bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Organizational Ecology of State Support for Public Flagship Universities
Authors: Weerts David J. 
Published: November 2021

Background/Context: Several studies have investigated state political and economic factors that explain differences in levels of state appropriations for colleges and universities. Few studies have considered how stakeholder beliefs or taken-for-granted assumptions about various institutions may impact budgeting decisions for specific campuses. A gap in the literature remains in understanding how normative agreements about various institutional types—such as public flagship universities—may influence levels of state appropriations for these institutions. Purpose/Objective/Research Question/Focus of Study: This study investigates how levels of state support for research universities might relate to their formal, informal, or even contested status as public flagship institutions. The research question guiding this study is: How might flagship identity relate to differences in levels of state appropriations for public research universities across states? Research Design: This multicase study examines differences in levels of state support for four flagship universities between 1984 and 2004. Case institutions were generated from an analysis of outlier institutions that received lower- or higher-than-predicted levels of appropriations during the two-decade period. Outliers analyzed for this study include the University of Massachusetts-Amherst and University of Virginia (lower-than-predicted support) and the University of Connecticut and the University of Maryland-College Park (higher-than-predicted support). Qualitative data were collected and analyzed to investigate disparities in state support among these four institutions. Findings/Results: This study found that a “flagship ideal” exists across the four cases, which provides meaning for stakeholders as they consider levels of state funding for these institutions. Idealized views of flagships provided advantages to some institutions and disadvantaged others in state budgeting processes during the study period. In addition, normative beliefs about the case institutions were mediated by state culture, politics, and powerful regional influences. Higher education governance structure was less important than cultural and political context in making sense of variations in state support across the institutions. Conclusions/Recommendations: The study suggests that flagship university leaders must be mindful about taken-for-granted assumptions held by key stakeholders and resource providers as they create appeals for state support. Across all institutional types, leaders must be attuned to the historical, cultural, economic, or political factors that shape understandings about their institutions. In addition, leaders must evaluate the influence of allies or foes in shaping the narrative about the institution’s unique identity and need for funding. Strategic leaders leverage their institutional identities and unique governing arrangements in ways that expand resource opportunities.
“Monsters Are Coming!”: Learning Literacy and Playing Games
Authors: Woods Annette , Jeffries Michelle 
Published: November 2021

Background/Context There are recent trends of bringing highly defined, teacher-directed pedagogies into early-childhood contexts in Australia, the United States. and other Western contexts. While the justification for these moves is often the improvement of outcomes for young children, they ignore the large body of research that attests to the social, emotional, and academic benefits of children having time to play and to experience educational programs founded in play-based pedagogies. Focus of the study In this study, we were interested in considering how young children name their worlds in education contexts in which literacies and sustainability education are brought together as educational concepts. This article reports on the playing of one game over time and considers the opportunities that were created by the playing of the game and the competence of the young children in using the game to collaborate, to learn literacy, and to make spaces for other everyday business together. Setting The fieldwork which produced the data for this article involved two researchers attending a suburban Australian early-childhood education context regularly for one year. Participants The children and educators of the center were engaged in an approved program, in the year before school starts within Australian requirements. Therefore the children ranged in age from 3 to 5 years. Research design This article reports on a qualitative study of one class of young children and their educators. Data were collected during fieldwork visits over a period of one year. We observed the children's engagement in outdoor play, collecting data in the form of short video recordings, still images, field notes, and texts produced by the children. Conclusions Our analysis provides evidence that children can demonstrate competent understandings of how language, bodies, movement, and space position themselves and others. The children involved competently collaborated and used language and texts to get along and to sustain a game over many months. They were only able to achieve this because they were given space to play, to own and govern spaces of play, and to problem-solve together as issues arose. The opportunity to direct themselves and their friends was vital as they developed respectful language and literacy practices.
Chapter 7: Learning to Teach for Civic Engagement: Opportunities and Constraints for Three Teachers in One Urban Elementary School
Authors: Epstein Shira Eve , Levy Brett L. M. 
Published: November 2021

