bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perceived Motor Competence in Childhood: Comparative Study Among Countries
Authors: Feitoza Anderson Henry Pereira , Henrique Rafael dos Santos , Barnett Lisa M. , Ré Alessandro Hervaldo Nicolai , Lopes Vítor Pires , Webster E. Kipling , Robinson Leah E. , Cavalcante Wivianne A. , Cattuzzo Maria Teresa 
Published: October 2017

Perceived motor competence (PMC) is a psychological construct that may be influenced by various environmental factors. This study aimed to analyze differences in PMC of children from four diverse countries. The sample was comprised of 231 Brazilian, 129 Australian, 140 Portuguese, and 114 American children, aged 5–8 years. The PMC was assessed using the Pictorial Scale of Perceived Movement Skill Competence for Young Children. Differences in PMC among countries were verified using Kruskal-Wallis tests, separately by age and gender. For girls (from the age of six), differences were found in the leap, slide, hit, and catch, as well as the sum of object control skills and total score. For boys, differences were found among countries in the gallop, jump, slide, hit, catch, and roll, as well as the sum of locomotor and object control skills, and the total skill score. Overall, American children seem to perceive themselves more competent compared to children from other countries. Leisure and sport activities in each country may influence the construction of PMC.
The Bigger the Hand, the Bigger the Difference? Implications for Testing Strength With 2 Popular Handgrip Dynamometers
Authors: Abe Takashi , Loenneke Jeremy P. , Thiebaud Robert S. , Loftin Mark 
Published: October 2017

Context: Studies developed the frail elderly handgrip strength (HGS) diagnostic criteria using multiple types of handgrip dynamometers. If different handgrip dynamometers report different values, then this would have the potential to misclassify people into the wrong diagnostic category. Objective: To examine the characteristics of HGS measured by 2 standard handgrip dynamometers and to investigate the influence of hand size on HGS. Setting: University research laboratory. Participants: A total of 87 young and middle-aged adults between the ages of 20 and 60 years participated in this study. Main Outcome Measures: Standard methods of HGS measurements were used for hydraulic and Smedley spring-type dynamometers, although the participants were instructed to maintain an upright standing position in both tests. Results: Test–retest reliability of hydraulic and Smedley dynamometers provided comparable results to that observed with previous studies. However, the difference in HGS between the 2 dynamometers (Hydraulic–Smedley difference) was positively associated (r = .670, P < .001) with the mean of the 2 dynamometers. The participants who had relatively low HGS (at least <35 kg) produced similar HGS values when the 2 dynamometers were compared, whereas persons who had relatively higher HGS (at least >45 kg) produced greater strength values with the hydraulic compared with the Smedley. The hand and palm lengths were weakly correlated (r = .349 and r = .358, respectively, both Ps < .001) with the difference in HGS between the 2 dynamometers. Conclusions: Test–retest reliability of hydraulic and Smedley dynamometers provides comparable results to previous studies. However, the difference in HGS between the 2 dynamometers was positively associated with the mean of the 2 dynamometers. This Hydraulic–Smedley difference would not affect persons who have relatively low HGS (at least <35 kg), while when HGS is relatively high, the comparison between dynamometers should be done with caution.
Exploring NCAA Division I Athletic Administrator Perceptions of Male and Female Athletic Directors’ Achievements: A Photo Elicitation Study
Authors: Comeaux Eddie , Martin Adam 
Published: October 2017

This study employed the concept of hegemonic masculinity as an interpretive framework to explore NCAA Division I athletic administrator perceptions regarding the professional accomplishments of male and female athletic directors. Using photo elicitation methodology, athletic administrators (e.g., athletic directors, academic advisors/counselors for athletes, and coaches) responded to a photograph of and vignette about either a male or female athletic director. This study found that while some athletic administrators were supportive of the achievements of both male and female athletic directors, some subscribed to hegemonic masculinity, gendered stereotypes, and homologous reproduction. These findings have implications for stakeholders in the affairs of athletics who are committed to creating more equitable athletic environments.
Maternal body mass index and the prevalence of spontaneous and elective preterm deliveries in an Irish obstetric population: a retrospective cohort study
Authors: Vinturache Angela , McKeating Aoife , Daly Niamh , Sheehan Sharon , Turner Michael 
Published: October 2017

