bluuebunny/crossref_metadata_2025_split huggingface dataset:
Validity of the Pediatric Canadian Triage Acuity Scale in a tertiary children’s hospital in Israel
Authors: Allon Raviv , Feldman Oren , Karminsky Anna , Steinberg Carmit , Leiba Ronit , Shavit Itai 
Published: March 2017

Objective
In 2015, the Israeli Ministry of Health issued national guidelines demanding the use of a five-level triage system in pediatric emergency departments (EDs). The present study aimed to evaluate the validity of the Pediatric Canadian Triage Acuity Scale (PedCTAS) in the ED of a tertiary children’s hospital in Israel.

Methods
A retrospective cohort study of all patients admitted between January 2011 and December 2015 was carried out. The proportion of hospitalization was the primary outcome measure. The secondary outcomes were proportion of admissions to the ICU, proportions of patients who left without being seen (LWBS), and length of stay (LOS) in the ED.

Results
A total of 83 609 patients were included in our analysis. Triage levels 1–5 included 533 (0.6%), 4428 (5.3%), 46 461 (55.6%), 28 510 (34.1%), and 3677 (4.4%) patients, respectively. Hospitalization proportions were 70, 51, 28, 15, and 12% for triage levels 1, 2, 3, 4, and 5, respectively. Admission proportions to ICU were 24.2, 3.05, 0.24, 0.05, and 0.05% for PedCTAS levels 1, 2, 3, 4, and 5, respectively. The proportions of LWBS were 0.001, 0.002, and 0.005% for triage levels 3, 4, and 5, respectively. LOS was shorter as the triage level increased from 2 to 5.

Conclusion
Triage level was predictive of hospitalization, admission to the ICU, and proportions of LWBS and LOS in the ED. The findings suggest validity of the PedCTAS in this cohort. This is the first report of the performance of a triage tool in an Israeli ED.
The Effect of a Rapid Rehabilitation Program on Patients Undergoing Unilateral Total Knee Arthroplasty
Authors: Pagnotta Geraldine , Rich Ellen , Eckardt Patricia , Lavin Patricia , Burriesci Rachele 
Published: March 2017

BACKGROUND:
Few studies have looked at longer term functional outcomes of rapid rehabilitation (physical therapy in the postanesthesia care unit on the day of surgery) for patients undergoing total knee arthroplasty.

PURPOSE:
The purpose of this interdisciplinary study (physical therapy and nursing) was to assess the effect of a rapid rehabilitation program on inpatient length of stay (LOS) and functional recovery.

METHODS:
Functional outcomes were measured by the Knee Injury Osteoarthritis Outcome Score presurgically and at 4 and 12 weeks postoperatively and by progression along a physical therapy rehabilitation pathway.

RESULTS:
Experimental group LOS was significantly shorter than the control group (p = .0261). Multilevel regression modeling showed that KOOS and physical therapy clinical pathway score trajectories did not differ significantly between groups. Patients receiving rapid rehabilitation were 2.5 (95% CI [0.958, 6.53]) times more likely to have a positive physical therapy rehabilitation trajectory than patients in the control group.

CONCLUSION:
Findings validated earlier study results in terms of LOS; however, further research is needed to assess the effect of rapid rehabilitation on longer term functional outcomes.
Health and health care disparities among women in mainland China
Authors: Wang Xiaofei , Lu Jiehua 
Published: March 2017

Purpose
Women’s health is considered a big public health issue, impacting personal well-being, family reproduction, and society’s development. Since the foundation of the People’s Republic of China, major improvements in women’s social status and health have been made. However, far less has been achieved with respect to gender equality and women still face health disparities. The purpose of this paper is to provide a better understanding of health and health care disparities among women and their determinants in China today.

Design/methodology/approach
This paper used the Statistical Yearbook of Health and Family Planning 2014, the 2010 Women’s Social Status Survey and 2010 census data from the National Bureau of Statistics to give an overall description of disparity in health care and health outcome facing women.

Findings
Progress in health is not equally shared by the female population, and the differences in women’s health by region and in urban and rural areas are considerable. The existing health disparities are still faced by women in terms of life expectancy, hazardous working environment, and health care services. As to gender differences among the elderly aged 60+, men have better health status compared to women. In addition, women are more financially dependent on other family members for the main source of daily living, reflecting their economic disadvantages.