Context Civic education is marginalized in many U.S. schools. It is especially rare in elementary schools and in schools serving low-income students of color. Although professional development opportunities in civic education for teachers are limited, these experiences can positively influence teachers’ conceptions of teaching for civic engagement. There is a need for quality professional learning to promote civic education in schools. Focus of Study This chapter explores three elementary school educators’ experiences learning about teaching for civic engagement (TfCE) during their time in a university-based online course on the topic and while they were teaching low-income students of color in a public urban elementary school in the northeastern United States. In the context of the university course, we ask the following related research questions: (1) How do three elementary school teachers conceptualize teaching for civic engagement? (2) How do they perceive their readiness to teach for civic engagement in their professional context? Research Design We used the qualitative methods of document analysis and interview. Specifically, we collected and analyzed nine course assignments and conducted two extended interviews with each of the three participants. Findings We found that during the course, the teachers adopted valuable ideas about developing students’ abilities to identify, deliberate, and act on public problems— demonstrating broadened visions of TfCE. They also described various aspects of their school context that they perceived as unfriendly toward such pedagogy, including an emphasis on high-stakes assessment. Referencing contextual constraints as well as opportunities for TfCE, they expressed varied forms of readiness to enact civic-oriented instruction. Recommendations These findings suggest that to support TfCE, teacher educators should dedicate coursework or other forms of professional development to TfCE, address teachers’ differentiated responses, and confront the absence of civic education in schools.
A systematic evaluation of primary headache management apps leveraging behavior change techniques
Authors: Noser Amy E , Klages Kimberly L , Gamwell Kaitlyn L , Brammer Caitlin N , Hommel Kevin A , Ramsey Rachelle R 
Published: November 2021

Background Mobile health apps have the potential to promote adherence to headache management through the use of evidence-based behavior change techniques (e.g., self-monitoring). While many headache management apps exist, the extent to which these apps include behavior change techniques remains unknown. Thus, the present study systematically evaluated the content and quality of commercially available headache management apps. Methods Headache apps were identified using a systematic search in the Apple App and Google Play stores. A total of 55 apps were evaluated using the taxonomy of behavior change techniques and app quality using the Mobile App Rating Scale. Results Headache management apps included 0–14 behavior change techniques (Mean [M] = 5.89) and 0–8 headache management behavior change techniques (M = 4.29). App quality ranged from 2.84–4.67 (M = 3.73) out of 5.00. Three apps, Migraine Trainer, Easeday: Headache & Migraine, and PainScale, included the highest number of overall and headache management behavior change techniques along with good quality scores. Conclusions While randomized controlled trials are necessary to determine the efficacy of individual headache apps, most existing apps include evidence-based headache management behavior change techniques. Headache apps often focus on either self-monitoring or stress management via relaxation training, suggesting that patients’ needs should be used to inform app selection.
Temporal Trends in the Microbiological Characteristics of Sepsis in the United States: A Population Based Study
Authors: Tsou Po-Yang , Yo Chia-Hung , Hsein Yenh-Chen , Yungtum Gregory , Hsu Wan-Ting , Chung Jui-Yuan , Su Ke-Ying , Chang Alan , Chang I-Jing , Lee Chien-Chang ,   National Taiwan University Hospital, Health Data Science Research Group
Published: November 2021

Background Epidemiologic studies are needed for monitoring population-level trends in sepsis. This study examines sepsis-causing microorganisms from 2006 to 2014 in the United States using data from the Nationwide Inpatient Sample database. Methods 7 860 686 adults hospitalized with sepsis were identified using a validated ICD-9 coding approach. Associated microorganisms were identified by ICD-9 code and classified by major groups (Gram-positive, Gram-negative, fungi, anaerobes) and specific species for analysis of their incidence and mortality. Results The rate of sepsis incidence has increased for all four major categories of pathogens, while the mortality rate decreased. In 2014, Gram-negative pathogens had a higher incidence than Gram-positives. Anaerobes increased the fastest with an average annual increase of 20.17% (p < 0.001). Fungi had the highest mortality (19.28%) and the slowest annual decrease of mortality (−2.31%, p = 0.006) in 2013, while anaerobic sepsis had the highest hazard of mortality (adjusted HR 1.60, 95% CI 1.53-1.66). Conclusions Gram-negative pathogens have replaced Gram-positives as the leading cause of sepsis in the United States in 2014 during the study period (2006-2014). The incidence of anaerobic sepsis has an annual increase of 20%, while the mortality of fungal sepsis has not decreased at the same rate as other microorganisms. These findings should inform the diagnosis and management of septic patients, as well as the implementation of public health programs.
Exploring the Role of Agile Operant Resources in the Facilitation of Strategic Orientation: The Case of Family-owned Businesses in Pakistan
Authors: Butt Mehreen Waheed , Kausar Abdul Rashid , Rashid Yasir 
Published: November 2021

