bluuebunny/crossref_metadata_2025_split huggingface dataset:
Aligning resource integration and organizational identities in project networks
Authors: Husmann Ingo , Kleinaltenkamp Michael , Hanmer-Lloyd Stuart 
Published: February 2020

Purpose
Multi-supplier project networks represent a large part of the business-to-business (B2B) sector as the scope of many projects requires that different providers participate in their development and delivery. This raises the question of how the integration of the resources of the various partners can be shaped successfully. Specifically, the different organizational identities provide institutional frames of reference to the resource-integrating firms. As the organizational identities are typically not harmonious with each other, at least partial misalignments of the institutional setting that shapes the resource integration processes may emerge. The purpose of this paper is to empirically investigate the impact of various organizational identities on the course and outcome of resource integration in project networks.

Design/methodology/approach
The paper makes use of interpretive phenomenology in conjunction with a qualitative case study approach to access the lived experience of actors of different professional service firms having experienced changes in resource integration in a B2B project network.

Findings
A conceptualization of organizational identity as an institutional context for resource integration is developed and empirically investigated. The findings show a strong impact on the firms’ organizational identities and the actors’ resource integration experience and evaluation. Moreover, the findings provide evidence that, if unmanaged, at least partial misalignment of the institutional arrangements of multi-organizational B2B project network represents a normal and also a stable condition.

Originality/value
As a first conceptualization and empirical analysis of the interplay between organizational identity and resource integration, this paper advances the current understanding of the institutional context for resource integration. It argues for the wider relevance of organizational identity constructs and paves the way for future development.
Inter-organizational cost management: effects of antecedents and methods in a hybrid relational context
Authors: Uddin Mohammed Belal , Fu Yuanlue , Akhter Bilkis 
Published: February 2020

Purpose
The antecedents and cost management methods and their effects on the value creation of inter-organization are essential topics of inter-organizational cost management (IOCM) in a hybrid relational perspective. This study aims to develop a synthesis coordinating mechanism theory which combines supply network theory and transaction cost economics. Using this modified theory, a structural model of IOCM and its hypotheses are developed by considering the organic connection among hybrid relational context, capabilities, methods and the effects of IOCM.

Design/methodology/approach
The data were collected under convenient sampling using the questionnaire survey method and analyzed using principal component analysis and structural equation modeling.

Findings
The results (significant at p < 0.01 and p < 0.05 level) show that there is a positive correlation among the hybrid relational context, capabilities (antecedents), methods and the effects of IOCM. Capabilities (antecedents) and cost management methods are also found to have a positive impact on synergic effect value and on improving collaborative efficiency in IOCM.

Practical implications
The managers of inter-firm networks may use the results of this study to ensure competitive advantages through collaboration with each other and building and retaining a long-term relationship.

Originality/value
This study demonstrates that the coordinating mechanism of IOCM can create the synergic effect value and improve the collaborative efficiency of the inter-organization relationship.
Physician managers in Hong Kong public hospitals
Authors: FUNG Ken K.W. 
Published: February 2020

PurposeExamining the self-identification of physician managers with their manager and clinician roles, and its impact on the state and professional powers in healthcare governance.Design/methodology/approachWith purposive sampling, a total of 15 frontline clinical department managers (mainly principal consultants) and directorial managers (mainly Hospital Chief Executives) were recruited to elite interviews. The themes for data collection and analysis were based on a systematic scoping review of previous empirical studies.FindingsPhysician managers maintained respective jurisdictions in policymaking and clinical governance, as well as their primary self-identification as rationalizers or protectors of medicine, according to their managerial roles at a directorial or departmental level. However, a two-way hybridization of physician managers allowed the exchange of clinical and managerial authority, resulting in cooperation alongside struggles among medical elites; while some frontline managers were exposed to managerial values with the awareness of budget and organizational administration, some directorial managers remained aligned to a traditional mode of professional communication, such as persuasion through informal personal networks and by using clinician language and maintaining symbolic contact with the clinical field.Originality/valueThis study identifies the inconsistency in physician managers’ identity work, as well as its patterns. It goes beyond a dichotomized framework of professionalism versus managerialism or an arbitrarily blurred identity.
Constraints on the distribution of species abundances indicate universal mechanisms of community assembly
Authors: Ulrich Werner , Matthews Thomas J. , Kubota Yasuhiro 
Published: February 2020

