bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Split Pectoralis Flap: Combining the Benefits of Pectoralis Major Advancement and Turnover Techniques in One Flap
Authors: Brown Rodger H. , Sharabi Safa E. , Kania Katarzyna E. , Hollier Larry H. , Izaddoost Shayan A. 
Published: May 2017

Background:
The pectoralis major is a versatile flap used as an advancement or turnover flap for sternal wound treatment. The advancement flap provides suboptimal inferior sternal coverage and poorly fills mediastinal dead space. The turnover flap covers the inferior sternum and fills dead space but requires disinsertion of the muscle from the humerus, resulting in functional loss and cosmetic deformity.

Methods:
The authors describe a new technique of splitting the pectoralis muscle along its fibers, using the superior portion as an advancement flap and the inferior portion as a turnover flap.

Results:
Eleven patients underwent the described technique. Nine patients healed without complications or repeated operations. One patient had a recurrent aortic graft infection requiring reoperation. One patient had a postoperative seroma requiring incision and drainage.

Conclusion:
Using the pectoralis as an advancement and turnover flap allows inferior sternum and mediastinum coverage using one donor site and maintaining the function of the muscle and preventing cosmetic deformity.
Breast Cancer after Augmentation: Oncologic and Reconstructive Considerations among Women Undergoing Mastectomy
Authors: Cho Eugenia H. , Shammas Ronnie L. , Phillips Brett T. , Greenup Rachel A. , Hwang E. Shelley , Hollenbeck Scott T. 
Published: May 2017

Background:
Breast augmentation with subglandular versus subpectoral implants may differentially impact the early detection of breast cancer and treatment recommendations. The authors assessed the impact of prior augmentation on the diagnosis and management of breast cancer in women undergoing mastectomy.

Methods:
Breast cancer diagnosis and management were retrospectively analyzed in all women with prior augmentation undergoing therapeutic mastectomy at the authors’ institution from 1993 to 2014. Comparison was made to all women with no prior augmentation undergoing mastectomy in 2010. Subanalyses were performed according to prior implant placement.

Results:
A total of 260 women with (n = 89) and without (n = 171) prior augmentation underwent mastectomy for 95 and 179 breast cancers, respectively. Prior implant placement was subglandular (n = 27) or subpectoral (n = 63) (For five breasts, the placement was unknown). Breast cancer stage at diagnosis (p = 0.19) and detection method (p = 0.48) did not differ for women with and without prior augmentation. Compared to subpectoral augmentation, subglandular augmentation was associated with the diagnosis of invasive breast cancer rather than ductal carcinoma in situ (p = 0.01) and detection by self-palpation rather than screening mammography (p = 0.03). Immediate two-stage implant reconstruction was the preferred reconstructive method in women with augmentation (p < 0.01).

Conclusions:
Breast cancer stage at diagnosis was similar for women with and without prior augmentation. Among women with augmentation, however, subglandular implants were associated with more advanced breast tumors commonly detected on palpation rather than mammography. Increased vigilance in breast cancer screening is recommended among women with subglandular augmentation.

CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, III.
The Six-Step Lower Blepharoplasty: Using Fractionated Fat to Enhance Blending of the Lid-Cheek Junction
Authors: Rohrich Rod J. , Pezeshk Ronnie A. , Sieber David A. 
Published: May 2017

Summary:
Lower lid blepharoplasty is one of the most complex procedures performed by plastic surgeons and may cause significant long-term sequelae, including inadequate aesthetic outcomes if not performed with a thorough understanding of anatomy and proper technique. The authors’ practice is consistently evolving to deliver the highest quality results for their patients. The purpose of this article is to introduce an additional sixth step to the lower lid blepharoplasty procedure involving the targeted injection of fractionated fat to better blend the lid-cheek junction. This added step will enhance overall facial rejuvenation, is reproducible, and will provide patients with exceptional outcomes.
Brief Report: Dapivirine Vaginal Ring Use Does Not Diminish the Effectiveness of Hormonal Contraception
Authors: Balkus Jennifer E. , Palanee-Phillips Thesla , Reddy Krishnaveni , Siva Samantha , Harkoo Ishana , Nakabiito Clemensia , Kintu Kenneth , Nair Gonasangrie , Chappell Catherine , Kiweewa Flavia Matovu , Kabwigu Samuel , Naidoo Logashvari , Jeenarain Nitesha , Marzinke Mark , Soto-Torres Lydia , Brown Elizabeth R. , Baeten Jared M. ,   on behalf of the MTN-020/ASPIRE Study Team
Published: May 2017

Objective:
To evaluate the potential for a clinically relevant drug–drug interaction with concomitant use of a dapivirine vaginal ring, a novel antiretroviral-based HIV-1 prevention strategy, and hormonal contraception by examining contraceptive efficacies with and without dapivirine ring use.