ObjectiveTo estimate the association between maternal body mass index (BMI) and risk of spontaneous preterm delivery (sPTD) and elective preterm delivery (ePTD) in singleton and multiple pregnancies.DesignRetrospective cohort study.SettingElectronic records of all deliveries from 2009 through 2013 in a tertiary university hospital were abstracted for demographic and obstetrical information.ParticipantsA total of 38 528 deliveries were included. Participants with missing data were excluded from the study. BMI was calculated from the measurement of height and weight at the first prenatal visit and categorised. Sonographic confirmation of gestational age was standard.Outcome measuresPrimary outcomes, sPTD and ePTD in singleton and multiple pregnancies, were evaluated by multinomial logistic regression analyses, stratified by parity, controlling for confounding variables.ResultsOverall rate of PTD was 5.9%, from which 2.7% were sPTD and 3.2% ePTD. The rate of PTD was 50.4% in multiple pregnancies and 5.0% in singleton pregnancies. The risk of sPTD was increased in obese nulliparas (adjusted OR (aOR) 2.8, 95% CI 1.7 to 4.4) and underweight multiparas (aOR 2.2, 95% CI 1.3 to 3.8). The risk of ePTD was increased in underweight nulliparas (aOR 1.8; 95% CI 1.04 to 3.4) and severely obese multiparas (aOR 1.4, 95% CI 1.02 to 3.8).Severe obesity increased the risk of both sPTD (aOR 1.4; 95% CI 1.01 to 2.1) and ePTD (aOR 1.4; 95% CI 1.1 to 1.8) in singleton pregnancies. Obesity did not influence the rate of either sPTD or ePTD in multiple pregnancies.ConclusionMaternal obesity is an independent risk factor for PTD in singleton pregnancies but not in multiple pregnancies. Obesity and nulliparity increase the risk of sPTD, whereas obesity and multiparity increase the risk of ePTD.
Incidence, duration and cost of futile treatment in end-of-life hospital admissions to three Australian public-sector tertiary hospitals: a retrospective multicentre cohort study
Authors: Carter Hannah E , Winch Sarah , Barnett Adrian G , Parker Malcolm , Gallois Cindy , Willmott Lindy , White Ben P , Patton Mary Anne , Burridge Letitia , Salkield Gayle , Close Eliana , Callaway Leonie , Graves Nicholas 
Published: October 2017

ObjectivesTo estimate the incidence, duration and cost of futile treatment for end-of-life hospital admissions.DesignRetrospective multicentre cohort study involving a clinical audit of hospital admissions.SettingThree Australian public-sector tertiary hospitals.ParticipantsAdult patients who died while admitted to one of the study hospitals over a 6-month period in 2012.Main outcome measuresIncidences of futile treatment among end-of-life admissions; length of stay in both ward and intensive care settings for the duration that patients received futile treatments; health system costs associated with futile treatments; monetary valuation of bed days associated with futile treatment.ResultsThe incidence rate of futile treatment in end-of-life admissions was 12.1% across the three study hospitals (range 6.0%–19.6%). For admissions involving futile treatment, the mean length of stay following the onset of futile treatment was 15 days, with 5.25 of these days in the intensive care unit. The cost associated with futile bed days was estimated to be $AA12.4 million for the three study hospitals using health system costs, and $A988 000 when using a decision maker’s willingness to pay for bed days. This was extrapolated to an annual national health system cost of $A153.1 million and a decision maker’s willingness to pay of $A12.3 million.ConclusionsThe incidence rate and cost of futile treatment in end-of-life admissions varied between hospitals. The overall impact was substantial in terms of both the bed days and cost incurred. An increased awareness of these economic costs may generate support for interventions designed to reduce futile treatments. We did not include emotional hardship or pain and suffering, which represent additional costs.
Regional depth-controlled hydrothermal metamorphism in the Zymoetz River area, British Columbia
Authors: Mihalynuk M. G. , Ghent E. D. 
Published: October 2017

