bluuebunny/crossref_metadata_2025_split huggingface dataset:
Increased Risk and Unique Clinical Course of Patient Safety Indicator-3 Pressure Injuries Among COVID-19 Hospitalized Patients
Authors: Cowart Jennifer B. , De Frías Jorge Sinclair , Pollock Benjamin D. , Knepper Camille , Sammon Nora , Jonna Sadhana , Singh Trisha , Bhakta Shivang , Olivero Lorenzo , Ochoa Shari , Ramar Kannan , Franco Pablo Moreno 
Published: September 2024

Background
The COVID-19 pandemic introduced unique challenges to healthcare systems, particularly in relation to patient safety and adverse events during hospitalization. There is limited understanding of COVID-19’s association with some patient safety indicators (PSIs).

Objectives
This study aimed to investigate the impact of COVID-19 infection on the rate of PSI-3 events and its implications on quality metrics. We compared PSI-3 event rates between COVID-19–infected and uninfected patients and examined the clinical characteristics of COVID-19 patients experiencing PSI-3 events.

Methods
This is a retrospective study at Mayo Clinic hospitals between January 2020 and February 2022, analyzing patients meeting PSI-3 denominator eligibility criteria. PSI-3 events were identified using AHRQ WinQI software. Patients were categorized based on COVID-19 status. Patient demographics, characteristics, and PSI-3 rates were compared. A case series analysis described clinical details of COVID-19 patients with PSI-3 events.

Results
Of 126,781 encounters meeting PSI-3 criteria, 8674 (6.8%) had acute COVID-19 infection. COVID-19–infected patients were older, more likely to be male, non-white, and had private insurance. PSI-3 rates were significantly higher in COVID-19 patients (0.21% versus 0.06%, P < 0.0001), even after risk adjustment (adjusted risk ratio, 3.24, P < 0.0001). The case series of 17 COVID-19 patients with PSI-3 events showed distinctive clinical characteristics, including higher medical device–related pressure injuries, and greater predisposition for head, face, and neck region.

Conclusions
Acute COVID-19 infection correlates with higher PSI-3 event rates. Current quality indicators may require adaptation to address the pandemic’s complexities and impact on patient safety. Further research is needed to comprehensively understand the intricate relationship between COVID-19 and patient outcomes.
Mechanism of Sishen Pills-Tongxie Yaofang in the treatment of ulcerative colitis based on network pharmacology and experimental verification
Authors: Liu Haifan , Feng Xue , Wang Dunfang , Liu Li , Liu Yaqing , Liu Bin , Zhu Lin , Zhang Caijuan , Yang Weipeng 
Published: September 2024

Abstract

Background
Ulcerative colitis (UC) is a diffuse nonspecific intestinal inflammation. Spleen-kidney Yang deficiency combined with liver stagnation is the most common symptom. Sishen Pills-Tongxie Yaofang (SSP-TXYF) is a traditional Chinese medicine (TCM) that is widely used in the treatment of this symptom. However, its pharmacological mechanism and active components remain unclear.

Objective
This study elucidated the potential mechanism and active components of SSP-TXYF in the treatment of UC from the perspective of TCM syndrome.

Methods
Metascape, STRING, and Cytoscape were used to explore the SSP-TXYF-compound-target-UC network and biological enrichment pathways, so as to screen the active compounds, key targets, and pathways of SSP-TXYF. Through the construction of a rat model with UC, the key targets and active components were verified after SSP-TXYF administration.

Results
A total of 77 effective active chemical components, 208 potential targets, and 5 core target genes were screened out. Gene Ontology biological process items and Kyoto Encyclopedia of Genes and Genomes signaling pathways showed that SSP-TXYF played a role in regulating nerve-endocrine, cell proliferation and apoptosis, and immune-related pathways. The main compounds and the target protein exhibited a good binding ability in molecular docking. The results of animal experiments showed that SSP-TXYF could improve UC through IL-6, AKT1, PTGS2, CASP3, and JUN, and nobiletin and wogonin were identified as the main active components.

