bluuebunny/crossref_metadata_2025_split huggingface dataset:
Measuring family satisfaction with inpatient rehabilitation care
Authors: Angelino Elisabetta , Gragnano Andrea , Miglioretti Massimo 
Published: January 2016

Purpose
– The purpose of this paper is to investigate the psychometric characteristics of the Questionnaire of Family members’ Satisfaction about the Rehabilitation (QFSR), a new questionnaire assessing the satisfaction of patients’ families with the in-hospital rehabilitation service, i.e., the organizational procedure, medical treatment, relationship with nurses/other health workers, and outcome.

Design/methodology/approach
– The QFSR (13 items) was administered to 1,226 (F=60.4 percent; mean age=57.4, SD 15 years) family members of patients admitted to two units for inpatient rehabilitation, i.e., cardiovascular and neuromotor.

Findings
– Confirmatory factor analysis (CFA) confirmed the theoretical four-factor structure of the questionnaire in a subsample of 308 respondents randomly selected from the sample (SB χ² (61)=57.4, p=0.61; RMSEA=0.0; 90 percent CI [0.0, 0.031], CFI=1.00). The remaining 708 respondents (393 relatives of cardiovascular unit inpatients and 315 relatives of neuromotor unit inpatients) were used to test measurement invariance between the groups of family members with patients in the two units. The configurial, scalar, and strict factorial invariance provided a good fit to the data.

Originality/value
– The QFSR, specifically developed to measure the satisfaction of family members of patients undergoing rehabilitation, appears to be a promising brief questionnaire that can provide important indications for continuous improvement in the delivery of healthcare.
The role of information alignment and entrepreneurial traits on SME internationalization
Authors: Peschken Thomas , Shukla Paurav , Lennon John , Rate Shirley 
Published: January 2016

Purpose
– The paper aims to explore the internationalisation decision-making of small- and medium-sized enterprise (SME) owner/managers. Specifically, structural alignment theory (SAT) and regulatory focus theory (RFT) are utilised to examine the concept of opportunity recognition in the context of internationalisation choices.

Design/methodology/approach
– This paper is conceptual in nature, and an integrative cognitive model of internationalisation choice decisions is developed based on SAT and RFT, underpinned by a critical review of the international entrepreneurship (IE) literature.

Findings
– Scenarios are identified in which the structure of available information may affect the decision-evaluation process in terms of cognitive resource requirements. Further, the SME owner/manager’s motivational goal orientation is suggested to moderate the role of the information structure in line with IE literature. A conceptual model and propositions are presented.

Research limitations/implications
– The conceptual model and the propositions arising from the discussion in this paper offer new directions of research to explore SME internationalisation.

Originality/value
– This paper offers a cognitive perspective of SME internationalisation. This paper offers insights for policymakers, SME owner/managers, practitioners and researchers alike. For internationalisation decisions, this paper highlights the potential impact of the structure of information that is made available to SME owner/managers by industry or policy bodies; further, the moderating influence of motivational goal orientation may inform policy on how information should be presented to SME owner/managers to aid their decision-making.
Delivering motivation for change at DUKES LONDON
Authors: Dhugga Debrah 
Published: January 2016

Purpose
– DUKES LONDON Hotel was once a Mayfair favourite with the Queen Mother and the Princess of Wales – but had got to a stage where it was in danger of losing its five-star rating. New management meant an opportunity to re-engage with staff and use their strengths to create the best possible guest experience.

Design/methodology/approach
– An ongoing programme of leadership and engagement workshops was run to create a family-style culture within the hotel, re-connecting employees with the hotel’s ambitions and their part in the plans.

Findings
– The work has led to international awards for customer service, best hotel in London awards and increased profitability, and is now being used as the model to set up a new DUKES DUBAI hotel.

Originality/value
– The work at DUKES LONDON demonstrates the importance of translating organisational values and goals for staff at every level, making use of management development to ensure the messages are easily understood as day-to-day behaviours and consistently monitored and appraised.
The Curious Incident of Mr Cameron and the United Kingdom Defence Budget: A New Legacy?
Authors: Dorman Andrew M. , Uttley MattheW R. H. , Wilkinson Benedict 
Published: January 2016

AbstractDuring 2015 Prime Minister Cameron found himself under intense domestic and international pressure over his apparent reluctance to maintain United Kingdom defence spending at the NATO target level of 2 per cent of GDP. Most commentators attributed this reluctance to the inevitability of defence cuts if the government wished to meet its deficit reduction targets. However, the aftermath of the general election saw a sudden decision to maintain UK defence spending at the NATO target level. This u‐turn is one of the more curious episodes in recent British defence policy. In this article we explore the reasons why, at a time of continuing cuts and austerity measures and against all the political signals, a decision was made to meet the 2 per cent target, and what this means for the UK's defence policy. In doing so, we analyse why most commentators assumed that defence cuts were inevitable, the domestic and international factors that explain the government's apparent u‐turn and what this revised defence budget settlement meant for the new 2015 National Security Strategy and Strategic Defence and Security Review.
Testing the Validity of Primary Care Physicians' Self‐Reported Acceptance of New Patients by Insurance Status
Authors: Coffman Janet M. , Rhodes Karin V. , Fix Margaret , Bindman Andrew B. 
Published: January 2016

