon reviews to provide actionable feedback for surgeons to improve practice. The objective of this study is to quantitatively analyze large subset of written reviews of hand surgeons using sentiment analysis and report unbiased trends in words used to describe the reviewed surgeons and biases associated with surgeon demographic factors. Methods: Online written and star-rating reviews of hand surgeons were obtained from healthgrades.com and webmd.com . A sentiment analysis package was used to calculate compound scores of all reviews. Mann-Whitney U tests were performed to determine the relationship between demographic variables and average sentiment score of written reviews. Positive and negative word and word-pair frequency analysis was also performed. Results: A total of 786 hand surgeons’ reviews were analyzed. Analysis showed a significant relationship between the sentiment scores and overall average star-rated reviews ( r2 = 0.604, P ≤ .01). There was no significant difference in review sentiment by provider sex; however, surgeons aged 50 years and younger had more positive reviews than older ( P < .01). The most frequently used bigrams used to describe top-rated surgeons were associated with good bedside manner and efficient pain management, whereas those with the worst reviews are often characterized as rude and unable to relieve pain. Conclusions: This study provides insight into both demographic and behavioral factors contributing to positive reviews and reinforces the importance of pain expectation management.
Identification of Clinical and Demographic Predictors for Treatment Modality in Patients With Carpal Tunnel Syndrome
Authors: Lander Richard D. , Jones Courtney Marie Cora , Hammert Warren C. 
Published: December 2021

Background: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. There are multiple treatment modalities for CTS. This study examines both clinical and demographic predictors for initial treatment modality of CTS. Methods: Patients diagnosed with CTS between February 2015 and October 2020 with a hand clinic visit within 6 weeks before treatment were included in our study. Patients completed Patient-Reported Outcomes Measurement Information System Pain Interference, Physical Function, and Depression and had complete data on relevant predictor variables. Primary outcomes were treatment group: (1) injection only; (2) release only; and (3) injection followed by release. Bivariate analyses and multinomial logistic regression was used to identify statistically significant variables and independent predictors associated with the treatment groups, respectively. Results: A total of 1409 patients fit our inclusion criteria. Sex, age, body mass index (BMI), race, ethnicity, Pain Interference, and Depression were statistically significant predictors for treatment group in bivariate analysis ( P < .05). In multivariable analysis, adults older than 65 years were less likely to receive either injection only or injection followed by release (odds ratio [OR]: 0.56 and OR: 0.52, respectively; P < .01). Overweight (BMI: ≥25) individuals were less likely to receive injection only (OR: 0.45; P < .01). Women were more likely to have either injection only or injection followed by released (OR: 1.50 and 1.55; P < .01). Similarly, black, Indigenous, or Persons of Color had an increased odds of injection only and injection followed by release (OR: 1.61 and OR: 1.69, respectively; P < .05). Conclusions: Sex, age, BMI, race, and ethnicity were found to be independent predictors of treatment modality for CTS.
Revisiting carotid endarterectomy: Neobulb technique using external carotid artery as a patch
Authors: Araujo Adalberto P , Araujo‐Gomes Cristiane F , Poschinger-Figueiredo Douglas , Delgado Carlos Felipe S , Mayall Monica R , FB Campanario Flavia , Virgini‐Magalhães Carlos Eduardo 
Published: December 2021

Objectives This study describes an alternative carotid bifurcation endarterectomy technique in which the external carotid artery is used as a suture patch. Methods Charts of ten patients with atherosclerotic carotid stenosis that were treated using the neobulb technique between 2002 and 2019 were reviewed. Results No major surgical adverse event was observed in the postoperative assessments. No postoperative common or internal carotid stenosis was observed in the mid- or long-term follow-up. Conclusions The neobulb technique allows carotid endarterectomy closure without a synthetic or venous patch, using the external carotid artery as an autologous patch, while preserving distal flow into the external carotid artery branches.
Long-term mortality and recurrent vascular events in lacunar versus non-lacunar ischaemic stroke: A cohort study
Authors: Portegijs Suzanne , Ong Ariel Y , Halbesma Nynke , Hutchison Aidan , Sudlow Cathie LM , Jackson Caroline A 
Published: December 2021

Introduction Studies of differences in very long-term outcomes between people with lacunar/small vessel disease (SVD) versus other types of ischaemic stroke report mixed findings, with limited data on myocardial infarction (MI). We investigated whether long-term mortality, recurrent stroke and MI risks differ in people with versus without lacunar/SVD ischaemic stroke. Patients and methods We included first-ever strokes from a hospital-based stroke cohort study recruited in 2002–2005. We compared risks of death, recurrent stroke and MI during follow-up among lacunar/SVD versus other ischaemic stroke subtypes using Cox regression, adjusting for confounding factors. Results We included 812 participants, 283 with lacunar/SVD ischaemic stroke and 529 with other stroke. During a median of 9.2 years (interquartile range 3.1–11.8), there were 519 deaths, 181 recurrent strokes and 79 MIs. Lacunar/SVD stroke was associated with lower mortality (adjusted HR 0.79, 95% CI 0.65 to 0.95), largely due to markedly lower all-cause mortality in the first year. From one year onwards this difference attenuated, with all-cause mortality only slightly and not statistically significantly lower in the lacunar/SVD group (0.86, 95% CI 0.70 to 1.05). There was no clear difference in risk of recurrent stroke (HR 0.84, 95% CI 0.61–1.15) or MI (HR 0.83, 95% CI 0.52–1.34). Conclusion Long-term risks of all-cause mortality, recurrent stroke and MI are similar, or only slightly lower, in patients with lacunar/SVD as compared to other ischaemic stroke. Patients and physicians should be as vigilant in optimising short- and long-term secondary prevention of vascular events in lacunar/SVD as for other stroke types.
Publishing in Entrepreneurship Education and Pedagogy
Authors: Winkler Christoph , Liguori Eric , van Gelderen Marco , Noyes Erik , Pittz Thomas , Liñán Francisco , Hytti Ulla , Walmsley Andreas , Cochran Sara L. , Hudson Monika , McGuire Stephen J. J. 
Published: December 2021

In this editorial, the editors of Entrepreneurship Education and Pedagogy (EE&P) reflect back on the journal’s first 4 years of production and the impact the journal has had. They also reflect back on the submission trends of unsuccessful submissions, offering insights into why articles are commonly rejected. Last, they discuss research translation, its importance, and strategies for scholars to help disseminate their work to a wider audience.