AbstractRecently, a 2018 study by Ulrich et al. introduced the Weibull distribution as a flexible approach to model the distribution of species abundances in ecological communities. They pointed to possible limitations in the realized parameter spaces of this distribution as possibly indicating ecological constraints on species abundances. Here, we explore this question in detail using three large global data sets on quantitatively assessed plant, invertebrate, and vertebrate communities. By fitting the Weibull distribution to these communities, we confirm that only a minor amount of the possible ranges in the scale and the shape parameters of the Weibull distribution are realized. Shapes of distributions become more similar across taxa with increasing species richness and average abundances. This finding points to stochastic explanations for species abundance shapes, possibly linked to local colonization and extinction dynamics. We introduce the Weibull survival time parameter as a way to define the proportion of rare species in a community. This proportion increased with increasing species richness.
An Improvised Dispositif: Invisible Urban Planning in the Refugee Camp
Authors: Oesch Lucas 
Published: February 2020

AbstractHow does a refugee camp urbanize? Up to now, camps have been considered as either urban assemblages made by dwellers’ improvised tactics or spaces governed by disjointed urban planning policies. I demonstrate that there is another side to the urbanism of the refugee camp. A form of coherent institutional urban planning exists as well. It takes the shape of an improvised dispositif (apparatus). One of its main effects is to render the very process of urban planning invisible. I investigate this type of urbanism on the basis of fieldwork conducted in the Al‐Hussein Palestinian refugee camp in Amman, Jordan. I argue that this improvised dispositif of urban planning—of which state and non‐state institutions are part—is the result of a balancing act that ensures the temporary character of the camp, while allowing the implementation of a form of urban development that leads toward a material homogenization between the camp and the surrounding urban space. It does this by rendering its own processes invisible and being officially referred to as ‘improvement’. By emphasizing the key features of heterogeneity, invention and provisionality, I explain that the notion of a dispositif, coined by Foucault (1980), allows us to examine how institutions improvise away from more conventional urban planning. My analysis also complements Jeffrey's examination (2013) of institutional improvisation in the production of space, by showing that improvisation can be a form of strategic elaboration.
Impact of Physician–Patient Language Concordance on Patient Outcomes and Adherence to Clinical Chest Pain Recommendations
Authors: Altman Danielle E. , Sun Benjamin C. , Lin Bryan , Baecker Aileen , Samuels‐Kalow Margaret , Park Stacy , Shen Ernest , Wu Yi‐Lin , Sharp Adam 
Published: February 2020

ABSTRACTObjectivesThe objective was to evaluate if there is an association between patient–physician language concordance and adverse patient outcomes or physician adherence to clinical recommendations for emergency department (ED) patients with chest pain.MethodsWe conducted a retrospective observational study of adult ED chest pain encounters with a troponin order from May 2016 to September 2017 across 15 community EDs. Outcomes were 30‐day acute myocardial infarction or all‐cause mortality, hospital admission/observation, or noninvasive cardiac testing. To assess patient outcomes, we used the overall cohort. To assess adherence to clinical recommendations, we used a subgroup of patients with a low‐risk HEART score. A mixed‐effects logistic regression model was used to compare the odds of the outcomes between language concordant and discordant patient–physician pairs, controlling for patient characteristics.ResultsOverall, 52,014 ED encounters were included (10,791 low‐risk HEART encounters). Of those 6,452 (12.4%) encounters were language discordant and 1.7% in each group had an adverse outcome. Adjusted models demonstrated no increased risk for language discordant ED encounters when comparing adverse outcomes (odds ratio [OR] = 0.96, 95% confidence interval [CI] = 0.6 to 1.5) for all patients or recommended care (OR = 1.02, 95% CI = 0.87 to 1.2) for low‐risk patients.ConclusionsNo associations were found between patient–physician language concordance and outcomes or physician adherence to clinical recommendations for ED patients with chest pain. Accessible and effective interpretation services, combined with a decision support tool with standard clinical recommendations, may have contributed to equitable care.
Fetal Alcohol Exposure Alters Mammary Epithelial Cell Subpopulations and Promotes Tumorigenesis
Authors: Saboya Mariana , Jetzt Amanda E. , Datar Ketaki , Cohick Wendie S. 
Published: February 2020

