bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Provider-Focused Intervention to Promote Optimal Care of Pediatric Patients With Suspected Elbow Fracture
Authors: Diaz Maria Carmen G. , Werk Lloyd N. , Crutchfield James H. , Handy Lori K. , Franciosi James P. , Dent Joanne , Villanueva Raymond , Antico Eileen , Taylor Alex , Wysocki Tim 
Published: January 2018

Objective
Emergency department (ED) and urgent care (UC) physicians' accurate assessment of the neurovascular and musculoskeletal (NV/MSK) examination in pediatric patients with suspected elbow fracture is crucial to the early recognition of neurovascular compromise. Our objective was to determine the impact of computer-based simulation (CBS) and computerized clinical decision support systems (CCDSS) on ED and UC physicians' assessment of the NV/MSK examination of pediatric patients with elbow fracture as noted in their documentation.

Methods
All ED UC physician participants received CBS training about management of pediatric patients with suspected elbow fracture. Participants were then randomized to receive CCDSS (intervention arm) when an eligible patient was seen or no further intervention (comparison arm.) Participants received feedback on the proportion of patients with discharge diagnosis of elbow fracturewith proper examination elements documented.

Results
Twenty-eight ED and UC physicians were enrolled — 14 in each arm. Over the span of 16 weeks, 50 patients with a discharge diagnosis of elbow fracture were seen — 25 in each arm. Twenty-two of 25 (88%) patients seen by intervention arm participants had a complete NV/MSK examination documented. Six of 25 (24%) patients seen by comparison arm participants had a complete NV/MSK examination documented. Elements most commonly missed in the comparison arm included documentation of ulnar pulse as well as radial, median, and ulnar nerve motor functions.

Conclusions
Compared with single CBS training alone, repeated exposure to CCDSS after CBS training resulted in improved documentation of the NV/MSK status of pediatric patients with elbow fracture.
Using System Inflammatory Response Syndrome as an Easy-to-Implement, Sustainable, and Automated Tool for All-Cause Deterioration Among Medical Inpatients
Authors: Fogerty Robert L. , Sussman L. Scott , Kenyon Kathleen , Li Fangyong , Sukumar Nitin , Kliger Alan S. , Acker Kurt , Sankey Christopher 
Published: January 2018

Objectives
Clinical deterioration detection among adult inpatients is known to be suboptimal, and many electronic health record tools have been developed to help identify these patients. Many of these tools are focused on sepsis spectrum disorders, but the evolution of the definition of sepsis is moving toward increased specificity, which may make automated detection of clinical deterioration from nonsepsis-related conditions less likely. The objectives of this study were to develop and to examine the use of a low-cost, highly sustainable deterioration detection tool based on systemic inflammatory response syndrome (SIRS) criteria.

Methods
Using existing resources, a SIRS-based electronic health record monitoring and intervention tool was developed with a focus on ease of implementation and high sustainability. This tool was used to monitor 15,739 adult inpatients in real time during their admission.

Results
The SIRS-based tool, created with focus on ease of implementation and high sustainability, identified patients with higher risk of clinical deterioration. The project was rapidly deployed for a 4-month period at a 900-bed campus of an academic medical center with minimal additional resources required.

Conclusions
Whereas the definition of sepsis moves away from SIRS, SIRS-based criteria may still have clinical benefit as an easy-to-automate detection tool for all-cause clinical deterioration among medical inpatients.
Prediction of Early BK Virus Infection in Kidney Transplant Recipients by the Number of Cells With Intranuclear Inclusion Bodies (Decoy Cells)
Authors: Yamada Yoshiteru , Tsuchiya Tomohiro , Inagaki Isao , Seishima Mitsuru , Deguchi Takashi 
Published: January 2018

Background
BK virus (BKV) is the cause of nephropathy. Because BKV nephropathy can progress to graft loss, early diagnosis of BKV infection is very important. In this study, we aimed to investigate the utility of quantifying cells with intranuclear inclusion bodies (decoy cells) in urinary sediment for the screening and monitoring of BKV infection in renal transplant recipients at our hospital.

Methods
This was a retrospective single-center study. Urine sediment examination was performed at each outpatient visit, and the number of decoy cells was measured in the whole microscopic field. Patients (n = 41) were divided into the BK viremia group (blood positive for BKV DNA by polymerase chain reaction [PCR]) and non-BK viremia group (blood negative for BKV DNA by PCR), and the decoy cell count in urinary sediments was examined.

