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Childhood Maltreatment and Revictimization:A Systematic Literature Review
There is established evidence that childhood/adolescent victimization is associated with victimization in adulthood although the underlying mechanisms are not still clear. The current study aimed to systematically review empirical studies examining potential psychological factors linking childhood maltreatment to victimization in adulthood and the gaps in the literature. Following PRISMA protocol, 71 original studies consisting of a total sample of n = 31,633 subjects were analyzed. Symptom severity for various trauma-related disorders, dissociation, emotion dysregulation, and risky sexual behaviors emerged as potential predictors of revictimization. While these potential risk factors mediate the relationship between childhood maltreatment and adulthood victimization, evidence for additional factors such as social support, attachment styles, maladaptive schemas, and risk detection is very limited. Addressing these intrapersonal risk factors, found by prior studies, in interventions and preventive programs might decrease the probability of revictimization. The interactions between the identified risk factors have not been studied well yet. Hence, more research on mediating risk factors of revictimization is needed. </p
Business Value of SME Digitalization:When Does It Pay off More?
Small and medium enterprise (SME) digitalisation involves the reinforcement, modification, and renewal of business models with the help of digital technologies. It is widely considered imperative for SMEs to stay relevant in the digital age. Yet, little is known about the conditions under which SME digitalisation improves the performance of SMEs in the IS literature. Guided by the SME literature, we postulate that the business value of SME digitalisation – based on its impact on improving financial firm performance – is dependent on two factors that are particularly relevant to SMEs due to their smallness and flexibility: radical orientation and organisational rigidity. Using data from multiple waves of surveys in 2019–2020 and archival financial data from Dutch SMEs, we demonstrate that the positive impact of SME digitalisation on performance improvement strongly depends on SME characteristics. SMEs who are oriented towards radical change and are more rigid are disadvantaged and attain lower returns on SME digitalisation
Late Holocene coastal dynamics south of the Chanthaburi estuary, eastern Gulf of Thailand
Beach ridges are depositional features that allow reconstruction of past sea-level variations, sediment dynamics, and storm activity. However, there are still very few systematic studies focusing on beach ridges available from the Gulf of Thailand. Along the east coast, satellite images provide evidence of beach ridges in the Chanthaburi Province, extending as far as 6 km inland, oriented parallel to the current coastline. These can be divided into a set of landward ridges (5.3–6.0 km inland) and seaward ridges (0.4–1.8 km inland) that are separated by an arm of the Chanthaburi estuary. Optically stimulated luminescence dating of 26 sand samples from 12 pits of ridge profiles suggests that the landward set of beach ridges formed ca. 3500 yr ago, while the seaward set of ridges formed between ca. 2100–1200 years ago, which also includes the modern active beach. It appears that the landward set of beach ridges developed during a period of relatively stable sea level followed by a rapid regression presently occupied by the arm of the Chanthaburi estuary. The seaward set of beach ridges apparently reflects a millennium of slowly retreating coastline until the modern beach ridge formed
Bronchiectasis is associated with lower lung function in lung cancer screening participants
Background and objective: Bronchiectasis is a frequent incidental finding on chest computed tomography (CT), but its relevance in lung cancer screening is not fully understood. We investigated the association between bronchiectasis and respiratory symptoms, pulmonary function, and emphysema in lung cancer screening participants with and without chronic obstructive pulmonary disease (COPD).Methods: We included 3260 (ex-)smokers from the Dutch-Belgian lung cancer screening trial (NELSON). Bronchiectasis was scored by chest radiologists. The relationship with pulmonary function (FEV1%predicted, FEV1/FVC), respiratory complaints (cough, dyspnea, wheezing, mucus hypersecretion), and CT-quantified emphysema (15th percentile) was examined with independent t-tests and multivariate regression.Results: Bronchiectasis was present in 5.4% (n = 175/3260). There was no difference in prevalence between subjects with and without COPD (68/1121 [5.9%] vs. 109/2139 [5.1%]; p =.368). COPD subjects with bronchiectasis had a lower FEV1%predicted (76.2% vs. 85.0%; p <.001), lower FEV1/FVC (0.58 vs. 0.62; p <.001), and more emphysema (− 938 HU vs. − 930 HU; p =.001) than COPD subjects without bronchiectasis. In COPD subjects, bronchiectasis was independently associated with a lower FEV1%predicted (B = − 7.7; CI [− 12.3, − 3.3]), lower FEV1/FVC (B = − 2.5; CI [− 4.3, − 0.8]), more cough (OR 2.4; CI [1.3, 4.3]), more mucus hypersecretion (OR 1.8; CI [1.0, 3.1]) and more dyspnea (OR 2.3; CI [1.3, 3.9]). In those without COPD (n = 2139), bronchiectasis was associated with more cough, mucus hypersecretion, and wheezing, but not with deteriorating lung function.Conclusion: Bronchiectasis was present in 5.4% of our lung cancer screening participants and was associated with more respiratory symptoms and, in those with COPD, with lower lung function and more emphysema. Clinical relevance statement: In a lung cancer screening population, bronchiectasis has a prevalence of 5.4% with a mainly mild severity. This finding is of little clinical relevance unless mild COPD is also present. In those subjects, bronchiectasis was associated with a lower lung function, more respiratory symptoms, and more emphysema. Key Points: • Bronchiectasis was found in 5.4% of lung cancer screening participants, consisting of (ex-)smokers with and without mild COPD. • In those with mild COPD, bronchiectasis was associated with a lower lung function, more respiratory symptoms, and more emphysema. • Incidental findings of mild bronchiectasis are not very relevant in a lung cancer screening population, unless COPD is also present.</p