Design:
A secondary analysis of women participating in MTN-020/ASPIRE, a randomized, double-blind, placebo-controlled trial of the dapivirine vaginal ring for HIV-1 prevention.

Methods:
Use of a highly effective method of contraception was an eligibility criterion for study participation. Urine pregnancy tests were performed monthly. Pregnancy incidence by arm was calculated separately for each hormonal contraceptive method and compared using an Andersen–Gill proportional hazards model stratified by site and censored at HIV-1 infection.

Results:
Of 2629 women enrolled, 2310 women returned for follow-up and reported using a hormonal contraceptive method at any point during study participation (1139 in the dapivirine arm and 1171 in the placebo arm). Pregnancy incidence in the dapivirine arm versus placebo among women using injectable depot medroxyprogesterone acetate was 0.43% vs. 0.54%, among women using injectable norethisterone enanthate was 1.15% vs. 0%, among women using hormonal implants was 0.22% vs. 0.69%, and among women using oral contraceptive pills was 32.26% vs. 28.01%. Pregnancy incidence did not differ by study arm for any of the hormonal contraceptive methods.

Conclusions:
Use of the dapivirine ring does not reduce the effectiveness of hormonal contraceptives for pregnancy prevention. Oral contraceptive pill use was associated with high pregnancy incidence, potentially because of poor pill adherence. Injectable and implantable methods were highly effective in preventing pregnancy.
Toward precision medicine: tailoring interventional strategies based on noninvasive brain stimulation for motor recovery after stroke
Authors: Koch Philipp J. , Hummel Friedhelm C. 
Published: May 2017

Purpose of reviewTo support the recovery of disability and the reduced functional capacity influencing the independence of daily life after focal brain lesions like stroke, the application of noninvasive brain stimulation (NIBS) by repetitive transcranial magnetic stimulation or transcranial electric stimulation has been found useful in the last decades. Still, a positive influence on the recovery seems to be restricted to specific subgroups of patients. Therefore, a closer look on individual parameters influencing the recovery course and the effect of NIBS is needed.Recent findingsNeuroimaging studies investigated alterations in neuronal network settings during the recovery process from stroke and can explain a relevant amount of variance in residual motor function. In this regard for instance, the microstructural integrity of the corticospinal tract and its influence on cortical and subcortical functional and structural connectivity alterations shows a relevant impact on individual recovery from the acute to the chronic state.SummaryBased on this understanding, a ‘one-suits-all’ NIBS strategy for clinical application appears insufficient and understanding of therapeutic susceptibility to NIBS gained from structural and functional imaging studies will help to develop patient-tailored NIBS-based interventional strategies towards precision medicine, as a promising future prospective within this field.
Physical and mental health status inToxoplasma-infected women before and three years after they learn about their infection: The role of Rh factor
Authors: Šebánková Blanka , Flegr Jaroslav 
Published: May 2017

AbstractLatent toxoplasmosis is known to be associated with specific changes in animal and human behavior and human personality. Many toxoplasmosis-associated shifts, such as an extroversion-introversion shift or a trust -suspicion shift, go in opposite directions in men and women. The stress coping hypothesis suggests that such behavioral effects of toxoplasmosis are side effects of chronic stress caused by lifelong parasitosis and associated health disorders. Several studies have searched for, and typically found, indices of impaired health in infected subjects. However, subjects were always aware of their toxoplasmosis status, which could influence obtained data and cause false-positive results of the studies. Here we searched for differences in physical and mental health status among 39Toxoplasma-infected and 40Toxoplasma-free female university students who completed identical questionnaires (N-70, and anamnestic questionnaire), before and 3 years after they were informed of their toxoplasmosis status. Our results showed that infected women showed indices of poorer health status, not only after, but also before they were informed of their infection. In accordance with previously published data, these indices were more numerous and stronger in Rh-negative than in Rh-positive women. Present results suggest that observed indices of poorer health and symptoms of chronic stress inToxoplasma-infected subjects are real. Due to its high (30%) prevalence, toxoplasmosis could represent an important factor for public health.
Cultivating entrepreneurial behaviour: entrepreneurship education in secondary schools
Authors: Kirkley William W. 
Published: May 2017

Purpose
The purpose of this paper was to investigate the degree to which Entrepreneurship Education (EE) was being provided to secondary school students following changes to the Secondary School Curriculum in 2010 by the New Zealand Ministry of Education. Under these changes, secondary schools were charged with following an “entrepreneurial” approach to school instruction that would develop entrepreneurial behaviors in students.

Design/methodology/approach
The study used a qualitative methodology focused on gauging the reaction by teachers, students and their parents to this new teaching approach. The sample comprised ten secondary schools situated in Northland, New Zealand. A series of focus groups were used to solicit data among three levels under study in each school, i.e. teachers, students and parents. Individual semi-structured interviews were used to collect data from school principals to determine overall reactions to EE by the rest of the school.