Results
The maximum decoy cell count was significantly higher (P = 0.04) in the BK viremia group than in the non-BK viremia group. In the receiver operating characteristic curve for the maximum decoy cells, the cutoff value was 507 cells. The area under the receiver operating characteristic curve was 0.8774 (95% confidence interval, 0.7739-0.9810). The number of decoy cells at the time of appearance in the BK viremia group was not significantly different from that in the non-BK viremia group. However, the BK viremia group showed an increasing trend, whereas the non-BK viremia group showed a decreasing trend, in the number of decoy cells. There was a positive correlation between the number of decoy cells and the data from the urine BKV-DNA PCR quantification (correlation coefficient [r] = 0.74).

Conclusions
Measurement of decoy cells in urinary sediments may predict early BKV infection, and if performed quickly, it may be useful for screening and continuous monitoring of BKV infection in renal transplant recipients.
Tailored Rabbit Antithymocyte Globulin Induction Dosing for Kidney Transplantation
Authors: Singh Namita , Rossi Ana P. , Savic Marizela , Rubocki Ronald J. , Parker Mark G. , Vella John P. 
Published: January 2018

Background
Rabbit antithymocyte globulin (rATG) is the most widely used kidney transplant induction immunotherapy in the United States. It was recently Food and Drug Administration approved for this indication with typical dose recommendations of 1.5 mg/kg for up to 7 days given via a central line.

Methods
We theorized that reduced rATG dosing when compared with conventional dosing (6-10.5 mg/kg) is safe and effective, leading to development of a risk-stratified treatment protocol. Five-year data from a retrospective cohort of 224 adult kidney transplants (2008-2013) with follow-up through 2015 is presented. Cumulative rATG doses of 3 mg/kg were administered peripherally to nonsensitized living donor recipients, 4.5 mg/kg to nonsensitized deceased donor recipients. A subset of higher immunologic risk recipients (defined as history of prior transplant, panel reactive antibody greater than 20%, or flow cytometry crossmatch positivity) received 6 mg/kg.

Results
There were no differences in patient or graft survival between the 3 groups. One-year rejection rates in the first 2 groups were 8.3% and 8.8%, respectively, comparable to contemporaneous rates reported to the Scientific Registry of Transplant Recipients. Dose tailoring permitted substantial cost savings estimated at US $1 091 502. Mean length of stay fell by almost 3 days as the protocol was refined. There were no episodes of phlebitis. Infection rates were comparable with those reported to the Scientific Registry of Transplant Recipients.

Conclusions
The novel findings of the current study include peripheral administration, reduced dosing, favorable safety, excellent allograft outcomes, and clear associative data regarding reduced costs and length of stay.
Universal service in Vietnam: the role of government
Authors: Do Manh Thai , Falch Morten , Williams Idongesit 
Published: January 2018

Purpose
This paper aims to look at the universal service policy in Vietnam interval 2005-2010 from a stakeholder perspective to clarify the role of stakeholders as well as initiatives used to implement the policy.

Design/methodology/approach
This paper applies the stakeholder framework of Papazafeiropoulou and Pouloudi (2000) to identify which actors implemented the universal service policy and what initiatives were used by the central government. In addition, this paper also uses the qualitative method to clarify the stakeholders’ position on performing the universal service policy. The qualitative interview is recruited to verify and triangulate the result of the secondary data.

Findings
This paper finds that the Vietnamese government controlled the universal service policy via an administrative regime that the central government ordered and other stakeholders followed; the universal service policy focused much on delivering universal service and infrastructure; however, there was lack of initiatives rising awareness of rural users about the benefit of the internet, or training courses on improving rural users’ skills to use the internet; and stakeholders implementing the universal service policy were state entities in which the national government played a central role, and there was no involvement of the private sector and the civil society.

Originality/value
Little research on universal service policies in Vietnam has been made. By analyzing the Vietnamese case, achievements and drawbacks in implementing universal service policies are identified and lessons for other developing countries are derived.
The subjective side of DiDIY: the profile of makers in network marketers communities
Authors: Guerini Carolina , Minelli Eliana Alessandra 
Published: January 2018

Purpose
The purpose of this paper is to focus on the profile of DiDIYers and the antecedents of digital do it yourself (DiDIY) in Network Marketing Direct Selling Organizations (NMDSO).

