bluuebunny/crossref_metadata_2025_split huggingface dataset:
A complexity perspective for antecedents of support for tourism development
Authors: Dedeoğlu Bekir Bora , Karakuş Yusuf , Çalışkan Caner , Aydın Şule 
Published: November 2021

PurposeIn this study, the effects of negative tourism impacts, length of residency and nativity on support for tourism development were examined.Design/methodology/approachBecause understanding the attitudes of local people toward tourism support is complex, this study employed both symmetric (PLS-SEM) and asymmetric (fsQCA) approaches from a holistic perspective. A total of 336 individuals from Cappadocia, one of Turkey's most prominent tourist destinations, were surveyed.FindingsAccording to the symmetric method results, respondents' negative perceptions of tourism negatively affect attitudes toward tourism support. Native-born status acts as a moderating variable in the relationship between attitudes toward tourism support and the negative economic impacts of tourism. On the other hand, this study shows that the complex interactions of nativity and the negative impacts of tourism directly affect local people's attitudes toward tourism support.Practical implicationsThis study revealed that practitioners should adopt a comprehensive perspective to understand the attitudes of local people toward tourism support.Originality/valueThis study, in addition to the findings obtained via the symmetric method, reveals the complex interaction of the negative impacts of tourism, thus providing a roadmap to improve local people's attitudes toward tourism support by using asymmetric modeling.
The implied significance of integrative geographical information systems in sustainable tourism and comprehensive community development in Musina Municipality, South Africa
Authors: Ramaano Azwindini Isaac 
Published: November 2021

PurposeThe purpose of the paper was to explore the latent function of geographic information systems (GIS) in sustainable tourism, community-based natural resource management (CBNRM) and local community development in Southern Africa, broadly Africa, and diverse rural areas elsewhere globally. Hence, significantly liaising with data and literature review on the Musina Municipality natural resource management, livelihoods, and tourism development issues in Limpopo Province, South Africa.Design/methodology/approachThe study utilizes a general literature review, document reviews, focus group discussions and field observations to examine the Musina Municipality's rural, environmental and tourism resources management situations along with African and worldwide pertinent implications. The study benchmarks with CBNRM and GIS in sustainable tourism nature within the Musina Municipality.FindingsThe study reveals a fitter dormant-synergetic link among tourism and agrarian (rural) exercises that GIS along a concept of CBNRM can expand within the Municipality. Hence, the study has presented a necessity for a proper and a GIS-unified tourism approach to permit the local communities in Musina Municipality and towards the entire continent.Originality/valueSeveral rural populations in Southern Africa and Africa broadly dwell in low-income areas; Musina Municipality is no exception. Such environs are rich in natural biodiversity, including tourism entities host regions. GIS, sustainable tourism and CBNRM can create a gestalt of local community development projects within such milieus.
A semi‐variance approach to visualising phylogenetic autocorrelation
Authors: Noonan Michael J. , Fagan William F. , Fleming Christen H. 
Published: November 2021