Findings
Teachers reported benefits in terms of reduced direct teaching workload, increased participation from students and significantly improved scholastic results compared to targets set in the curriculum. Students reported positively on the greater degree of flexibility allowed under this teaching approach, while parents reported changes in attitude and more engagement in school activities and projects.

Research implications
The continuing evolution of classroom education at secondary school level has long-term repercussions for student learning, engagement and retention as we move to the digital age. Similarly, there are also consequences for the evolving role of teaching, curriculum design and delivery.

Originality/value
The value of this research lies in a closer examination of the effects traditional teaching practices have had on secondary students entering the digital age. Furthermore, it investigates an alternative teaching approach through EE and the impact it has on student learning, retention and engagement.
Examining the existence of double jeopardy and negative double jeopardy within Twitter
Authors: Rogers Andrew , Daunt Kate L. , Morgan Peter , Beynon Malcolm 
Published: May 2017

Purpose
The theory of double jeopardy (DJ) is shown to hold across broad ranging geographies and physical product categories. However, there is very little research appertaining to the subject within an online environment. In particular, studies that investigate the presence of DJ and the contrasting view point to DJ, namely, that of negative double jeopardy (NDJ), are lacking. This study aims to contribute to this identified research gap and examines the presence of DJ and NDJ within a product category, utilising data from Twitter.

Design/methodology/approach
A total of 354,676 tweets are scraped from Twitter and their sentiment analysed and allocated into positive, negative and no-opinion clusters using fuzzy c-means clustering. The sentiment is then compared to the market share of brands within the beer product category to establish whether a DJ or NDJ effect is present.

Findings
Data reveal an NDJ effect with regards to original tweets (i.e. tweets which have not been retweeted). That is, when analysing tweets relating to brands within a defined beer category, the authors find that larger brands suffer by having an increased negativity amongst the larger proportion of tweets associated with them.

Research limitations/implications
The clustering approach to analyse sentiment in Twitter data brings a new direction to analysis of such sentiment. Future consideration of different numbers of clusters may further the insights this form of analysis can bring to the DJ/NDJ phenomenon. Managerial implications discuss the uncovered practitioner’s paradox of NDJ and strategies for dealing with DJ and NDJ effects.

Originality/value
This study is the first to explore the presence of DJ and NDJ through the utilisation of sentiment analysis-derived data and fuzzy clustering. DJ and NDJ are under-explored constructs in the online environment. Typically, past research examines DJ and NDJ in separate and detached fashions. Thus, the study is of theoretical value because it outlines boundaries to the DJ and NDJ conditions. Second, this research is the first study to analyse the sentiment of consumer-authored tweets to explore DJ and NDJ effects. Finally, the current study offers valuable insight into the DJ and NDJ effects for practicing marketing managers.
Questioning the theory-praxis gap in marketing – types and drivers of research implementation
Authors: Möller Kristian 
Published: May 2017

Purpose
This paper aims to present a commentary and reflection on Nenonen et al.’s paper on theorizing with managers.

Design/methodology/approach
The paper is a conceptual reflection.

Findings
The author finds much to agree with Nenonen et al.’s work, but finds some aspects where greater breadth could be added to further strengthen it. The author further suggest that the alleged gap should be critically examined.

Originality/value
This paper extends Nenonen et al. by proposing a broader framework for viewing the relevance and implementability of academic marketing research.
The effect of an equine assisted therapy (EAT) programme on children’s occupational performance – a pilot study
Authors: Heffernan Kim 
Published: May 2017

PurposeEquine-assisted therapy (EAT) uses the horse and its environment to achieve therapeutic goals as designed by an allied health professional (Taylor, 2010). The benefits of these interventions affect areas such as motor skills (Bass et al., 2009; Silkwood-Sherer et al., 2012), sensory processing (Ward et al., 2013), learning, social interaction and socioemotional development (Bracher, 2000). It was felt that occupational therapists could offer valuable input in this area. This paper aims to investigate the impact of a specific six-week EAT programme on six participants’ occupational performance.Design/methodology/approachMixed methods were used in this pilot study, consisting of a pre- and post-design with two follow-up periods. Participants were aged between 5 and10 years with a diagnosis of a visual impairment, and some had additional diagnoses. The Canadian Occupational Performance Measure (COPM) was administered to parents pre-programme, post-programme and approximately six week after the programme ceased. Additional information from notes that contained children’s and parents’ reports was analysed thematically.FindingsFive of the six children were rated as having clinically significant changes in their occupational performance. Analysis of parents’ and children’s reports on their experience of the programme showed the main themes to be: peer interaction, taking on new challenges, feelings towards EAT and change.Originality/valueAlthough there are many practitioners of EAT in Ireland, there is little research, and none was found in relation to the role of occupational therapists within this context. These results indicate that EAT may be effective in assisting some children to reach a variety of goals. This pilot study not only suggests that EAT is worth further research but also begins to explore the role of occupational therapy in this form of intervention.
An investigation of government employees’ support for public-private partnerships
Authors: Shakirova Razilya 
Published: May 2017

Purpose
The purpose of this paper is to investigate the factors that may influence support of public-private partnerships (PPPs) by government employees potentially involved in designing and implementing cross-sectoral collaborations.

