bluuebunny/crossref_metadata_2025_split huggingface dataset:
Women in rural South Africa: a post-wage existence and the role of the state
Authors: Williams Michelle 
Published: May 2018

Purpose
The purpose of this paper is to consider women in rural villages of Keiskammahoek in the Eastern Cape province of South Africa. What the author discovered is that some women are carving out a space through a complex, triple relation to the state. The state is distributor of social grants, a midwife of economic activity, and a technocratic system of governance and “service delivery.” The paper asks whether post-wage livelihoods are simply survivalists or have emancipatory potential.

Design/methodology/approach
The paper is based on research conducted in 2013-2015 in the rural villages of Keiskammahoek. The author spent time in the villages informally speaking to women and conducted 39 in-depth interviews.

Findings
The author found that the women are finding ways to engender non-capitalist relations in new and creative ways within their rural communities. The three sources of state activity (and power) – grants, economic projects, and governance – are engaged and used in different ways, but together create an interesting nexus of livelihoods and survival. What is interesting is the survivalist livelihoods – even if not representing an alternative mode of production – are allowing women a degree of independence, dignity, and self-determination.

Originality/value
The research has not been published and this argument has not been made before. The manuscript is a new approach to understanding post-wage livelihoods.
An essay on life, care and death in the Brave New World after 1984
Authors: Klinger Cornelia 
Published: May 2018

Purpose
In order to explore the impact of the recent wave of a technological revolution on global culture and society, the purpose of this paper is to re-read the two most outstanding dystopian novels of the mid-twentieth century. George Orwell and Aldous Huxley observe and anticipate technological development in relation to questions of human nature and culture, individual identity and close relationships, matters of care, privacy and private life. The totalitarian regimes both authors experienced in their time have disappeared, yet today the two fields of high technology that fueled their fantasy are reaching levels of development to surpass Orwell’s and Huxley’s daunting visions.

Design/methodology/approach
This paper approaches the recent innovations in the information and communication technology as well as the upsurge of life sciences and bio-technology from a philosophical perspective, considering their impact on the social structure (division of labor, distribution of wealth) as well as on the symbolic order of advanced industrial societies (the sign and the body, life and death).

Findings
Taking up Michel Foucault’s distinction between ancient sovereign rule and modern biopolitics, the author suggests discerning a third stage of domination: bio economics plus culture industries. In contrast to the two previous forms of domination, this new regime does not endeavor to suppress but to foster and unleash life. Therefore, it instigates less resistance and opposition but meets with more approval and compliance. Domination in this neoliberal-libertarian guise may prove not less dangerous than the former totalitarian variant. It forces the author to re-think ways of resistance and critique.

Originality/value
This paper makes a theoretical contribution to the analysis of care, society and democracy.
Attitudes toward mammography: questionnaire psychometric properties
Authors: Pahlevan Sharif Saeed , Abaeian Vahideh , Khanekharab Jasmine 
Published: May 2018

Purpose
The purpose of this paper is to evaluate the Persian version of the Attitude toward Breast Cancer Screening Procedures Scale (ABCSPS) among Iranian women.

Design/methodology/approach
In this methodological study, 1,000 Iranian women completed a demographic questionnaire and the 14-item Persian ABCSPS. The scale’s construct validity was evaluated using exploratory and confirmatory factor analysis. Internal consistency and reliability were assessed using Cronbach’s α and McDonald’s coefficient ω.

Findings
The exploratory factor analysis revealed a two-factor solution accounting for 55.1 percent of the variance. The two-factor measurement model had a good fit with all factor loadings greater than 0.5, which were statistically significant. The results showed good reliability and internally consistency (α=0.767 and 0.872; ω =0.979 and 0.997). Moreover, model structure was invariant across different income groups.

Originality/value
The Persian ABCSPS translation demonstrated good validity and reliability among Iranian women. The results also showed that the scale had a multidimensional structure. Regarding proper psychometric properties, the validated scale can be used in future studies as a reliable and relevant breast cancer screening attitude measure.
Modifying pre-operative antibiotic overuse in gynecologic surgery
Authors: Shapiro Robert , Laignel Rose , Kowcheck Caitlin , White Valerie , Hashmi Mahreen 
Published: May 2018

Purpose
Previous studies indicate adherence to pre-operative antibiotic prophylaxis guidelines has been inadequate. The purpose of this paper is to determine adherence rates to current perioperative antibiotic prophylaxis guidelines in gynecologic surgery at a tertiary care, academic institution. As a secondary outcome, improving guidelines after physician re-education were analyzed.

Design/methodology/approach
A retrospective chart review (2,463 patients) was completed. The authors determined if patients received perioperative antibiotic prophylaxis in accordance with current guidelines from the America College of Obstetricians and Gynecologists. Data were obtained before and after physician tutorials. Quality control was implemented by making guideline failures transparent. Statistical analysis used Fisher’s exact and agreement tests.