Design/methodology/approach
A two-step research design allowed the detection of DiDIYers strictu sensu (i.e. digital makers). After collecting data about the attitudes and the actual use of digital technology (DT) by network marketers through an online survey, an open-ended interview technique made it possible to analyze the personal characteristics of DiDIYers, the motivations that drive them and the activities that mainly foster the creation of artifacts in the DT domain. Besides, it allowed to recognize the perceived benefits and the impact of DiDIY output on networkers’ downline and firms’ performance.

Findings
The results provide a preliminary profile of the DiDIYer in network marketing communities that is suitable for further comparative studies. More specifically, this exploratory study acknowledges the most important antecedents of DiDIY in digital literacy – including the awareness of being a digital literate and/or a potential appropriateur – and in organizational culture.

Research limitations/implications
This is an exploratory study based on a limited sample of DiDIYers, nevertheless it offers a preliminary view of the subjective side of the DiDIY phenomenon in network marketing and represents as well a context-bound study.

Practical implications
Considering the ascribed benefits of DiDIY output on the traditional network marketing objectives (effectiveness, efficiency, cohesion, mutual assistance and reinforcement) network marketing communities could benefit from an increase of attention to the topic.

Originality/value
The study throws light on the process of DiDIY within direct sales and network marketing activities by defining a preliminary profile of digital makers and thus, underlining a phenomenon neglected so far.
The impact of goal (non)attainment on consumer preference through changes in regulatory focus
Authors: Mantovani Danielle , B. Andrade Eduardo , H.M. Prado Paulo 
Published: January 2018

Purpose
Previous research has investigated how performance outcome impacts effort and subsequent goal pursuit. However, little is known about the incidental impact of goal (non)attainment on consumer preference via changes in regulatory focus. This paper aims to suggest that performance feedback has a direct impact on consumers’ regulatory focus, which in turn influences their attitudes and preferences toward future events. Additionally, the authors assess the extent to which emotions arising out of goal (non)attainment play a critical role in the process.

Design/methodology/approach
In a series of three experiments, this paper demonstrates that goal (non)attainment induces a specific regulatory focus, which in turn interacts with the frame of an upcoming advertisement to impact consumer preference.

Findings
This research demonstrates that previous goal (non)attainment interacts with the framing of an upcoming message (promotion vs prevention) and impacts consumer preference. The authors also find initial evidence for the role of emotions on the relationship between goal (non) attainment and preferences for regulatory-focused message frames.

Practical implications
The findings have important implications because they reveal consumers’ preferences after goal (non)attainment.

Originality/value
This study complements prior research by integrating two research streams (goal pursuit and regulatory focus) to address an open question of whether/how goal (non)attainment impacts message persuasiveness and consumer preference through changes in regulatory focus. Therefore, this research is intended to contribute to the literature by addressing the interacting effects of goal attainment and regulatory focus on consumer decisions and the role of emotions in this process.
Familial fictions: families and food, convenience and care
Authors: Jackson Peter 
Published: January 2018

PurposeThe purpose of this paper is to explore the way diverse family forms are depicted in recent TV advertisements, and how the ads may be read as an indication of contemporary attitudes to food. It focuses particularly on consumers’ ambivalent attitude towards convenience foods given the way these foods are moralised within a highly gendered discourse of “feeding the family”.Design/methodology/approachThe paper presents a critical reading of the advertisments and their complex meanings for diverse audiences, real and imagined. The latter part of the paper draws on the results of ethnographically-informed fieldwork in the north of England.FindingsThe research highlights the value of food as a lens on contemporary family life. It challenges the conventional distinction between convenience and care, arguing that convenience food can be used as an expression of care.Research limitations/implicationsThe paper makes limited inferences about audiencing processes in the absence of direct empirical evidence.Originality/valueThe paper’s value lies in its original interpretation of TV food advertising within the context of contemporary family life and in the novel connections that are drawn between convenience and care.
Innovation system foresight and systemic innovation for the overseas countries and territories
Authors: Jezic von Gesseneck Milan , Toffanin Renato , Jezic von Gesseneck Josip 
Published: January 2018

Purpose
The purpose of this paper is to describe through innovation system foresight and systemic innovation approach to address key systemic issues of European Union (EU) Overseas Countries and Territories (OCTs) concerning the sustainable development and economic resilience: the authors highlight the need for a systemic approach to innovation policy for the sustainable islands’ growth.

Design/methodology/approach
This research focuses on a multiple case study of selected OCTs, members of the Association of the OCTs. Specifically, this paper illustrates the foresight approach implemented in six OCTs in the context of the Territorial Strategies for Innovation project funded by the 10th European Development Fund.