Conclusions
This study suggests that nobiletin and wogonin are the main components of SSP -TXYF in the treatment of UC, which provides effective therapeutic targets and drugs for future clinical treatment of UC.
Do institutional dimensions play a role in IT firms’ performance? Determining the influence of green entrepreneurial orientation and dynamic capabilities in a developing context
Authors: Abid Nabila , Aftab Junaid , Savastano Marco 
Published: September 2024

PurposeDrawing an inference from institutional theory and dynamic capabilities view, this study empirically examined the impact of three institutional dimensions (regulative, normative and cognitive) and green entrepreneurial orientation (GEO) on a business firm’s performance. In addition, the moderating effect of dynamic capabilities on the relationship between GEO and firm performance was also explored.Design/methodology/approachThe data were collected from 527 information technology (IT) firms in Pakistan using paper–pencil questionnaires, and the hypotheses were tested using structural equation modeling.FindingsThe findings showed that the regulative and normative institutional dimensions enhance GEO and firm performance in the selected developing country. However, the cognitive institutional dimension fails to report any substantial influence on GEO and firm performance. The findings raised concerns about lower individual accountability as well as the promotion of green practices and firm performance. In addition, dynamic capabilities positively moderate the GEO influence on firm performance.Originality/valueWith the interplay of institutional dimensions, GEO (as mediator) and dynamic capabilities (as moderator), this study developed and tested a unique framework to understand their influence on firm performance. Specifically, we extended the literature by giving evidence that among the three institutional dimensions, only regulative and normative are considered more important because of their direct and indirect (through GEO) positive effect on firm performance. In contrast, the cognitive institutional dimension failed to report any significant direct or indirect impact on firm performance in our study.
Assessing IoT integration in ICUs’ settings and management: a cross-country analysis among local healthcare organizations
Authors: Gagliardi Anna Roberta , Carrubbo Luca , Rozenes Shai , Fux Adi , Siano Daniela 
Published: September 2024

Purpose
This study aims to examine the effects of Internet of Things (IoT) technology on efficiency and patient care in Italian and Israeli intensive care units (ICUs). The goal is to study how IoT might improve care settings by controlling health dynamics and responding to life-threatening circumstances.

Design/methodology/approach
This survey-based research explores IoT use, challenges and adaptability in ICUs in both countries. Interviews and surveys of ICU health-care workers are used to get both quantitative and qualitative data on integrating experiences and perspectives.

Findings
The research found significant variations between Italy and Israel due to technology infrastructures and health-care practices. Israel shows a more concentrated deployment in a major medical centre with advanced but limited uptake, whereas Italy shows application throughout ICUs highlighting regional health-care system disparities. Interoperability, data security and IoT training are common difficulties.

Research limitations/implications
This research has limitations. One drawback is the geographical dispersion of study sites, with a bigger sample size in Italy than in Israel. This discrepancy may affect findings applicability. However, these preliminary findings provide a foundation for further research into the complexities of deploying IoT in various health-care settings.

Originality/value
This study compares IoT integration in two national health-care systems, adding to health-care technology literature. Regional variations affect technology adoption, but IoT may enhance ICU operations and patient care, according to one research. This study helps health-care practitioners, academics and policymakers understand the pros and cons of IoT in health care.
The impact of informational antecedents on Generation Z consumers’ evaluations of cross-border e-commerce transaction costs and purchase decisions
Authors: Lee Jung-Chieh , Xiong Liang nan 
Published: September 2024

