Management of fetal malposition in the second stage of labor: a propensity score analysis.

OBJECTIVE: We sought to determine the factors associated with selection of rotational instrumental vs cesarean delivery to manage persistent fetal malposition, and to assess differences in adverse neonatal and maternal outcomes following delivery by rotational instruments vs cesarean delivery. STUDY DESIGN: We conducted a retrospective cohort study over a 5-year period in a tertiary United Kingdom obstetrics center. In all, 868 women with vertex-presenting, single, liveborn infants at term with persistent malposition in the second stage of labor were included. Propensity score stratification was used to control for selection bias: the possibility that obstetricians may systematically select more difficult cases for cesarean delivery. Linear and logistic regression models were used to compare maternal and neonatal outcomes for delivery by rotational forceps or ventouse vs cesarean delivery, adjusting for propensity scores. RESULTS: Increased likelihood of rotational instrumental delivery was associated with lower maternal age (odds ratio [OR], 0.95; P < .01), lower body mass index (OR, 0.94; P < .001), lower birthweight (OR, 0.95; P < .01), no evidence of fetal compromise at the time of delivery (OR, 0.31; P < .001), delivery during the daytime (OR, 1.45; P < .05), and delivery by a more experienced obstetrician (OR, 7.21; P < .001). Following propensity score stratification, there was no difference by delivery method in the rates of delayed neonatal respiration, reported critical incidents, or low fetal arterial pH. Maternal blood loss was higher in the cesarean group (295.8 ± 48 mL, P < .001). CONCLUSION: Rotational instrumental delivery is often regarded as unsafe. However, we find that neonatal outcomes are no worse once selection bias is accounted for, and that the likelihood of severe obstetric hemorrhage is reduced. More widespread training of obstetricians in rotational instrumental delivery should be considered, particularly in light of rising cesarean delivery rates.During data analysis, A.R.A. was supported by an NICHD Predoctoral Fellowship under grant number F31HD079182 and by grant R24HD042849, awarded to the Population Research Center at The University of Texas at Austin. She is currently supported by grant R24HD047879 for Population Research at Princeton University. J.G.S. is partially funded by a CAREER grant from the National Science Foundation (DMS-1255187).This is the accepted version. It will be embargoed until 12 months after the final version is published by Elsevier. The final version is available from Elsevier at http://www.sciencedirect.com/science/article/pii/S000293781401078

Direct contact and authoritarianism as moderators between extended contact and reduced prejudice: Lower threat and greater trust as mediators

Using a representative sample of Dutch adults (N = 1238), we investigated the moderating influence of direct contact and authoritarianism on the potential of extended contact to reduce prejudice. As expected, direct contact and authoritarianism moderated the effect of extended contact on prejudice. Moreover, the third-order moderation effect was also significant, revealing that extended contact has the strongest effect among high authoritarians with low levels of direct contact. We identified trust and perceived threat as the mediating processes underlying these moderation effects. The present study thus attests to the theoretical and practical relevance of reducing prejudice via extended contact. The discussion focuses on the role of extended contact in relation to direct contact and authoritarianism as well as on the importance of trust in intergroup contexts

Conceptualizing Cybercrime: Definitions, Typologies and Taxonomies

Cybercrime is becoming ever more pervasive and yet the lack of consensus surrounding what constitutes a cybercrime has a significant impact on society, legal and policy response, and academic research. Difficulties in understanding cybercrime begin with the variability in terminology and lack of consistency in cybercrime legislation across jurisdictions. In this review, using a structured literature review methodology, key cybercrime definitions, typologies and taxonomies were identified across a range of academic and non-academic (grey literature) sources. The findings of this review were consolidated and presented in the form of a new classification framework to understand cybercrime and cyberdeviance. Existing definitions, typologies and taxonomies were evaluated, and key challenges were identified. Whilst conceptualizing cybercrime will likely remain a challenge, this review provides recommendations for future work to advance towards a universal understanding of cybercrime phenomena as well as a robust and comprehensive classification system

Intention to Hack? Applying the Theory of Planned Behaviour to Youth Criminal Hacking

Adolescents are currently the most digitally connected generation in history. There is an ever-growing need to understand how typical adolescent risk-taking intersects with the vastly criminogenic potential of digital technology. Criminal hacking in older adolescents (16–19-year-olds) was assessed using an adapted Theory of Planned Behaviour (TPB) model, a cohesive theoretical framework that incorporates cognitive processes and human drivers (informed by psychology, cyberpsychology, and criminology theory). In 2021, a large-scale anonymous online survey was conducted across nine European countries. Criminal hacking was assessed using data from 3985 participants (M = 1895, 47.55%; F = 1968, 49.39%). This study formulated a powerful predictive model of youth hacking intention (accounting for 38.8% of the variance) and behaviour (accounting for 33.6% of the variance). A significant minority, approximately one in six (16.34%), were found to have engaged in hacking, and approximately 2% reported engaging in hacking often or very often. Increased age, being male, and offline deviant behaviour were significant predictors of hacking behaviour. In line with the TPB, intention was the strongest individual predictor of hacking behaviour, which in turn was significantly predicted by cognitive processes accounted for by TPB constructs: subjective norms of family and peers, attitudes towards hacking, and perceived behavioural control. These TPB constructs were found to be significantly associated with human factors of risk-taking, toxic online disinhibition, offline deviant behaviour, and demographic variables of age and gender. Implications for future research, interventions, policy, and practice are discussed

