bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pediatric Emergency Medicine Physicians’ Perspectives of Concussion in Young Children
Authors: Levine Deborah A. , Gombar Julia , Lis Taylor , Orr-Gaucher Nathalie , Dupont Dominique , Hanson Janice , Beauchamp Miriam H. 
Published: December 2024

Objective:
Traumatic brain injury (TBI) during early childhood (before 6 years) is prevalent, accounting for rising rates of emergency department visits. These injuries may lead to postconcussive symptoms, which may be subtle and difficult to diagnose in young children. Inadequate discharge counseling may lead to prolonged duration of symptoms and possible developmental delays. We aimed to explore pediatric emergency medicine (PEM) physicians' perspectives on “concussion” terminology, diagnosis, and management, specifically in a young child with mild TBI.

Methods:
We conducted semistructured interviews using open-ended questions involving a hypothetical scenario. We recruited currently practicing PEM physicians by a snowball sampling method. A research team recorded, transcribed, and analyzed the interviews. Using social constructionism as the philosophical framework, we developed and refined codes and derived themes until reaching thematic saturation. Peer debriefing with an expert collaborator aided with revisions of themes.

Results:
A single PEM researcher interviewed 13 participants. Three primary themes emerged. Our first theme identified the role of guidelines and tools in the diagnostic workup. Most participants utilized a clinical prediction tool for neuroimaging but no clinical symptom scales. Our second theme described the difficulties and inconsistencies in the approach to diagnosis of concussion, largely due to young age, lack of verbal skills and unreliable examinations. Our last theme focused on the difficulty in providing clear discharge instructions to parents. Many participants described difficulty providing activity restrictions, instead allowing self-modulation, and lack of counseling for educational tasks.

Conclusions:
Variability exists among PEM physicians in diagnosis and management of concussions in young children. Discomfort with lack of reliability of symptoms and underappreciation of typical early childhood characteristics may account for findings. Educational initiatives, age-appropriate clinical tools and treatment-guided outcomes research are needed to guide PEM physicians in the care of young children with head injuries.
Timing of Renal Replacement Therapy in Burn Patients With Acute Kidney Injury
Authors: Heng Xue , Li Haisheng 
Published: December 2024

Introduction
Acute kidney injury (AKI) is common in severe burns with high mortality. Previous studies confirmed the renal replacement therapy (RRT) as an effective strategy in burn patients. However, the optimal timing of RRT initiation with AKI is rarely investigated.

Methods
We conducted a single-center, retrospective cohort study at a large burn center in Chongqing, China, from 2010 to 2020. Patients were grouped into early (initiated at Kidney Disease: Improving Global Outcomes stage 1 or 2 of AKI) and delayed RRT (initiated at Kidney Disease: Improving Global Outcomes stage 3 of AKI). The primary outcome was in-hospital mortality. The secondary outcomes included renal function recovery, length of stay, and RRT-related complications.

Results
Of the included 79 patients, 42 and 37 were in early and delayed RRT group, respectively. The mean burn area was 68.82%. The in-hospital mortality tended to be higher in the early group (42.86%) than in the delayed group (29.73%, P = 0.227), although the difference was not statistically significant. The rate of partial remission of renal function at 48 hours after RRT discontinuation was significantly higher in the delayed group (78.26%) than early group (36.84%, P = 0.003). Furthermore, multivariable Cox and logistic regression analysis found that interval from AKI occurrence to RRT initiation was protective factors for 90-day mortality (hazard ratio 0.514, 95% confidence interval 0.349–0.756, P = 0.001), but fluid overload, acute respiratory distress syndrome, and multiple organ dysfunction syndrome were risk factors for mortality. Subgroup analysis revealed that patients with stage 1 or 2 AKI who received RRT within 24 hours after AKI had the lowest survival rate. In contrast, patients with stage 3 AKI who received RRT beyond 24 hours after AKI had the highest survival rate. The delayed group had higher rate of bleeding and lower rate of catheter-related infection than the early group.

Conclusions
Delayed initiation of RRT seemed to have similar survival benefits to early RRT initiation in burn patients with AKI, needing further confirmation by large randomized clinical study in future.
Progression of Pilot Trials to Completed Randomized Controlled Trials in Plastic Surgery
Authors: Chen Andrew T. , Behroozian Tara , Levit Tal , Quadri Faisal , Kim Patrick J. , Gallo Lucas , Chen Jeslyn , Zhou Ted , Cohen Dalya , Dunn Emily , Thoma Achilles 
Published: December 2024

Purpose
Well-designed pilot trials are essential in determining feasibility prior to initiating definitive randomized controlled trials (RCTs) and their implementation into clinical practice. The primary outcome of this study was to identify the number of pilot or feasibility studies in Plastic Surgery that progressed to a definitive RCT. Secondary outcomes included a) number of pilot studies expressing feasibility statements and outcomes and b) reporting quality.