Originality/value
This study gives a comprehensive and the latest overview of trends of women’s health progress, disparities in health care, and health outcomes both in female population and between genders by using three data sources.
The work-to-life conflict mediation between job characteristics and well-being at work
Authors: Chambel Maria José , Carvalho Vânia Sofia , Cesário Francisco , Lopes Silvia 
Published: March 2017

Purpose
The purpose of this paper is to compare part-time and full-time employees, analyzing the relationship between job characteristics and workplace well-being (i.e. burnout and engagement) and the mediating role of the work-to-life conflict with a sample of 736 employees from 14 Portuguese call center companies.

Design/methodology/approach
The hypotheses were tested with multiple group analysis on two samples: part-time and full-time employees.

Findings
The results confirm that in both the part-time and full-time subsamples employees’ perceptions of job characteristics are related to their well-being, and the work-to-life conflict partially mediates this relationship. Moreover, the study confirms that the relationship between employees’ perceptions of job demands and the work-to-life conflict and between the work-to-life conflict and workplace well-being were stronger for full-time than for part-time employees.

Research limitations/implications
The co-relational and cross-sectional design should be regarded as limitations. Moreover, each variable was only assessed with self-reported measures, and the sample comprised call center employees from only one country (Portugal), which may constrain the generalization of these results.

Practical implications
Part-time work is a good solution in order to prevent the work-to-life conflict. Furthermore, a reduced workload and time pressure, enhanced decision latitude and supervisory support appear to be crucial work characteristics for employees juggling their work with other roles and in the promotion of well-being at work.

Originality/value
This research study provides evidence that the traditional vision of the work-family conflict requires a broader conceptualization by considering the interference between life roles, particularly in the case of full-time young employees.
Stories of a transformative mentorship: graduate student glue
Authors: Scott Chyllis E. , Miller Diane M. 
Published: March 2017

PurposeThe purpose of this paper is to narrate authors’ personal and professional experiences as doctoral graduate students, highlighting the personal and academic growth fostered through an organic peer mentorship and advocating that these relationships be cultivated actively by faculty advisors.Design/methodology/approachThe concepts of purpose, planning, and positivity are employed to organize the discussion, which is based on relevant literature and the authors’ lived experiences.FindingsLike most students who pursue and complete doctoral degrees, the authors experienced transformative learning. The authors acknowledge myriad ways their informal peer mentoring relationship was a critical component of successful degree completion.Originality/valueWhile their relationship remains unique and perhaps inimitable, the authors seek to extrapolate the universal qualities relevant to others seeking a deep and personal support system during their doctoral degree-seeking journey.
An electronic referral system supporting integrated hospital discharge
Authors: Wilberforce Mark , Hughes Jane , Clarkson Paul , Whyte David , Chester Helen , Davies Sue , Challis David 
Published: March 2017

Purpose
The purpose of this paper is to evaluate the implementation and potential value of an electronic referral system to improve integrated discharge planning for hospitalised older adults with complex care needs. This new technology formed part of the “Common Assessment Framework for Adults” policy in England.

Design/methodology/approach
Mixed methods were undertaken as part of a case study approach within an acute hospital in the North West of England. First, qualitative interviews were undertaken with practitioners to explore early experiences using the new technology. Second, routinely collected administrative data were analysed, comparing referrals made using the new technology and those made through the usual paper-based process.

Findings
Qualitative interviews found that an electronic discharge system has, in principle, the potential to improve the efficiency and suitability of integrated care planning. However, the implementation proved fragile to decisions taken elsewhere in the local care system, meaning its scope was severely curtailed in practice. Several “socio-technical” issues were identified, including the loss of valuable face-to-face communication by replacing manual with electronic referrals.

Research limitations/implications
The small number of patients referred during the implementation phase meant that patient outcomes could not be definitively judged. Research into the longer-term implications and value of electronic referral systems is needed.

Originality/value
There is concern that attempts to integrate health and social care are stymied by incompatible systems for recording service user information. This research explores a novel attempt to share assessment information and improve support planning across health and social care boundaries.
In praise of a flexible and sustainable HR support
Authors: Persson Sybille , Agostini Bertrand , Kleber Aurélie 
Published: March 2017

Purpose
The purpose of this paper is to highlight the Western roots of the gap between practice and theory in HRM to underline the relevance of a flexible HR support. This support deserves to be nurtured by an insightful consideration of traditional Chinese thought, especially “vital nourishments” and “non-action.”

Design/methodology/approach
Following the methodology of deconstruction provided by French Sinologist and Philosopher François Jullien, this paper brings forward the implicit tenets of Western thought that feed HRD. The work of deconstruction relies here on an “heterotopia” (which literally means “a thought coming from elsewhere”) while making use of the founding tenets of traditional Chinese thought.