An estimated 6 km of basic to silicic volcanic flows and clastic rocks of the Early Jurassic Telkwa Formation is exposed in moderately east-dipping fault blocks along the Zymoetz River, British Columbia. Extensive wholesale zeolitic replacement of porous tuff beds suggests widespread hydrothermal activity. Metamorphic grade increases regionally from laumontite–albite facies to prehnite–pumpellyite facies with increasing stratigraphic depth. Telkwa Formation strata and the imparted metamorphic zonation are cut and tilted by rotational block faulting, and are repeated in each of the upturned blocks. Late Mesozoic to Tertiary plutonism locally thermally overprinted the regional facies, particularly in the western part of the area. Fluid-inclusion isochores, combined with calculated mineral equilibria, suggest that metamorphism took place at fluid pressures of 2 kbar (1 kbar = 100 MPa) or less, consistent with estimates of stratigraphic burial. Metamorphic fluids were H2O rich and low in dissolved salts. Maximum temperatures during regional depth-controlled hydrothermal metamorphism, based upon the widespread presence of laumontite and the lack of wairakite in the middle to upper parts of the Telkwa Formation, probably did not exceed about 250 °C at H2O pressures of 2 kbar. Mineral zones, estimated paleotemperatures, and geothermal gradients are comparable to regional hydrothermal metamorphism in active volcanic settings such as Iceland.
Influence of Soil Properties in Different Management Systems: Estimating Soybean Water Changes in the Agro-IBIS Model
Authors: Moreira Virnei Silva , Candido Luiz Antonio , Roberti Debora Regina , Webler Geovane , Diaz Marcelo Bortoluzzi , Gonçalves de Gonçalves Luis Gustavo , Pousa Raphael , Degrazia Gervásio Annes 
Published: October 2017

AbstractThe water balance in agricultural cropping systems is dependent on the physical and hydraulic characteristics of the soil and the type of farming, both of which are sensitive to the soil management. Most models that describe the interaction between the surface and the atmosphere do not efficiently represent the physical differences across different soil management areas. In this study, the authors analyzed the dynamics of the water exchange in the agricultural version of the Integrated Biosphere Simulator (IBIS) model (Agro-IBIS) in the presence of different physical soil properties because of the different long-term soil management systems. The experimental soil properties were obtained from two management systems, no tillage (NT) and conventional tillage (CT) in a long-term experiment in southern Brazil in the soybean growing season of 2009/10. To simulate NT management, this study modified the top soil layer in the model to represent the residual layer. Moreover, a mathematical adjustment to the computation of leaf area index (LAI) is suggested to obtain a better representation of the grain fill to the physiological maturity period. The water exchange dynamics simulated using Agro-IBIS were compared against experimental data collected from both tillage systems. The results show that the model well represented the water dynamics in the soil and the evapotranspiration (ET) in both management systems, in particular during the wet periods. Better results were found for the conventional tillage management system for the water balance. However, with the incorporation of a residual layer and soil properties in NT, the model improved the estimation of evapotranspiration by 6%. The ability of the Agro-IBIS model to estimate ET indicates its potential application in future climate scenarios.
The Comparative Epidemiology of Pediatric Severe Sepsis
Authors: Hartman Mary E. , Saeed Mohammed J. , Powell Kimberly N. , Olsen Margaret A. 
Published: October 2017

Objective: To determine whether the coding strategies used to identify severe sepsis in administrative data sets could identify cases with comparable case mix, hospitalization characteristics, and outcomes as a cohort of children diagnosed with severe sepsis using strict clinical criteria. Methods: We performed a retrospective cohort study using data from 2005 to 2011 from the New York and Florida State Inpatient Databases, available from the US Healthcare Cost and Utilization Project. We compared 4 coding strategies: the single International Classification of Diseases, Ninth Revision, Clinical Modification ( ICD-9-CM) codes for (1) severe sepsis or (2) septic shock, and the algorithms developed by (3) Angus et al or (4) Martin et al, which use a combination of ICD-9-CM codes for infection and organ dysfunction. We compared the cases identified by each strategy with each other and with children enrolled in the REsearching severe Sepsis and Organ dysfunction in children: a gLobal perspectiVE (RESOLVE) trial. Results: The Angus criteria was 9 times larger (n = 23 995) than the smallest cohort, identified by the “septic shock” code (n = 2 601). Cases identified by the Angus and Martin strategies had low mortality rates, while the cases identified by the “severe sepsis” and “septic shock” codes had much higher mortality at all time points (eg, 28-day mortality of 4.4% and 7.4% vs 15.4% and 16.0%, respectively). Mortality in the “severe sepsis” and “septic shock” code cohorts was similar to that presented in the RESOLVE trial. Conclusions: The ICD-9-CM codes for “severe sepsis” and “septic shock” identify smaller but higher acuity cohorts of patients that more closely resemble the children enrolled in the largest clinical trial of pediatric severe sepsis to date.
On being supervised: getting value from a clinical supervisor and making the relationship work when it is not
Authors: Parker Stephen , Suetani Shuichi , Motamarri Balaji 
Published: October 2017