PurposeCompared to traditional (domestic) e-commerce consumers, cross-border electronic commerce (CBEC) consumers may face greater information asymmetry in the CBEC purchase process. Given this background, however, the literature has paid limited attention to the informational antecedents that influence consumers' perceptions of transaction costs and their CBEC purchase intentions. To fill this gap, this study integrates the elaboration likelihood model (ELM) and transaction cost theory (TCT) to develop a model for exploring how product (website informativeness, product diagnosticity and website interactivity as the central route) and external (country brand, website policy and vendor reputation as the peripheral route) informational antecedents affect consumers’ evaluations of transaction costs in terms of uncertainty and asset specificity and their CBEC purchase intentions.Design/methodology/approachThis study employs a survey approach to validate the model with 766 Generation Z CBEC consumers based on judgment sampling. The partial least squares (PLS) technique is adopted for data analysis.FindingsThe results show that all the proposed central and peripheral informational antecedents reduce consumers’ perceptions of uncertainty and asset specificity, which in turn negatively influences their CBEC purchase intentions.Originality/valueThrough this investigation, this study increases our understanding of how product and external informational antecedents affect consumers’ evaluations of transaction costs, which subsequently determine their CBEC purchase decisions. This study offers theoretical contributions to existing CBEC research and has practical implications for CBEC organizations and managers.
CBDCs, regulated stablecoins and tokenized traditional assets under the Basel Committee rules on cryptoassets
Authors: Wong Michael Chak Sham , Chan Emil Ka Ho , Yousaf Imran 
Published: September 2024

Purpose
This paper examines the impact of Central Bank Digital Currencies (CBDCs), regulated stablecoins and tokenized traditional assets on the cryptocurrency market, following the guidelines set by the Basel Committee. This study aims to analyze the implications for secure storage, cross-border transfers and necessary investments.

Design/methodology/approach
The paper uses a policy analysis approach to assess the potential effects of the Basel Committee’s regulations on CBDCs, regulated stablecoins and tokenized traditional assets. It explores their impact on the cryptoasset market, strategies of central and commercial banks, payment systems and risk management.

Findings
The adoption of CBDCs, regulated stablecoins and tokenized traditional assets is expected to grow rapidly in the coming years. It raises concerns about secure storage, cross-border transfers and required investments. Central banks are likely to introduce CBDCs and authorize stablecoin issuance, aiming for efficient monetary policies and risk management. Basel III regulations may lead to asset tokenization by banks, reducing asset size and increasing fee-based income.

Originality/value
This paper provides insights into the potential impact of the Basel Committee's regulations on CBDCs, regulated stablecoins and tokenized traditional assets. It contributes to the understanding of the evolving cryptoasset market and the strategies of central and commercial banks in adopting these technologies. The findings offer valuable information for policymakers, regulators and market participants in navigating the changing landscape of digital assets.
A hybrid framework to prioritize the performance metrics for Blockchain technology adoption in manufacturing industries
Authors: Matey Shweta V. , Raut Dadarao N. , Pansare Rajesh B. , Kant Ravi 
Published: September 2024

Purpose
Blockchain technology (BCT) can play a vital role in manufacturing industries by providing visibility and real-time transparency. With BCT adoption, manufacturers can achieve higher productivity, better quality, flexibility and cost-effectiveness. The current study aims to prioritize the performance metrics and ranking of enablers that may influence the adoption of BCT in manufacturing industries through a hybrid framework.

Design/methodology/approach
Through an extensive literature review, 4 major criteria with 26 enablers were identified. Pythagorean fuzzy analytical hierarchy process (AHP) method was used to compute the weights of the enablers and the Pythagorean fuzzy combined compromise solution (Co-Co-So) method was used to prioritize the 17-performance metrics. Sensitivity analysis was then carried out to check the robustness of the developed framework.

Findings
According to the results, data security enablers were the most significant among the major criteria, followed by technology-oriented enablers, sustainability and human resources and quality-related enablers. Further, the ranking of performance metrics shows that data hacking complaints per year, data storage capacity and number of advanced technologies available for BCT are the top three important performance metrics. Framework robustness was confirmed by sensitivity analysis.