Findings
A flexible support, echoing some existing practices of coaching, mentoring and other developmental interactions, acts as an efficient and natural “non-active” development of HR especially relevant when facing stress at work.

Research limitations/implications
If it is worth recalling the already existing bridges between theory and practice in HRM, it is also important to imagine new ones favorable to HRD.

Practical implications
The paper provides a critical reference for managers in charge of HRD.

Social implications
The paper provides a critical reference for academics who wish to be more scholarly engaged in supporting executives and managers.

Originality/value
The paper challenges the Western ethnocentric reading of management in order to welcome another millenary way of thinking built in China. It escapes the fundamentals of managerial thought which have durably ruled over Western management studies.
Ping pong in Phuket: the intersections of tourism, porn and the future
Authors: Mars Michelle Stella , Yeoman Ian Seymour , McMahon-Beattie Una 
Published: March 2017

Purpose
Sex tourism is well documented in the literature, but what about porn tourism? Whether it is a Ping Pong show in Phuket or the Banana show in Amsterdam, porn and tourism have an encounter and gaze no different from the Mona Lisa in the Louvre or magnificent views of New Zealand’s Southern Alps. The paper aims to discuss these issues.

Design/methodology/approach
This paper explores the intersections of tourism, porn and the future as a conceptual framework.

Findings
Four intersections are derived from the conceptual framework. Intersection 1, the Future of Tourism, portrays the evolution of tourism and explores its technological future. Interaction 2, Porn in Tourism, distinguishes between soft- and hard-core porn tourism. Intersection 3, Portraying Porn as a Future Dimension, delves into futurism, science fiction and fantasy. The fourth intersection, the Future Gaze, conveys the thrust of the paper by exploring how technological advancement blends with authenticity and reality. Thus the porn tourist seeks both the visual and the visceral pleasures of desire. The paper concludes with four future gazes of porn tourism, The Allure of Porn, The Porn Bubble, Porn as Liminal Experience and Hardcore.

Originality/value
The originality of this paper is that this is the first paper to systematically examine porn tourism beyond sex tourism overlaying with a futures dimension. Porn tourists actively seek to experience both visual and visceral pleasures. Tourism and pornography both begin with the gaze. The gaze is an integral component of futures thinking. Technology is changing us, making us smarter, driving our thirst for liminal experiences. Like the transition from silent movies to talking pictures the porn tourism experience of the future is likely to involve more of the bodily senses.
Using a social-ecological systems perspective to understand tourism and landscape interactions in coastal areas
Authors: Heslinga Jasper Hessel , Groote Peter , Vanclay Frank 
Published: March 2017

PurposeThe purpose of this paper is to look at the potential synergies between tourism and landscapes and examine the potential contribution of tourism to build social-ecological resilience in the Dutch Wadden.Design/methodology/approachThe authors reveal how a social-ecological systems perspective can be used to conceptualize the Wadden as a coupled and dynamic system. This paper is a conceptual analysis that applies this approach to the Dutch Wadden. The data used for the inquiry primarily comes from a literature review.FindingsThe authors argue that the social-ecological systems perspective is a useful approach and could be used to improve the governance of multi-functional socio-ecological systems in coastal areas. Opportunities for synergies between tourism and landscapes have been overlooked. The authors consider that tourism and nature protection are potentially compatible and that the synergies should be identified.Research limitations/implicationsThis paper is only a conceptual application rather than an empirical case study. Further research to actually apply the methodology is needed.Practical implicationsManagers of protected areas should consider applying a social-ecological systems approach.Social implicationsThe views of a wide variety of stakeholders should be considered in landscape planning.Originality/valueThe value of this paper lies in the articulation of the social-ecological systems perspective as a way to identify and understand the complex interactions between tourism and landscape, and the potential synergies between them.
Geographies of African corruption
Authors: Warf Barney 
Published: March 2017

Purpose
The purpose of this paper is to study the uneven geographies of corruption on the African continent. Corruption is an entrenched part of African political culture. However, the degree and impacts of corruption vary widely across the continent, ranging from failed states such as Somalia to the region’s bright spot Botswana. This paper first defines corruption and discusses its causes and effects. It then delves into the specifics of African corruption, including its causes and effects such as patrimonial political cultures, clientelism and the role of natural resource exports.

Design/methodology/approach
The study uses data from Transparency International to assess African corruption empirically and geographically, and links its levels of severity using correlations to gross domestic product per capita, literacy, income inequality and freedom of the media.