ObjectiveTo compare physicians' self‐reported willingness to provide new patient appointments with the experience of research assistants posing as either a Medicaid beneficiary or privately insured person seeking a new patient appointment.Data Sources/Study SettingSurvey administered to California physicians and telephone calls placed to a subsample of respondents.Study DesignCross‐sectional comparison.Data Collection/Extraction MethodsAll physicians whose California licenses were due for renewal in June or July 2013 were mailed a survey, which included questions about acceptance of new Medicaid and new privately insured patients. Subsequently, research assistants using a script called the practices of a stratified random sample of 209 primary care physician respondents in an attempt to obtain a new patient appointment. By design, half of the physicians selected for the telephone validation reported on the survey that they accepted new Medicaid patients and half indicated that they did not.Principal FindingsThe percentage of callers posing as Medicaid patients who could schedule new patient appointments was 18 percentage points lower than the percentage of physicians who self‐reported on the survey that they accept new Medicaid patients. Callers were also less likely to obtain appointments when they posed as patients with private insurance.ConclusionsPhysicians overestimate the extent to which their practices are accepting new patients, regardless of insurance status.
Transition From Heparin to Citrate Anticoagulation for Continuous Renal Replacement Therapy: Safety, Efficiency, and Cost
Authors: Gutierrez‐Bernays David , Ostwald Matthew , Anstey Chris , Campbell Victoria 
Published: January 2016

AbstractRegional citrate anticoagulation (RCA) for continuous renal replacement therapy (CRRT) has recently been recommended as first‐line over heparin. Evidence suggests that RCA prolongs filter life and may reduce bleeding risk, but there is little research on the benefits to dialysis dose delivery or cost, or the effectiveness of transitioning to RCA first‐line. The aim of the present study was to assess the effect on dialysis delivery, cost and safety when transitioning from systemic heparin to RCA for first‐line anticoagulation for CRRT. A single‐center, retrospective observational study was conducted from 2006 to 2012, during which a transition from heparin to a simplified RCA protocol occurred. Demographic and dialysis data, pathology results and costs were obtained. Data were analyzed for both heparin and RCA, and for before and after the transition. 166 patients had 992 dialysis days (heparin 334 vs. RCA 658); demographics were well matched; RCA used less filters per day (P = 0.03), had more days when prescribed dialysis was achieved (85% vs. 60%, P < 0.001), and less filter “down‐time” per day (2.4 vs. 6.1 h, P = 0.02). RCA was estimated to cost AU$487 per day, compared to heparin at $479 per day. When the data were analyzed, comparing before and after the transition, these results remained statistically significant. There was no statistical difference in clinical safety events. Transition to first‐line RCA was safe, provided more time on filter and consumed less filter circuits using a simple and user friendly protocol. The adjusted cost difference appears negligible.
Etomidate exposure in early infant mice (P10) does not induce apoptosis or affect behaviour
Authors: Nyman Y. , Fredriksson A. , Lönnqvist P.‐A. , Viberg H. 
Published: January 2016

BackgroundNumerous animal studies have shown that all commonly used intravenous anaesthetic drugs and volatile agents may cause neuronal apoptosis following exposure in early life. Most studies have focussed on detecting increased apoptosis but their methods are not always readily transferrable to humans.The lipid formulation of etomidate represents an alternative to the currently established intravenous anaesthetic agents but there is no animal or human data on apoptosis or long‐term behavioural changes. The aim of our study was to investigate the effects of etomidate on cerebral neuronal apoptosis and long‐term behavioural effects using an established mouse model that represents the clinically relevant period of anaesthesia during early infancy in humans.MethodsSix groups of 10 day old mice (P10) were injected with either etomidate 0.3, 3 or 10 mg/kg, propofol 60 mg/kg, ketamine 50 mg/kg or placebo only. Apoptosis in the cerebral cortex and hippocampus was assessed 24 h after treatment (activated caspase‐3). Late behavioural effects were tested at 2 months of age (spontaneous activity in a new environment).ResultsNo evidence was found of differences in activated caspase 3‐concentrations among the study groups. Significant late behavioural changes were only observed in the ketamine group.ConclusionA single dose of etomidate in early infant mice at P10 did not produce evidence of cerebral apoptosis or impaired adult motor behaviour.
Bone mineral density, osteoporosis, and fractures among people with eating disorders: a systematic review and meta‐analysis
Authors: Solmi M. , Veronese N. , Correll C. U. , Favaro A. , Santonastaso P. , Caregaro L. , Vancampfort D. , Luchini C. , De Hert M. , Stubbs B. 
Published: January 2016

