bluuebunny/crossref_metadata_2025_split huggingface dataset:
SMART KM model
Authors: Ahmed Allam , Elhag Mohamed 
Published: March 2017

Purpose
The purpose of this paper is to critically address the key issues facing organisations in implementing knowledge management (KM) initiatives and frameworks and how to develop fit-for-purpose an integrated knowledge management framework (KMF) for organisational excellence. In doing so, the paper critically review concepts, frameworks and models of KM to introduce the SMART KM model to support the successful introduction of KM to an organisation through systematic and well-defined steps. In addition to well-founded theories, SMART KM model is also driven by best-in-class KM practices from a number of industries and sectors. SMART KM contains number of business components which supports knowledge flow throughout the organisations which can be tailored to achieve the organisation-specific goals and objectives in alignment with the adopted operating model. Throughout the paper, number of key issues facing organisations in implementing KM initiatives will be introduced and discussed. The readers would also be able to realise the design principles supporting SMART KM model and how it can be used to improve performance and achieve organisational excellence.

Design/methodology/approach
The paper provides an in-depth and critical review of the literature and theories on KM. In doing so, several sources have been reviewed and consulted including various mainstream referred journals focussing on KM, change management, management, HR, social science, strategy, etc. as well as books, online databases, governmental reports and statistics, etc.

Findings
All organisations are demanding better justification for investments in any KM initiative and expected outcomes. Therefore, we must ensure that KM initiatives are directly linked to the organisation’s business strategy. Moreover, we must also ensure that there are performance measurements in place to evaluate the success of the proposed KMF or KM initiative.

Originality/value
The SMART KMF is unique as it considers a number of paradigms and key organisation facets to assure successful deployment of KM practices and long-term sustainability of the associated benefits.
Flow, leadership and serious games – a pedagogical perspective
Authors: Buzady Zoltan 
Published: March 2017

Purpose
The purpose of this paper is to briefly outline the relevance of flow, a core concept of positive psychology increasingly applied in leadership development and in serious gaming. The author presents an innovative simulation game designed to teach and train how to manage and lead people based on the principles of “flow-based leadership.”

Design/methodology/approach
This paper briefly describes the flow theory; it relates to leadership theory and why it is increasingly applied in the context of serious games. Then an extensive review and presentation of the features of an innovative serious gaming solution is presented to demonstrate that simulations are a fruitful area into which positive psychology and leadership science are being extended now.

Findings
Despite the growing market segment and various areas of training applications of serious games, very few games have been developed for leadership development. A detailed report presented the conceptual and practical aspects of such a new serious game.

Research limitations/implications
The author’s contribution did not focus on testing a particular framework nor did it aim at exposing new numeric data findings. Instead, the author presented an in-depth case study as an inspiration for future, similar developments. Also, research questions for future analysis of data collected during the leadership development game were outlined.

Practical implications
Readers were informed about a new, innovative serious game application, which is successfully used for leadership development, and in particular to teach the practice of flow-based management concepts.

Social implications
Flow is a concept applied in many fields of life such as sports, music, arts, recreation and work-life. The positive benefits of happiness, creativity, outstanding performance and joy can lead to a fulfilling life which is a paramount value, across all cultures globally. This leadership development game can be applied in other countries and cultures. As a result, the quality of leadership across various cultures can be improved. Researchers are invited to join the outlined new research network and program.

Originality/value
Flow theory is probably the best known concept of positive psychology across related scientific domains such as management, arts, sports, education and spirituality. Professor Csikszentmihalyi – a global figure head – laid the scholarly foundations decades ago, but now the concept is constantly evolving and being adopted into new and changing environments. This necessitates a review – such as this contribution – where the theoretical elements also apply in the new areas of application.
I gamified my courses and I hate that…
Authors: Sobocinski Mikolaj 
Published: March 2017

Purpose
Gamification seems to solve all our problems in education. Students become engaged and motivated – they learn so much more than in the traditional system. Conducting lessons becomes a pleasure, an adventure, a catharsis! While checking attendance, participation, quizzes, tasks, assignments, projects, missions, and quests on a daily basis is a bliss. Unfortunately, that is not true. That is only a dream or part of the advertising campaign of yet another so-called professional or seasoned gamifier. Preparing, organising, and designing gamified courses are not a stroll in a park. Every teacher must forsake leisure and family time alike unless they have ample support from colleagues, administration, and IT department. The purpose of this paper is to present the author’s approach to gamification and share some insight into the author’s experience from designing gamified courses and workshops since 2009.

Design/methodology/approach
This paper concentrates on hands-on experience, mistakes, and solutions in order to approach a major issue: should we introduce gamification in education at all?