AbstractComparing traits across species has been a hallmark of biological research for centuries. While interspecific comparisons can be highly informative, phylogenetic inertia can bias estimates if not properly accounted for in comparative analyses. In response, researchers typically treat phylogenetic inertia as a form of autocorrelation that can be detected, modelled and corrected for. Despite the range of methods available for quantifying the strength of phylogenetic autocorrelation, no tools exist for visualising these autocorrelation structures.Here we derive variogram methods suitable for phylogenetic data, and show how they can be used to straightforwardly visualise phylogenetic autocorrelation. We then demonstrate their utility for three empirical examples: sexual size dimorphism (SSD) in the Musteloidea, maximum per capita rate of population growth,r, in the Carnivora, and brain size in the Artiodactyla.When modelling musteloid SSD, the empirical variogram showed a tendency for the variance in SSD to stabilise over time, a characteristic feature of Ornstein–Uhlenbeck (OU) evolution. In agreement with this visual assessment, model selection identified the OU model as the best fit to the data. In contrast, the infinitely diffusive Brownian motion (BM) model did not capture the asymptotic behaviour of the variogram and was less supported than the OU model. Phylogenetic variograms proved equally useful in understanding why an OU model was selected when modellingrin the Carnivora, and why BM was the selected evolutionary model for brain size in the Artiodactyla.Because the variograms of the various evolutionary processes each have different theoretical profiles, comparing fitted semi‐variance functions against empirical semi‐variograms can serve as a useful diagnostic tool, allowing researchers to understand why any given evolutionary model might be selected over another, which features are well captured by a model, and which are not. This allows for fitted models to be compared against the empirical variogram, facilitating model identification prior to subsequent analyses. We therefore recommend that any phylogenetic analysis include a nonparametric estimate of the autocorrelation structure of the data that can be visualised. The methods developed in this work are openly available in the newRpackagectpm.
The gain in keratinized gingiva using apically positioned flap during implant placement with and without ridge augmentation: A comparative prospective study
Authors: Han Yoon‐Sic 
Published: November 2021

AbstractObjectivesTo evaluate whether ridge augmentation (RA) affects the gain in keratinized gingiva (KG) in implant surgery using a full‐thickness apically positioned flap (fAPF).Material and MethodsWe conducted a prospective study from April 2017 to April 2019 recording patient‐ and implant‐related factors. The subjects underwent fAPF during implant placement and were divided two groups: Group A, one‐stage surgical protocol without RA; Group B, two‐stage surgical protocol with RA. The initial width of KG and the width of KG at 1 week, 3 weeks, 3 months, and 6 months after surgery and baseline were measured using a paper ruler. Multivariable generalized estimating equation (GEE) models were estimated to evaluate RA effects on the gain in KG, the shrinkage amount of KG, and shrinkage ratio of KG after fAPF.ResultsSeventy‐nine participants with 203 implants were included. The baseline values of KG were 1.68 mm in Group A and 0.82 mm in Group B (p < 0.001). The results of the multivariable GEE demonstrated that the gain in KG, the shrinkage amount of KG, and the shrinkage ratio of KG showed no significant difference in groups (p > 0.05). The gain in KG was 1.92 ± 1.67 mm in Group A, 1.48 ± 1.36 mm in Group B. The total shrinkage amount and the shrinkage ratio of KG were 1.87 mm and 42.43%, respectively.ConclusionsA fAPF is a reliable technique that enables significant increase in KG regardless of RA in implant surgery.
Polysomnographic comparison of sleep in children with obesity and normal weight without suspected sleep‐related breathing disorder
Authors: Danielsen Yngvild Sørebø , Skjåkødegård Hanna Flækøy , Bjorvatn Bjørn , Juliusson Petur Benedikt , Pallesen Ståle 
Published: November 2021

SummaryShort sleep and obstructive apneas/hypopneas have been shown to be associated with childhood obesity. Still, few studies have compared sleep in children with obesity, without suspected sleep disordered breathing and normal weight peers by objective sleep measures and compared results with subjective parent assessment of sleep. Children with obesity aged 7–13 years (N = 44) and a matched group of normal weight children (N = 42) completed clinical polysomnography (Embla A10 Recording System). Parents scored their children's sleep on the Children's Sleep Habits Questionnaire (CSHQ). Mann–Whitney U tests were used to compare groups. There was a higher obstructive apnea/hypopnea index (AHI) (median obesity = 1.20 vs. median normal = 0.66; z = −1.33, U = 560.50, p = 0.002) and number of oxygen desaturation events per hour (median obesity = 0.7 vs. median normal = 0.2; z = −3.45, U = 402.50, p = 0.001) in the children with obesity compared to children with normal weight. The children with obesity had a significantly longer sleep duration (median obesity 8:50 h = vs. median normal = 8:32 h; z = −2.05, U = 687.00, p = 0.041), longer stage N2 sleep (median obesity = 87 min vs. median normal = 52 min; z = −2.87, U = 576.50, p = 0. 004) and shorter REM sleep (median obesity = 94 min vs. median normal = 121 min; z = 5.05, U = 1477.00, p ≤ .001). No differences were observed for time in sleep stage N1 and N3, wake time after sleep onset or the total arousal index . Further, no group differences were found on the CSHQ sleep‐disordered breathing sub‐scale (p = 0.399). The children with obesity demonstrated significantly more mild to moderate sleep disordered breathing than children with normal weight, although this was not corroborated by parent report.
How the healthy ageing brain supports semantic binding during language comprehension
Authors: Markiewicz Roksana , Segaert Katrien , Mazaheri Ali 
Published: November 2021