BackgroundFetal alcohol exposure (FAE) increases the risk of mammary tumorigenesis in adult offspring; however, the underlying mechanism remains unknown. This study tested the hypothesis that FAE shifts the mammary epithelial cell (MEC) composition toward one that promotes tumorigenesis.MethodsPregnant Friend Virus B NIH Jackson dams bred to MMTV‐Wnt1 male mice were given ad libitum access to 5% alcohol in 0.2% saccharin solution from GD9‐10 and 10% alcohol in 0.2% saccharin from GD11‐GD19 or 0.2% saccharin solution from GD9‐GD19. Thoracic and inguinal mammary glands from wild‐type (WT) and transgenic (Tg) female offspring were harvested at 5 and 10 weeks of age and dissociated to yield a single cell suspension enriched for MECs for flow cytometry, mammosphere assay, and gene analysis. A subset of Tg offspring was followed for tumor formation.ResultsWT glands of FAE animals exhibited a decreased basal cell population and increased luminal: basal ratio at 10 weeks of age. qRT‐PCR analysis of total MECs found that Hey1 mRNA expression was increased in the WT FAE group at 10 weeks of age. In Tg glands, FAE increased the luminal progenitor cell population at 5 weeks of age but did not alter MEC composition at 10 weeks of age. Tertiary mammosphere‐forming efficiency was greater in the WT glands of FAE animals at 10 weeks of age. Tumor latency was decreased in the FAE group. Flow cytometry analysis indicated that FAE females developed tumors with an increased basal cell population.ConclusionsThese data indicate that FAE can shift MEC subpopulations, increasing the proportion of cells that are potentially vulnerable to transformation and affecting cancer risk.
Drinking risk varies within and between Australian Aboriginal and Torres Strait Islander samples: a meta‐analysis to identify sources of heterogeneity
Authors: Conigrave James H. , Lee K. S. Kylie , Zheng Catherine , Wilson Scott , Perry Jimmy , Chikritzhs Tanya , Slade Tim , Morley Kirsten , Room Robin , Callinan Sarah , Hayman Noel , Conigrave Katherine M. 
Published: February 2020

AbstractBackground and AimsTo reduce health and social inequities, it is important to understand how drinking patterns vary within and between Indigenous peoples. We aimed to assess variability in estimates of Indigenous Australian drinking patterns and to identify demographic and methodological factors associated with this.DesignA three‐level meta‐analysis of Australian Aboriginal and Torres Strait Islander (‘Indigenous’) drinking patterns [International Prospective Register of Systematic Reviews (PROSPERO) no. CRD42018103209].SettingAustralia.ParticipantsIndigenous Australians.MeasurementsThe primary outcomes extracted were drinking status, single‐occasion risk and life‐time risk. Moderation analysis was performed to identify potential sources of heterogeneity. Moderators included gender, age, socio‐economic status, local alcohol restrictions, sample population, remoteness, Australian state or territory, publication year, Indigenous involvement in survey design or delivery and cultural adaptations.FindingsA systematic review of the literature revealed 41 eligible studies. For all primary outcomes, considerable heterogeneity was identified within (
= 51.39–68.80%) and between (
= 29.27–47.36%) samples. The pooled proportions (P) of current drinkers [P = 0.59, 95% confidence interval (CI) = 0.53–0.65], single‐occasion (P = 0.34, 95% CI = 0.24–0.44) and life‐time (P = 0.21, 95% CI = 0.15–0.29) risk were all moderated by gender, age, remoteness and measurement tool. Reference period moderated proportions of participants at single‐occasion risk.ConclusionsIndigenous Australian drinking patterns vary within and between communities. Initiatives to reduce high‐risk drinking should take account of this variability.
Predictors of unplanned hospitalisation in the older population: The role of polypharmacy and other medication and chronic disease‐related factors
Authors: Masnoon Nashwa , Shakib Sepehr , Kalisch Ellett Lisa , Caughey Gillian E. 
Published: February 2020