Findings
In reality, gamification can be the root of all evil if done too hastily, too cheerfully, and without prior understanding of students’ needs, school facilities, and our own abilities. Gamifying a classroom (or a whole school) is a massive project which should be managed with all risks, weaknesses, and threats possible to imagine. That is why, it is advisable to know what to expect, what to fear, and what to avoid in order to choose the path of righteousness, to master the trade, and to reach everlasting glory. When discussing gamification in education, we must face reality, we need to understand what gamification can provide, but also what it can devour. Educational milieu is too sensitive and our students are too precious to apply unverified solutions without the adequate preparations.

Originality/value
The author offers a few answers to the question as well as a handful of suggestions towards the successful introduction of gamification in education.
Chronological changes in trichofolliculoma: Folliculosebaceous cystic hamartoma is not a very‐late‐stage trichofolliculoma
Authors: Misago Noriyuki , Ansai Shin‐ichi , Fukumoto Takaya , Anan Takashi , Kimura Tetsunori , Nakao Tomokazu 
Published: March 2017

AbstractSome authors have reported that the secondary hair follicles in trichofolliculomas (TF) undergo regressive changes and are subsequently replaced by the developed sebaceous elements, and that folliculosebaceous cystic hamartoma (FSCH) is a TF at a very late stage. In the present study, we revaluated the histopathological features of 40 TF lesions, focusing on their chronological changes. The results of the present study indicate that while the secondary follicles in the TF exhibited the hair cycle, the normal hair cycle was out of control, and tertiary hair follicles randomly developed from the involuting secondary follicles. The repeated development of hair follicles in this disordered hair cycle caused the development of chains of several continuous hair follicles in late‐stage TF. In the TF lesions, no features indicating the replacement of the regressing secondary hair follicles by any sebaceous elements were observed, thereby suggesting that FSCH is not a very‐late‐stage TF.
Development and Validation of the Agency for Healthcare Research and Quality Measures of Potentially Preventable Emergency Department (ED) Visits: The ED Prevention Quality Indicators for General Health Conditions
Authors: Davies Sheryl , Schultz Ellen , Raven Maria , Wang Nancy Ewen , Stocks Carol L. , Delgado Mucio Kit , McDonald Kathryn M. 
Published: March 2017

ObjectiveTo develop and validate rates of potentially preventable emergency department (ED) visits as indicators of community health.Data SourcesAgency for Healthcare Research and Quality, Healthcare Cost and Utilization Project 2008–2010 State Inpatient Databases and State Emergency Department Databases.Study DesignEmpirical analyses and structured panel reviews.MethodsPanels of 14–17 clinicians and end users evaluated a set of ED Prevention Quality Indicators (PQIs) using a Modified Delphi process. Empirical analyses included assessing variation in ED PQI rates across counties and sensitivity of those rates to county‐level poverty, uninsurance, and density of primary care physicians (PCPs).Principal FindingsED PQI rates varied widely across U.S. communities. Indicator rates were significantly associated with county‐level poverty, median income, Medicaid insurance, and levels of uninsurance. A few indicators were significantly associated with PCP density, with higher rates in areas with greater density. A clinical and an end‐user panel separately rated the indicators as having strong face validity for most uses evaluated.ConclusionsThe ED PQIs have undergone initial validation as indicators of community health with potential for use in public reporting, population health improvement, and research.
They Would If They Could: Assessing the Bindingness of the Property Holding Constraints for REITs
Authors: Mühlhofer Tobias 
Published: March 2017

AbstractThis study examines the bindingness of the property holding constraints which Real Estate Investment Trusts (REITs) face on their portfolios (the dealer rule), and illustrates how these constraints hinder REITs from exploiting opportunities to time the property market. I first simulate a set of filter‐based market timing strategies, which outperform a buy‐and‐hold strategy out of sample, and show that imposing a four‐year (or even the newer two‐year) holding constraint significantly reduces the excess returns the strategies generate. I then analyze actual holding periods of properties in REIT portfolios and find that there seems to exist a large degree of demand for short property holding periods and that the trades generated by the filter strategy generally resemble actual REIT trading activity, validating the relevance of the simulation results. A direct test for the constraint reveals that REITs' propensity to hold a property beyond the minimum period increases, the higher the profit from the transaction, consistent with the asymmetric nature in which the rule is enforced. By contrast, this effect is insignificant for Umbrella‐Partnership REITs (UPREITs), which are not as affected by the constraint. I further show that UPREITs overall achieve significantly better ex‐post market timing performance than non‐UPREITs. I thus find that overall REITs are limited by the dealer rule.
Development of a prognosis‐prediction model incorporating genetic polymorphism with pathologic stage in stage I non‐small cell lung cancer: A multicenter study
Authors: Lee Won Kee , Lee Shin Yup , Choi Jin Eun , Seok Yangki , Lee Eung Bae , Lee Hyun Cheol , Kang Hyo‐Gyoung , Yoo Seung Soo , Lee Myung Hoon , Cho Sukki , Jheon Sanghoon , Kim Young Chul , Oh In Jae , Na Kook Joo , Jung Chi Young , Park Chang‐Kwon , Kim Mi‐Hyun , Lee Min Ki , Park Jae Yong 
Published: March 2017

BackgroundThis multicenter study was performed to develop a prognosis‐prediction model incorporating genetic polymorphism with pathologic stage for surgically treated non‐small cell lung cancer (NSCLC) patients.MethodsA replication study including 720 patients and a panel of eight single nucleotide polymorphisms (SNPs), which predicted the prognosis of surgically treated NSCLC in our previous study, was conducted. Using the combined cohort of current and previous studies including 1534 patients, a nomogram for predicting overall survival was made using Cox proportional hazards regression.ResultsAmong the eight SNPs, C3 rs2287845, GNB2L1 (alias RACK1), and rs3756585 were significantly associated with overall survival. A nomogram was constructed based on pathologic stage and the genotypes of the two SNPs, and the risk score was calculated for each patient in the combined cohort. Using the prognosis‐prediction model, we categorized patients into low, intermediate, and high‐risk groups, which had greater accuracy in predictive ability (log‐rank statistics = 54.66) than the conventional tumor node metastasis staging (log‐rank statistics = 39.56). Next, we generated a prognosis‐prediction model for stage I to identify a subgroup of potential candidates for adjuvant chemotherapy. Notably, 97 out of 499 stage IB patients were classified as high‐risk patients with a similar prognosis to stage II patients, suggesting the benefit of adjuvant chemotherapy.ConclusionsThis prognosis‐prediction model incorporating genetic polymorphism with pathologic stage may lead to more precise prognostication in surgically resected NSCLC patients. In particular, this model may be useful in selecting a subgroup of stage IB patients who may benefit from adjuvant chemotherapy.
Effect of five fungicides with different modes of action on cobweb disease (Cladobotryum mycophilum) and mushroom yield
Authors: Carrasco J. , Navarro M.J. , Santos M. , Gea F.J. 
Published: March 2017

AbstractThe fungicides chlorothalonil, metrafenone, prochloraz‐Mn, thiabendazole and thiophanate‐methyl were tested in vitro and in vivo for their effect on Cladobotryum mycophilum, the mycoparasite that causes cobweb disease in white button mushroom. In vitro experiments showed that metrafenone (EC50= 0.025 mg L−1) and prochloraz‐Mn (EC50= 0.045 mg L−1) were the most effective fungicides for inhibiting the mycelial growth of C. mycophilum. Selectivity indexes of the tested fungicides on both C. mycophilum and Agaricus bisporus indicated that metrafenone was also the most selective fungicide, while chlorothalonil was the most toxic fungicide against A. bisporus mycelium. The in vivo efficacy of fungicides for controlling cobweb was evaluated in three mushroom cropping trials, which were artificially inoculated with C. mycophilum (106 conidia m−2). Prochloraz‐Mn provided good control, although the surface colonised by cobweb reached 12% by the end of the crop cycles. None of the inoculated cropping trials treated with metrafenone showed any cobweb disease symptoms, and neither were any significant phytotoxic effects on mushroom yield recorded. These results indicated that metrafenone can be used as an alternative to prochloraz‐Mn in the control of cobweb disease.
Comparison of cost of care for tethered versus non‐tethered ureteric stents in the management of uncomplicated upper urinary tract stones
Authors: Okullo Alfin , Yuminaga Yuigi , Ziaziaris William , Ende David , Lau Howard , Brooks Andrew , Patel Manish I. , Bariol Simon 
Published: March 2017

BackgroundMany surgeons use a stent after ureteroscopic lithotripsy (URSL). For short‐term stenting purposes, a surgeon has the choice of either a tethered or a non‐tethered stent. Stents may be associated with complications that entail an additional cost to their use. There is a paucity of data on the direct healthcare cost of using stent type after either primary or secondary URSL.MethodsWe retrospectively reviewed medical records for patients who underwent URSL for uncomplicated urolithiasis between January 2013 and December 2013 at two tertiary referral hospitals. Costs data was sourced from the costing department with complete data available for 134 patients. The overall medical care cost was estimated by computing the cost of surgery, stent‐related emergency department presentations, re‐admissions and stent removal.ResultsA total of 113 patients had tethered stents and 21 had non‐tethered stents, with similar age and gender composition between the two groups and complications rates. The mean cost of URSL and stent placement was A$3071.7 ± A$906.8 versus A$3423.8 ± A$808.4 (P = 0.049), mean cost of managing complications was A$309.4 ± A$1744.8 versus A$31.3 ± A$98.9 (P = 0.096), mean cost of out‐patient clinic stent removal was A$222.5 ± A$60 versus A$1013.6 ± A$75.4 (P < 0.001) for endoscopic stent removal, overall mean cost of care was A$3603.6 ± A$1896.7 versus A$4468.1 ± A$820.8 (P = 0.042) for tethered and non‐tethered stents, respectively.ConclusionIt is cheaper to use a tethered ureteric stent compared with non‐tethered stents for short‐term stenting after uncomplicated URSL, with a mean cost saving of A$864.5.
Cohort study on emergency general surgery patients and an observation unit
Authors: Dickfos Marilla , Ibrahim Hany , Evans Andrew , Franz Robert 
Published: March 2017

BackgroundMedium‐sized, non‐trauma hospitals experience many of the same difficulties as tertiary centres do when it comes to managing emergency general surgery patients. However, acute surgical units are not a financially viable option in these hospitals. To improve the care of emergency general surgery patients at one such hospital, a Rapid Assessment Medical Surgical (RAMS) unit was developed to decrease the time to review and increase the efficiency in caring for these patients.MethodsTo assess the unit's effect, a prospective analysis was completed of the patients who came through the RAMS unit over a 6‐month period and compared with a retrospective analysis of patients presenting in the same 6‐month period the year prior to the unit's instigation.ResultsThe RAMS unit was effective in providing an avenue for faster review by the surgical team. This resulted in patients leaving the emergency department faster, decreased the number of patients that breached emergency department time‐targets and increased the number of patients discharged after a period of observation or basic treatments.ConclusionGeneral surgery patients were managed more efficiently with the RAMS unit in place. However, a full cost analysis is required to determine if such units are cost‐effective.
Development of a 22q11DS psycho‐educational programme: exploration of the views, concerns and educational needs of parents caring for children or adolescents with 22q11DS in relation to mental health issues
Authors: Alugo T. , Malone H. , Sheehan A. , Coyne I. , Lawlor A. , McNicholas F. 
Published: March 2017

AbstractBackground22q11.2 deletion syndrome (22q11DS) is a multisystem genetic condition with a broad phenotype. It is associated with a high prevalence of depression and anxiety during childhood and increased risk of schizophrenia in adulthood. Despite this, studies report that families may receive inadequate information of mental health (MH) risks at diagnosis. Therefore, this study investigated parents' experiences of caring for a child with 22q11DS, investigated their knowledge regarding the risk of MH problems and assessed the need for a psycho‐educational programme.MethodsA qualitative design and purposeful sampling was utilized. Parents registered with the ‘22q11 Ireland’ support group, and parents listed on the cleft palate database in a children's hospital in Ireland were invited to participate. Focus groups were held with 22 parents. Data were thematically analysed using Burnard's method of analysis.ResultsMost parents had some knowledge of the relationship between 22q11DS and an increased risk of MH issues. Parents reported that MH information relating to 22q11DS was mainly obtained from 22q11DS conferences, the ‘22q11 Ireland’ support group and the Internet. Parents expressed a need for information to prevent or cope with their child's MH issues. Parents suggested that the following topics would be quite useful in a psycho‐educational programme. These included information on the early warning signs of MH issues and guidance on when and how to tell the child about the condition and how to manage the child or young person's anxiety, obsessive behaviour or hearing voices.ConclusionsThe findings indicated parental support for a psycho‐educational programme that would provide relevant, accurate and timely information on how to effectively care for a child with 22q11DS MH needs.
Clinical instruments and methods for assessing physical oral health: A systematic review
Authors: Pauli L.‐K. , Aarabi G. , Kriston L. , Jansen A. , Heydecke G. , Reissmann D.R. 
Published: March 2017

AbstractObjectiveThis study aimed at exploring available clinical instruments and methods for assessing physical oral health, and at identifying those with sufficient diagnostic performance.MethodsA systematic literature search was conducted in Embase and MEDLINE. Identified instruments and methods were critically appraised, and quality of diagnostic performance was rated by two independent reviewers as A (sufficient diagnostic performance), B (either sufficient reliability or validity) or C (insufficient quality, or empirical results unsatisfactory and/or inconsistent). For all A‐rated instruments and methods, an in‐depth literature search was conducted to supplement and verify their effectiveness and accuracy.ResultsA total of 141 instruments and methods were identified. Only 12 methods with sufficient diagnostic performance could be rated as A, 72 were rated as B, and 34 received a C‐rating. Further 23 instruments and methods could not be rated due to lack of available information on diagnostic performance. Of all A‐rated instruments, six were designed for tooth structure, two for periodontium, one for endodontium and three for temporomandibular joints and muscles.ConclusionEven though some instruments and methods exhibited good to excellent reliability and validity and can be recommended for research and clinical practice, they do not allow assessing all components of physical oral health. There is a need to identify and define standard instruments, and for components of physical oral health where methods with sufficient diagnostic performance are lacking, further research is required.