AbstractSemantic binding refers to constructing complex meaning based on elementary building blocks. Using electroencephalography (EEG), we investigated the age‐related changes in modulations of oscillatory brain activity supporting lexical retrieval and semantic binding. Young and older adult participants were visually presented two‐word phrases, which for the first word revealed a lexical retrieval signature (e.g., swift vs. swrfeq) and for the second word revealed a semantic binding signature (e.g., horse in a semantic binding “swift horse” vs. no binding “swrfeq horse” context). The oscillatory brain activity associated with lexical retrieval as well as semantic binding significantly differed between healthy older and young adults. Specifically for lexical retrieval, we found that different age groups exhibited opposite patterns of theta and alpha modulation, which as a combined picture suggest that lexical retrieval is associated with different and delayed signatures in older compared with young adults. For semantic binding, in young adults, we found a signature in the low‐beta range centred around the target word onset (i.e., a smaller low‐beta increase for binding relative to no binding), whereas in healthy older adults, we found an opposite binding signature about ~500 ms later in the low‐ and high‐beta range (i.e., a smaller low‐ and high‐beta decrease for binding relative to no binding). The novel finding of a different and delayed oscillatory signature for semantic binding in healthy older adults reflects that the integration of word meaning into the semantic context takes longer and relies on different mechanisms in healthy older compared with young adults.
Library research support services in China’s universities of traditional medicine: Understanding user requirements
Authors: Chen Yihang , Zhou Lihong 
Published: November 2021

AbstractIn this article, Ms Yihang Chen with her supervisor, Prof Lihong Zhou, reports on her MA in Library Science study aimed to identify user requirements of library research support services (RSS) at the universities of Traditional Chinese Medicine (TCM) in China. This study adopted an inductive qualitative approach, employed as a case study and 14 TCM researchers and academic librarians using semi‐structured interviews. The research findings point to 28 RSS requirements in five main themes: mastering, planning, project, publication and electronic preservation stages. Although this research is situated in China, it has implications for libraries worldwide in supporting research into holistic and indigenous medicine. F.J.
Experiences of informal caregivers of people with dementia with nursing care in acute hospitals: A descriptive mixed‐methods study
Authors: Keuning‐Plantinga Annette , Roodbol Petrie , van Munster Barbara C. , Finnema Evelyn J. 
Published: November 2021

