bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evidence-based clinical practice guidelines for Liver Cirrhosis 2020
Authors: Yoshiji Hitoshi , Nagoshi Sumiko , Akahane Takemi , Asaoka Yoshinari , Ueno Yoshiyuki , Ogawa Koji , Kawaguchi Takumi , Kurosaki Masayuki , Sakaida Isao , Shimizu Masahito , Taniai Makiko , Terai Shuji , Nishikawa Hiroki , Hiasa Yoichi , Hidaka Hisashi , Miwa Hiroto , Chayama Kazuaki , Enomoto Nobuyuki , Shimosegawa Tooru , Takehara Tetsuo , Koike Kazuhiko 
Published: July 2021

AbstractThe first edition of the clinical practice guidelines for liver cirrhosis was published in 2010, and the second edition was published in 2015 by the Japanese Society of Gastroenterology (JSGE). The revised third edition was recently published in 2020. This version has become a joint guideline by the JSGE and the Japan Society of Hepatology (JSH). In addition to the clinical questions (CQs), background questions (BQs) are new items for basic clinical knowledge, and future research questions (FRQs) are newly added clinically important items. Concerning the clinical treatment of liver cirrhosis, new findings have been reported over the past 5 years since the second edition. In this revision, we decided to match the international standards as much as possible by referring to the latest international guidelines. Newly developed agents for various complications have also made great progress. In comparison with the latest global guidelines, such as the European Association for the Study of the Liver (EASL) and American Association for the Study of Liver Diseases (AASLD), we are introducing data based on the evidence for clinical practice in Japan. The flowchart for nutrition therapy was reviewed to be useful for daily medical care by referring to overseas guidelines. We also explain several clinically important items that have recently received focus and were not mentioned in the last editions. This digest version describes the issues related to the management of liver cirrhosis and several complications in clinical practice. The content begins with a diagnostic algorithm, the revised flowchart for nutritional therapy, and refracted ascites, which are of great importance to patients with cirrhosis. In addition to the updated antiviral therapy for hepatitis B and C liver cirrhosis, the latest treatments for non-viral cirrhosis, such as alcoholic steatohepatitis/non-alcoholic steatohepatitis (ASH/NASH) and autoimmune-related cirrhosis, are also described. It also covers the latest evidence regarding the diagnosis and treatment of liver cirrhosis complications, namely gastrointestinal bleeding, ascites, hepatorenal syndrome and acute kidney injury, hepatic encephalopathy, portal thrombus, sarcopenia, muscle cramp, thrombocytopenia, pruritus, hepatopulmonary syndrome, portopulmonary hypertension, and vitamin D deficiency, including BQ, CQ and FRQ. Finally, this guideline covers prognosis prediction and liver transplantation, especially focusing on several new findings since the last version. Since this revision is a joint guideline by both societies, the same content is published simultaneously in the official English journal of JSGE and JSH.
Technology-enhanced and game based learning for children with special needs: a systematic mapping study
Authors: Gallud Jose A. , Carreño Monica , Tesoriero Ricardo , Sandoval Andrés , Lozano María D. , Durán Israel , Penichet Victor M. R. , Cosio Rafael 
Published: July 2021

AbstractTechnology-based education of children with special needs has become the focus of many research works in recent years. The wide range of different disabilities that are encompassed by the term “special needs”, together with the educational requirements of the children affected, represent an enormous multidisciplinary challenge for the research community. In this article, we present a systematic literature review of technology-enhanced and game-based learning systems and methods applied on children with special needs. The article analyzes the state-of-the-art of the research in this field by selecting a group of primary studies and answering a set of research questions. Although there are some previous systematic reviews, it is still not clear what the best tools, games or academic subjects (with technology-enhanced, game-based learning) are, out of those that have obtained good results with children with special needs. The 18 articles selected (carefully filtered out of 614 contributions) have been used to reveal the most frequent disabilities, the different technologies used in the prototypes, the number of learning subjects, and the kind of learning games used. The article also summarizes research opportunities identified in the primary studies.
The 100,000–77,000-Year Old Middle Stone Age Micromammal Sequence from Blombos Cave, South Africa: Local Climatic Stability or a Tale of Predator Bias?
Authors: Nel Turid Hillestad , Henshilwood Christopher Stuart 
Published: July 2021