Findings
In total, 23 percent of patients received antibiotics not indicated across all procedures. This decreased to 9 percent after physician re-education and outcome transparency (p<0.0001). Laparoscopy was the procedure with the lowest guideline compliance prior to education. The compliance improved from 52 to 92 percent (p<0.0001) after re-education.

Practical implications
Gynecologic surgeons overuse antibiotics for surgical prophylaxis. Physician re-education and transparency were shown to enhance compliance.

Originality/value
Educational tutorials are an effective strategy for encouraging physicians to improve outcomes, which, in turn, allows the healthcare system a non-punitive way to monitor quality and mitigate cost.
Hospital accreditation: staff experiences and perceptions
Authors: Bogh Søren Bie , Blom Ane , Raben Ditte Caroline , Braithwaite Jeffrey , Thude Bettina , Hollnagel Erik , Plessen Christian von 
Published: May 2018

Purpose
The purpose of this paper is to understand how staff at various levels perceive and understand hospital accreditation generally and in relation to quality improvement (QI) specifically.

Design/methodology/approach
In a newly accredited Danish hospital, the authors conducted semi-structured interviews to capture broad ranging experiences. Medical doctors, nurses, a quality coordinator and a quality department employee participated. Interviews were audio recorded and subjected to framework analysis.

Findings
Staff reported that The Danish Healthcare Quality Programme affected management priorities: office time and working on documentation, which reduced time with patients and on improvement activities. Organisational structures were improved during preparation for accreditation. Staff perceived that the hospital was better prepared for new QI initiatives after accreditation; staff found disease specific requirements unnecessary. Other areas benefited from accreditation. Interviewees expected that organisational changes, owing to accreditation, would be sustained and that the QI focus would continue.

Practical implications
Accreditation is a critical and complete hospital review, including areas that often are neglected. Accreditation dominates hospital agendas during preparation and surveyor visits, potentially reducing patient care and other QI initiatives. Improvements are less likely to occur in areas that other QI initiatives addressed. Yet, accreditation creates organisational foundations for future QI initiatives.

Originality/value
The authors study contributes new insights into how hospital staff at different organisational levels perceive and understand accreditation.
Portuguese university hospital patient satisfaction and service quality
Authors: Silva Alexandre Gomes G. , Ferreira Pedro Lopes , Daniel Fernanda Bento 
Published: May 2018

PurposeThe purpose of this paper is to investigate Portuguese hospital inpatient satisfaction.Design/methodology/approachThe study was conducted at a major university hospital in Portugal. Using the IAQH-IA mailed questionnaire, data were collected over three months (March to June 2015) from patients and families. From 1,500 former inpatients, 434 participated (29 percent response rate). Using the structural equation modeling, the authors derived satisfaction models and analyzed the relationship between quality, satisfaction and patient attitudes. Inferential statistics (bivariate analysis) were used to deal with global satisfaction determinants.FindingsThe satisfaction model was confirmed using factor analysis. Results show that developing a system for delivering timely information to both patient and relatives is relevant. Communication is a fundamental aspect for patients, which to date, seems to have been neglected by hospital managers. Education and current perceived health are important global satisfaction determinants.Practical implicationsHospital managers can use the authors’ findings to measure and improve operational performance.Originality/valueKnowledge about patient perception and satisfaction leads to continuing improvement in healthcare quality.
Evidence-based management – healthcare manager viewpoints
Authors: Janati Ali , Hasanpoor Edris , Hajebrahimi Sakineh , Sadeghi-Bazargani Homayoun 
Published: May 2018

Purpose
Hospital manager decisions can have a significant impact on service effectiveness and hospital success, so using an evidence-based approach can improve hospital management. The purpose of this paper is to identify evidence-based management (EBMgt) components and challenges. Consequently, the authors provide an improving evidence-based decision-making framework.

Design/methodology/approach
A total of 45 semi-structured interviews were conducted in 2016. The authors also established three focus group discussions with health service managers. Data analysis followed deductive qualitative analysis guidelines.

Findings
Four basic themes emerged from the interviews, including EBMgt evidence sources (including sub-themes: scientific and research evidence, facts and information, political-social development plans, managers’ professional expertise and ethical-moral evidence); predictors (sub-themes: stakeholder values and expectations, functional behavior, knowledge, key competencies and skill, evidence sources, evidence levels, uses and benefits and government programs); EBMgt barriers (sub-themes: managers’ personal characteristics, decision-making environment, training and research system and organizational issues); and evidence-based hospital management processes (sub-themes: asking, acquiring, appraising, aggregating, applying and assessing).

