bluuebunny/crossref_metadata_2025_split huggingface dataset:
Demand prediction in health sector using fuzzy grey forecasting
Authors: Zor Ceyda , Çebi Ferhan 
Published: September 2018

Purpose
The purpose of this paper is to apply GM (1, 1) and TFGM (1, 1) models on the healthcare sector, which is a new area, and to show TFGM (1, 1) forecasting accuracy on this sector.

Design/methodology/approach
GM (1, 1) and TFGM (1, 1) models are presented. A hospital’s nine months (monthly) demand data is used for forecasting. Models are applied to the data, and the results are evaluated with MAPE, MSE and MAD metrics. The results for GM (1, 1) and TFGM (1, 1) are compared to show the accuracy of forecasting models. The grey models are also compared with Holt–Winters method, which is a traditional forecasting approach and performs well.

Findings
The results of this study indicate that TFGM (1, 1) has better forecasting performance than GM (1, 1) and Holt–Winters. GM (1, 1) has 8.01 per cent and TFGM (1, 1) 7.64 per cent MAPE, which means excellent forecasting power. So, TFGM (1, 1) is also an applicable forecasting method for the healthcare sector.

Research limitations/implications
Future studies may focus on developed grey models for health sector demand. To perform better results, parameter optimisation may be integrated to GM (1, 1) and TFGM (1, 1). The demand may be predicted not only for the total demand on hospital, but also for the demand of hospital departments.

Originality/value
This study contributes to relevant literature by proposing fuzzy grey forecasting, which is used to predict the health demand. Therefore, the new application area as the health sector is handled with the grey model.
Analysing mall attributes in defining the desire of consumers to stay
Authors: Santoso Djoen San , Joewono Tri Basuki , Sunanto Sandra 
Published: September 2018

Purpose
The purpose of this paper is to examine how attributes of a mall contribute to the amount of time spent in the shopping centre.

Design/methodology/approach
The study used data collected from the questionnaire survey distributed to visitors of four major shopping centres in Bandung City, Indonesia. Ordinal logit was applied to analyse the mall built environment attributes in relation to the duration of stay. Factors related to the visit and socio-demographic background of the shoppers are also considered in this analysis.

Findings
The results show that each shopping centre has its own unique attribute(s) that keep consumers in the mall. However, attributes that boost or strengthen the image of a shopping centre do not necessarily contribute much to explaining the desire of consumers to stay. Factors pertaining to the visit and socio-demographic background of consumers have been found to play a more important role in defining the duration of visit.

Originality/value
The study provides an analysis of how the mall attributes worked in defining the visit duration in comparison to the factors related to the visit and socio-demographic factors at four shopping centres, while most studies typically only focussed on one shopping centre.
Too resilient for anyone’s good
Authors: Nizami Lance 
Published: September 2018

PurposeThis paper aims to extend the companion paper on “infant psychophysics”, which concentrated on the role of in-lab observers (watchers). Infants cannot report their own perceptions, so for five decades their detection thresholds for sensory stimuli were inferred from their stimulus-evoked behavior, judged by watchers. The inferred thresholds were revealed to inevitably be those of the watcher–infant duo, and, more broadly, the entire Laboratory. Such thresholds are unlikely to represent the finest stimuli that the infant can detect. What, then, do they represent?Design/methodology/approachInfants’ inferred stimulus-detection thresholds are hypothesized to be attentional thresholds, representing more-salient stimuli that overcome distraction.FindingsEmpirical psychometric functions, which show “detection” performance versus stimulus intensity, have shallower slopes for infants than for adults. This (and other evidence) substantiates the attentional hypothesis.Research limitations/implicationsAn observer can only infer the mechanisms underlying an infant’s perceptions, not know them; infants’ minds are “Black Boxes”. Nonetheless, infants’ physiological responses have been used for decades to infer stimulus-detection thresholds. But those inferences ultimately depend upon observer-chosen statistical criteria of normality. Again, stimulus-detection thresholds are probably overestimated.Practical implicationsOwing to exaggerated stimulus-detection thresholds, infants may be misdiagnosed as “hearing impaired”, then needlessly fitted with electronic implants.Originality/valueInfants’ stimulus-detection thresholds are re-interpreted as attentional thresholds. Also, a cybernetics concept, the “Black Box”, is extended to infants, reinforcing the conclusions of the companion paper that the infant-as-research-subject cannot be conceptually separated from the attending laboratory staff. Indeed, infant and staff altogether constitute a new, reflexive whole, one that has proven too resilient for anybody’s good.
A method for deghosting of data recorded with a streamer of arbitrary shape in rough sea conditions
Authors: Denisov Mikhail , Egorov Anton , Burtsev Alexander 
Published: September 2018

