bluuebunny/crossref_metadata_2025_split huggingface dataset:
Multi-agency working and implications for care managers
Authors: Jasper Rowan , Wilberforce Mark , Verbeek Hilde , Challis David J 
Published: April 2016

Purpose
To examine the association between multi-agency working and psychosocial characteristics of work, practitioner time-use and job satisfaction.

Design/methodology/approach
A comparison of practitioners working in multi-agency (health and social care) and single-agency (social care only) teams, using data from the 2008 evaluation of Individual Budgets pilots in England. Participants worked in care manager roles supporting adult social care service users, and comprised social workers and a smaller number of health professionals. Data was collected using a self-completed questionnaire.

Findings
Data were returned from 249 respondents (a 29 per cent response rate), with two-thirds working in single-agency teams. No significant differences were found between team type and job satisfaction. Respondents in multi-agency teams reported greater decision autonomy but poorer supervisory support than those in single-agency teams. The latter finding was robust to further exploration using regression to control for confounding factors.

Research limitations/implications
These data were not specifically collected for the study and response rates were relatively low due to organisational upheaval at the time of data collection, which may affect interpretation.

Practical implications
Government policy is dedicated to extending integrated forms of working, including multi-agency teamwork. This research suggests that such structures need careful planning for them to work effectively, with particular attention to supervision arrangements.

Originality/value
This research gives a systematic and objective exploration of the relationship between job characteristics, time-use and satisfaction of practitioners in single as compared to multi-agency teams.
Constructing ZSCORE-based financial crisis warning models using fruit fly optimization algorithm and general regression neural network
Authors: Huang Tsui-Hua , Leu Yungho , Pan Wen-Tsao 
Published: April 2016

Purpose
– In order to avoid enterprise crisis and cause the domino effect, which influences the investment return of investors, the national economy, and financial crisis, establishing a complete set of feasible financial early warning model can help to prevent the possibility of enterprise crisis in advance, and thus, reduce the influence on society and the economy. The purpose of this paper is to develop an efficient financial crisis warning model.

Design/methodology/approach
– First, the fruit fly optimization algorithm (FOA) is used to adjust the coefficients of the parameters in the ZSCORE model (we call it the FOA_ZSCORE model), and the difference between the forecasted value and the real target value is calculated. Afterward, the generalized regressive neural network (GRNN model), with optimized spread by FOA (we call it FOA_GRNN model), is used to forecast the difference to promote the forecasting accuracy. Various models, including ZSCORE, FOA_ZSCORE, FOA_ZSCORE+GRNN, and FOA_ZSCORE+FOA_GRNN, are trained and tested. Finally, different models are compared based on their prediction accuracies and ROC curves. Furthermore, more appropriate parameters, which are different from the parameters in the original ZSCORE model, are selected by using the multivariate adaptive regression splines (MARS) method.

Findings
– The hybrid model of the FOA_ZSCORE together with the FOA_GRNN offers the highest prediction accuracy, compared to other models; the MARS can be used to select more appropriate parameters to further improve the performance of the prediction models.

Originality/value
– This paper proposes a hybrid model, FOA_ZSCORE+FOA_GRNN which offers better performance than the original ZSCORE model.
On Assessing Flammability of Textiles
Authors: Cheng K.P.S. , Chow W.K. , Han S.S. 
Published: April 2016

This study is to investigate the fire safety of textile and clothing materials. It also assesses the flammability for textiles in general.
With the increase in big fires, accidental or non-accidental, people are worrying about the fire behaviour of combustibles. The flammability of textile and clothing materials is a great concern. Appropriate tests should be developed to assess textile and clothing materials to ensure they are safe in a fire. In fact, textile products should satisfy some fire safety criteria depending on their uses. There are specified flammability requirements on selected products, though whether these are good enough for assessing modern textile materials should be watched.
Typical textile materials with and without fire retardants protection were selected for assessing the fire behaviour with a cone calorimeter. High radiative heat flux up to 70 kWm‒2 was applied to assess those selected textile materials. A cone calorimeter is suggested to be the minimum requirement, though some full-scale burning tests are necessary for some purposes. Heat release rate and flame spreading measures are proposed in ranking the fire safety of textile materials.
Draft Genome Sequence of the New Pathogen for Bivalve Larvae
Vibrio bivalvicida
Authors: Dubert Javier , Spinard Edward J. , Nelson David R. , Gomez-Chiarri Marta , Romalde Jesús L. , Barja Juan L. 
Published: April 2016