AbstractAimsTo explore the experiences of informal caregivers of people with dementia with the hospitalization of their relative concerning patient care, interactions with nurses, caregivers’ situation and the acute hospital environment.DesignMixed‐methods design.MethodsThe data were collected using an online questionnaire among a panel of caregivers (n = 129), together with a focus group and individual interviews from February to November 2019. The data were triangulated and analysed using a conceptual framework.ResultsAlmost half of the respondents were satisfied with the extent to which nurses considered the patient's dementia. Activities to prevent challenging behaviours and provide person‐centred care were rarely seen by the caregivers. Caregivers experienced strain, intensified by a perceived lack of adequate communication and did not feel like partners in care; they also expressed concern about environmental safety. A key suggestion of caregivers was to create a special department for people with dementia, with specialized nurses.ConclusionPositive experiences of caregivers are reported in relation to how nurses take dementia into account, involvement in care and shared decision making. Adverse experiences are described in relation to disease‐oriented care, ineffective communication and an unfamiliar environment. Caregivers expressed increased involvement when included in decisions and care when care was performed as described by the triangle of care model. Caregivers reported better care when a person‐centred approach was observed. Outcomes can be used in training to help nurses reflect and look for improvements.ImpactThis study confirms that caregivers perceive that when they are more involved in care, this can contribute to improving the care of patients with dementia. The study is relevant for nurses to reflect on their own experiences and become aware of patients’ caregivers’ perspectives. It also provides insights to improve nurses’ training and for organizations to make the care and environment more dementia‐friendly.
Advances in development of biodegradable food packaging material from agricultural and agro‐industry waste
Authors: Birania Sapna , Kumar Sunil , Kumar Nitin , Attkan Arun Kumar , Panghal Anil , Rohilla Priyanka , Kumar Ravi 
Published: November 2021

AbstractThe preferment for farm mechanization and advancement in industrialization has augmented the agro‐industrial waste generation. The management of such numerous waste is a challenging and resource‐intensive task. The current practices involve releasing this waste into the water bodies and open landfills which causes water, air, and soil pollution. These wastes have the potential to be used as a raw material for the development of value‐added products, generation of renewable energy, extraction of food‐use compounds, and manufacturing of packaging material. In the current scenario, agro‐based materials are captivating the packaging industries toward the development of renewable, biodegradable, and sustainable packaging materials. These agro‐based materials have great capability to replace petrochemical‐based plastic materials in packaging industries because of their ample availability and biodegradability. Biodegradable packaging materials can be derived from agro‐industrial waste either directly or by chemical synthesis or by genetically modified organisms. Agro‐based polymers have a scintillating future for a wide range of applications in the food industry and pharmaceuticals, including advances in active and smart packaging with bio‐functional characteristics. The present review comprehensively discusses the potential of different agricultural and agro‐industrial wastes that can be used for extracting different natural biopolymers and their further use in manufacturing biodegradable food packaging.Practical ApplicationsInformation about the potential agricultural and agro‐industrial waste suggests development, optimization, customization, and scale‐up of production of biodegradable packaging material to promote its commercial usage. The major patents granted in biodegradable packing, properties of these materials, and the current status of their commercial availability will provide a compiled source of information, start‐ups, innovation, research, and future advancements to the industrialists, students, researchers, and entrepreneurs. As an alternative to plastics, biodegradable packaging materials open opportunities for sustainable and environment‐friendly solutions to industries and help in fulfilling their corporate social responsibility.
Routine replacement versus replacement as clinical indicated of peripheral intravenous catheters: A multisite randomised controlled trial
Authors: Li Jing , Ding Yanming , Lu Qian , Jin Sanli , Zhang Peiying , Jiang Zhixia , Zhang Fengxia , Lyu Yang , Lin Frances 
Published: November 2021