Methods
MEDLINE, Embase, Web of Science, and clinicaltrials.gov were searched for all pilot RCTs and definitive RCTs in plastic surgery between 2012–2023. Pilot trials were matched to definitive RCTs by keyword, author, and citation report. Feasibility outcomes were presented using descriptive statistics. Reporting quality was evaluated using the Consolidated Standards of Reporting Trials 2010 randomized pilot and feasibility trials extension.

Results
Among 11,540 and 6035 citations screened in 2 separate literature searches, 171 pilot studies and 779 definitive RCTS were included, respectively. Ten (5.8%) pilot studies were associated with a completed RCT, 4 (2.3%) were in progress, and 2 (1.2%) were stopped. For studies that did not progress to a definitive RCT, “inadequate funding” (n = 11, 41.4%) was the most cited reason followed by “insufficient efficacy to justify study progression” (n = 5, 17.3%). The average reporting adherence to the Consolidated Standards of Reporting Trials items was 65.6% (SD 16). Fifty (29.2%) pilot RCTs reported a feasibility statement and 30 (17.5%) reported feasibility outcomes.

Conclusions
Few pilot trials in plastic surgery progressed to a definitive RCT, and most did not present feasibility statements or outcomes. Pilot studies should precede RCTs and include clear feasibility statements and outcomes.
Minimizing Omental Bleeding Risk Following Sleeve Gastrectomy: Assessing the Double-line Sealing Technique
Authors: Dalkiliç Muhammed Said , Gençtürk Mehmet , Yilmaz Merih , Erdem Hasan , Şişik Abdullah 
Published: December 2024

Objective:
Laparoscopic sleeve gastrectomy (LSG) has become the most commonly performed bariatric procedure due to its technical simplicity and effectiveness. While stapler line reinforcement has significantly reduced hemorrhagic complications, postoperative bleeding remains a concern, particularly from omentum or unidentified sources. The LigaSure device, known for sealing vessels successfully up to 7 mm in diameter, may face challenges in obese patients due to excessive omental fat. This study introduces a double-sealing technique as a simple solution aimed at reducing postoperative bleeding related to patient-specific factors.

Methods:
This study conducts a retrospective analysis to evaluate the double-line omental sealing technique in LSG, an intervention aimed at reducing the incidence of postoperative bleeding. We compared outcomes from 222 patients using the double-line sealing (DLS) technique and 297 patients with standard dissection. DLS technique involves creating 2 adjacent rows of seals on the omentum during dissection, aiming to minimize bleeding risks. Patient demographics, including age, sex, body mass index, and comorbidities, were examined, alongside operative time, length of hospital stay, and instances of reoperation. Special attention was given to identifying cases of severe postoperative bleeding, primarily determined by the need for blood transfusion.

Results:
No demographic differences emerged between the groups. The study group, which utilized DLS, demonstrated a significantly lower incidence of intraperitoneal severe bleeding (0.45%) compared with the control group (3%). Reoperations were significantly reduced, with only 2 cases (0.67%) in the control group and none in the DLS group. It also correlates with reduced length of hospital stay but increased operative time.

Conclusions:
DLS in LSG shows promise in reducing severe postoperative bleeding. Despite these positive initial findings, further studies with larger sample sizes are recommended to fully ascertain the efficacy and safety of this technique.
Practice of Electroconvulsive Therapy in Catalonia in 2022
Authors: Gil-Badenes Joaquín , Alemany Carlo , Iglesias Maria , de Arriba Aida , Foguet-Boreu Quintí , Hernández-Ribas Rosa , Carrión Maria Isabel , Alcoverro Oscar , Aguilar Ortiz Salvatore , Torrent Aurora , Bassa Adriana , Ros Laura , Bergé Dani , Giménez-Palomo Anna , Urretavizcaya Mikel , Martinez-Amoros Erika 
Published: December 2024

Introduction
The practice of electroconvulsive therapy (ECT) exhibits variability across various domains, both between regions, and between centers within the same region. The ECT Working Group of the Catalan Society of Psychiatry conducted a comprehensive survey in Catalonia, Spain, to assess the current status of those variables essential in the clinical practice of ECT.

Materials and Methods
The survey comprised 50 items, including various question types such as multiple-choice, numerical response, and open-ended questions. It was administered to the 20 public hospitals that currently provide ECT in Catalonia during the year 2022. Information was gathered on 4 main areas: Organization of the ECT Unit, Specific Technique of ECT Application, Strategies and Organization of the Therapeutic Plan, and Epidemiological Data, Training, and Healthcare Resource Management.

