Miracle-dz/UniFAR-FTUs huggingface dataset:
Catholic Ownership, Physician Leadership and Operational Strategies: Evidence from German Hospitals

Previous research has revealed that Catholic hospitals are more likely follow a strategy of horizontal diversification and maximization of the number of patients treated, whereas Protestant hospitals follow a strategy of horizontal specialization and focus on vertical differentiation. However, there is no empirical evidence pertaining to this mechanism. We conduct an empirical study in a German setting and argue that physician leadership mediates the relationship between ownership and operational strategies. The study includes the construction of a model combining data from a survey and publicly available information derived from the annual quality reports of German hospitals. Our results show that Catholic hospitals opt for leadership structures that ensure operational strategies in line with their general values, i.e., operational strategies of maximizing volume throughout the overall hospital. They prefer part-time positions for chief medical officers, as chief medical officers are identified to foster strategies of maximizing the overall number of patients treated. Hospital owners should be aware that the implementation of part-time and full-time leadership roles can help to support their strategies. Thus, our results provide insights into the relationship between leadership structures at the top of an organization, on the one hand, and strategic choices, on the other.
In vitro aging of stallion spermatozoa during prolonged storage at 5°C

Artificial insemination with chilled stallion semen is hampered by a limited period of maximum fertility maintenance (24–48 h). This study used multiparametric flow cytometry to simultaneously measure reactive oxygen species (ROS) production, mitochondrial function or [Ca2+]i and plasma membrane fluidity in viable, acrosome‐intact spermatozoa, with the aim of providing insight into changes in sperm function during storage at 5°C. High proportions of viable and acrosome‐intact spermatozoa (71 ± 8%) remained after 96 h of storage demonstrating that the basic integrity of the cells was well preserved (n = 17 stallions). In addition, more than 90% of viable, acrosome‐intact spermatozoa had active mitochondria and low intra‐cellular or mitochondrial ROS levels. By contrast, the percentage of viable, acrosome‐intact sperm with low plasma membrane fluidity and low [Ca2+]i decreased over time (1 h: 63 ± 16%, 96 h: 29 ± 18%; p < 0.05). The [Ca2+]i in viable sperm rose 3.1‐fold (p < 0.05) over the 4 days, and fewer spermatozoa responded to bicarbonate stimulation (1 h: 46 ± 17%, 96 h: 19 ± 12%) with an increase in plasma membrane fluidity following prolonged storage. Overall, prolonged storage of stallion semen at 5°C resulted in disturbed calcium homeostasis and increased plasma membrane fluidity. The decline in fertility of stallion semen during cooled‐storage may therefore relate to aspects of in vitro aging (changes in plasma membrane fluidity and intracellular calcium) which impairs capacitation‐associated cell functions.
Gamma Knife Radiosurgery for Tremor Movement Disorder: A Systematic Review

AIM: The goal of this systematic review is to know how outcome of GKRS for tremor movement disorder. METHODS: Literature searching was conducted in database online that is PubMed, Science Direct, Cochrane Library, Google Scholar and hand searching with keyword “gamma knife,” “parkinson,” “tremor,” “success rate,” “good outcome,” and “free tremor. ” Articles included were full-text and observational study and written in Bahasa or English. RESULTS: This systematic review used only six articles, which five of them examined ET and the other PD. Majority of studies used Fahn-Tolosa-Marin clinical tremor rating scale (TRS) for evaluation pre- and post-GKRS. However, the duration of follow-up is varies from <1 year until 76 months. The doses are also varies from 110 until 150 Gy (Median 120–130 Gy). A study report that 1 year after GKRS, ET patients could have 58% improvement in writing and 51% in drawing. Other study, which of median follow-up was 36 months, had 69% of samples showed improvement in both action tremor and writing scores. Ohye et al. in 2008 reported that since 1992, they have 80% successful in GK thalamotomy for tremor, either ET or PD. Similar author has been done multivariate study in six Japanese institution which of result was GKRS thalamotomy could be alternative treatment for intractable tremor, either ET or PD until 24 months. All of the study about ET have improvement results with GKRS in ventralis intermedius (VIM) of the thalamus. However, one study about PD evaluated GKRS in subthalamic nucleus (STN) of thalamus and got neurological complication with higher-risk of GKRS hyper response. CONCLUSION: GKRS, especially VIM thalamotomy, offers effective and safe alternative for ET and PD. We need more studies with approved method to answer this clinical question accurately. However, the study comparing GKRS and open surgical is still needed.
Diagnostic Concordance between Research and Clinical-Based Assessments of Psychiatric Comorbidity in Anorexia Nervosa