AbstractIn this paper, we present a case study of the micromammal sequence from Marine Isotope Stage 5 (130,000–71,000 YBP) at Blombos Cave on the southern Cape coast of South Africa. Our analyses of the micromammal assemblage from 100,000 to 76,000 YBP shed light on micromammal taxonomic distributions, local palaeoenvironments, and site formation processes at this renowned Middle Stone Age site. Taphonomic analyses indicate that spotted eagle owls (Bubo africanus) were the main predator species responsible for accumulating the micromammals, but with contributions from barn owls (Tyto alba). In addition, the micromammal bones have been subjected to a range of post-depositional processes, some of which are associated with microbial actions likely resulting from human or animal activities in the cave. We have recorded three species in the archaeological assemblage that do not occur in the Blombos area today. These are the Hottentot golden mole (Amblysomus hottentotus), Duthie’s golden mole (Chlorotalpa duthieae), and Laminate vlei rat (Otomys laminatus). The biodiversity indices based on micromammal species suggest that local vegetation consisted of different habitats that could sustain a diverse small mammal population. During MIS 5c/5b, the diversity of species declined, but there was still a mosaic of vegetation habitats present in the local area. On a larger temporal scale, climate conditions were slightly more humid than at present, and winter rainfall was seemingly greater. The amount of winter rainfall would have been similar to locations currently c. 50–150 km further west of Blombos Cave. However, based on micromammal proxies, there were seemingly no major fluctuations visible in climate or vegetation composition during the entire 24,000-year period. We suggest that the explanation could be multifaceted, two potential factors being predator bias derived from the owls’ preference for generalist micromammal species or an actual reflection of local stable climatic and environmental conditions in the Blombos area.
Proactive and reactive approach to employee competence configuration problem in planning and scheduling processes
Authors: Wikarek Jarosław , Sitek Paweł 
Published: July 2021

AbstractAt the time of commonplace automation, robotization and the rapid development of IT, high qualifications of employees have become the critical element of every industry system. This follows from their limited availability, frequently high costs of procurement and possible employee absenteeism. Moreover, the concept of Industry 4.0 will transform current industry employees into knowledge employees. This is due to the fact that hard and routine tasks will be executed by robots and computers. This constitutes change in the required employee competences. Unfortunately, the aspect of management and configuration of employee competences is often overlooked in industrial practice. In response to the existing problem, the article puts forward the original model of employee competence configuration which is a basis for responses to numerous questions of managers of production processes, both general ones, e.g., Do we have a sufficient set of competences to execute a production schedule? as well as detailed ones, e.g., Which and how many competences are missing? etc. An important novelty of the presented model is the possibility of its application with both proactive and reactive questions. Due to the discrete and combinatorial nature of the problem under consideration, the use of mathematical programming methods was limited only to small data instances. Therefore, a proprietary dedicated genetic algorithm was proposed to solve this problem, which turned out to be extremely effective. The use of this genetic algorithm has enabled finding a solution depending on the instance data up to 70 times faster than by use of the mathematical programming.
Aortic root dimensions as a correlate for aortic regurgitation’s severity
Authors: Wenzel Jan-Per , Petersen Elina , Nikorowitsch Julius , Müller Jessica , Kölbel Tilo , Reichenspurner Hermann , Blankenberg Stefan , Girdauskas Evaldas 
Published: July 2021