AbstractAims and objectivesTo compare the safety of replacing peripheral intravenous catheter as clinically indicated versus routine replacement on patient outcomes in the Chinese context.BackgroundSome evidence from developed countries recommend replacing peripheral intravenous catheter as clinically indicated; however, there is limited evidence from developing countries.DesignA multisite randomised controlled trial.MethodsThe 3050 participants from three hospitals in China were randomly assigned to clinically indicated or routine replacement groups. Patients in the clinically indicated group had the catheters kept in situ until any of the following clinical signs appeared: phlebitis, infiltration, occlusion, displacement, local infection and diagnosed catheter‐related bloodstream infection. Patients in the routine replacement group had their peripheral intravenous catheters replaced every 96 hours. The outcomes of phlebitis, infiltration, occlusion, displacement; catheter‐related bloodstream infection, all‐cause bloodstream infection, and local infection were compared. CONSORT checklist was used to guide the reporting of this RCT.ResultsThe risk of phlebitis, phlebitis per 1000 catheter days, occlusion, dislodgement, all bloodstream infections, local infection and mortality between the two groups were not significantly different. The risk of infiltration was increased in the clinically indicated group (HR 1.29). There was no catheter‐related bloodstream infection reported in either group. Patients’ first peripheral intravenous catheter dwelling time and cumulative indwelling time of all peripheral intravenous catheters in the clinically indicated group were significantly longer than the routine replacement group. There was no statistical significant difference in survival times from phlebitis between the two groups.ConclusionsIn the Chinese context, removing peripheral catheters as clinical indicated did not increase the risk of phlebitis, occlusion, catheter displacement and catheter infection; however, there was an increased infiltration incidence.Relevance to clinical practiceIn developing countries, removing peripheral catheters as clinical indicated is feasible, but more frequent observations of infiltration are highly recommended.
The use of high‐dose immunoglobulin M‐enriched human immunoglobulin in dogs with immune‐mediated hemolytic anemia
Authors: Bestwick Jason P. , Sharman Mellora , Whitley Nat T. , Kisielewicz Caroline , Skelly Barbara J. , Tappin Simon , Kellett‐Gregory Lindsay , Seth Mayank 
Published: November 2021

AbstractBackgroundThe IV use of human immunoglobulin (hIVIG) in dogs with primary immune‐mediated hemolytic anemia (IMHA) has been described previously, but herein we describe the use of high‐dose IgM‐enriched hIVIG (Pentaglobin).Hypothesis/ObjectivesDogs treated with high‐dose Pentaglobin will experience shorter time to remission and hospital discharge and have decreased transfusion requirements compared to dogs receiving standard treatment alone.AnimalsFourteen client‐owned dogs diagnosed with primary IMHA at specialist referral hospitals in the United Kingdom.MethodsAll prospectively enrolled dogs received prednisolone, dexamethasone or both along with clopidogrel. Patients were randomized to receive Pentaglobin at 1 g/kg on up to 2 occasions, or to serve as controls. No additional immunosuppressive drugs were allowed within the first 7 days of treatment. Remission was defined as stable PCV for 24 hours followed by an increase in PCV.ResultsTen of 11 dogs from the treatment group and 2 of 3 dogs from the control group achieved remission and survived until hospital discharge. Survival and time to remission were not significantly different between groups. The volume of packed red blood cells transfused, normalized for body weight, was not significantly different between groups. Potential adverse reactions to Pentaglobin occurred in 2 dogs, but their clinical signs may have been related to the underlying disease.Conclusions and Clinical ImportanceTreatment with high‐dose Pentaglobin was well tolerated by dogs with primary IMHA but no significant advantage was found in this small study. Additional studies examining larger groups and subpopulations of dogs with primary IMHA associated with a poorer prognosis are warranted.
The erosion of corporatist voting and party fragmentation in Chiapas: Pluralism, or political decomposition?
Authors: Sonnleitner Willibald 
Published: November 2021

AbstractUnlike studies that view democratization merely as free and fair competitive multiparty elections, this case study provides a subnational, socioterritorial analysis of the demise of single‐party rule in Chiapas, one of the last strongholds of the Institutional Revolutionary Party, revealing the contradictory and erratic processes of local politics in Mexico. Democratization requires not only regular alternation in office but also the development of representative institutions and of solid political parties that are able to constrain the executive branch. In Chiapas, electoral democratization occurred very late, with significant geographic variation, as the result of a convulsive process of political decomposition that included the indigenous Zapatista rebellion. Yet, corporatist structures and illiberal practices resisted, reproduced, and accommodated to electoral pluralism. The gradual erosion of the local “Revolutionary Family” spurred the fragmentation, and then the collapse, of the incipient party system, instead of fostering democratic governance with genuine checks and balances.