ABSTRACT

Vibrio bivalvicida
is a novel pathogen of bivalve larvae responsible for recent vibriosis outbreaks affecting shellfish hatcheries. Here, we announce the draft genome sequence of
V. bivalvicida
605
T
and describe potential virulence factors.
Genome Sequence of
Bacillus anthracis
Strain Stendal, Isolated from an Anthrax Outbreak in Cattle in Germany
Authors: Antwerpen Markus , Elschner Mandy , Gaede Wolfgang , Schliephake Annette , Grass Gregor , Tomaso Herbert 
Published: April 2016

ABSTRACT

In July 2012, an anthrax outbreak occurred among cattle in northern Germany resulting in ten losses. Here, we report the draft genome sequence of
Bacillus anthracis
strain Stendal, isolated from one of the diseased cows.
Draft Genome Sequence of Low-Passage Clinical Isolate
Porphyromonas gingivalis
MP4-504
Authors: To Thao T. , Liu Quanhui , Watling Michael , Bumgarner Roger E. , Darveau Richard P. , McLean Jeffrey S. 
Published: April 2016

ABSTRACT

We present the draft genome of
Porphyromonas gingivalis
MP4-504, a low-passage clinical isolate obtained from a periodontitis patient. The genome is composed of 92 contigs for a length of 2,373,453 bp and a G+C of 48.3%. The
traA-Q
conjugative transfer locus is genetically distinct from W83 but highly similar to ATCC 33277.
Complete Genome Sequence of the Porcine Epidemic Diarrhea Virus Strain SLO/JH-11/2015
Authors: Toplak Ivan , Ipavec Manica , Kuhar Urška , Kušar Darja , Papić Bojan , Koren Simon , Toplak Nataša 
Published: April 2016

ABSTRACT
Porcine epidemic diarrhea virus (PEDV) was detected for the first time in Slovenia in January 2015. The complete genome sequence of PEDV strain SLO/JH-11/2015, obtained from a fecal sample of a fattening pig with diarrhea in September 2015, is closely related to recently detected European strains.
Type V Secretion Systems in Bacteria
Authors: Fan Enguo , Chauhan Nandini , Udatha D. B. R. K. Gupta , Leo Jack C. , Linke Dirk 
Published: April 2016

ABSTRACT
Type V secretion denotes a variety of secretion systems that cross the outer membrane in Gram-negative bacteria but that depend on the Sec machinery for transport through the inner membrane. They are possibly the simplest bacterial secretion systems, because they consist only of a single polypeptide chain (or two chains in the case of two-partner secretion). Their seemingly autonomous transport through the outer membrane has led to the term “autotransporters” for various subclasses of type V secretion. In this chapter, we review the structure and function of these transporters and review recent findings on additional factors involved in the secretion process, which have put the term “autotransporter” to debate.
Association between maternal anaemia and pregnancy outcomes: a cohort study in Assam, India
Authors: Nair Manisha , Choudhury Manoj K , Choudhury Saswati S , Kakoty Swapna D , Sarma Umesh C , Webster Premila , Knight Marian 
Published: April 2016