Design/methodology/approach
Based on an original survey of government employees in the USA, this study explores the impact of individual, organizational and environmental factors on their support for PPPs by employing ordinary least squares regression.

Findings
Among the individual factors, involvement in PPPs and concerns for efficiency have been identified as factors having positive impact on government employees’ support for PPPs. Male government employees seem to be less supportive of PPPs than female government employees. Environmental factors such as public opinion and appointed agency heads positively influence government employees’ views of PPPs. No evidence for the significant impact of organizational factors on government employee perceptions of PPPs was found.

Research limitations/implications
Factors influencing government employees’ attitudes may also have an effect on employees’ behaviors when involved in PPPs. Further studies may clarify how attitudes are translated into behaviors and how they influence the performance of PPPs. Investigations into government employees’ views of PPPs before and after their actual involvement in partnerships may allow for identifying changes in employees’ support for PPPs and their possible causes.

Originality/value
This study investigates the impacts of individual, organizational and environmental factors on government employees’ support for partnerships with the private sector that remain under-researched in the literature.
Critical factors in public sector collaboration in Malaysia
Authors: Ramadass Shila Devi , Sambasivan Murali , Xavier John Antony 
Published: May 2017

PurposeCollaboration in a public sector is a key to solving complex social problems. This research studies the mandated public sector collaboration in Malaysia. The purpose of this paper is to identify the success factors that are critical to effective collaboration outcomes.Design/methodology/approachThe factors identified were transformational leadership, interdependence, and community. A questionnaire was constructed and distributed to 500 government officers involved in public sector collaboration in Malaysia. An integrated framework was developed and analyzed using a structural equation modeling approach.FindingsThe key findings of this study are transformational leadership that drives interdependence and collaboration outcomes and community that plays a critical role in influencing interdependence, and collaboration outcomes. The theoretical and practical implications of the findings have been discussed. The limitations of this research have been highlighted.Originality/valueThis study through the integrated model has identified the key success factors of public sector collaboration. The empirical results lend credibility to the governance of public sector collaboration.
Towards an everyday life information literacy mind-set: a review of literature
Authors: Martzoukou Konstantina , Sayyad Abdi Elham 
Published: May 2017

Purpose
Information literacy (IL) within the everyday life context is regarded as an important condition for civic participation and engagement, informed citizenship, health and well-being. However, compared to the significant amount of IL research within educational and workplace settings, there has been relatively little research in relation to the value of IL within everyday life situations. The purpose of this paper is to explore existing empirical research that addresses aspects of IL within the context of everyday life, identifying current gaps in the literature, highlighting key theoretical positions, and mapping trends.

Design/methodology/approach
The review has been conducted in the form of a scoping study that aims to map the key concepts underpinning this research area and the main sources and types of evidence available. It is based on journal literature reporting primary research, published from 2000 to 2016 and sourced from a range of different databases covering IL research.

Findings
IL practices take place within diverse everyday life contexts. The key research directions have been categorised into four broad contextual areas, encompassing leisure and community activities, citizenship and the fulfilment of social roles, public health and critical life situations. These point to the need for developing an IL mind-set which is discussed as an adaptive, transferable and ongoing activity that transgresses the boundaries of prescribed skills within the specific contexts of work and education.

Originality/value
This research area is still in its infancy and more varied contexts need to be explored to nurture a robust understanding of the use and impact of IL in people’s everyday lives. The paper also highlights the implications of the lack of IL and identifies the key players in the advocacy of IL within different everyday life settings.
Doing neoliberal things with words in libraries
Authors: Buschman John 
Published: May 2017

PurposeThe purpose of this paper is to flesh out a truncated line of analysis in library and information science (LIS) of language analyses of power in the field.Design/methodology/approachLiterature-based conceptual analysis of the problems engendered by neoliberalism in LIS and the productive approach of language analysis of Austin, Habermas, and Smith that allows us to account for neoliberalism’s effects in language and practices – doing things with words.FindingsLIS has engaged a productive postmodern analysis of power relations that reflects social and economic progress, but Austin, Habermas, and Smith offer a sensible, practical explanation for the operation of neoliberal hegemony on the practices of librarianship.Originality/valuePostmodern analyses are now being deployed in portions of LIS, but they fail to account for the full implications of the dominant public language (and policy and practices) of neoliberalism for librarianship. This is productive exploration of those implications to correct and round out those analyses.