AbstractTo evaluate the prevalence of aortic regurgitation (AR) and associations between the individual aortic root components and AR severity in the general population. The study included the first 10,000 participants of the population-based Hamburg City Health Study (HCHS) of whom 8259 subjects, aged 62.23 ± 8.46 years (51.3% females), enrolled 2016–2018, provided echocardiographic data. 69 subjects with bicuspid valves and 23 subjects with moderate/severe aortic stenosis were excluded. Aortic root dimensions were measured using state-of-the-art cardiac ultrasound, including the aortic annulus, sinus of Valsalva, sinotubular junction (STJ), and ascending aorta, in diastole and systole. The distribution of AR was: 932 (11.4%) mild, 208 (2.5%) moderate, and 20 (0.24%) severe. Patients with moderate or severe AR were predominantly male at advanced age who had hypertension, coronary artery disease, atrial fibrillation, and renal dysfunction. Increasing AR severity correlated with higher absolute and indexed aortic root diameters (e.g., end-diastolic sinus of Valsalva for no-mild-moderate-severe AR in mm ± standard deviation: 34.06 ± 3.81; 35.65 ± 4.13; 36.13 ± 4.74; 39.67 ± 4.61; p < 0.001). In binary logistic regression analysis, all aortic root components showed significant associations with moderate/severe AR. Mid-systolic STJ showed the strongest association with moderate/severe AR (OR 1.33, 95% confidence interval 1.25–1.43, p < 0.001). AR was prevalent in 14.2%, of whom 2.8% showed moderate/severe AR. All assessed aortic root diameters correlated with the prevalence and severity of AR. STJ diameter had the strongest association with moderate/severe AR possibly reflecting the pathophysiological impact of an increasingly dilated STJ in the context of an ageing aorta.
COVID-19 and Psychosocial Support Services: Experiences of People Living with Enduring Mental Health Conditions
Authors: Honey Anne , Waks Shifra , Hines Monique , Glover Helen , Hancock Nicola , Hamilton Debra , Smith-Merry Jennifer 
Published: July 2021

AbstractThis paper uses secondary analysis to understand how COVID-19 shaped people’s experiences with psychosocial support services in Australia. Data are drawn from questionnaires (n = 66) and semi-structured interviews (n = 62), conducted for a national service evaluation, with 121 people living with enduring mental health conditions and using psychosocial support services. Data relating to COVID-19 were inductively coded and analysed using constant comparative analysis. Most people’s experiences included tele-support. While some people described minimal disruption to their support, many reported reduced engagement. People’s wellbeing and engagement were influenced by: their location, living situation and pre-COVID lifestyles; physical health conditions; access to, comfort with, and support worker facilitation of technology; pre-COVID relationships with support workers; and communication from the organisation. The findings can help services prepare for future pandemics, adjust their services for a ‘COVID-normal’ world, and consider how learnings from COVID-19 could be incorporated into a flexible suite of service delivery options.
A systematic evaluation of game elements effects on students’ motivation
Authors: Leitão Rui , Maguire Martin , Turner Sarah , Guimarães Laura 
Published: July 2021

AbstractMotivation theory is indispensable when discussing processes of learning. Learners who are motivated can learn almost everything. Students’ motivation is probably one of the most important factors for teacher effectiveness both for engagement in the learning process and high academic performance. To have effective environmental education, it is not only necessary to inform the public about the ocean but also to involve and engage them is essential. Motivation and engagement are some of the most commonly mentioned concepts in gamification, thus, a gamified application seems to have the necessary features to improve the motivation of students in the learning context of Ocean Literacy topics. The main aims of this work were: i) to understand through a systematic evaluation, how game elements affect the different motivation layers; and ii) to compare them in terms of enhancing the motivation to recycle among secondary school students (11-14 years). To measure students’ motivation, a pre-test and a post-test using a recycling situational motivation survey were administered in a classroom environment in Portugal and the UK. Findings show a trend regarding the effect of game elements mainly on the most autonomous forms of motivation. The different game elements, each one with different degrees of effects, were shown to have potential to increase motivation.
Mergers and missions: investigating consequences for system diversity
Authors: Frølich Nicoline , Stensaker Bjørn 
Published: July 2021