ABSTRACTDeghosting of pressure‐only data has become a routine in marine seismic processing. Most existing techniques suffer from noise susceptibility or excessive simplification of the used ghost model, which leads to difficulties in removing the ghost waves. The algorithm presented in this paper is based on the wavefield extrapolation theory, and is capable of taking into account arbitrary streamer shapes and rough sea surfaces. The computations are performed in the frequency domain and come down to solving systems of linear equations. Regularization and data‐adaptive statistical optimization of the parameters prevent noise amplification. We describe the theory of the method and test it against synthetic and field datasets with different streamer shapes for both rough and flat sea surfaces.
Diastolic Dysfunction, an Underestimated New Challenge in Dialysis
Authors: Escoli Rachele , Carvalho Maria J , Cabrita António , Rodrigues Anabela 
Published: September 2018

AbstractHeart failure (HF) is very common in the general population and specifically in CKD patients due to higher prevalence of traditional and CKD‐related risk factors. In particular, HF with preserved ejection fraction (HFpEF) can affect over 50% of dialysis patients. However, little is known about this entity in CKD. It has been inadequately recognized over time and few data exist regarding clinical profiles and outcomes in dialysis patients. The aim of this paper is to do a critical appraisal of the diagnosis, clinical impact, and management of HFpEF with a focus on new diagnostic criteria and its impact on dialysis.
Capturing Emergency Department Discharge Quality With the Care Transitions Measure: A Pilot Study
Authors: Sabbatini Amber K. , Gallahue Fiona , Newson Joshua , White Stephanie , Gallagher Thomas H. 
Published: September 2018

AbstractBackgroundRecent attention has been given to developing measures to capture the quality of ED transitions of care. We examined the utility of a patient‐reported measure of transitional care, the Care Transitions Measure‐3 (CTM‐3), in the ED setting and its association with outcomes of care after ED discharge.MethodsA telephone survey was conducted of a convenience sample of patients 14 days after discharge from two emergency departments (EDs) in an academic health system. Patients responded to three statements using a four‐point agreement scale (strongly disagree, disagree, agree, strongly agree): 1) “The hospital staff took my preferences and those of my family or caregiver into account when deciding what my health care needs would be”; 2) “ When I left the ER, I had a good understanding of the things I was responsible for in managing my health”; and 3) “When I left the hospital, I clearly understood the purpose for taking each of my medications.” Patients were also queried about outcomes after ED discharge that are known to be related to ED care transitions including medication adherence, completion of recommended follow‐up, and return visits to the ED. Multivariable logistic regression was used to determine the association between the CTM‐3 score (on a 100‐point scale) and outcomes of interest.ResultsAmong 1,832 patients called, 576 were reached by phone, and 410 consented and completed our survey, representing a 22.4% response rate of patients we attempted to call. A 10‐point increase in the CTM‐3 score (better care experiences) was associated with a 12% decrease in the odds of having an ED return visit (adjusted odds ratio [AOR] = 0.88, 95% confidence interval [CI] = 0.77–1.00) and a 45% increase in the odds of taking prescribed medications as recommended (AOR = 1.45, 95% CI = 1.12–1.87). There was no association between CTM‐3 score and completion of follow‐up.ConclusionsThe CTM‐3 is associated with outcomes of care after an ED visit, including ED return visits and medication adherence, and may have utility as a patient‐reported measure of ED transitions of care.
EMS naloxone administration as non‐fatal opioid overdose surveillance: 6‐year outcomes in Marion County, Indiana
Authors: Ray Bradley R. , Lowder Evan M. , Kivisto Aaron J. , Phalen Peter , Gil Harold 
Published: September 2018

AbstractBackground and AimsDespite rising rates of opioid overdose in the United States, few studies have examined the frequency of non‐fatal overdose events or mortality outcomes following resuscitation. Given the widespread use of naloxone to respond to overdose‐related deaths, naloxone administration may provide a useful marker of overdose events to identify high‐risk users at heightened risk of mortality. We used naloxone administration by emergency medical services as a proxy measure of non‐fatal overdose to examine repeat events and mortality outcomes during a 6‐year period.MethodsWe conducted a retrospective investigation of all cases in Marion County, Indiana between January 2011 and December 2016 where emergency medical services used naloxone to resuscitate a patient. Cases were linked to vital records to assess mortality and cause of death during the same time‐period. We used Cox regression survival analysis to assess whether repeat non‐fatal overdose events during the study period were associated with the hazard of mortality, both overall and by cause of death.ResultsOf 4726 patients administered naloxone, 9.4% (n = 444) died an average of 354 days [standard deviation (SD) = 412.09, range = 1–1980] following resuscitation. Decedents who died of drug‐related causes (34.7%, n = 154) were younger and more likely to have had repeat non‐fatal overdose events. Patients with repeat non‐fatal overdose events (13.4%, n = 632) had a ×2.07 [95% confidence interval (CI) = 1.59, 2.71] higher hazard of all‐cause mortality and a ×3.06 (95% CI = 2.13, 4.40) higher hazard of drug‐related mortality.ConclusionsAmong US emergency medical service patients administered naloxone for opioid overdose, those with repeat non‐fatal opioid overdose events are at a much higher risk of mortality, particularly drug‐related mortality, than those without repeat events.
Brain imaging can predict neurodevelopmental outcome of Group B streptococcal meningitis in neonates
Authors: Martis J M S , Bok L A , Halbertsma F J J , van Straaten H L M , de Vries L S , Groenendaal F 
Published: September 2018