Practical implications
The developed framework will contribute to understanding and simplifying the BCT implementation process in manufacturing industries to a significant level. Practitioners and managers may use the developed framework to facilitate BCT adoption and evaluate the performance of the manufacturing system.

Originality/value
This study can be considered as the first attempt to the best of the author’s knowledge as no such hybrid framework combining enablers and performance indicators was developed earlier.
Can state-owned equity participation improve a company’s environmental, social and governance performance? Evidence collected from China
Authors: Huang Shijun , Du Pengcheng , Hong Yu 
Published: September 2024

Purpose
With the continuous deepening of China's mixed-ownership reform, the participants in the reform have gradually expanded from state-owned enterprises to private enterprises. Whether state-owned equity participation in private enterprises can facilitate the development of environmental, social and governance (ESG) performance in private enterprises is a question that needs urgent examination. This study aims to investigate the impact of state-owned equity participation on the ESG performance of private enterprises.

Design/methodology/approach
Using Chinese listed companies as the research sample, this study uses econometric methods such as multiple regression to analyze the relationship between state-owned equity and the ESG performance of private enterprises. Additionally, it explores the underlying mechanisms and influencing factors of this relationship.

Findings
There is a significant inverted U-shaped relationship between state-owned equity and the ESG performance of private enterprises. Mechanism analysis reveals that resource effects and governance effects play a mediating role in this nonlinear relationship. Furthermore, the authors find that environmental regulation and managers' attention to the environment positively moderate the relationship between state-owned equity participation and ESG performance.

Practical implications
A reasonable equity structure is crucial for enhancing corporate ESG performance. Moderate state-owned equity participation helps to leverage resource integration and governance advantages, which will assist private enterprises in maximizing ESG performance and achieving sustainable development.

Social implications
In advancing the process of mixed-ownership reform, the government should maintain an appropriate proportion of state-owned equity to avoid excessive intervention in enterprise decision-making. At the same time, it should ensure that enterprises can genuinely undertake their social and environmental responsibilities while pursuing economic benefits. This is of great significance for promoting sustainable economic and social development.

Originality/value
This study integrates state-owned equity, ESG and nonlinear relationships into a single research framework. It explores the internal mechanisms and influencing factors of their relationship, overcoming the limitations of previous studies and provides a new perspective for understanding the impact of state-owned equity on corporate ESG performance.
Sustainable consumption behavior among Bahraini young female consumers
Authors: Mehrotra Arpita Anshu , Sengupta Debashish , M. El Khoury Charbel , Arkadan Farah 
Published: September 2024

Purpose
Understanding behavior toward sustainable consumption remains among the most challenging contemporary topics and requires continual investigation. The aim of this paper is to explore young Bahraini women’s level of awareness of sustainable consumption while also considering their attitudes, motivations and behavior as key elements in the study.

Design/methodology/approach
A qualitative approach was used to collect the data. More specifically, 46 semi-structured interviews with young Bahraini women took place and the results were produced using thematic analysis.

Findings
Results reveal that consumers’ awareness levels toward sustainable consumption have been growing but awareness remains variable among consumers. In turn, motivation toward supporting sustainability is more associated with environmental reasons than cultural or economic ones. The attitude toward sustainable consumption is generally positive among young consumers. Moreover, sustainable consumption has been found to be present through various means in the purchase decisions of young Bahraini women.