Results
Some notable findings include an application rate of 1.1 per 10,000 inhabitants, major depression diagnosis as the primary indication for ECT in 80% of the centers, and the ability to perform maintenance ECT in 100% of centers.

Conclusions
Following the survey and analysis, 3 main findings emerged: minimal variation in ECT application rates compared to the previous decade, increased complexity in current ECT practices with a focus on quality and patient safety, and identified areas for improvement in resource management and the necessity for a well-trained and stable multidisciplinary team.
The cost of coeliac condition: economic availability of gluten-free foods for patients with celiac disease in the Czech Republic
Authors: Vychová Helena 
Published: December 2024

PurposeThis study examines the economic availability of gluten-free foods for people with coeliac condition in the Czech Republic, focusing on the price differences between gluten-free and gluten-containing products.Design/methodology/approachA comprehensive price survey was carried out, analysing almost 7,000 products from different categories. Statistical analysis using IBM SPSS Statistics software was used to calculate average prices and test the significance of price differences between the two groups of products.FindingsThe results show that most gluten-free products are more expensive than their gluten-containing counterparts, with significant price differences between product categories, particularly in bakery products. This economic burden is a barrier to adherence to a gluten-free diet, which is essential for the management of celiac disease.Practical implicationsPolicymakers, healthcare providers and other members of the public can use these findings to develop the policies needed to promote the accessibility of gluten-free products.Originality/valueThis research provides unique insights into the economic availability of gluten-free foods for people with coeliac disease in the Czech Republic, a topic that has not been extensively studied in this specific context. While literature exists on the pricing of gluten-free products in other countries, our comprehensive price survey highlights significant price differences between gluten-free and gluten-containing products in the Czech market. The data reflect current market conditions and highlight the economic burden for people with celiac disease, contributing to the discourse on public health and dietary accessibility in the Czech Republic.
Blockchain barriers in hospitals: a stakeholder theoretic perspective
Authors: Prashar Anupama , Sunder M Vijaya 
Published: December 2024

PurposeGrounded in stakeholder theory, this study aims to examine the barriers to blockchain adoption in hospitals in developing countries. It also aimed to explore the interrelationships among these barriers and investigate how the perceptions of clinical and non-clinical professionals in the healthcare industry differ regarding these barriers.Design/methodology/approachThe study context was hospitals in India and proceeded in three phases. First, barriers affecting blockchain application in healthcare were shortlisted using a systematic literature review. In the second phase, a multi-round Delphi study with clinical and non-clinical healthcare experts was conducted to screen and validate the barriers identified in the first phase. Finally, the barriers were ranked and categorized into causal and effect groups using the Grey-DEMATEL technique in the last phase of the study.FindingsThe findings reveal variance in the viewpoints of clinical and non-clinical professionals regarding influential barriers. Overall, the most significant causal barriers were a shortage of IT skills and a lack of standards for patient data management standards in Indian hospitals. Additionally, the study identified the lack of a well-defined strategy for blockchain infrastructure deployment and limited support from hospital management as effect barriers.Originality/valueTo the best of the authors’ knowledge, this is the first attempt to use the integrated Delphi-DEMATEL approach to explore blockchain adoption barriers in hospitals from the expert’s point of view.
An investigation of machine learning strategies for electric motor anomaly detection using vibration and audio signals
Authors: Folz Klaus Jürgen , Gomes Herbert Martins 
Published: December 2024

PurposeThe objective of this article is to evaluate and compare the performance of two machine learning (ML) algorithms, i.e. support vector machines (SVMs) and random forests (RFs), when classifying seven states of operation of an electric motor using the Mel-frequency cepstral coefficients (MFCCs) as extracted representative features.Design/methodology/approachThe extracted MFCCs are calculated using the motor’s vibration and audio signals separately.FindingsAfter the training, the SVM model obtained a mean accuracy of 100% for the MFCCs obtained from database vibration signals and 69.6% for the database of audio signals.Research limitations/implicationsThe ML strategies and results reported are limited to the well-known data for industrial electric motors used in the evaluations, although it was performed tests and cross-validations with unseen data and the information from the confusion matrix.Practical implicationsThe success of these methodologies in defect classification, where the RF presented a mean accuracy of 99.15% for the vibration signals and 63.82% for the audio signal, enables the use of this ML and extracted features as a predictive tool for failure and anomaly detection, lifetime predictions and online real-time monitoring.Originality/valueIt is the first time that the MFCCs are being used for anomaly detection in vibration and audio signals for electrical motors, as this extracted feature is usually used for human speech identification in the literature.
Application and prospect of machine learning techniques in cost estimation of building projects
Authors: Wang Rui , Salleh Hafez , Lyu Jun , Abdul-Samad Zulkiflee , Radzuan Nabilah Filzah Mohd , Wen Kok Ching 
Published: December 2024