AbstractObjectiveTo identify demographic and medication‐related predictors of unplanned hospitalisation and combine them into a hospitalisation risk score.MethodsPatients aged ≥65 years from an outpatient multimorbidity clinic were included. Hospitalisation predictors within a year of clinic discharge were identified using logistic regression. A risk score was developed. The area under the curve (AUC) was used to assess its predictive ability, compared to that of the medicines count (definition of polypharmacy).ResultsA total of 598 patients were included (median age of 80.0 years). 58.0% (n = 347) were hospitalised within a year of clinic discharge. The AUC for the risk score incorporating age, medicines count, heart failure (HF), atherosclerotic disease and systemic steroids was 0.67 [95% CI 0.62‐0.71], compared to 0.62 [95% CI 0.58‐0.67] for the medicines count.ConclusionA hospitalisation risk score incorporating demographics, medicines, namely steroids, and diseases such as HF had increased predictive ability compared to the medicines count, providing guidance for developing future polypharmacy tools.
Repression Technology: Internet Accessibility and State Violence
Authors: Gohdes Anita R. 
Published: February 2020

AbstractThis article offers a first subnational analysis of the relationship between states' dynamic control of Internet access and their use of violent repression. I argue that where governments provide Internet access, surveillance of digital information exchange can provide intelligence that enables the use of more targeted forms of repression, in particular in areas not fully controlled by the regime. Increasing restrictions on Internet accessibility can impede opposition organization, but they limit access to information on precise targets, resulting in an increase in untargeted repression. I present new data on killings in the Syrian conflict that distinguish between targeted and untargeted events, using supervised text classification. I find that higher levels of Internet accessibility are associated with increases in targeted repression, whereas areas with limited access experience more indiscriminate campaigns of violence. The results offer important implications on how governments incorporate the selective access to communication technology into their strategies of coercion.
Systematic review: gastric microbiota in health and disease
Authors: Rajilic‐Stojanovic Mirjana , Figueiredo Ceu , Smet Annemieke , Hansen Richard , Kupcinskas Juozas , Rokkas Theo , Andersen Leif , Machado Jose C. , Ianiro Gianluca , Gasbarrini Antonio , Leja Marcis , Gisbert Javier P. , Hold Georgina L. 
Published: February 2020

AbstractBackgroundHelicobacter pylori is the most infamous constituent of the gastric microbiota and its presence is the strongest risk factor for gastric cancer and other gastroduodenal diseases. Although historically the healthy stomach was considered a sterile organ, we now know it is colonised with a complex microbiota. However, its role in health and disease is not well understood.AimTo systematically explore the literature on the gastric microbiota in health and disease as well as the gut microbiota after bariatric surgery.MethodsA systematic search of online bibliographic databases MEDLINE/EMBASE was performed between 1966 and February 2019 with screening in accordance with Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines. Randomised controlled trials, cohort studies and observational studies were included if they reported next‐generation sequencing derived microbiota analysis on gastric aspirate/tissue or stool samples (bariatric surgical outcomes).ResultsSixty‐five papers were eligible for inclusion. With the exception of H pylori‐induced conditions, overarching gastric microbiota signatures of health or disease could not be determined. Gastric carcinogenesis induces a progressively altered microbiota with an enrichment of oral and intestinal taxa as well as significant changes in host gastric mucin expression. Proton pump inhibitors usage increases gastric microbiota richness. Bariatric surgery is associated with an increase in potentially pathogenic proteobacterial species in patient stool samples.ConclusionWhile H pylori remains the single most important risk factor for gastric disease, its capacity to shape the collective gastric microbiota remains to be fully elucidated. Further studies are needed to explore the intricate host/microbial and microbial/microbial interplay.
Relative efficiency of using summary versus individual data in random‐effects meta‐analysis
Authors: Chen Ding‐Geng , Liu Dungang , Min Xiaoyi , Zhang Heping 
Published: February 2020