Originality/value
Findings suggest that most participants have positive EBMgt attitudes. A full evidence-based hospital manager is a person who uses all evidence sources in a six-step decision-making process. EBMgt frameworks are a good tool to manage healthcare organizations. The authors found factors affecting hospital EBMgt and identified six evidence sources that healthcare managers can use in evidence-based decision-making processes.
Housing, Wealth, Income and Consumption: China and Homeownership Heterogeneity
Authors: Chen Jie , Hardin William , Hu Mingzhi 
Published: May 2018

AbstractImpacts on consumer spending in urban China associated with housing value, housing equity, financial assets and household income are evaluated using longitudinal data from the China Family Panel Studies (CFPS) survey. Findings suggest that the housing wealth effect on household consumption in China is much larger than has been shown for developed economies. The larger impact is prospectively related to structural limits on investing which favor real estate ownership, along with the dominant position of housing in total household wealth. We also find that a household's consumption varies across housing tenure. Homeowners having joint ownership of property on average have the highest consumption propensity, while those having sole ownership of property consume the most in response to appreciation in housing wealth.
Cannabidiol reverses attentional bias to cigarette cues in a human experimental model of tobacco withdrawal
Authors: Hindocha Chandni , Freeman Tom P. , Grabski Meryem , Stroud Jack B. , Crudgington Holly , Davies Alan C. , Das Ravi K. , Lawn William , Morgan Celia J. A. , Curran H. Valerie 
Published: May 2018

AbstractBackground and AimsCannabidiol (CBD), a non‐intoxicating cannabinoid found in cannabis, may be a promising novel smoking cessation treatment due to its anxiolytic properties, minimal side effects and research showing that it may modify drug cue salience. We used an experimental medicine approach with dependent cigarette smokers to investigate if (1) overnight nicotine abstinence, compared with satiety, will produce greater attentional bias (AB), higher pleasantness ratings of cigarette‐related stimuli and increased craving and withdrawal; and (2) CBD in comparison to placebo, would attenuate AB, pleasantness of cigarette‐related stimuli, craving and withdrawal and not produce any side effects.DesignRandomized, double‐blind cross‐over study with a fixed satiated session followed by two overnight abstinent sessions.SettingUK laboratory.ParticipantsThirty non‐treatment‐seeking, dependent cigarette smokers recruited from the community.Intervention and comparator800 mg oral CBD, or matched placebo (PBO) in a counterbalanced orderMeasurementsAB to pictorial tobacco cues was recorded using a visual probe task and an explicit rating task. Withdrawal, craving, side effects, heart rate and blood pressure were assessed repeatedly.FindingsWhen participants received PBO, tobacco abstinence increased AB (P = 0.001, d = 0.789) compared with satiety. However, CBD reversed this effect, such that automatic AB was directed away from cigarette cues (P = 0.007, d = 0.704) and no longer differed from satiety (P = 0.82). Compared with PBO, CBD also reduced explicit pleasantness of cigarette images (P = 0.011; d = 0.514). Craving (Bayes factor = 7.08) and withdrawal (Bayes factor = 6.95) were unaffected by CBD, but greater in abstinence compared with satiety. Systolic blood pressure decreased under CBD during abstinence.ConclusionsA single 800‐mg oral dose of cannabidiol reduced the salience and pleasantness of cigarette cues, compared with placebo, after overnight cigarette abstinence in dependent smokers. Cannabidiol did not influence tobacco craving or withdrawal or any subjectively rated side effects.
Patient‐reported outcome instruments that evaluate adherence behaviours in adults with asthma: a systematic review of measurement properties
Authors: Gagné Myriam , Boulet Louis‐Philippe , Pérez Norma , Moisan Jocelyne 
Published: May 2018

AimThe aim of the present study was to identify systematically the measurement properties of patient‐reported outcome instruments (PROs) that evaluate adherence to inhaled maintenance medication in adults with asthma.MethodsWe conducted a systematic review of six databases. Two reviewers independently included studies on the measurement properties of PROs that evaluated adherence in asthmatic participants aged ≥18 years. Based on the COnsensus‐based Standards for the selection of health Measurement INstruments (COSMIN), the reviewers: (i) extracted data on internal consistency, reliability, measurement error, content validity, structural validity, hypotheses testing, cross‐cultural validity, criterion validity and responsiveness; (ii) assessed the methodological quality of the included studies; (iii) assessed the quality of the measurement properties (positive or negative); and (iv) summarized the level of evidence (limited, moderate or strong).ResultsWe screened 6068 records and included 15 studies (14 PROs). No studies evaluated measurement error or responsiveness. Based on methodological and measurement property quality assessments, we found limited positive evidence of: (i) internal consistency of the Adherence Questionnaire, Refined Medication Adherence Reason (MAR) scale, Medication Adherence Report Scale for Asthma (MARS‐A) and Test of the Adherence to Inhalers (TAI); (ii) reliability of the TAI; and (iii) structural validity of the adherence questionnaire, MAR scale, MARS‐A and TAI. We also found limited negative evidence of: (i) hypotheses testing of the Adherence Questionnaire; (ii) reliability of the MARS‐A; and (iii) criterion validity of the MARS‐A and TAI.ConclusionsOur results highlighted the need to conduct further high‐quality studies to evaluate the reliability, validity and responsiveness of the available PROs.
Multifaceted DNA metabarcoding: Validation of a noninvasive, next‐generation approach to studying bat populations
Authors: Swift Joel F. , Lance Richard F. , Guan Xin , Britzke Eric R. , Lindsay Denise L. , Edwards Christine E. 
Published: May 2018

