bluuebunny/crossref_metadata_2025_split huggingface dataset:
Care coordination agreements in the Veterans Healthcare Administration
Authors: Ball Sherry , Montpetite Michelle , Kowalski Christine , Gerdes Zach , Graham Glenn , Kirsh Susan , Lowery Julie 
Published: May 2017

Purpose
The Veterans Healthcare Administration (VHA) has promoted Specialty Care Neighborhoods (SCN) to enhance the coordination of services between primary and specialty care. Care coordination agreements (CCAs) were included as a critical element in the SCN program. The purpose of this paper is to examine the role of these documents in the successful implementation of SCNs.

Design/methodology/approach
Content, quality, and perceived usefulness of CCAs from 19 SCN sites were evaluated. CCA content was defined as the presence or absence of eight key components: contact information, process for urgent consults, process for e-consults, content of consults, primary and specialty care responsibilities, expected response time, discharge criteria, and review criteria. CCA quality was based on a qualitative assessment of CCA content; and perceived usefulness was based on a qualitative assessment of interview responses from CCA users. CCA characteristics were compared to SCN implementation levels using descriptive statistics. SCN implementation level was defined and measured by VHA Specialty Care Services.

Findings
Participating sites with medium-high or high SCN implementation levels had CCAs with more key components and of higher quality than sites with medium-low to medium SCN implementation levels. Perceived usefulness of CCAs was not associated with implementation level.

Research limitations/implications
Since this study built on a quality improvement effort to facilitate care coordination, a rigorous research approach was not used. Specific CCA components could not be examined nor could specific hypotheses be tested due to the small and diverse sample. Findings presented are only preliminary.

Practical implications
The examination of CCAs suggests that these documents may be helpful to improve communication among primary and specialty care providers by explicitly stating agreed upon processes, mechanisms and criteria for referrals, roles and responsibilities for the co-management of patients, and timelines for review of CCAs.

Originality/value
This small study suggests that high-quality CCAs, which include a number of key components, can facilitate the implementation of coordinated care. Key characteristics of CCAs are identified in this study, including measures of CCA content, quality, and usefulness, which can be used in future efforts to develop and evaluate efforts to improve care coordination.
Early findings from the evaluation of the Integrated Care and Support Pioneers in England
Authors: Erens Bob , Wistow Gerald , Mounier-Jack Sandra , Douglas Nick , Manacorda Tommaso , Durand Mary Alison , Mays Nicholas 
Published: May 2017

Purpose
Integrating health and social care is a priority in England, although there is little evidence that previous initiatives have reduced hospital admissions or costs. In total, 25 Integrated Care Pioneers have been established to drive change “at scale and pace”. The early phases of the evaluation (April 2014-June 2016) aimed to identify their objectives, plans and activities, and to assess the extent to which they have overcome barriers to integration. In the longer term, the authors will assess whether integrated care leads to improved outcomes and quality of care and at what cost. The paper aims to discuss these issues.

Design/methodology/approach
Mixed methods involving documentary analysis, qualitative interviews and an online key informant survey.

Findings
Over time, there was a narrowing of the integration agenda in most Pioneers. The predominant approach was to establish community-based multi-disciplinary teams focussed on (older) people with multiple long-term conditions with extensive needs. Moving from design to delivery proved difficult, as many barriers are outside the control of local actors. There was limited evidence of service change.

Research limitations/implications
Because the findings relate to the early stage of the 5+ years of the Pioneer programme (2014-2019), it is not yet possible to detect changes in services or in user experiences and outcomes.

Practical implications
The persistence of many barriers to integration highlights the need for greater national support to remove them.

Originality/value
The evaluation demonstrates that implementing integrated health and social care is not a short-term process and cannot be achieved without national support in tackling persistent barriers.
People powered primary care: learning from Halton
Authors: Swift Mark 
Published: May 2017

Purpose
A community-centred approach to health called Community Wellbeing Practices (CWP) is being offered to patients at all 17 GP practices in Halton in order to respond more appropriately to patients’ social needs, which are often an underlying reason for their presentation at primary care services. The paper aims to discuss these issues.