AbstractAimThe association between cranial ultrasound (CUS) or magnetic resonance imaging (MRI) lesions and neonatal Group B streptococcal (GBS) meningitis outcome has not been studied in detail.MethodsThis retrospective study assessed CUS, cranial MRI and neurodevelopmental outcome in 50 neonates with GBS meningitis admitted to three neonatal intensive care units in the Netherlands between 1992 and 2014. Death, cognitive outcome and motor outcome below −1 SD were considered as adverse outcomes.ResultsCUS was available in all and MRIs in 31 infants (62%) with 28 CUS (56%) and 27 MRIs (87%) being abnormal. MRI lesions were multifocal (n = 10, 37%), bilateral (n = 22; 82%) and extensive (n = 11; 41%). A total of 10 died in the neonatal period. Median age at assessment was 24 months. Among survivors, abnormal cognitive outcome and motor outcome were seen in 23 and 20 patients, respectively. Abnormal CUS [odds ratio (OR) 5.3, p = 0.017], extensive bilateral deep grey lesions (OR 6.7, p = 0.035) and white matter lesions (OR 14.0, p = 0.039) correlated with abnormal motor outcome. Extensive bilateral deep grey matter lesions correlated with abnormal cognitive outcome (OR 8.1, p = 0.029).ConclusionAbnormal CUS and the most severely affected MRIs were associated with poor neurodevelopmental outcome in neonatal GBS meningitis.
Concise tool based on language milestones identifies children with specific language impairment at 24–45 months of age
Authors: Diepeveen F. Babette , van Dommelen Paula , Oudesluys‐Murphy Anne Marie , Verkerk Paul H. 
Published: September 2018

AbstractAimThis study aimed to develop a concise tool with acceptable predictive properties to identify young children with specific language impairment (SLI).MethodsIn this nested case–control study children with SLI attending two special needs schools for severe speech and language difficulties in the Netherlands were matched by date of birth and sex with control children attending mainstream education. This study analysed the predictive validity for having SLI at a mean age of eight years and three months (range 4–11 years) using combinations of six language milestones that were registered at 24, 36 and 45 months and retrieved from the children's healthcare files in 2012.ResultsWe included 253 pairs of children with and without SLI. During a single visit, combinations of two milestones at one age achieved a specificity of at least 97% and sensitivities ranged from 32% to 64%. However, the concise tool, which combined five milestones at three different ages – 24, 36 and 45 months – had a specificity of 96% (95% confidence interval 94–99%) and a sensitivity of 71% (95% confidence interval 66–77%).ConclusionCombining milestones at different ages provided a concise tool that could help to detect children with SLI at a young age.
Relationship between the likelihood of footrot elimination from a flock and the virulence of the strain of Dichelobacter nodosus present
Authors: Allworth MB , Egerton JR 
Published: September 2018

ObjectiveTo assess ability to eliminate different strains of footrot in sheep using inspection and culling of affected sheep.MethodsA flock of 1417 Polwarth sheep that had deliberately been infected with seven different strains of Dichelobacter nodosus and undergone different control measures prior to eradication, including zinc sulfate footbathing and vaccination, were subjected to visual foot inspection on a number of occasions. Sheep identified as infected or having any foot abnormalities were removed from the flock at each inspection. The experiment had three replicates and a small number of untreated control animals. Sheep were examined following the inspections to assess the effectiveness of elimination and additional measures were implemented in two of the three replicates in an attempt to eliminate all strains of D. nodosus.ResultsThree strains of D. nodosus were apparently successfully eliminated from all replicates (strains A, E and H). Strains B and C were detected in one replicate each, despite additional inspections. The three stains that were eliminated were the more virulent strains and the two strains that remained were the least virulent. No assessment could be made on a further two strains.ConclusionsThe application of a rigorous inspection and culling program resulted in the elimination of the more virulent D. nodosus strains, but did not result in the elimination of all D. nodosus strains on all occasions.
No conscientious objection without normative justification: Against conscientious objection in medicine
Authors: Zolf Benjamin 
Published: September 2018

