bluuebunny/crossref_metadata_2025_split huggingface dataset:
Divergent notions of “quality” in healthcare policy implementation: a framing perspective
Authors: Marani Husayn , Evans Jenna M. , Palmer Karen S. , Brown Adalsteinn , Martin Danielle , Ivers Noah M. 
Published: January 2021

PurposeThis paper examines how “quality” was framed in the design and implementation of a policy to reform hospital funding and associated care delivery. The aims of the study were: (1) To describe how government policy-makers who designed the policy and managers and clinicians who implemented the policy framed the concept of “quality” and (2) To explore how frames of quality and the framing process may have influenced policy implementation.Design/methodology/approachThe authors conducted a secondary analysis of data from a qualitative case study involving semi-structured interviews with 45 purposefully selected key informants involved in the design and implementation of the quality-based procedures policy in Ontario, Canada. The authors used framing theory to inform coding and analysis.FindingsThe authors found that policy designers perpetuated a broader frame of quality than implementers who held more narrow frames of quality. Frame divergence was further characterized by how informants framed the relationship between clinical and financial domains of quality. Several environmental and organizational factors influenced how quality was framed by implementers.Originality/valueAs health systems around the world increasingly implement new models of governance and financing to strengthen quality of care, there is a need to consider how “quality” is framed in the context of these policies and with what effect. This is the first framing analysis of “quality” in health policy.
Knowledge sharing, knowledge transfer and SMEs: evolution, antecedents, outcomes and directions
Authors: Anand Amitabh , Muskat Birgit , Creed Andrew , Zutshi Ambika , Csepregi Anikó 
Published: January 2021

PurposeThe purpose of this paper is to systematically synthesize the extant literature of knowledge sharing (KS) and knowledge transfer (KT) in the small and medium enterprise (SME) context and to contribute with predictions of emerging themes.Design/methodology/approachApplied is a systematic literature review using three bibliometric techniques: (1) textual analysis for keywords and abstracts to identify the research hotspots, (2) co-citation analysis of references to identify the evolution of KS and KT in SME and (3) bibliographic coupling analysis of documents to synthesize antecedents and outcomes.FindingsA conceptual map emerges from the review to reveal the antecedents of KS and KT at the individual, group and organizational levels. The analysis shows the strategic importance of KS and KT for the SME context. Specific findings include: (1) KS and KT are involved in enhancing SMEs strategic focus for human resources, including organizational learning, customer relations, creativity, higher profit and positive effects on operational processes and decision-making. (2) Innovation, trust and performance are identified as central human factors linked to KS and KT in SMEs. (3) Human resource (HR) management research could contribute to KS and KT in the SME domain by exploring KS- and KT-based practices, linking the emergence of innovation and innovative behaviors to these practices, leading to a better understanding of strategies that enable the long-term storage and retrieval of tacit and explicit knowledge as organizational memory in the SME context.Originality/valueThis paper is one of the first to systematically review KS and KT in SMEs and propose a concept map. The research adds value to the growing literature of KS and KT and exposes the need for more specific activities to support SME managers, as well as HR managers, who need to facilitate KS and KT in SMEs.
How Does Financial‐Reporting Regulation Affect Industry‐Wide Resource Allocation?
Authors: BREUER MATTHIAS 
Published: January 2021

ABSTRACTThis paper examines the impact of mandatory reporting and auditing of firms’ financial statements on industry‐wide resource allocation. Using threshold‐induced variation in the share of mandated firms in a given industry, I document that reporting mandates facilitate ownership dispersion in capital markets and spur competition in product markets. I, however, do not find that reporting mandates unambiguously improve the efficiency of industry‐wide resource allocation. With respect to auditing mandates, I find only that they impose a fixed cost on firms, deterring smaller entrants.
Non‐small cell lung cancer with gastric metastasis and repeated gastrointestinal bleeding: A rare case report and literature review
Authors: Shih‐Chun Chang , Shih‐Chiang Huang , Chun‐Yi Tsai , Shan‐Yu Wang , Keng‐Hao Liu , Jun‐Te Hsu , Ta‐Sen Yeh , Chun‐Nan Yeh 
Published: January 2021