Design/methodology/approach
Delivered in partnership with a local social enterprise this approach is centred on the integration of community assets and non-medical community-based support provided by the voluntary, community and social enterprise sector. The core elements include community navigation, social prescribing and social action approaches.

Findings
The CWP initiative has supported more than 5,000 patients over the last four years and has evidenced demonstrable improvements in a range of health and social outcomes for patients.

Research limitations/implications
The initiative has been well received by clinicians and social care professionals and has contributed to a cultural transformation in the way health and care professionals are responding to the identified needs of the community.

Practical implications
Using community-centred approaches in this way may help to augment clinical outcomes as well as reduce demand on over stretched public services.

Social implications
Community-centred models such as the one in Halton have the potential to empower citizens to play an active role in creating healthier communities by catalysing a “people powered” social movement for health.

Originality/value
The CWP model in Halton is a good example of the way community-centred approaches to health can be integrated with health and care pathways to augment clinical outcomes and reduce demand on over stretched services.
Information asymmetry leads to underpricing: validation through SEM for Indian IPOs
Authors: Chhabra Sheena , Kiran Ravi , Sah A.N. 
Published: May 2017

PurposeThe purpose of this paper is to examine the relevance of information, transparency and information efficiency in short-run performance of new issues. The current research evaluates the short-run performance of IPOs during 2005-2012, which even includes the recessionary period. The present study evaluates the impact of informational variables on first-day returns.Design/methodology/approachThe short-run performance of the IPOs is measured through market adjusted excess return. A structural equation model (SEM) has been designed to identify how information influences the short-run performance of IPOs.FindingsThe results of structural model reveal that the sale of promoters’ stake and underwriters’ reputation are the major contributors towards information and are found to be highly significant statistically. The model also shows that the issue size (a component of information) is statistically insignificant at 5 per cent. The model suggests that the availability of information has negative impact on the first day returns indicating that the issuer which disclose maximum information to the public get lower returns on the listing day and hence, their issues are less underpriced.Originality/valueThe present study has a contribution in investment decisions for global investors, as the participation of international investors is common in IPOs of emerging markets. The findings of the study are expected to be useful to the practitioners in predicting the pricing of IPOs based on the informational variables influencing their performance.
A survey on units ontologies: architecture, comparison and reuse
Authors: Zhang Xiaoming , Li Kai , Zhao Chongchong , Pan Dongyu 
Published: May 2017

PurposeWith the increasing spread of ontologies in various domains, units have gradually become an essential part of ontologies and units ontologies have been developed to offer a better expression ability for the practical usage. From the perspectives of architecture, comparison and reuse, the purpose of this paper is to provide a comprehensive survey on four mainstream units ontologies: quantity-unit-dimension-type, quantities, units, dimensions and values, ontology of units of measure and units ontology (UO) of the open biomedical ontologies, in order to address well the state of the art and the reuse strategies of the UO.Design/methodology/approachAn architecture of units ontologies is presented, in which the relations between key factors (i.e. units of measure, quantity and dimension) are discussed. The criteria for comparing units ontologies are developed from the perspectives of organizational structure, pattern design and application scenario. Then, the authors compare four typical units ontologies based on the proposed comparison criteria. Furthermore, how to reuse these units ontologies is discussed in materials science domain by utilizing two reuse strategies of partial reference and complete reference.FindingsUnits ontologies have attracted high attention in the scientific domain. Based on the comparison of four popular units ontologies, this paper finds that different units ontologies have different design features from the perspectives of basis structure, units conversion and axioms design; a UO is better to be applied to the application areas that satisfy its design features; and many challenges remain to be done in the future research of the UO.Originality/valueThis paper makes an extensive review on units ontologies, by defining the comparison criteria and discussing the reuse strategies in the materials domain. Based on this investigation, guidelines are summarized for the selection and reuse of units ontologies.
Networking with a purpose: men and women’s perception of career networking in sport NGBs
Authors: Zdroik Jen , Babiak Kathy 
Published: May 2017