An Investigation of Coach Behaviors, Goal Motives, and Implementation Intentions as Predictors of Well-Being in Sport

The present study aimed to expand upon Smith, Ntoumanis, and Duda’s (2007) research by investigating the influence of coach behaviors and implementation intentions on goal striving in sport. Structural equation modeling analysis with a sample of 108 athletes revealed coach behaviors as predictors of goal motives, which in turn predicted psychological well-being after 8 weeks. Supplementary regression analyses showed no interaction between autonomous goal motives and implementation intentions; however, a synergistic effect was identified for controlled goal motives such that controlled motives furnished with implementation intentions resulted in lower well-being than controlled motives alone. In further analyses, the motives underlying an implementation intention were found to mediate the paths from goal motives to well-being. The findings are discussed in terms of the roles played by goal motives, implementation intentions, and implementation intention motives during goal striving

Recovery of Yearling Calves from Fescue Toxicosis

Tall fescue (Lolium arundinaceum (Schreb.) S.J. Darbyshire) is widely utilized for grazing in the transition zone between the temperate and subtropical regions of the eastern U.S.A. Cattle grazing tall fescue frequently exhibit fescue toxicosis, a malady caused by consumption of toxins produced by the endophyte, Neotyphodium coenophialum. Symptoms of fescue toxicosis include retention of rough hair coat, increased body temperature and laboured respiration. Heat stress may be severe at onset of high ambient temperature and humidity. Transporting cattle exhibiting toxicosis can therefore be difficult because combined stresses of the toxicosis and transporting often result in high mortality. An experiment was conducted to measure trends in rectal temperatures for yearling steers following removal from tall fescue and placement on a fescue-free diet

Post‐traumatic stress disorder\u27s relation with positive and negative emotional avoidance: The moderating role of gender

Post‐traumatic stress disorder (PTSD) is characterized by avoidance of trauma‐related emotions. Research indicates that this avoidance may extend to any emotional experience that elicits distress, including those that are unrelated to the trauma. Literature in this area has been limited in its exclusive focus on negative emotions. Despite evidence of gender differences in PTSD and emotional avoidance separately, no studies to date have examined gender as a moderator of their association. The goal of the current study was to extend research by exploring the moderating role of gender in the relation between PTSD symptom severity and positive and negative emotional avoidance. Participants were 276 trauma‐exposed individuals (65.9% female, 65.6% White, Mage = 19.24) from a university in the north‐eastern United States. Moderation results indicated a main effect for PTSD symptom severity on both positive (b = 0.07, p \u3c .001) and negative (b = 0.04, p = .03) emotional avoidance. The interaction of gender and PTSD symptom severity was significant for positive emotion avoidance (b = 0.97, p = .01). Analysis of simple slopes revealed that PTSD symptom severity was significantly associated with positive emotional avoidance for males (b = 0.13, p \u3c .001) but not females (b = 0.03, p = .08). Results suggest the importance of gender‐sensitive recommendations for assessment and treatment of emotional avoidance in PTSD

Employee Stock Ownership and Financial Performance in European Countries: The Moderating Effects of Uncertainty Avoidance and Social Trust

This study investigates how the effect of employee stock ownership on financial performance may hinge on the diverse cultural and societal contexts of European countries. Based on agency and national culture theories, we hypothesize that the positive relationship between employee stock ownership and return on assets (ROA) is stronger in those nations with lower uncertainty avoidance and higher social trust. Using a multisource, time‐lagged, large‐scale dataset of 1,741 firms from 21 countries in Europe, our multilevel, random coefficient modeling analysis found evidence for these hypotheses, suggesting that uncertainty avoidance and social trust serve as important contextual cues in predicting the linkage between employee stock ownership and financial performance. Our supplemental analysis with distinction between the managerial and nonmanagerial employee stock ownership further indicates managerial employee stock ownership has a direct positive effect on ROA. Although nonmanagerial employee stock ownership had a nonsignificant association with ROA, the relationship was positive and significant when uncertainty avoidance was low and social trust was high. This research contributes to the existing literature by illuminating some of the contextual influences altering the effectiveness of employee stock ownership. Our findings also offer practical suggestions for effectively using employee stock ownership