The literature has reported poor concordance in the assessment of psychiatric conditions, and inhomogeneity in the prevalence of psychiatric comorbidities in Anorexia Nervosa (AN). We aimed to investigate concordance level between clinicians’ and researchers’ diagnoses of psychiatric comorbidity in AN and differences in eating and general psychopathology between patients with and without psychiatric comorbidity assessed by clinicians versus researchers. A clinical psychiatrist interviewed 122 patients with AN; then a researcher administered the Structured and Clinical Interview for DSM-5 (SCID-5). Participants completed the Eating Disorder Examination Questionnaire (EDE-Q), the State-Trait Anxiety Inventory (STAI), and the Beck Depression Inventory (BDI). The agreement between clinicians and researchers was poor for all diagnoses but obsessive-compulsive disorder and substance use disorder. Patients with comorbid disorders diagnosed by researchers reported more severe eating and general psychopathology than those without SCID-comorbidity. The differences between patients with and without comorbidities assessed by a clinician were smaller. Two approaches to psychiatry comorbidity assessment emerged: SCID-5 diagnoses yield a precise and rigorous assessment, while clinicians tend to consider some symptoms as secondary to the eating disorder rather than as part of another psychiatric condition, seeing the clinical picture as a whole. Overall, the study highlights the importance of carefully assessing comorbidity in AN.
Radiation Profiles in Extended Water Clouds. III: Observations

Abstract Six case studies of “uniform” planetary boundary layer clouds are reported where the solar and infrared radiation fields, liquid water content, drop-size distributions and temperature and humidity profiles were measured simultaneously. The measurements are compared with theoretical prediction from a detailed radiative transfer model in an attempt to verify the performance of the model and its associated parameterization schemes (Parts 1 and 2). The measurements support the parameterization of both shortwave and longwave radiative characteristics in terms of vertical liquid water path (LWP) i.e., without the need to define cloud drop-size distributions. Within experimental error, there are no significant discrepancies between theory and measurement. However, there is some evidence in the present study, supported by measurements of others in (generally) thicker and denser clouds that solar absorption is in excess of theoretical prediction.
Weight and metabolic changes after switching from tenofovir alafenamide (TAF)/emtricitabine (FTC)+dolutegravir (DTG), tenofovir disoproxil fumarate (TDF)/FTC+DTG and TDF/FTC/efavirenz (EFV) to TDF/lamivudine (3TC)/DTG.

Participants randomised to first-line tenofovir alafenamide (TAF)/emtricitabine (FTC)+dolutegravir (DTG), tenofovir disoproxil fumarate (TDF)/FTC+DTG or TDF/FTC/efavirenz (EFV) for 192 weeks were then switched to TDF/lamivudine (3TC)/DTG for 52 weeks. Participants switching either TAF/FTC+DTG or TDF/FTC/EFV to TDF/3TC/DTG showed statistically significant reductions in weight, low density lipoprotein, triglycerides, glucose and glycated haemoglobin.
Emergency physician risk tolerance in acute heart failure is higher than previously thought and compatible with modern disposition decision instruments

Our results might not be reflective of all EPs, especially those who are not board certified or practicing in cities outside of our survey geography. Physician self- report of risk attitudes are inherently subjective values. While EPs' answers about risk preferences are inherently subjective, the data in the 2005 survey contributed to conventional thinking 1,2,4 and are challenged by our results. EP risk- tolerance is not as insurmountable a barrier to reducing low- risk AHF admissions as previously assumed and appears compatible with the low- risk threshold identified in current risk tools. CDI implementation should be a focus for reducing preventable admissions from the ED.
Supersonic acoustic intensity on planar sources

The concept of supersonic acoustic intensity was developed in 1995 out of a need to locate the sources of radiation on an internally excited, submerged cylindrical shell. Supersonic intensity is obtained through signal processing of near-field holographic data to remove the subsonic part of the helical or plane wave spectrum, leaving only the radiating components. This eliminates the out-of-plane circulation of the acoustic intensity vector which results from evanescent waves. The resulting supersonic intensity on the surface is generally only positive, representing outgoing power flow from the surface. Since negative intensity regions of a vibrator are removed, sources of radiation are readily located on the surface of the vibrator. Since the earlier work concentrated on a cylindrical geometry, the theory is presented here for a planar geometry. In many ways the theory for the planar case is simpler and more straightforward. Numerical examples are given for simply supported, baffled plates. It is shown how the supersonic intensity reconstructions, and resulting location of radiating source regions are consistent with the popular theories of corner and edge mode radiation from plates.
Antipsychotic- and Anxiolytic-like Properties of a Multimodal Compound JJGW08 in Rodents