Objective: The importance of clinical supervision is emphasised in psychiatric training programs. Despite this, the purpose and processes of supervision are often poorly defined. There is limited guidance available for trainees about their role in making supervision work. This paper considers the nature of supervision in psychiatric training and provides practical advice to help supervisees take active steps to make supervision work. Conclusions: In obtaining value from supervision, the active role of the supervisee in seeking feedback, finding value in criticism and building autonomy is emphasised. Additionally, the importance of exploring what value a supervisor can offer and maintaining realistic expectations is considered. Trainees can benefit from taking an active role in planning and managing their supervision to maximise their learning.
A Personalized Week-to-Week Updating Algorithm to Improve Continuous Glucose Monitoring Performance
Authors: Zavitsanou Stamatina , Lee Joon Bok , Pinsker Jordan E. , Church Mei Mei , Doyle Francis J. , Dassau Eyal 
Published: October 2017

Background: Continuous glucose monitoring (CGM) systems are increasingly becoming essential components in type 1 diabetes mellitus (T1DM) management. Current CGM technology requires frequent calibration to ensure accurate sensor performance. The accuracy of these systems is of great importance since medical decisions are made based on monitored glucose values and trends. Methods: In this work, we introduce a calibration strategy that is augmented with a weekly updating feature. During the life cycle of the sensor, the calibration mechanism periodically estimates the parameters of a calibration model to fit self-monitoring blood glucose (SMBG) measurements. At the end of each week of use, an optimization problem that minimizes the sum of squared residuals between past reference and predicted blood glucose values is solved remotely to identify personalized calibration parameters. The newly identified parameters are used to initialize the calibration mechanism of the following week. Results: The proposed method was evaluated using two sets of clinical data both consisting of 6 weeks of Dexcom G4 Platinum CGM data on 10 adults with T1DM (over 10 000 hours of CGM use), with seven SMBG data points per day measured by each subject in an unsupervised outpatient setting. Updating the calibration parameters using the history of calibration data indicated a positive trend of improving CGM performance. Conclusions: Although not statistically significant, the updating framework showed a relative improvement of CGM accuracy compared to the non-updating, static calibration method. The use of information collected for longer periods is expected to improve the performance of the sensor over time.
Trends in Sports-Related Elbow Ulnar Collateral Ligament Injuries
Authors: Zaremski Jason L. , McClelland JoAnna , Vincent Heather K. , Horodyski MaryBeth 
Published: October 2017