AbstractAs multiple species of bats are currently experiencing dramatic declines in populations due to white‐nose syndrome (WNS) and other factors, conservation managers have an urgent need for data on the ecology and overall status of populations of once‐common bat species. Standard approaches to obtain data on bat populations often involve capture and handling, requiring extensive expertise and unavoidably resulting in stress to the bats. New methods to rapidly obtain critical data are needed that minimize both the stress on bats and the spread of WNS. Guano provides a noninvasive source of DNA that includes information from the bat, but also dietary items, parasites, and pathogens. DNA metabarcoding is a high‐throughput, DNA‐based identification technique to assess the biodiversity of environmental or fecal samples. We investigated the use of multifaceted DNA metabarcoding (MDM), a technique combining next‐generation DNA sequencing (NGS), DNA barcodes, and bioinformatic analysis, to simultaneously collect data on multiple parameters of interest (bat species composition, individual genotype, sex ratios, diet, parasites, and presence of WNS) from fecal samples using a single NGS run. We tested the accuracy of each MDM assay using samples in which these parameters were previously determined using conventional approaches. We found that assays for bat species identification, insect diet, parasite diversity, and genotype were both sensitive and accurate, the assay to detect WNS was highly sensitive but requires careful sample processing steps to ensure the reliability of results, while assays for nectivorous diet and sex showed lower sensitivity. MDM was able to quantify multiple data classes from fecal samples simultaneously, and results were consistent whether we included assays for a single data class or multiple data classes. Overall, MDM is a useful approach that employs noninvasive sampling and a customizable suite of assays to gain important and largely accurate information on bat ecology and population dynamics.
Fabrication of translucent AlN ceramics with MgF2 additive by spark plasma sintering
Authors: Son Hyoung‐Won , Kim Byung‐Nam , Suzuki Tohru S. , Suzuki Yoshikazu 
Published: May 2018

AbstractTranslucent AlN ceramics with 0‐2 wt.% MgF2 additive were prepared by spark plasma sintering. AlN powder was heated temporarily up to 2000°C, before holding at 1850°C for 20 minutes in N2 gas. The sintered ceramics consisted of a single phase of hexagonal AlN, and showed a transgranular fracture mode. The total transmittance was improved remarkably by the additive, to reach 74% at a wavelength of 800 nm for 1 wt.% MgF2. For 2 wt.% MgF2, the transmittance was slightly lower than that for 1 wt.% MgF2, and an absorption band was observed apparently at around 400 nm. The addition of MgF2 along with the temporary heating at higher temperatures than the sintering temperature contributed to improve the transmittance remarkably.
Parenting and Family Relationships in Chinese Families: A Critical Ecological Approach
Authors: Chuang Susan S. , Glozman Jenny , Green David S. , Rasmi Sarah 
Published: May 2018

AbstractScholars have recently been paying greater attention to cultural and cross‐cultural research. However, studies have primarily been on between‐group comparisons, using White North American samples as a baseline. This approach results in misleading conclusions that overemphasize intergroup and underemphasize intragroup differences. We focus on Chinese families because they account for one‐fifth of the world's population, yet the understanding of Chinese families is limited. Our broad objective is a call to action, emphasizing the importance of moving beyond global and superficial assessments of Chinese parenting. On the basis of Bronfenbrenner's bioecological model, we critically explore the intra‐ and intergroup intricacies of Chinese parenting to illustrate how the study of culture and Chinese parenting has developed over the years. We provide in‐depth context for the various Chinese societies (i.e., China, Hong Kong, and Taiwan) and recent social transformations that emphasize the importance of considering the exo‐ and macrosystems.
Politics of Respectability, Colorism, and the Terms of Social Exchange in Family Research
Authors: Landor Antoinette , Barr Ashley 
Published: May 2018

AbstractIn this article, we consider the utility of social exchange theory when centering the material and cultural realities of people and families of color. We draw on critical race and intersectionality scholarship to argue that this work challenges some of the core assumptions of social exchange theory (while reifying others) and offers novel avenues of inquiry and expanded foci for family researchers employing a social exchange framework. We illustrate our points by focusing on existing research and offering new empirical evidence on African Americans, yet we note that our revisioning has broader relevance for relationships between and within other groups and positionalities.