AbstractThe occurrence of gastrointestinal metastasis from lung carcinoma is rare. Compared with non‐small cell lung cancer (NSCLC), small cell lung cancer more commonly results in this sort of metastasis. Here, we report an unusual case of NSCLC initially without evidence of distant metastasis that developed into gastric metastasis five months after the initial diagnosis, despite the primary lung cancer having a partial response to radiotherapy and chemotherapy. Serial radiological examinations and endoscopic biopsies of the gastric tumor confirmed that it was a metastatic carcinoma originating from the lung. The patient received a total gastrectomy for gastric metastasis due to repeated gastrointestinal bleeding.
Effect of anaemia on the response to preoperative chemoradiotherapy for rectal cancer
Authors: Bong Jun Woo , Lim Seok‐Byung , Ryu Hyoseon , Lee Jong Lyul , Kim Chan Wook , Yoon Yong Sik , Park In Ja , Yu Chang Sik , Kim Jin Cheon 
Published: January 2021

AbstractBackgroundsRadiation therapy with concurrent chemotherapy is an important treatment for rectal cancer, especially for advanced stage disease. Low serum haemoglobin levels are accepted as a negative indicator in the response to radiation therapy. This study aimed to evaluate the relationship between anaemia and the response to preoperative chemoradiotherapy for rectal cancer and its effect on oncologic outcomes.MethodsWe retrospectively reviewed medical records of primary rectal cancer patients who were treated with preoperative chemoradiotherapy followed by total mesorectal excision between January 2011 and December 2015. Anaemia was defined as serum haemoglobin levels ≤9 g/dL before or during radiotherapy. Patients were divided into good and poor responders according to pathologic tumour regression grades. The effect of anaemia on the response to radiation therapy, recurrence‐free survival and overall survival were analysed after subgroup analysis.ResultsOverall, 301 and 394 patients were categorized into good and poor responder groups, respectively. Proportions of anaemia patients were higher in the poor responder group than in the good responder group (7.6% versus 4.0%, P = 0.042). Anaemia was associated with less pathologic complete regression but was not a risk factor for worse recurrence‐free or overall survival. There was no significant difference in survival between patients with and without anaemia.ConclusionHaemoglobin levels ≤9 g/dL before or during radiotherapy were risk factors for achieving pathologic complete regression after preoperative chemoradiotherapy for rectal cancer. However, anaemia was not independently associated with worse survival outcomes.
Comparison of radiofrequency ablation and surgical resection for hepatocellular carcinoma conforming to the Milan criteria: a meta‐analysis
Authors: Wang Qiang , Tang Maocai , Zhang Shouru 
Published: January 2021

AbstractBackgroundThe purpose of this study was to include all current randomized controlled trials to compare the clinical efficacy between radiofrequency ablation (RFA) and surgical resection (SR) in patients with hepatocellular carcinoma who meet the Milan criteria using meta‐analysis techniques.MethodsWe conducted literature search of PubMed, Embase and Cochrane library clinical database for studies of RFA versus SR. Only randomized clinical trials were included. The odds ratios (OR) were pooled and calculated with 95% confidence intervals (CIs) for both fixed‐effects and random‐effects models.ResultsA total of 8 randomized controlled trials with 1177 patients were included in the present meta‐analysis. There were no significantly difference between the patients underwent SR or RFA in terms of 1, 3 and 5 years' overall survival rate (OR 0.87, 95% CI 0.46–1.64; OR 0.84, 95% CI 0.57–1.24 and OR 1.03, 95% CI 0.61–1.73, respectively). And there were no significantly difference between the patients received SR and RFA in terms of 1 and 3 years' disease‐free survival rate (OR 0.85, 95% CI 0.61–1.18 and OR 0.77, 95% CI 0.57–1.03). However, it is worth noting that RFA has advantages over SR in terms of treatment‐related complications (OR 0.65, 95% CI 0.44–0.80; P < 0.05), post‐operative mortality, length of stay and hospitalization costs.ConclusionFor patients with hepatocellular carcinoma who meet the Milan criteria, RFA exhibited similar clinical efficacy to SR.
Dyeing recipe prediction of cotton fabric based on hyperspectral colour measurement and an improved recurrent neural network
Authors: Zhang Jianxin , Zhang Xinen , Wu Junkai , Xiao Chunhua 
Published: January 2021

AbstractPrecise dyeing recipe prediction is important in the final colour reproduction of textile dyeing and printing products. Currently, the widely used dyeing recipe prediction methods based on colour tri‐stimulus cannot effectively avoid the metamerism phenomenon. An intelligent dyeing recipe prediction model for cotton fabric dyeing is proposed in this paper based on hyperspectral colour measurement and a deep learning algorithm. The hyperspectral colour measurement can obtain three‐dimensional spectral information (X, Y and λ) of fabric samples, and can acquire accurate colour values even with uneven samples if the regional correlation algorithm is used. A deep learning algorithm based on an improved recurrent neural network was then employed to establish the model between spectral reflectance and the dyeing recipe. In total, 343 evenly dyed and 20 unevenly dyed fabric samples were dyed using the dyestuffs of Reactive Red CI 238, Reactive Blue CI 204 and Reactive Yellow CI 206, upon which the recipe prediction model was based, established and evaluated. The experimental results show that the proposed model based on hyperspectral colour measurement and our algorithm can provide higher prediction accuracy for Reactive Red CI 238, Reactive Blue CI 204 and Reactive Yellow CI 206. The relative prediction errors are 3.40%, 2.70% and 3.10%, respectively, for these three types of dyeing recipe, while the relative prediction errors are 19.60%, 22.60% and 11.83%, respectively, using the Datacolor 650 recipe prediction model.
An unusual neonatal case of reverse flow in the aortic arch and persistent pulmonary hypertension
Authors: Pinello Giuseppa , Geraci Leandra , Rinaudo Grazia , Rosella Vincenzo 
Published: January 2021

AbstractThe reverse flow in the aortic arch in newborn is a rare finding due to congenital heart disease with blood “stealing” from the descending aorta or severe left ventricular outflow tract obstruction and to extracardiac abnormalities as systemic arteriovenous malformation. We describe a female newborn with unexpected reverse flow in the aortic arch due to severe persistent pulmonary hypertension (PPH). The presence of reverse flow in the aortic arch in PPH, secondary to compromised LV output, was rarely reported and investigated but can be a helpful sign of worse clinical course and poor prognosis.
Wheat noodles enriched with A‐type and/or B‐type wheat starch: physical, thermal and textural properties of dough sheet and noodle samples from different noodle‐making process
Authors: Hong Jing , An Di , Wang Mansheng , Liu Chong , Buckow Roman , Li Limin , Zheng Xueling , Bian Ke 
Published: January 2021

SummaryThis study explored the effects of adding A‐type starch (AS), B‐type wheat starch (BS) on the physicochemical or edible quality of dough sheet and noodle samples at different stages of the noodle‐making process, which included 1‐mixing, 2‐kneading, 3‐resting, 4‐sheeting and cutting and 5‐drying. The swelling power and pasting viscosities of samples in noodle‐making process were decreased compared with mixed flour, indicating gluten network during noodle‐making inhibits these properties of starch. Adding 20% BS enhanced the formation and aggregation of gluten network during kneading and drying compared by adding AS. The drying process increased cooking yield and cooking loss and decreased hardness and springiness, and the effect was weakened when adding BS. The correlation results show the increased solubility and decreased setback during drying are the main reason for the changes of cooking and texture quality of noodles. The increase of swelling power resulted in the increased cooking yield.
The Effect on Foreign Direct Investment of Membership in the European Union
Authors: Bruno Randolph Luca , Campos Nauro Ferreira , Estrin Saul 
Published: January 2021

AbstractThis article explores the impact of EU membership on foreign direct investment (FDI). It analyses empirically how the effects of such deep integration differ from other forms and investigates what drives these effects. Using a structural gravity framework on annual bilateral FDI data for almost every country in the world from 1985 to 2018, we find EU membership leads to about 60 per cent higher FDI investment into the host economy from outside the EU, and around 50 per cent higher intra‐EU FDI. Moreover, we find that the effect of EU membership on FDI is larger than from membership of the North American Free Trade Agreement, the European Free Trade Association and the Southern Common Market, and that the single market is the cornerstone of this differential impact.
“Happy, Healthy, and Smart”: Student Responses to the Walking Classroom Education Program Aimed to Enhance Physical Activity
Authors: Erwin Heather , Weight Erianne , Harry Molly 
Published: January 2021

ABSTRACTBACKGROUNDOver 1 in 3 children in US schools is overweight or obese; thus, most teachers believe physical education and activity are necessary K‐12 components. One potential avenue to infuse physical activity (PA) in educational settings is integrating in classrooms based on learning objectives and academic outcomes. In this study, we examined student emotion through the use of the Walking Classroom (WC) learning platform.METHODSStudents from 9 fourth‐ and fifth‐grade classrooms (N = 100) in 1 North Carolina county participated in 10 separate focus groups related to their engagement in an active education program. Discussions centered on how engaging in a short bout of PA during a WC podcast impacted students' overall educational experience. Data analysis included open in vivo manual coding methods resulting in major themes and visual word‐clouds.RESULTSStudents reported feeling happy, healthy, educated, smart, and excited while walking and learning. Afterwards, students discussed feeling strong, relaxed, energized, happy, and alert. On days students were not able to do a walk, they reported feeling mad, bored, sad, sleepy, and tired.CONCLUSIONOffering active learning appears to result in students feeling happier, healthier, and smarter.
A Year of Equity literacy: community actions and invitations
Authors: Wessel‐Powell Christy , Panos Alexandra , Weir Regina 
Published: January 2021

AbstractSchool inequity is a persistent and ‘wicked’ problem communities have a responsibility to solve. Here, we argue that critical literacy advocacy within community‐based settings provides an unprecedented opportunity to examine and disrupt school inequity and promote sustainable actions towards justice‐based solutions. This article connects critical literacy and equity literacy theoretical frameworks to describe a series of invitations and actions that focused on addressing school inequity in one town. Here, authors offer lessons learned from a community‐led school equity literacy campaign where researchers and participants collectively organised and reflected on a public event series entitled ‘Year of Equity’ (YoE). Three keyYoEprocesses are described: facilitating book clubs, facilitating a community conversation event and forming action committees. These processes relied on critical equity literacies through the promotion of new relationships and shared experiences centring on engagement with a variety of texts, through a focus on incremental change over time.
Shared decision‐making for infant feeding and care during the coronavirus disease 2019 pandemic
Authors: Haiek Laura N. , LeDrew Michelle , Charette Christiane , Bartick Melissa 
Published: January 2021

AbstractDespite decades of research establishing the importance of breastfeeding, skin‐to‐skin contact and mother–infant closeness, the response to the coronavirus disease 2019 (COVID‐19) pandemic has underscored the hidden assumption that these practices can be dispensed with no consequences to mother or child. This article aims to support shared decision‐making process for infant feeding and care with parents and health care providers during the unprecedented times of the pandemic. It proposes a structure and rationale to guide the process that includes (1) discussing with parents evidence‐based information and the different options to feed and care for an infant and young child in the context of the pandemic as well as their potential benefits, risks and scientific uncertainties; (2) helping parents to recognize the sensitive nature of the decisions and to clarify the value they place on the different options to feed and care for their infant or young child; and (3) providing guidance and support needed to make and implement their decisions. A shared decision‐making process will help parents navigate complex feeding and care decisions for their child as we face the different stages of the COVID‐19 pandemic.
An ‘incredible community’ or ‘disgusting’ and ‘weird’? Representations of breastmilk sharing in worldwide news media
Authors: Dowling Sally , Grant Aimee 
Published: January 2021