Background: Elbow ulnar collateral ligament (UCL) injuries are common, particularly in adolescent athletes playing overhead sports. While the incidence and outcomes of surgical UCL injuries are well documented, the nonsurgical UCL injury patterns and injury management in this population are not yet known. Purpose/Hypothesis: The purpose of this study was to retrospectively assess the injury severity and subsequent management of UCL injuries among competitive athletes aged 11 to 22 years. We hypothesized that nonsurgical UCL injuries would occur more frequently in younger athletes compared with older athletes. Study Design: Descriptive epidemiological study. Methods: Electronic medical records (using International Classification of Diseases, 9th Revision and 10th Revision and Current Procedural Terminology codes) and keyword searches were used to identify all patients with sports-related UCL injuries between January 2000 and April 2016. A total of 136 records were included. Patients were stratified into 3 age brackets (age 11-13 years, n = 17; age 14-16 years, n = 49; age 17-22 years, n = 70). There were no prior elbow surgical interventions. The main outcome measures included the frequency and severity of UCL injuries and injury management (surgical, nonsurgical). Independent variables included age, UCL injuries per year, and sport classification. Results: There were 53 surgical and 83 nonsurgical UCL injuries. The number of nonsurgical cases increased 9-fold from 2000-2008 to 2009-2016. The UCL injuries were distributed as follows: 60 sprains, 39 partial tears, 36 ruptures, and 1 rerupture. Moreover, 7% of sprains, 51% of partial tears, and 78% of ruptures underwent UCL reconstruction. Nonsurgical management was most common in the youngest athletes (age 11-13 years, 100.0% of total injuries; age 14-16 years, 71.4% of total injuries; and age 17-22 years, 44.3% of total injuries) ( P = .007). UCL injury volume was most commonly associated with javelin (odds ratio, 6.69; 95% CI, 0.72-61.62; P = .07) and baseball (odds ratio, 1.55; 95% CI, 0.69-3.51; P = .32). Conclusion: Younger athletes sustained less severe UCL injuries more often than older athletes. Participation in javelin and baseball was associated with a greater likelihood of UCL injuries based on our dataset. This is the first study to provide data on the volume of nonsurgical UCL injuries among athletes in various sports.
Rates, Causes, and Reduction of 30‐Day Readmissions of Otolaryngology–Head and Neck Surgical Cases
Authors: Al‐Qahtani Ali S. 
Published: October 2017

ObjectivesThe aim of this study was to determine risk factors associated with 30‐day readmission for patients undergoing inpatient otolaryngologic head and neck surgery.Study DesignRetrospective cohort study analysis.SettingStudy at 2 tertiary hospitals.MethodsA 10‐year retrospective cohort analysis was performed for 30‐day readmissions of otolaryngology surgical cases between July 1, 2006, and June 30, 2016, at Assir Central Hospital and Abha Private Hospital. Data included total number of patients, type of surgical procedure, number of and reasons for readmissions, and length of hospital stay.ResultsThere were 32,662 discharges for otolaryngology operations over the 10‐year period of the study, of which 364 patients were readmitted, giving a rate of 11.14 readmissions per 1000 operative procedures (95% CI, 10.1‐12.3). The male:female ratio was 1.4:1. Period of postoperative stay ranged from 1 to 3 days and, after readmission, 2 to 5 days. The main reasons for readmission were bleeding in otolaryngologic cases and wound hematoma in head and neck surgical cases. Overall readmission rates dropped significantly from 12.72 per 1000 operative procedures in the first 5 years to 10.16 in the second 5 years.ConclusionsThis study helped to establish special policies and procedures to prevent readmission by utilizing best practices, including addressing quality care, using preadmission clinics, preventing surgical site infection, and improving communication with community physicians. Plans based on these results also include the development of national model for predicting readmission within 30 days of discharge.
Designing Contracts and Sourcing Channels to Create Shared Value
Authors: de Zegher Joann F. , Iancu Dan A. , Lee Hau L. 
Published: October 2017

In complex supply chains, the benefits and costs of technological innovations do not always accrue equitably to all parties; thus, their adoption may critically depend on sourcing relationships and incentives. In a setting with uncertain and endogenous process yield, we study the potential of two features—contract design and sourcing channel—to create mutual benefit in decentralized value chains, where suppliers bear the costs of new technologies while benefits accrue primarily to buyers. Our focus is on agricultural value chains, where parties may transact through a channel that blends farmers’ produce (“commodity-based channel”) or that allows a one-on-one interaction between farmer and processor (“direct-sourcing channel”). Our study provides insights to companies seeking to incorporate responsible sourcing strategies while also creating economic value—a concept called “creating shared value.” We identify that the technology’s “cost elasticity” drives whether switching sourcing channel, changing contract structure, or adopting an integrated change is necessary to create shared value. This highlights that value chain innovations need to be properly designed—and sometimes combined—to achieve sustainable implementation. We also find that certain simple contracts with a linear or bonus structure are optimal, while other intuitive contracts could be detrimental. Using a data set of farms in Patagonia, Argentina, we estimate that the proposed mechanism could increase average supply chain profit by 6.9% while realizing positive environmental benefits.The online appendix is available at https://doi.org/10.1287/msom.2017.0627 .This paper has been accepted for the Manufacturing & Service Operations Management Special Issue on Value Chain Innovations in Developing Economies.