AbstractMeta‐analysis is a statistical methodology for combining information from diverse sources so that a more reliable and efficient conclusion can be reached. It can be conducted by either synthesizing study‐level summary statistics or drawing inference from an overarching model for individual participant data (IPD) if available. The latter is often viewed as the “gold standard.” For random‐effects models, however, it remains not fully understood whether the use of IPD indeed gains efficiency over summary statistics. In this paper, we examine the relative efficiency of the two methods under a general likelihood inference setting. We show theoretically and numerically that summary‐statistics‐based analysis is at most as efficient as IPD analysis, provided that the random effects follow the Gaussian distribution, and maximum likelihood estimation is used to obtain summary statistics. More specifically, (i) the two methods are equivalent in an asymptotic sense; and (ii) summary‐statistics‐based inference can incur an appreciable loss of efficiency if the sample sizes are not sufficiently large. Our results are established under the assumption that the between‐study heterogeneity parameter remains constant regardless of the sample sizes, which is different from a previous study. Our findings are confirmed by the analyses of simulated data sets and a real‐world study of alcohol interventions.
Prospects for achieving treatment‐free remission in chronic myeloid leukaemia
Authors: Saglio Giuseppe , Gale Robert P. 
Published: February 2020

SummaryIn addition to the best possible overall survival, discontinuation of the tyrosine kinase‐inhibitor (TKI) treatment [treatment free remission (TFR)] without observing a recurrence of the disease has become a major goal of the therapy of chronic myelogenous leukemia (CML). Many clinical studies have demonstrated that TFR is possible, although for the moment limited to a fraction of the CML patients able to achieve a stable deep molecular response (DMR). The factors associated to the possibility of remaining in TFR or of losing it, have been investigated by a number of controlled and observation clinical trials and although total TKI treatment duration, DMR duration and stability and, more recently, also the depth of the molecular response obtained at the time of discontinuation have been shown to be significant elements, most of the factors associated with a higher possibility of a successful discontinuation still remain elusive and are here reviewed.
“Always trying to walk a bit of a tightrope”: The role of social care staff in supporting adults with intellectual and developmental disabilities to develop and maintain loving relationships
Authors: Bates Claire , McCarthy Michelle , Milne Skillman Karen , Elson Nicola , Forrester‐Jones Rachel , Hunt Siobhan 
Published: February 2020

Accessible Summary

Support staff play an important role in helping people with learning disabilities to meet a partner and have a relationship.
Not getting good support can make it difficult for people to have a relationship.

Many support staff want to help people to have a relationship, but are worried about people being abused. This is especially true for those who do not have a lot of staff support.

Support staff do not always get good support themselves to help people with learning disabilities to have relationships, such as training and a policy to follow. This makes it hard for them to know what they are allowed to help with.

AbstractBackgroundPeople with intellectual and developmental disabilities face challenges in developing and maintaining intimate relationships, frequently requiring support from staff.MethodFocus groups were conducted with 26 social care staff members to explore the support they provided to people with intellectual and developmental disabilities to find a potential partner and/or develop an existing relationship.ResultsStaff reported that many people with intellectual and developmental disabilities wanted to be in a relationship and that they did what they could to facilitate this, sometimes providing substantial support. Some staff had to address complex issues relating to sexuality, often with no training and with a lack of clear organisational policies.ConclusionThe need for external inspection and regulatory bodies to prioritise relationship support is emphasised.