PurposeNetworking practices are considered to be an important career advancement strategy. However, little empirical research exists which provides understanding of this phenomenon as it relates to the differences in practices and experiences between genders. The purpose of this paper is to explore how the role and nature of networking and career relationships in nonprofit sport organizations is perceived to impact career development.Design/methodology/approachIn total, 34 semi-structured interviews were conducted with male and female executives in a range of nonprofit organizations to elicit views, attitudes, and information regarding formal and informal networking strategies and practices employed in this context.FindingsFindings highlight differences in perceptions of how networking is defined, the central role of mentors, the nature of networking relationships, and networking strategies. The authors found that there are various perceived barriers with regard to gender and organizational culture in sport national governing bodies (NGBs).Research limitations/implicationsNetworking practice and policy implications are discussed for sport NGBs and other organizations. The authors offer recommendations for future research.Originality/valueThe project adds value to the understanding of the career advancement of women as it directly compares perceptions of men and women.
Sex differences in cardiovascular risk profiles of ischemic stroke patients with diabetes in the Greater Cincinnati/Northern Kentucky Stroke Study
Authors: Madsen Tracy E. , Khoury Jane C. , Alwell Kathleen A. , Moomaw Charles J. , Demel Stacie L. , Flaherty Matthew L. , Woo Daniel , Mackey Jason , De Los Rios La Rosa Felipe , Martini Sharyl , Ferioli Simona , Adeoye Opeolu , Khatri Pooja , Kissela Brett M. , Kleindorfer Dawn 
Published: May 2017

AbstractBackgroundThe aim of the present study was to compare sex‐specific associations between cardiovascular risk factors and diabetes mellitus (DM) among patients with acute ischemic stroke (AIS) in the Greater Cincinnati/Northern Kentucky Stroke Study (GCNKSS).MethodsThe GCNKSS ascertained AIS cases in 2005 and 2010 among adult (age ≥ 20 years) residents of a biracial population of 1.3 million. Past and current stroke risk factors were compared between those with and without DM using Chi‐squared tests and multiple logistic regression analysis to examine sex‐specific profiles.ResultsThere were 3515 patients with incident AIS; 1919 (55%) were female, 697 (20%) were Black, and 1146 (33%) had DM. Among both women and men with DM, significantly more were obese and had hypertension, high cholesterol, and coronary artery disease (CAD) compared with those without DM. For women with AIS, multivariable sex‐specific adjusted analyses revealed that older age was associated with decreased odds of having DM (adjusted odds ratio [aOR] 0.88, 95% confidence interval [CI] 0.80–0.98). For women with CAD, the odds of DM were increased (aOR 1.76, 95% CI 1.33–2.32). Age and CAD were not significant factors in differentiating the profiles of men with and without DM.ConclusionsWomen with DM had strokes at a younger age, whereas no such age difference existed in men. Compared with men, women with DM were also more likely to have CAD than those without DM, suggesting a sex difference in the association between DM and vascular disease. These findings may suggest a need for more aggressive risk factor management in diabetic women.
Severe pemphigoid gestationis associated with acute disseminated encephalomyelitis in the setting of a systemic disorder
Authors: Oumerzouk Jawad , Abida Nabil , Zaimi Achraf , Znati Kaoutar , Zbir El Mehdi , Bourazza Ahmed 
Published: May 2017

AbstractPemphigoid gestationis is a skin‐specific autoimmune disorder that can sometimes present as the cutaneous manifestation of a multiorgan disease due to potentially common pathogenic mechanisms. We report a severe form of pemphigoid gestationis in a 32‐year‐old primigravida woman, who presented at 22 weeks of gestation with headaches and blurred vision, later developing encephalitis, intrauterine fetal demise and dilated cardiomyopathy.
Cyberbullying and Cybervictimization Within a Cross‐Cultural Context: A Study of Canadian and Tanzanian Adolescents
Authors: Shapka Jennifer D. , Onditi Hezron Z. , Collie Rebecca J. , Lapidot‐Lefler Noam 
Published: May 2017