ObjectivesTo examine the association between maternal anaemia and adverse maternal and infant outcomes, and to assess the feasibility of conducting epidemiological studies through the Indian Obstetric Surveillance System–Assam (IndOSS-Assam).DesignRetrospective cohort study using anonymised hospital records. Exposure: maternal iron deficiency anaemia; outcomes: postpartum haemorrhage (PPH), low birthweight, small-for-gestational age babies, perinatal death.Setting5 government medical colleges in Assam.Study population1007 pregnant women who delivered in the 5 medical colleges from January to June 2015.Main outcome measuresORs with 95% CIs to estimate the association between maternal iron deficiency anaemia and the adverse maternal and infant outcomes. Potential interactive roles of infections and induction of labour on the adverse outcomes were explored.Results35% (n=351) pregnant women had moderate–severe anaemia. Women with severe anaemia had a higher odds of PPH (adjusted OR (aOR) =9.45; 95% CI 2.62 to 34.05), giving birth to low birthweight (aOR=6.19; 95% CI 1.44 to 26.71) and small-for-gestational age babies (aOR=8.72; 95% CI 1.66 to 45.67), and perinatal death (aOR=16.42; 95% CI 4.38 to 61.55). Odds of PPH increased 17-fold among women with moderate–severe anaemia who underwent induction of labour, and 19-fold among women who had infection and moderate–severe anaemia.ConclusionsMaternal iron deficiency anaemia is a major public health problem in Assam. Maternal anaemia was associated with increased risks of PPH, low birthweight, small-for-gestational age babies and perinatal death. While the best approach is prevention, a large number of women present with severe anaemia late in pregnancy and there is no clear guidance on how these women should be managed during labour and delivery.
Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study
Authors: van Rosse Floor , Suurmond Jeanine , Wagner Cordula , de Bruijne Martine , Essink-Bot Marie-Louise 
Published: April 2016

ObjectiveRelatives of ethnic minority patients often play an important role in the care process during hospitalisation. Our objective was to analyse the role of these relatives in relation to the safety of patients during hospital care.SettingFour large urban hospitals with an ethnic diverse patient population.ParticipantsOn hospital admission of ethnic minority patients, 20 cases were purposively sampled in which relatives were observed to play a role in the care process.Outcome measuresWe used documents (patient records) and added eight cases with qualitative interviews with healthcare providers, patients and/or their relatives to investigate the relation between the role of relatives and patient safety. An inductive approach followed by selective coding was used to analyse the data.ResultsBesides giving social support, family members took on themselves the role of the interpreter, the role of substitutes of the patient and the role of care provider. The taking over of these roles can have positive and negative effects on patient safety.ConclusionsWhen family members take over various roles during hospitalisation of a relative, this can lead to a safety risk and a safety protection for the patient involved. Although healthcare providers should not hand over their responsibilities to the relatives of patients, optimising collaboration with relatives who are willing to take part in the care process may improve patient safety.
Impact of the great east Japan earthquake on the body mass index of preschool children: a nationwide nursery school survey
Authors: Yokomichi Hiroshi , Zheng Wei , Matsubara Hiroko , Ishikuro Mami , Kikuya Masahiro , Isojima Tsuyoshi , Yokoya Susumu , Tanaka Toshiaki , Kato Noriko , Chida Shoichi , Ono Atsushi , Hosoya Mitsuaki , Tanaka Soichiro , Kuriyama Shinichi , Kure Shigeo , Yamagata Zentaro 
Published: April 2016

ObjectiveTo evaluate the impact of the 2011 great east Japan earthquake on body mass index (BMI) of preschool children.DesignRetrospective cohort study and ecological study.SettingAffected prefectures (Fukushima, Miyagi and Iwate) and unaffected prefectures in northeast Japan.ParticipantsThe cohort study assessed 2033 and 1707 boys and 1909 and 1658 girls in 3 affected prefectures and unaffected prefectures, respectively, all aged 3–4 years at the time of the earthquake. The ecological study examined random samples of schoolchildren from the affected prefectures.Primary and secondary outcome measuresThe cohort study compared postdisaster changes in BMIs and the prevalence of overweight and obese children. The ecological study evaluated postdisaster changes in the prevalence of overweight children.Results1 month after the earthquake, significantly increased BMIs were observed among girls (+0.087 kg/m2vs unaffected prefectures) in Fukushima and among boys and girls (+0.165 and +0.124 kg/m2, respectively vs unaffected prefectures) in Iwate. 19 months after the earthquake, significantly increased BMIs were detected among boys and girls (+0.137 and +0.200 kg/m2, respectively vs unaffected prefectures) in Fukushima, whereas significantly decreased BMIs were observed among boys and girls (−0.218 and −0.082 kg/m2, respectively vs unaffected prefectures) in Miyagi. 1 month after the earthquake, Fukushima, Miyagi and Iwate had a slightly increased prevalence of overweight boys, whereas Fukushima had a slightly decreased prevalence of overweight girls, compared with the unaffected prefectures. The ecological study detected increases in the prevalence of overweight boys and girls in Fukushima who were 6–11 and 6–10 years of age, respectively.ConclusionsThese results suggest that in the affected prefectures, preschool children gained weight immediately after the earthquake. The long-term impact of the earthquake on early childhood growth was more variable among the affected prefectures, possibly as a result of different speeds of recovery.
Making Quality Improvement Happen in the Real World: Building Capability and Improving Multiple Projects at the Same Time
Authors: Daniel Malcolm , Puxty Alex , Miles Barbara 
Published: April 2016