Schizophrenia is a chronic mental illness, which remains difficult to treat. A high resistance to the available therapies, their insufficient efficacy, and numerous side effects are the reasons why there is an urgent need to develop new antipsychotics. This study aimed to assess the antipsychotic-like effects of JJGW08, a novel arylpiperazine alkyl derivative of salicylamide, in rodents. First, considering the JJGW08 receptor profile, we investigated the compound’s intrinsic activity towards dopamine D2 and serotonin 5-HT1A, 5-HT2A, and 5-HT7 receptors using functional assays. Next, we assessed the effect of JJGW08 on MK-801- and amphetamine-induced hyperlocomotion, its risk of inducing catalepsy and impairing motor coordination, as well as the anxiolytic-like effects in the four-plate and marble burying tests in mice. Finally, we investigated the antipsychotic-like properties of JJGW08 in rats using MK-801-induced hyperlocomotion and prepulse inhibition tests. We found that JJGW08 showed antagonistic properties at dopamine D2 and serotonin 5-HT1A, 5-HT2A, and 5-HT7 receptors. However, the effect on the 5-HT2A and 5-HT7 receptors was very weak. Moreover, the tested compound showed an antipsychotic-like effect in MK-801- and amphetamine-induced hyperlocomotion but not in a prepulse inhibition test in rats. Notably, JJGW08 demonstrated anxiolytic-like properties in both behavioral tests. Importantly, the compound did not induce catalepsy or motor coordination impairment in mice at antipsychotic-like doses. Our study suggests it is worth searching for new potential antipsychotics among arylpiperazine alkyl derivatives of salicylamide.
Developing and computing the global marketing strategy performance index (GMSPI)

The purpose of this paper was to develop and compute the global marketing strategy performance index (GMSPI) to measure the performance of multinational corporations from Zimbabwe. The GMSPI is a compound statistic that measures the superior performance of multinational corporations in global markets using the viewpoints of the global marketing strategy. According to Brandmaier, Prindle, McArdle, and Lindenberger (2016) and Hair, Sarstedt, Hopkins, and Kuppelwieser (2014), an index is a composite statistic that measures and ranks the construct of interest based on multiple indicators. For this study, the construct of the index was performance, and this was measured by the indicators/independent variables. This called for operationalizing the research findings into a standard index that could be adopted and implemented to facilitate the ease of evaluation of the superior performance of organisations based on global marketing strategies. Five variables, namely the dimensions of global marketing strategy, choice of marketing, standardization or adaptation, configuration-coordination, and the integration perspective were used to measure performance. In the current study, 274 employees of multinational firms from Zimbabwe participated in the survey. Stratified random sampling was used to select the population. A questionnaire was used as a data collection tool in this study. A five-point Likert scale was used. Quantitative data were analysed through inferential and descriptive statistics. Data were entered and initially analysed in SPSS 24.0. Descriptive statistics were incorporated into charts and tables. Categorical principal component analysis (CATPCA) was used in conducting the exploratory factor analysis, using varimax as the rotation method. The structural equation model (SEM) approach was used to further analyse the result and test the five hypotheses. The study established that the performance of Zimbabwean multinational corporations in international markets was weak standing at 42.25%.
The Relation of Google Classroom Usage on Student’s Learning Outcomes for Elementary School Students

The Covid-19 pandemic has caused various changes in the education system in Indonesia, especially in the use of online learning methods. However, implementing new technologies is challenging, especially for parents and teachers of lower-grade elementary school students. One form of technology that is applied in online learning is Google Classroom. This study aims to analyze the relationship between using Google Classroom during the Covid-19 pandemic and its effect on the learning process and outcomes. This study used qualitative research methods. The subjects of this study were 33 parents of students. Data was collected through surveys and interviews with parents and teachers. The data were analyzed qualitatively through the Technology Acceptance Model. The analysis results show that although the applied technology is well received, there is a difference between the scores and the results of evaluating student performance in face-to-face meetings with the teacher. Learning loss can be caused by parents who are too involved in the online learning process and teachers' difficulty adequately assessing student performance. The implication is that online education methods are ineffective and may have caused damage to the education system in general.
Spatiotemporal variation of the water and sediment dynamics of the middle Yellow River Basin, China

After decades of comprehensive management, the hydrology and sediment dynamics of the middle Yellow River Basin have changed significantly. However, the comprehensive evaluation of the water and sediment regimes and its potential attribution at the regional scale are limited. In this study, the hydrological characteristics and in‐reach sediment budget in the Coarse Sandy Hilly Catchments (CSHC) region and their potential attribution were investigated by using data from hydrological stations in the mainstream and tributaries and data from soil and water conservation measures (SWCMs) in different river reaches. The results indicated that the runoff and sediment load of the mainstream showed obvious spatial heterogeneity, both of which revealed a very significant decreasing trend from 1956 to 2018 (P < 0.01). The spatial heterogeneity of sediment load along the mainstream was more obvious than that of streamflow, and the Toudaoguai and Fugu stations had the largest difference in sediment transport trends. During the P1 period (1956‑1968), the streamflow of each reach was sufficient, and the riverbeds of the mainstream and channel on both banks were subject to serious scouring. In the P2‑P3 period (1969‑2018), in‐reach water decreased continuously, and the mainstream began to show a process from slight scouring to no scouring and even sediment deposition. Except for climate change being the main factor in streamflow reduction during the P2 period (1969‑1999) at the Fugu and Wubao stations, anthropogenic activities were the primary factors leading to the reduction in streamflow and sediment load in the CSHC region. Under the influence of the same measures, the sediment reduction rate in this region was greater than the runoff reduction rate. Furthermore, the SWCMs in different reaches indicated great diversity in the benefits of water and sediment reduction. Therefore, zoning regulation of the CSHC region should be carried out in the future, and the sustainable development of the regional vegetation ecosystem should be maintained.
Noise monitoring in the vicinity of general aviation airports