AbstractMost proponents of conscientious objection accommodation in medicine acknowledge that not all conscientious beliefs can justify refusing service to a patient. Accordingly, they admit that constraints must be placed on the practice of conscientious objection. I argue that one such constraint must be an assessment of the reasonability of the conscientious claim in question, and that this requires normative justification of the claim. Some advocates of conscientious object protest that, since conscientious claims are a manifestation of personal beliefs, they cannot be subject to this kind of public justification. In order to preserve an element of constraint without requiring normative justification of conscientious beliefs, they shift the justificatory burden from the belief motivating the conscientious claim to the condition of the patient being refused service. This generally involves a claim along the lines that conscientious refusals should be permitted to the extent that they do not cause unwarranted harm to the patient. I argue that explaining what would constitute warranted harm requires an explanation of what it is about the conscientious claim that makes the harm warranted. ‘Warranted’ is a normative operator, and providing this explanation is the same as providing normative justification for the conscientious claim. This shows that resorting to facts about the patient’s condition does not avoid the problem of providing normative justification, and that the onus remains on advocates of conscientious objection to provide normative justification for the practice in the context of medical care.
Appropriating WhatsApp‐mediated postgraduate supervision to negotiate “relational authenticity” in resource‐constrained environments
Authors: Rambe Patient , Mkono Muchazondida 
Published: September 2018

AbstractDespite the surging prominence of literature that explores mobile instant messaging’s (MIM) capacity to leverage transformative pedagogical practices in higher education, studies that unravel the appropriation of MIM to leverage postgraduate supervision in authentic learning contexts are less frequent. Consequently, a gap persists on the nature of postgraduate supervisees’ existential and relational authenticity as they interface with MIM and supervisors during their consultation processes. This study drew on Heidegger’s existential authenticity, a netnography of WhatsApp‐based supervisor–supervisee consultations and in‐depth interviews to unravel how WhatsApp‐mediated postgraduate supervision fosters the social construction of relational and existential authenticity in resource‐constrained contexts. The findings suggest that authentic supervision was constructed through supervisor–supervisees’ negotiation of academic hierarchies, supervisees’ self‐expression and self‐disclosure, their management of moments of anxiety and conflict deflation in ambivalent supervision scenarios. The study recommends that supervisors need to manage the significant yet unrecognised “nervous moments” in technology‐mediated supervision environments, where compression of hierarchy may be conflated with negation of the supervisor’s authority.
Chronic nonbacterial prostate inflammation in a rat model is associated with changes of gut microbiota that can be modified with a galactoglucomannan‐rich hemicellulose extract in the diet
Authors: Konkol Yvonne , Keskitalo Anniina , Vuorikoski Heikki , Pietilä Sami , Elo Laura L. , Munukka Eveliina , Bernoulli Jenni , Tuomela Johanna 
Published: September 2018

ObjectivesTo investigate dietary effects on the gut microbiota composition in a rat model of nonbacterial chronic prostate inflammation (CPI).Materials and methodsNonbacterial CPI was induced in the Wistar rat strain with subcutaneous testosterone and 17β‐oestradiol (E2) hormone pellets for 18 weeks. Rats with placebo pellets served as healthy controls. Rats with CPI were stratified into two groups, which drank either plain tap water (control group) or tap water supplemented with 2% galactoglucomannan‐rich hemicellulose extract (GGM group) from Norway spruce (Picea abies) for 5 weeks. Faecal samples were collected at the end of the study, total DNA was extracted, and the bacterial composition was analysed by 16S rRNA gene sequencing. In addition, faecal samples were assayed for short‐chain fatty acid (SCFA) concentrations using gas chromatography. Lipopolysaccharide‐binding protein (LBP) was measured in serum samples, as an indirect indicator for bacterial lipopolysaccharide (LPS) load in blood.ResultsThe microbial biodiversity was significantly different between the treatment groups. In the rats with CPI, there was a significant increase in gut microbial populations Rikenellaceae, Odoribacter, Clostridiaceae, Allobaculum and Peptococcaceae compared with healthy rats. Conversely, levels of Bacteroides uniformis, Lactobacillus and Lachnospiraceae were decreased in rats with CPI. SCFA butyric‐, valeric‐ and caproic‐acid concentrations were also decreased in the faecal samples of the rats with CPI. In contrast, acetic acid concentrations and serum LBP were significantly elevated in CPI rats compared with healthy ones. Amongst rats with CPI, treatment with the GGM extract significantly reduced the abundance of Odoribacter and Clostridiaceae levels, and increased the B. uniformis levels compared with CPI rats drinking tap water only. In addition, GGM significantly increased the levels of butyric acid and caproic acid, and reduced the levels of LBP in serum.ConclusionsHormone‐induced nonbacterial CPI in rats is associated with specific changes in gut microbiota and secondary changes in SCFAs and LPS due to gut microbiota alteration. Our results further suggest that fermentable compounds may have a beneficial effect on CPI.