Improving work as part of clinical practice is challenging. Plans for improvement are often made, but not followed through.A recent experience of failure in an ICU led to a change in approach. Members of the multi-professional team committed to meet weekly to learn about quality improvement by working on improvement projects.The group selected four topics they wanted to work on. These were: a bundle for patients admitted with septic shock; early (≤4 hours) sedation vacation after admission to ICU to allow titration of sedation to effect; achieving ≥ 20 minutes of mobilisation per day in ventilated patients; and medicines reconciliation.This quality improvement meeting was built into another regular weekly meeting. Initially the meeting ran for 30 minutes; each week some focused quality improvement teaching was provided in addition to talking about each individual project.The team found the meeting useful, they saw the progress they were making but felt the allotted time was too short. After 6 weeks, the initial early results persuaded the team to increase the duration of this meeting to 45 minutes.At the start reliability of each process was low (between 10% and 38%). All four projects achieved their stated process reliability aim. This took between 165 and 334 days for each project. Many tests of change ideas were required to achieve this.We have been able to improve multiple topics in a short period and produce sustainable change. The weekly meeting provided the focus to this improvement work. The teaching and coaching on quality improvement methodology that occurred as part of this meeting helped accelerate our rate of progress.We believe this experience and the learning we have gained will help provide ideas for others who also want to improve healthcare delivery in different settings.
Referral Finder: Saving Time and Improving The Quality of In-hospital Referrals
Authors: Cathcart Jennifer , Cowan Neil , Tully Vicki 
Published: April 2016

Making referrals to other hospital specialties is one of the key duties of the foundation doctor, which can be difficult and time consuming. In Ninewells hospital, Scotland, in our experience the effectiveness of referrals is limited by contact details not being readily accessible and foundation doctors not knowing what information is relevant to each specialty.We surveyed foundation doctors on their experience of the existing referral process to identify where we needed to focus to improve the process. The doctors reported significant delays in obtaining contact details from the operator, and found they did not know the specific information needed in each referral.To increase the information available to foundation doctors, we set up a page on the staff intranet called ‘Referral Finder’. This page includes contact details, guidelines for referral, and links to relevant protocols for each specialty. By making this information readily accessible our objective was to increase the speed and quality of referrals.When surveyed two months after the web page was established, foundation doctors reported a reduction in calls to operator from baseline and reported achieving more effective referrals. When asked to comment, many doctors asked if the page could include details for other hospitals in our health board and provide more specialty specific information.This feedback prompted us to extend the scope of the page to include the district general hospital in our region, and update many of the existing details. Doctors were then surveyed after the updates, 100% agreed that the website saved time and there was a 49.3% reduction in doctors who reported not knowing the specific information needed for a referral.Having adequate information improved referrals and resulted in time saved. This would allow more time for patient care. The quality improvement project was praised among doctors as a useful, innovative and replicable project.
Validation of ABCD2 scores ascertained by referring clinicians: a retrospective transient ischaemic attack clinic cohort study
Authors: Dutta Dipankar , Bailey Sarah-Jane 
Published: April 2016