This study explored cyberbullying and cybervictimization (CBCV), for adolescents aged 11–15 from Tanzania (N = 426) and Canada (N = 592). Measurement invariance and model invariance was found for CBCV. In addition, multigroup structural equation modeling was used to explore several variables: age, gender, average hours online each day, accessing the Internet in a private location, having online privacy concerns, going online for social purposes, and motivation for cyberbullying. Results found interesting patterns within each country. It was found that cellphone ownership moderated the relation between these predictor variables and reported incidences of CBCV uniquely for each country. These findings provide evidence for the global nature of cyberbullying.
Quantification of l‐carvone in toothpastes available on the Swedish market
Authors: Kroona Liv , Warfvinge Gunnar , Isaksson Marléne , Ahlgren Camilla , Dahlin Jakob , Sörensen Östen , Bruze Magnus 
Published: May 2017

SummaryBackgroundToothpastes have widespread use in the population, and contain flavours to give a pleasant and often minty aroma. Flavours are prevalent allergens in toothpastes, and adverse reactions often present as perioral dermatitis or stomatitis. l‐Carvone, a mint flavour found in spearmint oil, is one of these allergens. There are few studies on contact allergy to l‐carvone, and some of them have indicated a positive relationship with oral lichenoid lesions.ObjectivesTo qualitatively and quantitatively investigate the presence of l‐carvone in commercially available toothpastes on the Swedish market.Methodsl‐Carvone in 66 toothpastes was analysed with straight‐phase high‐performance liquid chromatography. The product labels were studied with regard to limonene.Resultsl‐Carvone was found in 64 of 66 toothpastes (concentration: 0.00005–0.35%). In 10 of these, the concentration exceeded 0.1%. Higher concentrations of l‐carvone were found if limonene was listed on the label.ConclusionThe majority of toothpastes on the Swedish market contain l‐carvone, but the concentration hardly relates to the advertised flavour or labelled ingredients. It is hitherto unknown whether the found concentrations are sufficient for induction of contact allergy in individuals with healthy oral mucosa or in those with oral lichenoid lesions or other mucosal disease.
The impact of calcineurin inhibitors on neutrophil gelatinase‐associated lipocalin and fibroblast growth factor 23 in long‐term kidney transplant patients
Authors: Bleskestad Inger Hjørdis , Thorsen Inga Strand , Jonsson Grete , Skadberg Øyvind , Gøransson Lasse Gunnar 
Published: May 2017

AbstractBackgroundNeutrophil gelatinase‐associated lipocalin (NGAL), a protein with bacteriostatic functions rapidly excreted from stimulated or damaged epithelial cells, is elevated in acute and chronic kidney disease. A calcineurin dependent signaling pathway for fibroblast growth factor 23 (FGF23) has been revealed, but the effect of calcineurin inhibitors (CNIs) on the levels of NGAL and markers of mineral metabolism in long‐term kidney transplant patients has not been explored.MethodsIn a cross‐sectional study, 39 patients who received a first kidney transplant more than 10 years ago were split into two groups based on whether (n=28) or not (n=11) they used CNIs. Only patients with well‐functioning grafts defined as an estimated glomerular filtration rate ≥45 mL/min per 1.73 m2 were included.ResultsThe median levels of NGAL, intact parathyroid hormone (iPTH), and iFGF23 were significantly higher in CNI users vs CNI nonusers, 167.0 (134.0‐235.0) ng/mL vs 105.0 (91.3‐117.0) ng/mL, P<.001, 13.8 (10.0‐17.3) pmol/L vs 8.4 (6.4‐9.9) pmol/L, P=.003, and 81.6 (56.4‐116.5) pg/mL vs 61.8 (43.3‐72.1) pg/mL, P=.04 respectively.ConclusionsThe median levels of iFGF23 were higher in CNI users compared to CNI nonusers giving support to the notion of a CNI induced FGF23 resistance in the parathyroid. The net result of CNIs side effects needs to be further explored.
The development of cognitive empathy and concern in preschool children: A behavioral neuroscience investigation
Authors: Decety Jean , Meidenbauer Kimberly L. , Cowell Jason M. 
Published: May 2017

