bluuebunny/crossref_metadata_2025_split huggingface dataset:
Change of access to emergency care in a repopulated village after the 2011 Fukushima nuclear disaster: a retrospective observational study
Authors: Nishikawa Yoshitaka , Tsubokura Masaharu , Takahashi Yoshimitsu , Nomura Shuhei , Ozaki Akihiko , Kimura Yuko , Morita Tomohiro , Sawano Toyoaki , Oikawa Tomoyoshi , Nakayama Takeo 
Published: February 2019

ObjectivesSustaining emergency care access is of great concern. The aim of this study is to evaluate access to emergency care in a repopulated village following the 2011 Fukushima disaster.DesignThis research was a retrospective observational study. The primary outcome measure was total emergency medical services (EMS) time. A Bayesian time series analysis was performed to consider local time series trend and seasonality.SettingThe residents in Kawauchi Village, Fukushima, Japan were forced to evacuate after the 2011 Fukushima disaster. As the radiation dose was an acceptable level, the residents began the process of repopulation in April 2012.ParticipantsThis study included patients transported by EMS from January 2009 to October 2015. Patients transported during the evacuation period (from March 2011 to March 2012) were excluded.ResultsA total of 781 patients were transferred by EMS (281 patients before the disaster, 416 after repopulation and 84 during the evacuation period). A Bayesian time series analysis revealed an increase in total EMS time, from the first request call to arrival at a hospital of 21.85 min (95% credible interval 14.2–29.0, Bayesian one-sided tail-area probability p=0.001). After the disaster, 42.3% of patients were transported to a partner hospital.ConclusionsTotal EMS time increased after repopulation of the area affected because of a massive number of hospital closures. Proactive partnerships would be a possible countermeasure in the affected areas after a major disaster.
Effects of new dock-less bicycle-sharing programs on cycling: a retrospective study in Shanghai
Authors: Jia Yingnan , Ding Ding , Gebel Klaus , Chen Lili , Zhang Sen , Ma Zhicong , Fu Hua 
Published: February 2019

ObjectivesTo examine (1) the effect of new dock-less bicycle-sharing programmes on change in travel mode and (2) the correlates of change in travel mode.DesignA retrospective natural experimental study.Setting12 neighbourhoods in Shanghai.Participants1265 respondents were recruited for a retrospective study in May 2017.Main outcome measuresPrevalence of cycling before and after launch of dock-less bicycle-sharing programme.ResultsThe proportion of participants cycling for transport increased from 33.3% prior to the launch of the bicycle-sharing programmes to 48.3% 1 year after the launch (p<0.001). Being in the age group of 30–49 years (OR 2.28; 95% CI 1.30 to 4.00), living within the inner ring of the city (OR 2.27; 95% CI 1.22 to 4.26), having dedicated bicycle lanes (OR 1.37, 95% CI 1.12 to 1.68) and perceiving riding shared bicycles as fashionable (OR 1.46, 95% CI 1.21 to 1.76) were positively associated with adopting cycling for transport. Access to a public transportation stop/station (OR 0.82, 95% CI 0.67 to 0.99) was inversely correlated with adopting cycling for transport.ConclusionsDock-less bicycle sharing may promote bicycle use in a metropolitan setting. Findings from this study also highlight the importance of cycling-friendly built environments and cultural norms as facilitators of adopting cycling.
Improving the management of musculoskeletal conditions: can an alternative approach to referral management underpinned by quality improvement and behavioural change theories offer a solution and a better patient experience? A mixed-methods study
Authors: Tzortziou Brown Victoria , Underwood Martin , Westwood Olwyn M , Morrissey Dylan 
Published: February 2019