Findings
The major findings are that while the vast majority of the continent’s one billion people live under very corrupt regimes, the impacts of corruption on economic growth are questionable. Few geographic studies of corruption exist.

Originality/value
The paper’s novelty stems in part from being the first to explore African corruption from a spatial perspective, illustrating its widely varying contexts and consequences.
The provisioning of collective goods by MNEs in emerging markets
Authors: Boddewyn Jean J. 
Published: March 2017

PurposeThis paper aims to determine the essential “collective goods” which a foreign multinational enterprise (MNE) must have before production can start in a remote area of an emerging economy, and to consider the alternative governance modes available to procure or create these goods.Design/methodology/approachThis purpose is examined conceptually and theoretically. First, the concept of “collective goods” is presented, followed by a consideration of the traditional “buy, ally or make” contractual approaches available to obtain goods and services. These approaches are repositioned in the context of an “emerging economy” so that alternative “ordering systems” as well as “non-contractual” means of obtaining things have to be considered in the context of internalization and reciprocity theories.FindingsIt is difficult to obtain collective goods in remote areas of emerging economies where private ordering prevails and even succeeds but at high transaction costs and with substantial government intervention. However, the use of non-contractual modes of exchange such as reciprocity is available to facilitate exchanges between market MNEs and nonmarket state offices and civil-society associations such as non-governmental organizations with which collaboration is necessary but which cannot be acquired or controlled by MNEs. However, market firms can use philanthropy and lobbying to obtain the help of these nonmarket actors who know how to operate under private and state-ordering systems.Research limitations/implicationsTheoretical implications: Internalization theory explains why MNEs are able to obtain collective goods by providing them “in-house”, while reciprocity theory exemplifies how non-contractual modes of exchange can substitute for the traditional but contractual “buy, ally and/or make”.Practical implicationsManagerial implications: In terms of the organizational structure of the subsidiary of an MNE operating in an emerging economy, it appears that the line functions of procurement, engineering and production may rely more on contractual exchanges with foreign suppliers, while the staff functions of public affairs, government relations and human resources may be more adept at using reciprocal exchange with local suppliers.Originality/valueThe provisioning of the collective goods when a firm builds its facilities in a remote and underdeveloped part of an emerging economy has hardly received any research attention nor have the non-contractual ways – such as reciprocity – available in the context of private ordering to obtain these goods.
Architecture guideline for game-based stroke rehabilitation
Authors: Kamkarhaghighi Mehran , Mirza-Babaei Pejman , El-Khatib Khalil , Gerling Kathrin M. 
Published: March 2017

Purpose
Strokes are the most common cause of long-term disability of adults in developed countries. Continuous participation in rehabilitation can alleviate some of the consequences, and support recovery of stroke patients. However, physical rehabilitation requires commitment to tedious exercise routines over lengthy periods of time, which often cause patients to dropout of this form of therapy. In this context, game-based stroke rehabilitation has the potential to address two important barriers: accessibility of rehabilitation, and patient motivation. The paper aims to discuss these issues.

Design/methodology/approach
This paper provides a review of design efforts in human-computer interaction (HCI) and gaming research to support stroke rehabilitation.

Findings
Based on extensive review, this paper highlights challenges and opportunities in this area, and discusses an architecture guideline for a game-based stroke rehabilitation system.

Originality/value
This study was an original study.
Project System: totalitarian utopia as a role-playing game
Authors: Kotryová Lujza 
Published: March 2017

Purpose
The purpose of this paper is to determine how to educate people about complicated social topics or politics?; how to lead them to critical thinking?; and how to convey emotions or life experience they never lived through?

Design/methodology/approach
Project System is a three-day experience for adult participants concerning totalitarian regime, freedom and inequality. The Project System does not give fast and easy answers but leads participants to find them on their own. For 30 hours, participants find themselves within a larp, which is a very intense type of role-playing game based on human interactions. The author has chosen a larp as a medium as one of the most immersive and influential method of game-based learning which can facilitate topics that are normally hard to explain through conventional methods of learning. Participants learn firsthand through their roles, emotions, story and experience.

Findings
Project System was a really strong and important experience for many players that may have partially changed their lives. After more than 500 players walked through it, the author can say that this method is beneficial.

Originality/value
Larp as an educational tool is used all over the world; however, there are still only few professional organizations. Most of them are focused on using larp (or similar role-playing methods) as a tool at elementary or secondary schools. Using larp in andragogy is currently pioneering.