Findings
The focus is on innovation system foresight and systemic innovation: the authors argue that key innovation elements of the individual OCTs can be used as crucial components of an emerging innovation system while this specific type of foresight can assist the governments of respective OCTs in the selection and design of specific instruments in relation to the formulation of their innovation strategies and policies.

Originality/value
This paper is based on work undertaken by the Territorial Strategies for Innovation project team during a three-year period dedicated to supporting the governments of OCTs both in defining and in implementing their innovation strategies. Its main contribution is to develop the concept of innovation system foresight and systemic innovation for the OCTs. The work presented here is considered to be of value by highlighting specific innovation elements for achieving sustainable and inclusive growth in OCTs.
Gender and organizational climate
Authors: Kumar Manish , Jauhari Hemang , Ladha Rani S. , Shekhar Niti 
Published: January 2018

PurposeThis paper aims to study gender differences on six organizational climate variables. Employees’ views on their identification level, clarity of goals, perceived equity, welfare measures and outward focus of the organization were solicited in two different studies, while supervisors’ views on subordinates’ deviant behavior was explored in one of the studies.Design/methodology/approachThe research design incorporated getting data using a questionnaire from two large organizations in India: a government utility and a private sector company. In all, 545 responses from government utility and 8,853 responses from the private company were analyzed, which formed the basis for this study.FindingsThe paper demonstrates that gender differences in employee perceptions are not only socially determined for some variables but in fact may also depend on the organizational structural contexts in presence of explicit supporting policies. Gender differences in identification level and goal clarity were determined by larger social context in the absence of any structural arrangement in both organizations. However, gender differences regarding perceived climate of welfare measures, outward focus of the organization and fairness were contingent on the structural context of the two organizations on account of differing arrangements in both the organizations. Also, women participants were perceived by their supervisors to indulge less in deviant behavior as compared to male participants in one of the study.Research limitations/implicationsAlthough this research includes only two organizations and the findings may, thus, not be generalizable, a key finding that emerges is that to balance the needs of both genders, managers may need to be cognizant of both organizational and social contexts.Originality/valueTo the best of the authors’ knowledge, this study is first to consider a detailed analysis of organizational climate with respect to gender perception particularly in the Indian context. The context of the study in two structurally different large organizations further adds to the value of this research.
Synthesizing technical skill building framework for extended enterprises in emerging economies
Authors: Goswami Mohit 
Published: January 2018

Purpose
The purpose of this paper is to formulate extended enterprise-oriented structure and process map for technical skill building for firms belonging to emerging economies.

Design/methodology/approach
The authors identify technical skill building (lies at the intersection of product, process and people) as a key enabler for furthering organizational competitiveness. The authors employ define measure explore develop implement- and supplier, input, process, output, and customer (SIPOC-) based framework for arriving at a technical skill building framework.

Findings
By utilizing the SIPOC-based framework, the authors identify the supplier(s), input(s), process(s), output(s) and customer(s) in the value chain of technical skill building as far as the extended enterprise is concerned.

Originality/value
The paper uses pragmatic and user-friendly conceptualization for technical skill building framework.
Factors influencing early stage healthcare-academia partnerships
Authors: Uvhagen Håkan , von Knorring Mia , Hasson Henna , Øvretveit John , Hansson Johan 
Published: January 2018

Purpose
The purpose of this paper is to explore factors influencing early implementation and intermediate outcomes of a healthcare-academia partnership in a primary healthcare setting.

Design/methodology/approach
The Academic Primary Healthcare Network (APHN) initiative was launched in 2011 in Stockholm County, Sweden and included 201 primary healthcare centres. Semi-structured interviews were conducted in 2013-2014 with all coordinating managers (n=8) and coordinators (n=4). A strategic change model framework was used to collect and analyse data.

Findings
Several factors were identified to aid early implementation: assignment and guidelines that allowed flexibility; supportive management; dedicated staff; facilities that enabled APHN actions to be integrated into healthcare practice; and positive experiences from research and educational activities. Implementation was hindered by: discrepancies between objectives and resources; underspecified guidelines that trigger passivity; limited research and educational activities; a conflicting non-supportive reimbursement system; limited planning; and organisational fragmentation. Intermediate outcomes revealed that various actions, informed by the APHN assignment, were launched in all APHNs.

Practical implications
The findings can be rendered applicable by preparing stakeholders in healthcare services to optimise early implementation of healthcare-academia partnerships.

Originality/value
This study increases understanding of interactions between factors that influence early stage partnerships between healthcare services and academia in primary healthcare settings.