ObjectivesTo assess whether a quality improvement-based approach to referral management can result in better musculoskeletal care within general practice.DesignProspective cohort study using mixed methodology including random-effects meta-analysis and interrupted time series.Setting and participants36 general practices in East London.InterventionInformed by the results of a Cochrane review on educational interventions to improve general practitioners’ (GPs) musculoskeletal care, we developed a multifaceted intervention, underpinned by quality improvement and behavioural change theories. It combined locally agreed clinical pathways, feedback on referral rates, clinical audit and peer review.Main outcome measuresReferral letter content, pathway adherence, referral rates, inter-practice variability and patient experience were evaluated before and after the intervention.ResultsReferral letter content on suspected diagnosis and prior management improved from a pooled preintervention proportion of 59% (95% CI 53% to 65%) and 67% (95% CI 61% to 73%), respectively, to 77% (95% CI 70% to 84%) and 81% (95% CI 74% to 88%). Pathway adherence improved from a pooled preintervention percentage of 42% (95% CI 35% to 48%) to 66% (95% CI 57% to 76%). The effect was greater across all quality outcomes for practices with baseline performance below or equal to the pooled baseline performance. There were reductions in the variability and rates of orthopaedic referrals at 6, 12 and 18 months (referral rate relative effect 32% (95% CI 14% to 48%), 30% (95% CI 7% to 53%) and 30% (95% CI 0% to 59%), respectively). Patient rating of how well GPs explained the musculoskeletal condition improved by 29% (95% CI 14% to 43%) and patient perception on the usefulness of the GP appointment improved by 24% (95% CI 9% to 38%).ConclusionsA quality improvement-based approach to referral management which values GPs’ professionalism can result in improvements across a range of outcomes including referral quality, patient experience, referral rates and variability.
Effectiveness and optimal dosage of resistance training for chronic non-specific neck pain: a protocol for a systematic review with a qualitative synthesis and meta-analysis
Authors: Price Jonathan , Rushton Alison , Tyros Isaak , Heneghan Nicola R 
Published: February 2019

IntroductionThe prevalence of neck pain is increasing rapidly with a high percentage of patients going on to experience recurrent or chronic symptoms. The resulting pain and disability are commonly managed using a variety of treatments including exercise. Resistance training exercise aimed at the neck and shoulders is advocated to treat chronic non-specific neck pain (CNSNP), however the dosage of prescribed exercise varies considerably between studies. The aim of this study is to evaluate the effectiveness of resistance training in CNSNP and to determine an optimal dosage that should be prescribed in clinical practice.Methods and analysisA systematic review with qualitative synthesis and meta-analysis will be conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. Cumulative Index to Nursing and Allied Health Literature, Excerpta Medica Database, Medical Literature Analysis and Retrieval System Online, PEDro, Zetoc, Index to Chiropractic Literature ChiroAcces, PubMed, grey literature sources and key journals will be searched. Randomised clinical trials investigating resistance training exercise in adults with CNSNP using outcome measures of pain and/or disability will be eligible for inclusion. Two reviewers will independently screen for eligibility, extract data and assess risk of bias (Cochrane risk of bias tool) with a third reviewer mediating in cases of disagreement. Data will be synthesised qualitatively to investigate intervention effectiveness and to determine the effect of exercise dosage on pain and disability. Meta-analysis using a random-effects model will be conducted where sufficient clinical homogeneity exists. The strength of the overall body of evidence will be assessed and reported using Grading of Recommendations Assessment, Development and Evaluation.Ethics and disseminationThis study raises no ethical issues. Results will inform exercise prescription to improve management of CNSNP. Results will be published in a peer-reviewed journal and presented at conferences.PROSPERO registration numberCRD42018096187.
Prevalence of amblyopia and strabismus in Hani school children in rural southwest China: a cross-sectional study
Authors: Zhu Hui , Pan Chenwei , Sun Qigang , Huang Dan , Fu Zhujun , Wang Jing , Chen Xuejuan , Wang Zijing , Liu Hu 
Published: February 2019