ObjectiveTo provide meta‐analytical evidence of bone mineral density (BMD), fractures, and osteoporosis rates in eating disorders (ED) vs. healthy controls (HCs).MethodThree independent authors searched major electronic databases from inception till August 2015 for cross‐sectional studies reporting BMD in people with ED (anorexia nervosa, (AN); bulimia nervosa, (BN); eating disorders not otherwise specified, (EDNOS)) vs. HCs. Standardized mean differences (SMDs) ±95% and confidence intervals (CIs) were calculated for BMD, and odds ratios (ORs) for osteopenia, osteoporosis, and fractures.ResultsOverall, 57 studies were eligible, including 21 607 participants (ED = 6485, HCs = 15 122). Compared to HC, AN subjects had significantly lower BMD values at lumbar spine (SMD = −1.51, 95% CI = −1.75, −1.27, studies = 42), total hip (SMD = −1.56, 95%CI = −1.84, −1.28, studies = 23), intertrochanteric region (SMD = −1.80, 95%CI = −2.46, −1.14, studies = 7), trochanteric region (SMD = −1.05, 95%CI = −1.44, −0.66, studies = 7), and femoral neck (SMD = −0.98, 95%CI = −1.12, −0.77, studies = 20). Reduced BMD was moderated by ED illness duration and amenorrhea (P < 0.05). AN was associated with an increased likelihood of osteoporosis (OR = 12.59, 95%CI = 3.30–47.9, P < 0.001, studies = 4) and fractures (OR = 1.84, 95% CI = 1.17–2.89, I2 = 56, studies = 6). No difference in BMD was found between BN and EDNOS vs. HC.ConclusionPeople with AN have reduced BMD, increased odds of osteoporosis and risk of fractures. Proactive monitoring and interventions are required to ameliorate bone loss in AN.
Rosacea or photodamaged skin? Use of brimonidine gel in differentiating erythema in the two conditions
Authors: Oon Hazel H , Lim Ziying Vanessa 
Published: January 2016

AbstractIn this case report, we detail the response of a 37‐year‐old Caucasian man with an overlap of erythematotelangiectatic rosacea and telangiectatic photoaging to brimonidine tartrate gel. With the application of brimonidine only on half of his face, skin analysis images, clinician's and patient's assessment showed that there was significant improvement in the erythema. This case has lent insight into how brimonidine can be used to assess the extent of photoaging by eliminating the erythema of rosacea to some degree. We propose that it can be used as a non‐invasive test to differentiate between the two conditions, sparing patients from skin biopsies and molecular analysis.
Tacrolimus vs. anti‐tumour necrosis factor agents for moderately to severely active ulcerative colitis: a retrospective observational study
Authors: Yamamoto T. , Shimoyama T. , Umegae S. , Matsumoto K. 
Published: January 2016

SummaryBackgroundThere have been no comparative studies of tacrolimus vs. anti‐tumour necrosis factor (anti‐TNF) agents to determine which treatment is safer or more effective in refractory ulcerative colitis (UC).AimTo compare short‐term safety and efficacy of tacrolimus vs. anti‐TNF agents for active UC.MethodsOne hundred patients with moderate‐to‐severe active UC were studied. Fifty patients were treated with oral tacrolimus (TAC group). The other 50 patients were treated with anti‐TNF agents (anti‐TNF group): 40 with infliximab and 10 with adalimumab. Primary endpoints were clinical response and remission rates, colectomy rate, and the incidence of adverse events during 12 weeks.ResultsThe incidence of adverse events was 12% in the TAC vs. 18% in the anti‐TNF groups (P = 0.58). At week 12, clinical remission rate was 40% in the TAC vs. 28% in the anti‐TNF groups (P = 0.29). Clinical response (including remission) rate was 62% in the TAC vs. 64% in the anti‐TNF groups (P > 0.99). Five patients (10%) in the TAC and 8 (16%) in the anti‐TNF groups required colectomy (P = 0.55). In a subgroup analysis restricted to severely active UC, the response rate was 50% in the TAC vs. 25% in the anti‐TNF groups (P = 0.24). In severely active UC, the response rate tended to be higher in patients treated with tacrolimus, albeit not statistically significant.ConclusionsBoth tacrolimus and anti‐TNF agents appeared to be safe and effective in the management of moderate‐to‐severe active UC. However, randomised controlled trials are warranted to confirm the results obtained in this study.
Discrepancy between the composition of some commercial cat foods and their package labelling and suitability for meeting nutritional requirements
Authors: Gosper EC , Raubenheimer D , Machovsky‐Capuska GE , Chaves AV 
Published: January 2016

ObjectiveTo investigate if the label information and nutrient composition of commercial cat foods are accurate and compliant with the Australian Standard (AS 5812–2011) and if they meet the nutritional requirements of an adult cat.MethodsA chemical analysis of 10 wet and 10 dry commercial cat foods labelled as ‘nutritionally complete’ for the adult cat was performed. The results were compared with the package composition values, the Australian Standard and the unique dietary requirements of the cat. In addition, the results of the chemical analysis were compared with the nutrient requirements published by the Association of the American Feed Control Officials and the National Research Council.ResultsWhen compared with the Australian Standard, 9 of the 20 cat foods did not adhere to their ‘guaranteed analysis’ and 8 did not adhere to the standards for nutrient composition. