bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implementation of nursing process in Ethiopia and its association with working environment and knowledge: a systematic review and meta-analysis
Authors: Shibabaw Wondimeneh , Asmare Yared , Yirga Tadesse , Dargie Abate 
Published: October 2019

AbstractBackgroundNursing Process is a scientific problem solving approach to direct nurses in caring for clients effectively and to improve quality of health care service. In Ethiopia, the national pooled prevalence of implementation of nursing process remains unknown. Hence, the objective of this systematic review and meta-analysis was to estimate the level of implementation of nursing process and it association with knowledge and working environment.MethodsPubMed, Scopus, Cochrane Library, Google Scholar, PsycINFO and CINAHL were systematically searched online to retrieve related articles. The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guideline was followed. To investigate heterogeneity across the included studies, I2test was employed. Publication bias was examined using funnel plot and Egger’s regression test statistic. The random-effect model was fitted to estimate the summary effects, and odds ratios (ORs). All statistical analysis was done using STATA version 14 software for windows.ResultsSeven studies which comprises of 1,268 participants were included in this meta-analysis. The estimated pooled prevalence of implementation of nursing process in Ethiopia was 42.44% (95% CI (36.91, 47.97%)). Based on the subgroup analysis, the highest implementation of nursing process was observed sample size greater than or equals to two hundred, 44.69% (95% CI: 35.34, 54.04). Nurses who have been work in the stressful environment [(OR 0.41, 95%CI (0.08, 2.12)] and having good knowledge about nursing process [(OR 2.44, 95%CI (0.34,17.34)] was not significant associated with the implementation of nursing process.ConclusionThe overall implementation of nursing process in Ethiopia is relatively low. Nurses who have been work in the stressful environment have less likely implement nursing process. On the other hand, Nurses who had good knowledge on nursing process were more likely to implement nursing process. Therefore, policymakers (FMOH) and other concerned body need give special attention to improve the implementation of nursing process.
Clinical Impact of Metagenomic Next-Generation Sequencing of Plasma Cell-Free DNA for the Diagnosis of Infectious Diseases: A Multicenter Retrospective Cohort Study
Authors: Hogan Catherine A. , Yang Shangxin , Garner Omai B. , Green Daniel A. , Gomez Carlos A. , Bard Jennifer Dien , Pinsky Benjamin A. , Banaei Niaz 
Published: October 2019

AbstractBackgroundMetagenomic next-generation sequencing (mNGS) of plasma cell-free DNA has emerged as an attractive diagnostic modality allowing broad-range pathogen detection, noninvasive sampling, and earlier diagnosis. However, little is known about its real-world clinical impact as used in routine practice.MethodsWe performed a retrospective cohort study of all patients for whom plasma mNGS (Karius test) was performed for all indications at 5 U.S. institutions over 1.5 years. Comprehensive chart review was performed, and standardized assessment of clinical impact of the mNGS based on the treating team’s interpretation of Karius results and patient management was established.ResultsA total of 82 Karius tests were evaluated, from 39 (47.6%) adults and 43 (52.4%) children and a total of 53 (64.6%) immunocompromised patients. Karius positivity rate was 50/82 (61.0%), with 24 (48.0%) showing two or more organisms (range, 2-8). The Karius test results led to positive impact in 6 (7.3%), negative impact in 3 (3.7%), no impact in 70 (85.4%), and was indeterminate in 3 (3.7%). Cases with positive Karius result and clinical impact involved bacteria and/or fungi but not DNA viruses or parasites. In 10 patients who underwent 16 additional repeated tests, only one was associated with clinical impact.ConclusionsThe real-world impact of the Karius test as currently used in routine clinical practice is limited. Further studies are needed to identify high-yield patient populations, define the complementary role of mNGS to conventional microbiological methods, and how best to integrate mNGS into current testing algorithms.SummaryIn a multicenter retrospective cohort study, we show that the real-world clinical impact of plasma metagenomic next-generation sequencing (mNGS) for the noninvasive diagnosis of infections is limited (positive impact 7.3%). Further studies are needed to optimize the impact of mNGS.
Stable neutralization of virulent bacteria using temperate phage in the mammalian gut
Authors: Hsu Bryan B. , Way Jeffrey C. , Silver Pamela A. 
Published: October 2019

ABSTRACTElimination or alteration of select members of the gut microbiota is key to therapeutic efficacy. However, the complexity of these microbial inhabitants makes it challenging to precisely target bacteria without unexpected cascading effects. Here, we use bacteriophage to deliver exogenous genes to specific bacteria by genomic integration of temperate phage for long-lasting modification. As a real-world therapeutic test, we engineered λ phage to transcriptionally-repress shigatoxin by using genetic hybrids between λ and other lambdoid phages to overcome resistance encoded by the virulent prophage derived from enterohemorrhagicE. coli. We show that a single dose of engineered phage propagates throughout the bacterial community and reduces shigatoxin production in an enteric mouse model of infection without markedly affecting bacterial concentrations. We thus minimize the selection for resistance by relying on anti-virulence and not anti-bacterial action. Our work reveals a new framework for transferring functions to bacteria within their native environment.
A global indicator of the capacity of terrestrial ecosystems to retain biological diversity under climate change: the Bioclimatic Ecosystem Resilience Index
Authors: Ferrier Simon , Harwood Thomas D , Ware Chris , Hoskins Andrew J 
Published: October 2019

AbstractAn important element of the Convention on Biological Diversity’s Aichi Target 15 – i.e. to enhance “ecosystem resilience … through conservation and restoration” – remains largely unaddressed by existing indicators. We here develop an indicator addressing just one of many possible dimensions of ecosystem resilience, by focusing on the capacity of ecosystems to retain biological diversity in the face of ongoing, and uncertain, climate change. The Bioclimatic Ecosystem Resilience Index (BERI) assesses the extent to which a given spatial configuration of natural habitat will promote or hinder climate-induced shifts in biological distributions. The approach uses existing global modelling of spatial turnover in species composition within three broad biological groups (plants, invertebrates and vertebrates) to scale projected changes in composition under a plausible range of climate scenarios. These projections serve as filters through which to analyse the configuration of habitat observed at a given point in time (e.g. for a particular year) – represented as a grid in which cells are scored in terms of habitat condition. BERI is then calculated, for each cell in this grid, as a function of the connectedness of that cell to areas of natural habitat in the surrounding landscape which are projected to support a similar composition of species under climate change to that currently associated with the focal cell. All analyses are performed at 30-arcsecond grid resolution (approximately 1km cells at the equator). Results can then be aggregated to report on status and trends for any desired set of reporting units – e.g. ecoregions, countries, or ecosystem types. We present example outputs for the Moist Tropical Forest Biome, based on a habitat-condition time series derived from the Global Forest Change dataset. We also describe how BERI is now being extended to cover all biomes (forest and non-forest) across the entire terrestrial surface of the planet.
Testicular toxicity following chronic codeine administration is via oxidative DNA damage and up-regulation of NO and caspase 3
Authors: Akhigbe RE , Ajayi A.F 
Published: October 2019

AbstractBackgroundCodeine, a 3-methylmorphine, and other related opioids have been implicated in androgen suppression, although the associated mechanisms remain unclear.AimTherefore, the objective of the current study was to elucidate the in vivo molecular mechanisms underlying codeine-induced androgen suppression.MethodsThis study made use of Twenty-one healthy male rabbits, distributed into three groups randomly, control and codeine-treated groups. The control had 1ml of normal saline dailyp.o. The codeine-treated groups received either 4mg/kg b.w of codeine or 10mg/kg b.w of codeinep.o. for six weeks. Reproductive hormonal profile, testicular weight, enzymes, oxidative and inflammatory parameters, histological examination and apoptosis marker were evaluated to examine the effects of codeine use.Key findingsOral administration of codeine resulted in testicular atrophy and alterations in testicular histomorphology, elevated testicular enzymes, and suppression of circulatory and intra-testicular testosterone. These changes were associated with a marked rise in oxidative markers, including oxidative DNA damage, inflammatory response, and caspase-dependent apoptosis.SignificanceIn conclusion, chronic codeine use resulted in testicular degeneration and testosterone suppression, which may be attributable to nitric oxide-/oxidativestress-mediated caspase-dependent apoptotic testicular cell death.
Tertiary education and innovation in the Greater Bay Area
Authors: Chow Man-Kong , Hua Jingbo , Hung Wing-Lok 
Published: October 2019

Purpose
The purpose of this paper is to discuss the necessity of tertiary education in promoting innovations of the Guangdong-Hong Kong-Macau Greater Bay Area by using cases from other well-developed bay areas.

Design/methodology/approach
The paper used cases from bay areas of the USA and Japan to discover approaches that have been used to strengthen collaborations between tertiary education and industries by innovations.

Findings
This paper found that bay areas in the USA and Japan have adopted or developed various approaches to enhancing collaborations between tertiary education and industries. In the San Francisco Bay Area, the well-established knowledge transfer offices in universities help scholars to discover the commercial value of academic findings and help business in reverse. In New York Bay Area, big corporations built research institutes for universities with considerable findings. In Tokyo Bay Area, corporations and universities have developed various internship programs for different levels of students and also provide funds for universities to conduct research works.

Originality/value
This paper analysed approaches that using by other well-developed bay areas through real cases, and suggested that the Guangdong-Hong Kong-Macau Greater Bay Area should adopt these experiences in order to strengthen collaborations between tertiary education and industries to promote innovations.
Performing the performance assessment
Authors: Schmier Stephanie Anne 
Published: October 2019

PurposeIn this paper, the author extends the current research on standardized performance assessments in preservice education by moving with novice teachers from their student teaching experiences into their first years as fully certified classroom teachers. Here, the author draws on scholarship that conceptualizes literacies as performative (Alexander, 2005; Youdell, 2010) to examine how engaging in a standardized performance assessment process shaped the teaching identities that participants carried into their first years of teaching in the field.Design/methodology/approachThrough a qualitative case study, the author investigates the experiences of a group of six novice elementary educators in their first years in the classroom after completing the standardized performance assessment Educative Performance Assessment as a major component of their certification program. Data, which included focus group and individual interviews and artifacts (instructional handouts, teaching videos, lesson plans, written reflective commentaries), were analyzed through a performance lens.FindingsFindings highlight how engaging with a standardized performance assessment shaped the meanings that participants made of their teaching practices, including lesson planning and implementation for and with students from diverse linguistic and cultural backgrounds.Originality/valueThis paper offers insights that can support teacher educators working toward preparing teachers for work with diverse students in public school classrooms that might produce more equitable policies, practices and transformative reforms, particularly for historically marginalized groups.
“United in diversity” public sector financial, statistical and budgetary reporting in the European Union
Authors: Tiron-Tudor Adriana , Nistor Cristina Silvia , Stefanescu Cristina Alexandrina 
Published: October 2019

Purpose
The purpose of this paper is to approach, both theoretically and empirically, public sector reporting at European Union (EU) level. It contributes to the accounting harmonisation literature by revealing the actual status of governmental reporting at the national level.

Design/methodology/approach
The paper carried out an exploratory data analysis of the harmonisation of statistical, budgetary and financial reporting at the EU level. A mapping visualisation offers a comprehensive overview of the current state of connections between these reporting systems.

Findings
The results reveal the complexity of governments’ reporting systems homogeneity, although all stakeholders recognise the struggle for the principles of performance and transparency in the public sector. Thus, these are following the EU Commission’s study, which concludes that there is significant heterogeneity in the accounting and reporting practices applied transversely throughout all Member States.

Research limitations/implications
The relevance of the study is comprehensive, from the economic environment to the practitioners, from the international regulatory bodies to the national ones, all can assess and quantify the significance of the past, present and future changes, considering their needs. The limitations of the research regard the documentation background because uniformly accessing some information presented by the EU Member States is relatively tricky. Future research might focus on the effects of these changes as they occur.

Originality/value
The study contributes to the scientific literature in the public sector through a comprehensive, well-supported and statistically grounded analysis performed at EU level, able to provide reliable results and to support valuable future recommendations towards harmonised reporting. Moreover, it supports and encourages all national and international efforts for improving the comparability of financial, budgetary and aggregated statistical reports.
Effectiveness of education program on hospital waste management
Authors: Abdo Naglaa M. , Hamza Wafaa S. , Al-Fadhli Mariam A. 
Published: October 2019

Purpose
The purpose of this paper is to assess the effectiveness of Kuwait Infection Control Directorate educational program in improving knowledge, attitude and practices (KAP) of environmental service workers (ESWs) regarding the management of infectious and sharps waste.

Design/methodology/approach
An interventional educational pre-test/post-test study was conducted over seven months, on a sample of 102 ESWs in Farwaniya General Government Hospital, Kuwait. Educational sessions and practical training using the KAP approach were applied during the intervention phase. The KAP of the participants were assessed using a questionnaire and observation checklist in the pre- and post-intervention phases.

Findings
Improvement in all aspects of the KAP regarding infectious and sharps waste management was observed among the participants after implementation of the intervention, with a statistically significant difference between pre- and post-test results (p<0.01).

Originality/value
The applied multi-component educational program in the current study can be successfully implemented for ESWs in all government hospitals in Kuwait and other countries with similar settings.
Exploring the antecedents of social network service fatigue: a socio-technical perspective
Authors: Xiao Lin , Mou Jian , Huang Lihua 
Published: October 2019

Purpose
Despite the various benefits of social networking services (SNSs), users have begun to experience fatigue in recent years, as evidenced by a decline in active user numbers. This relatively new phenomenon has only recently received significant managerial and academic attention. The antecedents of SNS fatigue are still unclear in the literature. The purpose of this paper is to identify the key factors causing SNS fatigue, based on a socio-technical approach.

Design/methodology/approach
The authors empirically tested this research model with 424 SNS users via an online survey. Structural equation modeling with partial least squares was used to analyze the data.

Findings
The results showed that the social factors of social comparison, social interaction overload, social surveillance and social information overload, and the technical factor of system complexity are significantly related to SNS fatigue.

Practical implications
This research benefits SNS providers by allowing them to better understand how to effectively design social networking platforms to retain and attract more users. It also benefits users by providing guidance on how to actively manage their own behavior to avoid potential negative outcomes induced by SNS usage.

Originality/value
This study focuses on the “dark side” of SNS from the perspective of fatigue, extending existing research on technostress. It also extends the applicability of the socio-technical approach to the phenomenon of SNS fatigue. Moreover, it enriches SNS fatigue research by addressing the importance of both social and technical factors in causing SNS fatigue.
Consumers honoring veterans and businesses that support them
Authors: Edmondson Diane , Graeff Tim , Matthews Lucy , Roy Don , Srivastava Raj , Ward Cheryl 
Published: October 2019

Purpose
This study aims to examine consumers’ patriotism, attitudes toward veterans and attitudes and behaviors toward businesses that honor veterans. The goal is to determine if consumers are more or less likely to support businesses that offer veterans preferential treatment.

Design/methodology/approach
The conceptual model proposed is tested using an online survey with a nationwide sample. Data are analyzed using partial least squares structural equations modeling.

Findings
Results indicate that consumer attitudes toward businesses that honor veterans fully mediate the impact of consumer attitudes toward veterans on behavioral intentions. This suggests that veterans’ discounts or preferential treatments are viewed as a viable means by which consumers can show their support for veterans. Further, results reveal that patriotism has a direct effect on consumers’ behavioral intentions toward businesses that honor veterans.

Practical implications
Businesses routinely offer discounts targeted to specific consumers, such as the elderly and children. These results show that providing discounts to veterans can offer multiple benefits to businesses as well. Positive attitudes toward businesses that honor veterans can lead to positive behavioral intentions from consumers who seek to support veterans.

Originality/value
Despite the existence of businesses honoring veterans by providing discounts or preferential treatment, to the best of the authors’ knowledge, little to no research has investigated the impact that these discounts provide to businesses.
Influential factors of Islamic insurance adoption: an extension of theory of planned behavior
Authors: Raza Syed Ali , Ahmed Rehan , Ali Muhammad , Qureshi Muhammad Asif 
Published: October 2019

Purpose
The role of insurance is a backbone for consumers to secure their future. It is important to know where to invest and what are the benefits. Therefore, for the Muslim segment, Islamic insurance system provides Riba (interest)-free environment where consumers invest their money and recover their losses according to sharia. This paper aims to examine the determinants that influence purchase intention of consumers toward Islamic insurance (Takaful) adoption in Pakistan with the help of the modified theory of planned behavior (TPB).

Design/methodology/approach
The authors added four specific variables related to Islamic sharia compliance in the conventional form of the TPB. The relationship among the variables is assessed by using partial least squares structural equation modeling, while the data are collected from 305 respondents.

Findings
The results suggest that attitude, subjective norm and perceived behavioral control are strong predictors of an Islamic insurance adoption in Pakistan. Moreover, factors such as compatibility, relative advantage and awareness have positive and significant impacts on takaful participation. A negative but insignificant relation is found between perceived risk and intention.

Practical implications
This paper provides insight for understanding the factors that lead to consumers' purchase intention of Islamic insurance.

Originality/value
This paper makes a unique contribution to the literature with reference to Pakistan, being a pioneering attempt to investigate the factors of Islamic insurance adoption by modifying the TPB and applying more rigorous statistical techniques like confirmatory factor analysis (CFA) and partial least square structural equation modeling.
Decisions to consent for autopsy after stillbirth: Aboriginal and Torres Strait Islander women's experiences
Authors: Kilcullen Meegan , Kandasamy Yogavijayan , Watson David , Cadet‐James Yvonne 
Published: October 2019

BackgroundThe stillbirth rate for Australian Aboriginal and Torres Strait Islander infants is twice that for non‐Indigenous infants. Autopsy is the gold standard for fetal investigation; however, parental consent is often not given. There is little research investigating the drivers of parents’ decision‐making for autopsy after stillbirth.AimsThe current study explored the reasons why Aboriginal and Torres Strait Islander women did or did not give permission to autopsy after stillbirth.Materials and MethodsFive Aboriginal and/or Torres Strait Islander women participated in semi‐structured interviews. Thematic analysis was conducted within a phenomenological framework.ResultsFive themes were identified as reasons for giving permission – to find out why the baby died; to confirm diagnosis; to understand future risk; to help others; and doubt about maternal causes. Four themes were identified as reasons for declining permission – not asked in a sensitive manner; not enough time to think; distress about the autopsy procedure; and unwilling to agree. There was a lack of acceptability of the lengthy timeframe for the availability of autopsy results as families usually wait between three and nine months. This lengthy waiting period negatively impacted upon families’ health and wellbeing.ConclusionsIt is important for health professionals to understand the factors that parents consider when giving permission for autopsy after stillbirth. It is hoped that an increase in autopsy rate will enhance the understanding of the causes of stillbirth and ultimately decrease the stillbirth rate for Aboriginal and Torres Strait Islander families.
Letter: probiotics? Yes, but which ones? Authors’ reply
Authors: Jayakumar Saumya , Loomba Rohit 
Published: October 2019

LINKED CONTENTThis article is linked to Jayakumar et al and De Simone papers. To view these articles, visit https://doi.org/10.1111/apt.15314 and https://doi.org/10.1111/apt.15430.