PurposeTo determine the prevalence rate of amblyopia and strabismus in Chinese Hani ethnic school-aged children.MethodsAll grade 1 and grade 7 students in Mojiang Hani Autonomous County, located in southwest China, were invited for comprehensive eye examinations performed by experienced ophthalmologists and optometrists, including visual acuity, ocular alignment and movements, cycloplegic autorefraction, anterior segment and fundus examinations. Standard definitions of amblyopia and strabismus were applied to calculate their prevalence rate.ResultsA total of 1656 (91.0% response rate) grade 1 Hani students and 1394 (92.8% response rate) grade 7 Hani students participated in the study. Amblyopia was present in 25 Hani students (0.82%, 95% CI 0.55% to 1.20%), with no significant differences in grade (p=0.42) and gender (p=0.69). Among these 25 amblyopic children, 17 had unilateral amblyopia and eight had bilateral amblyopia, including 16 anisometropic, eight binocular refractive and one strabismic. Strabismus was found in 59 Hani students (1.93%, 95% CI 1.50% to 2.48%), including 47 with intermittent exotropia, six with constant exotropia, five with constant esotropia and one with unilateral superior oblique palsy. The prevalence rate of strabismus was higher in grade 7 students than grade 1 students with borderline significance (2.44%vs1.50%, p=0.07), but was similar by gender (2.16% in boys vs 1.68% in girls, p=0.36).ConclusionThe prevalence of amblyopia and strabismus in Chinese Hani school children are both lower than that previously reported for Chinese Han children in China and for many other racial/ethnic populations from non-China studies. Refractive error is the major cause for amblyopia and intermittent exotropia is the primary strabismus type.
Improving Diabetes Care: Should We Reconceptualize Diabetes Burnout?
Authors: Abdoli Samereh , Jones Danielle Hessler , Vora Amit , Stuckey Heather 
Published: February 2019

Purpose The purpose of this study was to explore and understand the experience of diabetes burnout among people with diabetes (PWD). Methods A qualitative descriptive analysis of 35 blog narratives published in 21 diabetes blogs from the United States, United Kingdom, and Ireland, written by PWD, provided the basis for this study’s definition of diabetes burnout. Data management (Nvivo 11 Pro) and analysis included 3 phases: immersion, reduction, and interpretation (kappa = 0.91). Results Findings included 5 main themes that described diabetes burnout: (1) burnout is a “detachment” from diabetes care, (2) the “demanding life” of diabetes leads to burnout, (3) struggling with “perfect” numbers adds to burnout, (4) “life events” are catalysts to burnout, and (5) overcoming burnout is like “climbing out of a difficult hole.” Conclusions Analysis of blog narratives provided unique insights into the concept of diabetes burnout. Five themes were identified that ranged from diabetes care detachment to difficulties in overcoming diabetes. These data provide an increased understanding of diabetes burnout and the factors that may contribute to diabetes burnout. To advance the science of diabetes burnout and to improve person-centered diabetes care and quality of life for PWD, further research is needed.
Pulmonary artery flotation catheter combined with pump-controlled retrograde trial off as a trial for weaning from veno-arterial extracorporeal membrane oxygenation: a case report
Authors: Xu Ying , Gu Qin 
Published: February 2019

Background: The Swan–Ganz catheter is a reliable method used to monitor hemodynamics in intensive care units. Pump-controlled retrograde trial off is a new weaning test for veno-arterial extracorporeal membrane oxygenation in recent years. The objective of this report is to describe a case in which pulmonary artery flotation catheter hemodynamic monitoring in combination with pump-controlled retrograde trial off was sufficient for veno-arterial extracorporeal membrane oxygenation weaning. Methods: We report the case of an adolescent patient with acute heart failure due to acute severe myocarditis in veno-arterial extracorporeal membrane oxygenation, intra-aortic balloon pump, and pulmonary artery flotation catheter hemodynamic monitoring. Results: Pulmonary artery flotation catheter hemodynamic monitoring pre- and post pump-controlled retrograde trial off was successfully proven to predict decannulation success. The patient was weaned off of the extracorporeal membrane oxygenation, intra-aortic balloon pump, and pulmonary artery flotation catheter. His cardiac function gradually recovered, and he was discharged. Conclusion: The combination of pulmonary artery flotation catheter hemodynamic monitoring and pump-controlled retrograde trial off can increase the possibility of veno-arterial extracorporeal membrane oxygenation successful decannulation.
Do emigrants’ remittances cause Dutch disease? A developing countries case study
Authors: Polat Burçak , Rodríguez Andrés Antonio 
Published: February 2019