PurposeMachine learning (ML) technologies are increasingly being applied in building cost estimation as an advanced method to overcome the challenge of insufficient data and subjective effects of experts. To address the gap of lacking a review of ML applications in building cost estimation, this research aimed to conduct a systematic literature review to provide a robust reference and suggest development pathways for creating novel ML-based building cost prediction models, ultimately enhancing construction project management capabilities.Design/methodology/approachA systematic literature review according to preferred reporting items for systematic reviews and meta-analyses (PRISMA) was adopted using quantitative bibliographic analysis and qualitative narrative synthesis based on the 70 screened publications from Web of Science (WOS) and Scopus databases. The VOSviewer software was used to prepare the thematic focus from the bibliographic data garnered.FindingsBased on the results of a bibliographic analysis, current research hotspots and future trends in the application of ML to building cost estimation have been identified. Additionally, the mechanisms behind existing ML models and other key points were analyzed using narrative synthesis. Importantly, the weaknesses of current applications were highlighted and recommendations for future development were made. These recommendations included defining the availability of building attributes, increasing the application of emerging ML algorithms and models to various aspects of building cost estimation and addressing the lack of public databases.Research limitations/implicationsThe findings are instrumental in aiding project management professionals in grasping current trends in ML for cost estimation and in promoting its adoption in real-world industries. The insights and recommendations can be utilized by researchers to refine ML-based cost estimation models, thereby enhancing construction project management. Additionally, policymakers can leverage the findings to advocate for industry standards, which will elevate technical proficiency and ensure consistency.Originality/valueCompared to previous research, the findings revealed research hotspots and future trends in the application of ML cost estimation models in only building projects. Additionally, the analysis of the establishment mechanisms of existing ML models and other key points, along with the developed recommendations, were more beneficial for developing improved ML-based cost estimation models, thereby enhancing project management capabilities.
Mobile security awareness of university students in Hong Kong: demographics and education
Authors: Li Kwun Hung , Chiu Dickson K.W. , Kong Elaine W.S. , Ho Kevin K.W. 
Published: December 2024

PurposeThis research investigates mobile security awareness among university students in Hong Kong, who increasingly rely on mobile devices for their daily activities and academic needs. This research seeks to inform targeted educational strategies and policies to enhance mobile security practices among young adults, particularly in regions similar to Hong Kong, where mobile usage is extensively integrated into everyday life.Design/methodology/approachUtilizing an online survey, this research assessed the mobile security awareness of 407 university students from Hong Kong. The Mann-Whitney U-test and other statistical methods were employed to analyze differences in security awareness based on demographic factors such as IT background, gender, educational level and participation in mobile security courses.FindingsThe research revealed a generally high level of mobile security awareness compared to similar research in other regions. It also highlighted that despite no significant difference in awareness between genders, students from IT-related fields or those who participated in mobile security courses exhibit higher awareness levels. These findings underscore the impact of focused education and training on enhancing mobile security awareness.Originality/valueThis research contributes to the limited but growing body of literature on mobile security awareness from the end-user perspective, particularly among university students in the Asia Pacific region. It offers valuable insights for governments, educators and corporate policymakers worldwide, providing a basis for integrating mobile security education into broader academic and professional training programs.
How did South Korean multiplexes survive the pandemic?: A dynamic capabilities perspective
Authors: Park Ji Hyon 
Published: December 2024

Purpose
The film industry is going through a period of upheaval and crisis. This study aims to examine the movie theater industry’s survival strategies by analyzing South Korean multiplex management strategies during the pandemic from a dynamic capabilities perspective.

Design/methodology/approach
This study conducted a case study to analyze the management strategies of South Korean multiplexes using Teece's (2007) proposed components of sensing, seizing and transforming. Data was collected from business reports, websites, publications, news releases and interviews beginning in January 2020, when COVID-19 began to spread in South Korea, until June 2023.

Findings
South Korean multiplex theaters’ sensing capabilities have enabled companies to understand the changing demands of consumers and respond quickly. The seizing capability also enabled the development of distinctive business models, and the transforming capability contributed to equipping growth engines from a long-term perspective.

Originality/value
This study confirmed that the dynamic capabilities perspective and the three components conceptualized by Teece (2007) can explain the strategic choices of firms during acute crises such as pandemics. Additionally, these findings have practical implications for global film industry stakeholders.