In order to examine issues related to noise monitoring in the vicinity of moderate‐sized airports, monitoring was performed for 5 months at three sites in the vicinity of the Decatur, Illinois Municipal Airport. The study issues included (1) comparison of predicted and measured day/night average sound levels (DNL), (2) comparison of individual aircraft levels with prediction, (3) temporal sampling requirements for monitoring, and (4) validation that the measured noise is aircraft noise and not other community noise. The measured DNL and the computer predictions compare quite favorably, and most individual aircraft levels compare favorably with data in the FAA computer models. In terms of temporal sampling requirements, it appears that one can use a strategy of choosing four random weeks throughout the year (one from each quarter) to achieve a +2 to −3‐dB tolerance. It was not possible to differentiate ‘‘airport’’ noise from other ‘‘community’’ noise. The results show that it may be better (and far less co.
The Mediating role of Effective Communication between Organization Strategy, Structure, Culture and Organization Performance

Effective communication plays very important role to accomplish organizational goals and objectives. The purpose of this study was to investigate the impact of organizational culture, structure, and innovation strategy on the performance of hotels through taking effective organizational communication as a mediator. Quantitative research design was used to accomplish this purpose. Data were collected using survey method through previously developed/tested questionnaires. The data were collected at organizational level and one response from each hotel was collected from top level managers. More than 340 questionnaires were delivered to respondents and 255 questionnaires were returned. Data analyses were conducted using SEM-AMOS. The findings indicate that organizational culture, structure, and strategy all had significant and positive impact on organization performance as measured through balance scorecard. Additionally effective communication served as a partial mediator between all organizational factors and performance. The findings suggest hotels’ management to focus on innovation strategy and rely on organic structure to improve communication and boost up performance. Additionally, they must have a customer focused culture and an employee focused culture that supports job variety and job satisfaction among staff members. Through those ways, effective communication would develop that would help improve hotel performance.
Who Produces the Peaks? Household Variation in Peak Energy Demand for Space Heating and Domestic Hot Water

Extensive research demonstrates the importance of user practices in understanding variations in residential heating demand. Whereas previous studies have investigated variations in aggregated data, e.g., yearly heating consumption, the recent deployment of smart heat meters enables the analysis of households’ energy use with a higher temporal resolution. Such analysis might provide knowledge crucial for managing peak demand in district heating systems with decentralized production units and increased shares of intermittent energy sources, such as wind and solar. This study exploits smart meter heating consumption data from a district heating network combined with socio-economic information for 803 Danish households. To perform this study, a multiple regression analysis was employed to understand the correlations between heat consumption and socio-economical characteristics. Furthermore, this study analyzed the various households’ daily profiles to quantify the differences between the groups. During an average day, the higher-income households consume more energy, especially during the evening peak (17:00–20:00). Blue-collar and unemployed households use less during the morning peak (5:00–9:00). Despite minor differences, household groups have similar temporal patterns that follow institutional rhythms, like working hours. We therefore suggest that attempts to control the timing of heating demand do not rely on individual households’ ability to time-shift energy practices, but instead address the embeddedness in stable socio-temporal structures.
Parent-pre-school teacher relations during the COVID-19 pandemic ‒ Promoters and undermining factors

The COVID-19 pandemic compelled teachers to grapple with the challenge of distance learning and remote communication with pre-school children and their parents. This study examines how student-teachers perceived their and the teacher’s relations with the pre-school children and parents during the first lockdown. The study is based on a mixed-method, quantitative and qualitative, research design among ten third-year student-teachers in Israel. 56% reported that relations with parents during the first lockdown were strengthened, which they attributed to several factors (e.g., parental desire to establish a routine and maintain the child’s connection with their friends and teacher, and a desire to advance their children). Other factors were perceived to undermine parent-teacher relations (e.g., number of siblings, busy parents, economic and emotional stress, technological illiteracy). The study underscores the importance of a holistic and ecologic approach to relations among early childhood education teachers, student-teachers, parents, and children, and the critical need for partnership and transparency between the pre-school teacher and student-teacher.