Although the positive socio-economic effects of remittances for recipient countries in the short term are unmistakable, inflows of remittances may at the same time exert adverse effects on the trade competitiveness of an economy, by appreciating the real exchange rate. This phenomenon is characterised as an instance of the ‘Dutch disease’ – the negative impact of windfall revenue inflows on the competitiveness of other tradable sectors and hence on overall economic growth. While the real effect of workers’ remittances on real exchange rates in a recipient economy is still a controversial issue, several studies have analysed evidence for the existence of the ‘Dutch disease’ phenomenon in various sets of countries. The main objective of this study is to examine whether remittance flows have had any adverse effect on the international trade competitiveness of a selected group of developing countries during the period from 1995 to 2014. Using a one-step system Generalised Method of Moments specification within a simultaneous equation approach, it shows that remittance flows depreciate the real exchange rate at their levels and that the lagged value of remittances create the Dutch disease for this country group. In addition, we confirm that while trade openness and world real interest rates contribute to a depreciation in real exchange rates, gross domestic product per capita and net Official Development Aid inflows tend to appreciate real exchange rates. A policy implication is that trade liberalisation policies that lower tariff rates on capital imports and new export-oriented incentive programmes should be accompanied by measures designed to prevent appreciation in the real exchange rate: steps in this direction such as recent macroeconomic and prudential capital flow management initiatives are briefly referenced.JEL Codes: F20, F21, F22, F23
Social Entrepreneurship and Social Movement Learning: A Reflective Account of the History of the TPSS Food Cooperative
Authors: Chalofsky Neal E. 
Published: February 2019

The Problem Numerous generational and satisfaction surveys for the past several years have consistently highlighted that millennials want meaningful work and make a contribution to society. Unfortunately, most organizations, especially for-profit ones, do not offer even one of these criteria, no less both. Social entrepreneurship captures the desire for both millennial goals. Unfortunately, people with the vision and creativity to make a contribution to their community or society at large lack both the social movement learning (SML) and human resource development/organization development (HRD/OD) skills to grow and direct the organization once it gets off the ground. So it dies, or ends up focused more on “the business” aspect of the mission rather than the social aspect of the mission. The Solution There was a social movement in the world of work that emerged during the 1970s and 1980s before the term social entrepreneurship was in use. It was called the food cooperative (co-op) movement. What has reemerged in the past decade under the banner of social entrepreneurship, such as organizations that support fair-trade practices, or collect food waste and turn it into compost for community gardens, or develop learning tools for disabled children, can learn lessons from the co-op movement of the 1970s. This article will present an account of one such food co-op and what was learned from the experience of the co-op’s growth for the past 35 years that can benefit both current and future social entrepreneurships. The article will end with a discussion focused on how SML and HRD/OD can keep today’s social entrepreneurship on the path of providing meaningful work and contributing to society. The Stakeholders HRD/OD specialists, adult and community education specialists, social entrepreneurship leaders, nonprofit and community leaders, and business incubators.
Reconceptualizing Social Movement Learning in HRD: An Evolutionary Perspective
Authors: Kwon Chang-kyu , Nicolaides Aliki 
Published: February 2019

The Problem We are living in a socially polarized landscape where dualistic mind-sets govern the way we engage with social justice issues and thus failing to adequately serve all human beings. The Solution By bringing in Frederic Laloux’s conception of evolutionary organization, we propose that organizations can serve as catalysts for co-creative social transformation, closing the distance between organizations and society and ultimately enhancing the well-being of the whole. The Stakeholders This article will provide organizational leaders and human resource development (HRD) professionals with a conceptual understanding of what a new paradigm of social movement learning would look like in an emerging society where polarities are not fought against but engaged as a whole.
Pilot Study on the Effect of Orally Administered Bisphenol A on Glucose and Insulin Response in Nonobese Adults
Authors: Hagobian Todd Alan , Bird Alyssa , Stanelle Sean , Williams Dana , Schaffner Andrew , Phelan Suzanne 
Published: February 2019

Abstract

Objective
To determine the effects of varying doses of orally administered BPA on indices of glucose metabolism.