IntroductionTransient ischaemic attack (TIA) services routinely use ABCD2 scores ascertained by referring clinicians to triage patients. Most ABCD2 validation studies have used ABCD2 scores calculated by stroke-specialist investigators and not referring clinicians. This study aimed to assess the usefulness of referring clinicians' ABCD2 scores in predicting strokes.MethodsA retrospective study of a TIA clinic cohort from Gloucester, UK, followed up for 4 years from 2010 to 2012. ABCD2 scores were dichotomised to high risk—ABCD2≥4 and low risk—ABCD2<4. Outcomes of interest were subsequent stroke and stroke or TIA. Survival analysis was used determine the cumulative probability of these outcomes and to identify if ABCD2 risk category was associated with stroke.ResultsOf 1067 (284 high risk, 783 low risk) patients, 49.6% were classified by the clinic stroke physicians as TIA/minor stroke and 50.4% as mimics. Follow-up was for a median of 34.9 (IQR 27.7–41.6) months with 56 strokes and 106 strokes/TIA. The number of strokes by 7 days, 90 days and 48 months, respectively, were: high risk 0, 2 and 20 and low risk 2, 6 and 36 (p=0.21). Unadjusted HR for subsequent stroke was 1.41 (95% CI 0.82 to 2.46) in the high-risk group compared with the low-risk group and HR adjusted for the diagnosis of TIA/stroke was 1.2 (95% CI 0.69 to 2.08).ConclusionsABCD2 scores recorded by referring clinicians did not identify patients at high risk of subsequent stroke, suggesting that the score should not be used for TIA clinic triage.
Does parenting help to explain socioeconomic inequalities in children's body mass index trajectories? Longitudinal analysis using the Growing Up in Scotland study
Authors: Parkes Alison , Sweeting Helen , Young Robert , Wight Daniel 
Published: April 2016

BackgroundPathways leading to socioeconomic inequalities in young children's body mass index (BMI) are not well understood. This study examined whether parenting related to the physical and social context of children's food consumption helped to explain associations between maternal educational level and child BMI trajectory.MethodsThe study used data from 2957 families in a nationally representative birth cohort study surveyed from 2004 to 2011, with child BMI z-score measured 3 times (46, 70 and 94 months). Latent growth curve models examined associations between maternal education and BMI z-score trajectory, exploring mediating effects of parenting (positive mealtime interaction, informal meal setting and child bedroom TV) and unhealthy child diet.ResultsAfter adjusting for maternal BMI, maternal education predicted increased inequality in child BMI z-score trajectory slope over the study period. The slope index of inequality coefficient for maternal education, that is, the change in z-score associated with the lowest relative to the highest maternal education level, was 0.17, p<0.001. Indirect effects of lower maternal education on steeper BMI trajectory via parenting and/or unhealthy diet represented 89% of the total effect. Pathways via parenting and then unhealthy diet accounted for 68% of significant indirect pathways, with the remainder via unhealthy diet only. Bedroom TV was the most important parenting pathway, followed by informal meal setting.ConclusionsPathways via parenting helped to explain the emergence of inequalities in young children's BMI related to maternal education. Interventions targeting parental provision of child bedroom TV and informal meal setting might reduce these inequalities.
Comments on the nilpotent constraint of the goldstino superfield
Authors: Ghilencea D. M. 
Published: April 2016

Superfield constraints were often used in the past, in particular, to describe the Akulov–Volkov action of the goldstino by a superfield formulation with [Formula: see text] endowed with the nilpotent constraint [Formula: see text] for the goldstino superfield ([Formula: see text]). Inspired by this, such constraint is often used to define the goldstino superfield even in the presence of additional superfields, for example, in models of “nilpotent inflation”. In this review, we show that the nilpotent property is not valid, in general, under the assumption of a microscopic (ultraviolet (UV)) description of the theory with linear supermultiplets. Sometimes only weaker versions of the nilpotent relation are true such as [Formula: see text] or [Formula: see text] ([Formula: see text]) in the infrared (far below the UV scale) under the further requirement of decoupling all additional scalars (coupling to sgoldstino), something not always possible (e.g. if light scalars exist). In such cases, the weaker nilpotent property is not specific to the goldstino superfield anymore. We review the restrictions for the Kahler curvature tensor and superpotential [Formula: see text] under which [Formula: see text] remains true in infrared, assuming linear supermultiplets in the microscopic description. One can reverse the arguments to demand that the nilpotent condition, initially an infrared property, be extended even in the presence of additional superfields, but this may question the nature of supersymmetry breaking or the existence of a perturbative UV description with linear supermultiplets.