Purpose: No one can deny the pertinent role of resources in each era. Over time, its usefulness enhances, which facilitates firm sustainability in today’s volatile business world. To the best of the author’s knowledge, no study has been done specifically in the context of Family-Owned Businesses (FOBs) in Pakistan regarding the owner’s ability to possess agile operant resources. The purpose of this study is to explore the hidden agile operant resources of the family business owners which facilitate FOBs in strategic orientation. Design/Methodology/Approach: This study resides in a relativistic school of thought based on the interpretive paradigm. It is used as an exemplar of the nature of research. Purposive sampling is used for data collection. Interviews were conducted through open-ended questionnaires and observation of family owners. This study is based on the abductive research approach, which along with Gioia methodology, has been used to develop broader themes for discussion. Findings: This research article provides sound conceptual insights on the strategic orientation of family firms through the pertinent role of learning and observational resources, agile entrepreneurial phronesis and agile sensing skills. The authors proposed a conceptual model for shedding light on the pertinent role of agile operant resource supports to facilitate the strategic orientation of FOBs. Practical implications: This study proposes a framework for FOBs operating in Pakistan by providing novel insights for establishing sustainable firm performance by indicating the pertinence of agile operant resources. FOBs may adopt these agile operant resources to ensure firm strategic orientation in today’s dynamic business world. It also opens new avenues of innovation and growth for FOBs by determining the primitive, significant role of individual FOB owners operant resources. This study can apply to all FOBs. Originality value: In this research, the authors have discussed the iterative themes interactions and their significant role in the context of family firms to understand how learning and observational resources, agile sensing skills and agile entrepreneurial phronesis strengthen firm strategic orientation that drives firm sustainable performance in today’s competitive business world. As Pakistan, like other Asian countries, is considered fertile land for family businesses, such studies can enrich insights through surfacing the FOB owner-possessed resources-based framework and how it supports catering to effective strategic orientation.
Evaluation of an Integrated Smart Sensor System for Real-Time Characterization and Digitalization of Postoperative Abdominal Drain Output: A Pilot Study
Authors: Roser Mario V. , Frank Alexander H. R. , Henrichs Lea , Heiliger Christian , Andrade Dorian , Ritz Laura A. , Sabo Jan , Rauschmayr Andreas , Muensterer Oliver , Werner Jens , Karcz Wojciech Konrad , Berger Michael F. 
Published: November 2021

Background: For centuries, surgeons have relied on surgical drains during postoperative care. Despite all advances in modern medicine and the area of digitalization, as of today, most if not all assessment of abdominal secretions excreted via surgical drains are carried out manually. We here introduce a novel integrated Smart Sensor System ( Smart Drain) that allows for real-time characterization and digitalization of postoperative abdominal drain output at the patient’s bedside. Methods: A prototype of the Smart Drain was developed using a sophisticated spectrometer for assessment of drain output. The prototype measures 10 × 6 × 6 cm and therefore easily fits at the bedside. At the time of measurement with our Smart Drain, the drain output was additionally sent off to be analyzed in our routine laboratory for typical markers of interest in abdominal surgery such as bilirubin, lipase, amylase, triglycerides, urea, protein, and red blood cells. A total of 45 samples from 19 patients were included. Results: The measurements generated were found to correlate with conventional laboratory measurements for bilirubin (r = .658, P = .000), lipase (r = .490, P = .002), amylase (r = .571, P = .000), triglycerides (r = .803, P = .000), urea (r = .326, P = .033), protein (r = .387, P = .012), and red blood cells (r = .904, P = .000). Conclusions: To our best knowledge, for the first time we describe a device using a sophisticated spectrometer that allows for real-time characterization and digitalization of postoperative abdominal drain output at the patient’s bedside.
Exploring the external validity of survey data with triangulation: A case study from the Norwegian Offender Mental Health and Addiction (NorMA) Study
Authors: Toresen Lokdam Nicoline , Riksheim Stavseth Marianne , Bukten Anne 
Published: November 2021