Originality/value
This study exclusively explores the awareness levels of young Bahraini women regarding sustainable consumption with a focus on the elements of the behavioral process, namely, “awareness, attitude, motivation, and behavior”, as central research pillars.
Falling between the ship and the wharf: An exploration of the challenges early intervention practitioners face and their commitment to work
Authors: Zhang Kaili C. , Li Qin 
Published: September 2024

AbstractThe purpose of this study was to provide a deeper understanding of the challenges early childhood intervention practitioners faced and their commitment to work. Data suggested that participants struggled to manage their roles and responsibilities, the lack of time, resources, and professional support, and growing workloads. In the face of these challenges; however, the majority of the early intervention practitioners reported being ‘very committed’ to their work with children with disabilities. Working long hours, always seeking ways to improve their practice, and keeping themselves abreast of new information and evidence‐based interventions were mentioned as proof of their commitment. This article concludes that as the provision of early intervention services to support early childhood inclusion becomes more prevalent, it is critical that researchers work to identify effective service delivery models and under‐used resources, including the work commitment of the teaching professionals.
A Position Modification Device for the Prevention of Supine Sleep During Pregnancy: A Randomised Crossover Trial
Authors: Wilson Danielle L. , Whenn Carley , Barnes Maree , Walker Susan P. , Howard Mark E. 
Published: September 2024

ABSTRACTObjectiveTo assess the effectiveness and acceptability of a pillow‐like position modification device to reduce supine sleep during late pregnancy, and to determine the impacts on the severity of sleep‐disordered breathing (SDB) and foetal well‐being.DesignRandomised cross‐over study.Setting and PopulationIndividuals in the third trimester of pregnancy receiving antenatal care at a tertiary maternity hospital in Australia.MethodsParticipants used their own pillow for a control week and an intervention pillow for a week overnight, in randomised order. Sleep position and total sleep time for each night of both weeks were objectively monitored, with a sleep study and foetal heart rate monitoring performed on the last night of each week.Main Outcome MeasuresPrimary outcome = percentage of sleep time in the supine position; secondary outcomes = apnoea–hypopnoea index, foetal heart rate decelerations and birthweight centile.ResultsForty‐one individuals were randomised with data collected on 35 participants over 469 nights. There was no difference in percentage of total sleep time in the supine position overnight between the control or intervention pillow week (13.0% [6.1, 25.5] vs. 16.0% [5.6, 27.2], p = 0.81 with a mean difference of 2.5% [95% CI] = −0.7, 5.6, p = 0.12), and no difference in the severity of SDB or foetal heart rate decelerations across weeks. However, increased supine sleep was significantly related to a higher apnoea–hypopnoea index (rs = 0.37, p = 0.003), lower birthweight (rs = −0.45, p = 0.007) and lower birthweight centile (rs = −0.45, p = 0.006). The proportion of supine sleep each night of the week varied widely both within and across participants, despite awareness of side‐sleeping recommendations.ConclusionsWe found no evidence to suggest that the adoption of a pillow designed to discourage supine sleep was effective in late pregnancy, with women spending an average of 1 h per night supine. Alternative devices should be investigated, incorporating lessons learnt from this study to inform trials of supine sleep minimisation in pregnancy.Trial RegistrationClinical Trial: (Australia New Zealand Clinical Trials Registry): ACTRN12620000371998
Neuronormativity as ignorant design in human resource management: The case of an unsupportive national context
Authors: Erbil Cihat , Özbilgin Mustafa F. , Gündoğdu Nur 
Published: September 2024

AbstractNeurodiversity refers to differences in how people's brains work. Reportedly, human resource functions lag behind scientific developments in offering inclusive design for neurodivergent individuals. Drawing on the sociology of ignorance, we examine mechanisms and forms of ignorant design based on a qualitative study with 20 HR professionals in a country with an unsupportive context for neurodivergence. We expand the literature on an ignorant design by identifying three mechanisms and seven forms of ignorance that shape neuronormative HR policies and practices, revealing that HR practices often marginalise neurodivergent individuals by not recognising their contributions, enforcing neurotypical standards, and maintaining a superficial approach to inclusion. Our findings underscore the need for substantial changes in HR policies and practices, such as involving neurodivergent individuals in policy design, providing comprehensive neurodiversity training for HR professionals, and adopting evidence‐based and inclusive HR strategies. Further, a supportive national context is invaluable for neuroinclusion.