AbstractBreastmilk sharing via the internet has become more popular in recent years, with a resultant increase in media attention. It is actively discouraged by public health bodies in at least three countries. We undertook a qualitative analysis of worldwide English language news media (online newspaper articles and transcripts of television and radio pieces) focusing on peer‐to‐peer breastmilk sharing during a 24‐month period (2015–2016). One hundred eleven news articles were analysed semiotically for positive (n = 49) and negative (n = 90) depictions of breastmilk sharing and the actors involved. Three countries published the majority of the articles: United States (n = 42), United Kingdom (n = 24) and Australia (n = 20). Topics associated with using shared breastmilk included perceived insufficiency, having surgery or taking medication, or the prematurity of the baby. Reports of women who gave and received breastmilk were largely positive although sometimes confused with women who sell breastmilk, who were demonised. The breastmilk itself, however, was considered as potentially contaminated and possibly dangerous; calls for action (n = 33) focused on increasing regulation and safety. Peer‐to‐peer milk sharing and the commercial availability of human milk are activities that occur within social and cultural contexts, and, as such, the ways in which they are represented in the news media reflect the ways in which they are also represented more widely in society. Increased understanding of normal infant feeding practices is needed, alongside guidance on how to better support breastfeeding. News media outlets can facilitate this through reporting risk in line with evidence. Further research should be undertaken to understand the safety of breastmilk sharing and the experience of those who participate.
Behavioral weight management interventions in metabolic and bariatric surgery: A systematic review and meta‐analysis investigating optimal delivery timing
Authors: Julien Cassandre A. , Lavoie Kim L. , Ribeiro Paula A.B. , Dragomir Anda I. , Mercier Li Anne , Garneau Pierre Y. , Pescarus Radu , Bacon Simon L. 
Published: January 2021

SummaryMetabolic and bariatric surgery (MBS) yields unprecedented clinical outcomes, though variability is high in weight change and health benefits. Behavioral weight management (BWM) interventions may optimize MBS outcomes. However, there is a lack of an evidence base to inform their use in practice, particularly regarding optimal delivery timing. This paper evaluated the efficacy of BWM conducted pre‐ versus post‐ versus pre‐ and post‐MBS. The review followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses statement and included pre‐ and/or post‐operative BWM interventions in adults reporting anthropometric and/or body composition data. Thirty‐six studies (2,919 participants) were included. Post‐operative BWM yielded greater decreases in weight (standardized mean difference [SMD] = −0.41; 95% confidence interval [CI]: −0.766 to −0.049, p < 0.05; I2 = 93.5%) and body mass index (SMD = −0.60; 95% CI: −0.913 to −0.289, p < 0.001; I2 = 87.8%) relative to comparators. There was no effect of BWM delivered pre‐ or joint pre‐ and post‐operatively. The risk of selection and performance bias was generally high. Delivering BWM after MBS appears to confer the most benefits on weight, though there was high variability in study characteristics and risk of bias across trials. This provides insight into the type of support that should be considered post‐operatively.
Silencing integrin α6 enhances the pluripotency–differentiation transition in human dental pulp stem cells
Authors: Zhang Weiwei , Shen Jingling , Zhang Shuang , Liu Xu , Pan Shuang , Li Yanping , Zhang Lin , He Lina , Niu Yumei 
Published: January 2021

AbstractObjectivesAlthough integrins have been shown to be associated with proliferation and differentiation in some stem cells, the regulatory effect of integrin α6 (ITGα6) on the human dental pulp stem cells (hDPSCs) has not been reported. Here, we detected the roles of ITGα6 in hDPSCs.Materials and methodsAttached to Cytodex 3 microcarriers, hDPSCs grown under stimulated microgravity (SMG) or conventional culture conditions were measured the proliferation and different gene expression. Further, ITGα6 was silenced in hDPSCs, and its effect on proliferation, differentiation, and cytoskeletal organization was analyzed.ResultsSMG conditions increased the number of Ki67‐positive hDPSCs and progression into S phase of cell cycle. WB analysis showed the expression of ITGα6 was upregulated in hDPSCs under SMG conditions. Knockdown of ITGα6 decreased the expression of stemness markers, CD105 and STRO‐1 in hDPSCs, but promoted the osteogenic and odontogenic differentiation by increased ALP expression and Alizarin Red nodules. Moreover, RNA‐seq demonstrated that RHO/ROCK signaling pathway upregulated silencing ITGα6‐hDPSCs. Treatment with Y‐27632 inhibited the effect of ITGα6 depletion on hDPSCs stemness, rearranged the cytoskeleton, promoted the pluripotency, proliferation ability, and inhibited the differentiation.ConclusionITGα6 promotes hDPSCs stemness via inhibiting RHO/ROCK and restoring cytoskeleton.