AbstractIn recent decades, many higher education systems around the world have been exposed to institutional mergers. While the rationale for mergers has often been related to issues of improved quality, effectiveness and/or efficiency at the institutional level, fewer studies have analysed how mergers may affect institutional diversity within the higher education landscape. Focusing on institutional missions, the current study analyses the strategic plans of both merged and non-merged institutions in Norway. The key finding is that mergers may not necessarily reduce system level diversity, although mergers indeed may affect the organisational mission of individual institutions.
Measuring Gambling Outcome Expectancies in Adolescents: Testing the Psychometric Properties of a Modified Version of the Gambling Expectancy Questionnaire
Authors: Donati Maria Anna , Derevensky Jeffrey L. , Cipollini Beatrice , Leonardo Laura Di , Sareri Giuseppe Iraci , Primi Caterina 
Published: July 2021

AbstractThe Gambling Expectancy Questionnaire (GEQ; Gillespie et al. 2007a) is a 23-item scale assessing three positive outcome expectancies (Enjoyment/Arousal, Money, Self-Enhancement) and two negative outcome expectancies (Over-Involvement, Emotional Impact) related to gambling. It is the most used instrument to assess gambling outcome expectancies in adolescents and it has good psychometric properties. To allow a greater and more useful application of the scale, the present study aimed to modify the GEQ to make it usable with all adolescents, regardless of their gambling behaviour and to verify its psychometric properties. To that aim, the items were modified and the response scale was reduced from a seven-point to a five-point Likert scale. To verify the adequacy of the modified scale, two studies were conducted among Italian adolescents. In the first study (n = 501, 75% males, Mage = 16.74, SD = .88), after having removed four items and relocating another through explorative factor analysis, the original five-factor structure of the scale was confirmed by applying a confirmatory factor analysis. Reliability and validity evidence were also provided. The second study (n = 1894, 61% males, Mage = 15.68, SD = .71) attested its invariance across gambling behaviour status and gender. The modified version of the GEQ (GEQ – MOD) can be profitably used for research and preventive purposes with youth.
Bronze Age Globalisation and Eurasian Impacts on Later Jōmon Social Change
Authors: Hudson Mark J. , Bausch Ilona R. , Robbeets Martine , Li Tao , White J. Alyssa , Gilaizeau Linda 
Published: July 2021

AbstractFrom northern China, millet agriculture spread to Korea and the Maritime Russian Far East by 3500–2700 BC. While the expansion of agricultural societies across the Sea of Japan did not occur until around 900 BC, the intervening period saw major transformations in the Japanese archipelago. The cultural florescence of Middle Jōmon central Honshu underwent a collapse and reorganisation into more decentralised settlements. Mobility increased as Late Jōmon influences spread from eastern into western Japan, and populations expanded to offshore islands such as Okinawa and the Kurils. In Kyushu and other parts of western Japan, the eastern Jōmon expansion was associated with the cultivation of adzuki and soybeans but, contrary to earlier assessments, there is no evidence for the introduction of cereal crops at this time. Here, we analyse archaeological and historical linguistic evidence of connections between the Eurasian mainland and the Japanese Islands c. 3500 to 900 BC. A re-evaluation of archaeological material discussed since the 1920s concludes that the transformations in Jōmon society during this period were at least in part a response to contacts with Eurasian Bronze Age cultures. Evidence for linguistic contact between Koreanic and the Ainuic languages which are presumed to have been spoken by Jōmon populations is also consistent with new Bronze Age mobilities. Although prehistoric Japan was one of the most isolated regions of Eurasia, we conclude that the historical evolution of societies in the Japanese archipelago after the third millennium BC was linked with processes of Bronze Age globalisation.
Agilität – ein Organisationsmodell für öffentliche Verwaltungen
Authors: Musati Martina 
Published: July 2021