Methods
Eleven college students (21.0 ± 0.8 years; 24.2 ± 3.9 kg/m2) were randomized in a double-blinded, crossover fashion separated by &gt;1 week to placebo (PL), deuterated BPA at 4 µg/kg body weight (BPA-4), and deuterated BPA at 50 µg/kg body weight (BPA-50). Total BPA, glucose, insulin, and C-peptide were assessed at baseline, minutes 15, 30, 45, 60, and every 30 minutes for 2 hours in response to a glucose tolerance test.

Results
There was a significant condition × time interaction for total BPA (P &lt; 0.001) such that BPA increased more rapidly in BPA-50 than BPA-4 and PL (P = 0.003) and increased more rapidly in BPA-4 than PL (P &lt; 0.001). There were no significant condition × time interactions on glucose, insulin, and C-peptide. Significant condition main effects were observed for glucose such that BPA-50 was significantly lower than PL (P = 0.036) and nearly lower for BPA-4 vs PL (P = 0.056). Significant condition main effects were observed such that insulin in BPA-50 was lower than BPA-4 (P = 0.021), and C-peptide in BPA-50 was lower than BPA-4 (t18 = 3.95; Tukey-adjusted P = 0.003). Glucose, insulin, and C-peptide areas under the curve for the 3-hour profile were significantly lower in BPA-50 vs PL (P &lt; 0.05).

Conclusion
Orally administered BPA protocol appeared feasible and has immediate effects on glucose, insulin, and C-peptide concentrations.
Keeping Secrets
Authors: Rosenthal Jesse 
Published: February 2019

AbstractThis essay looks at literary criticism’s persistent confession of critics’ secret relations to literature. It argues that such formalized secrecy and confession are used to insist on a personal orientation toward the literary object that helps deny the institutional forces—both practical and abstract—on which criticism depends. Desire and Domestic Fiction, which focuses on the rewriting of the political and economic as the personal, offers a powerful lens for examining this process.
Judith Shakespeare’s Brother
Authors: Dowd Michelle M. 
Published: February 2019

Abstract
Virginia Woolf’s account of Shakespeare’s fictional sister, Judith, in A Room of One’s Own offers a productive vantage point for investigating questions of gender, authority, and inheritance in Shakespeare’s late romances. These plays are notable for their formal hybridity and their acute attention to the role of women, particularly daughters, within the patriarchal family and its attendant economic systems. They share Woolf’s interest in the economic, inheritable underpinnings of female authority, the social forms of a patrilineal culture that help demarcate the possibilities for women as subjects. Shakespeare adapts the lost-child device from Roman new comedy to make female loss central to his tragicomic plots—much as it is to Woolf’s tragic narrative of Judith. New-comic plotting offers a provisional, conservative solution to the historical problem of the heiress, but Shakespeare’s romances also at times imagine alternative configurations of genealogical knowledge.
Contradictions as Patterns in Literary History: Skepticism, Common Sense, and the Conversational Idiom of Churchill and Cowper
Authors: Komáromy Zsolt 
Published: February 2019

Abstract
The conversational style of William Cowper’s poetry owes much to the influence of Charles Churchill. Despite this connection, the two poets occupy different niches in literary history: Churchill is remembered as a practitioner of the declining tradition of satirical poetry, Cowper as the preeminent poet of sensibility. The conversational idiom they share, however, holds together even contrasting ideas in unreconciled suspension, and the two poets’ use of that idiom thus accommodates the radical differences in their attitudes. The resulting continuity between their bodies of work demonstrates how an understanding of literary-historical connections through a history of forms may recast the segregation of periods: it may reveal patterns that show continuities even where conflicts have led to the contrasting of period terms.
Siła organizacji międzynarodowych i jej wyznaczniki
Authors: Drgas Michał 
Published: February 2019

The Power of International Organizations and Its DeterminantsThe article examines the power of international organizations and factors that determine its resence and amount. It shows how international organizations are capable of using both the „classically” understood power, one that is aimed towards specific actors and causes its ffects directly, and different forms of „structural” power that either affect the behavior of objects that remain unspecified or influence their constitution as social beings of a particular kind. The factors that were identified as determining the power include knowledge, labor, financial resources and other material resources, acting as efficient causes, will, being the enabling cause, and authority, related to both types of causality.