Objectives This paper demonstrates how to investigate the external validity of a study sample by triangulating survey and registry data, using data from the Norwegian Offender Mental Health and Addiction (NorMA) Study as a case. Methods We use survey data from the NorMA study ( n = 1495), including the NorMA cohort ( n = 733), and data from the Norwegian Prison Registry on all people imprisoned on 1 September 2013 ( n = 3386). Triangulation was performed by (1) comparing the NorMA cohort to those lost to follow-up ( n = 762), using survey data from the NorMA study. Secondly, we compared the NorMA cohort to the one-day population, using data from the Norwegian Prison Registry. We also stratified the one-day sample by possession of a Norwegian personal identification number (PIN). Results We found differences in birthplace, imprisonment and drug use between the NorMA cohort, lost to follow-up and the one-day population. Twenty-three percent of the one-day population did not have a Norwegian PIN. The NorMA cohort was more similar to those with a Norwegian PIN in the one-day population. Our triangulation demonstrates that 56–62% of the Norwegian prison population had an indication of drug use before imprisonment. Conclusions The NorMA cohort was overall representative of the one-day prison population holding a Norwegian PIN and less representative of prisoners without a Norwegian PIN. Using this method provides tangible inputs on the strengths and limitations of a study sample and can be a feasible method to investigate the external validity of survey data.
Morphological growth pattern of Phanerochaete chrysosporium cultivated on different Miscanthus x giganteus biomass fractions
Authors: Khalil Hassan , Legin Estelle , Kurek Bernard , Perre Patrick , Taidi Behnam 
Published: November 2021

Abstract
Background
Solid-state fermentation is a fungal culture technique used to produce compounds and products of industrial interest. The growth behaviour of filamentous fungi on solid media is challenging to study due to the intermixity of the substrate and the growing organism. Several strategies are available to measure indirectly the fungal biomass during the fermentation such as following the biochemical production of mycelium-specific components or microscopic observation. The microscopic observation of the development of the mycelium, on lignocellulosic substrate, has not been reported. In this study, we set up an experimental protocol based on microscopy and image processing through which we investigated the growth pattern of Phanerochaete chrysosporium on different Miscanthus x giganteus biomass fractions.

Results
Object coalescence, the occupied surface area, and radial expansion of the colony were measured in time. The substrate was sterilized by autoclaving, which could be considered a type of pre-treatment. The fastest growth rate was measured on the unfractionated biomass, followed by the soluble fraction of the biomass, then the residual solid fractions. The growth rate on the different fractions of the substrate was additive, suggesting that both the solid and soluble fractions were used by the fungus. Based on the FTIR analysis, there were differences in composition between the solid and soluble fractions of the substrate, but the main components for growth were always present. We propose using this novel method for measuring the very initial fungal growth by following the variation of the number of objects over time. Once growth is established, the growth can be followed by measurement of the occupied surface by the mycelium.

Conclusion
Our data showed that the growth was affected from the very beginning by the nature of the substrate. The most extensive colonization of the surface was observed with the unfractionated substrate containing both soluble and solid components. The methodology was practical and may be applied to investigate the growth of other fungi, including the influence of environmental parameters on the fungal growth.
Prevalence of SARS-CoV-2 antibodies in hemodialysis patients in Senegal: a multicenter cross-sectional study
Authors: Seck Sidy Mohamed , Mbow Moustapha , Kane Yaya , Cisse Mouhamadou Moustapha , Faye Gnagna , Kama Adama , Sarr Moussa , Nitcheu Pamela , Dahaba Mohamed , Diallo Ibrahima Mbemba , Diawara Mame Selly , Latou Lotingo Nehemie Motoula , Dia Yacine , Mboup Souleymane 
Published: November 2021

Abstract
Background
Hemodialysis patients are among high-risk groups for COVID-19. Africa is the continent with the lowest number of cases in the general population but we have little information about the disease burden in dialysis patients.

Objectives
This study aimed to describe the seroprevalence of SARS-CoV-2 antibodies in the hemodialysis population of Senegal.

Patients and methods
We conducted a multicenter cross-sectional survey, between June and September 2020 involving 10 public dialysis units randomly selected in eight regions of Senegal. After seeking their consent, we included 303 patients aged ≥ 18 years and hemodialysis for ≥ 3 months. Clinical symptoms and biological parameters were collected from medical records. Patients’ blood samples were tested with Abbott SARS-CoV-2 Ig G assay using an Architect system. Statistical tests were performed with STATA 12.0.

Results
Seroprevalence of SARS-CoV-2 antibodies was 21.1% (95% CI = 16.7–26.1%). We noticed a wide variability in SARS-CoV-2 seroprevalence between regions ranging from 5.6 to 51.7%. Among the 38 patients who underwent nasal swab testing, only six had a PCR-confirmed infection and all of them did seroconvert. Suggestive clinical symptoms were reported by 28.1% of seropositive patients and the majority of them presented asymptomatic disease. After multivariate analysis, a previous contact with a confirmed case and living in a high population density region were associated with the presence of SARS-CoV-2 antibodies.

Conclusion
This study presents to our knowledge the first seroprevalence data in African hemodialysis patients. Compared to data from other continents, we found a higher proportion of patients with SARS-CoV-2 antibodies but a lower lethality rate.