ZusammenfassungDieser Artikel zeigt auf, weshalb das Organisationsmodell Agilität als Reformkonzept für öffentliche Verwaltungen geeignet ist und einen wesentlichen Beitrag zu den noch offenen Themen aus bisherigen Reformen leisten kann. Dies wird entlang den Dimensionen Legitimation (Strategie), Governance (Struktur und Prozesse), Digitalisierung (Technik) und Führung begründet. Führungskräften in öffentlichen Verwaltungen kommt eine zentrale Schlüsselrolle bei den anstehenden Reformen zu. Das Führungsset „Agile Five“, das eine Kombination von fünf zentralen Leadership-Konzepten umfasst, befähigt Führungskräfte, die nächsten Reformschritte anzugehen.
Diskursallianzen in der Migrationsdebatte?
Authors: Kösters Raphael , Jandura Olaf , Weiß Ralph , Schreiber Josef 
Published: July 2021

ZusammenfassungDie Studie untersucht, inwieweit Medien bei der Debatte um die Flucht- und Asylmigration die zentralen Deutungsmuster der Parteien wiedergeben und ob dabei Diskursallianzen zwischen einzelnen Medienangeboten und Parteien zum Vorschein kommen. Unser Beitrag widmet sich damit der öffentlichkeitstheoretisch relevanten Frage, ob bzw. welche Medien als Organe partikularer Standpunkte fungieren und welche durch eine breite und ausgewogene Abbildung konkurrierender Problemdeutungen die Grundlagen für eine unabhängige Meinungsbildung schaffen. Darüber hinaus prüfen wir, inwiefern Medien den Parteien eine faire Chance geben, dass ihre Positionen für das Staatsbürgerpublikum wahrnehmbar werden. Wir ermitteln das Ausmaß des politischen Parallelismus anhand einer Inhaltsanalyse von 18 Medienangeboten und von Dokumenten der sieben Bundestagsparteien. Auf der Ebene problembezogener Aussagen erfassen wir wertebezogene Deutungsmuster. So können wir die inhaltliche Substanz der vermittelten Positionen präzise nachzeichnen und Ähnlichkeiten von Medien und Parteien hinsichtlich ihrer Deutung des Streitthemas identifizieren. Ferner erlaubt unser Verfahren eine Verortung von Medien und Parteien im Raum politischer Positionen, der von Grundkonflikten (Cleavages) aufgespannt wird. Über diesen Rückgriff auf ein Konzept der politischen Soziologie können wir Nähe und Distanz von Medien und Parteien verdichtend beschreiben.
Congregations of a Feather? Exploring Homophily in a Network of Religious Congregations
Authors: McClure Jennifer M. 
Published: July 2021

Background Homophily, the tendency for relationships to be more common among actors who share similarities, has been observed in social network studies of individuals and organizations. Homophily can encourage close, supportive relationships but limit exposure to diversity. Homophily may have important implications for religious congregations, but research has been limited due to few social network data collections on congregations. Purpose This research note uses a new data collection from an inter-congregational network of religious congregations in eight counties encompassing and surrounding a major metropolitan area in the southeastern United States. Its goal is to identify sources of homophily between congregations as well as types of congregations whose immediate networks, which include the congregations to which a congregation has direct relational ties, differ in levels of homophily. Methods Quadratic assignment procedure correlations are used to identify sources of homophily, and both fractional logistic and negative binomial regression models are used to examine the extent to which congregational characteristics predict levels of homophily. Results Three key sources of homophily include sharing the same religious tradition and family, sharing the same racial composition, and having a smaller geographical distance between congregations. Congregations’ religious family, racial composition, community setting, and the extent to which attenders are younger and newer matter for predicting levels of homophily. The results have implications for: LDS and Church of Christ congregations; multiracial congregations; declining denominationalism; rural congregations. Conclusions and Implications Congregations of a feather do, in fact, flock together. The results inform a variety of practical implications for congregations. Because of the time constraints experienced by many ministers, denominational events might provide some of the most accessible opportunities to build relationships with other congregations. Multiracial congregations often serve as bridges connecting congregations of different racial compositions. Distinctive and centralized religious groups, like the Church of Jesus Christ of Latter-day Saints, may also effectively encourage relationships across congregations of different racial compositions. Homophily may also impact the extent to which congregations learn about innovations from other congregations and the extent to which collaborations with other congregations are effective.