AbstractThis developmental neuroscience study examined the electrophysiological responses (EEG and ERPs) associated with perspective taking and empathic concern in preschool children, as well as their relation to parental empathy dispositions and children's own prosocial behavior. Consistent with a body of previous studies using stimuli depicting somatic pain in both children and adults, larger early (~200 ms) ERPs were identified when perceiving painful versus neutral stimuli. In the slow wave window (~800 ms), a significant interaction of empathy condition and stimulus type was driven by a greater difference between painful and neutral images in the empathic concern condition. Across early development, children exhibited enhanced N2 to pain when engaging in empathic concern. Greater pain‐elicited N2 responses in the cognitive empathy condition also related to parent dispositional empathy. Children's own prosocial behavior was predicted by several individual differences in neural function, including larger early LPP responses during cognitive empathy and greater differentiation in late LPP and slow wave responses to empathic concern versus affective perspective taking. Left frontal activation (greater alpha suppression) while engaging in affective perspective taking was also related to higher levels of parent cognitive empathy. Together, this multilevel analysis demonstrates the important distinction between facets of empathy in children; the value of examining neurobehavioral processes in development. It provides provoking links between children's neural functioning and parental dispositions in early development.
Iconicity in the speech of children and adults
Authors: Perry Lynn K. , Perlman Marcus , Winter Bodo , Massaro Dominic W. , Lupyan Gary 
Published: May 2017

AbstractIconicity – the correspondence between form and meaning – may help young children learn to use new words. Early‐learned words are higher in iconicity than later learned words. However, it remains unclear what role iconicity may play in actual language use. Here, we ask whether iconicity relates not just to the age at which words are acquired, but also to how frequently children and adults use the words in their speech. If iconicity serves to bootstrap word learning, then we would expect that children should say highly iconic words more frequently than less iconic words, especially early in development. We would also expect adults to use iconic words more often when speaking to children than to other adults. We examined the relationship between frequency and iconicity for approximately 2000 English words. Replicating previous findings, we found that more iconic words are learned earlier. Moreover, we found that more iconic words tend to be used more by younger children, and adults use more iconic words when speaking to children than to other adults. Together, our results show that young children not only learn words rated high in iconicity earlier than words low in iconicity, but they also produce these words more frequently in conversation – a pattern that is reciprocated by adults when speaking with children. Thus, the earliest conversations of children are relatively higher in iconicity, suggesting that this iconicity scaffolds the production and comprehension of spoken language during early development.
Cardiovascular events associated with second‐line anti‐diabetes treatments: analysis of real‐world Korean data
Authors: Ha K. H. , Kim B. , Choi H. , Kim D. J. , Kim H. C. 
Published: May 2017

AbstractAimTo compare the risks of cardiovascular disease (CVD) and all‐cause mortality associated with sulfonylurea (SU), dipeptidyl peptidase‐4 inhibitor (DPP4i) and thiazolidinedione (TZD) as add‐on medications to metformin (MET) therapy in people with Type 2 diabetes.MethodsWe identified 40 263 individuals who used SU (n = 11 582), DPP4i (n = 26 623) or TZD (n = 2058) in addition to MET between January 2013 and June 2015 from the database of the Korean National Health Insurance, the single‐payer healthcare system in South Korea. Cox proportional hazard models were used to estimate hazard ratios for major CVD event (coronary artery disease, heart failure, stroke or transient ischaemic attack) development and all‐cause mortality by second‐line anti‐diabetes medication type. Age, sex, duration of MET monotherapy, calendar year and comorbid conditions were adjusted as potential confounders.ResultsThe observed numbers of CVD events (total observed person‐time) were 485 (18 778 person‐years) for MET + SU, 744 (40 374 person‐years) for MET + DPP4i and 60 (3014 person‐years) for MET + TZD users. Compared with MET + SU users, the fully adjusted hazard ratios for CVD events were 0.79 [95% confidence interval (CI): 0.71–0.89] for MET + DPP4i users and 0.85 (95% CI: 0.65–1.11) for MET + TZD users. The corresponding hazard ratios for all‐cause mortality were 0.84 (95% CI: 0.66–1.07) for MET + DPP4i users and 0.67 (95% CI: 0.35–1.28) for MET + TZD users.ConclusionAnalysis of Korea National Health Insurance database showed that MET + DPP4i treatment for diabetes had a lower CVD risk than MET + SU treatment.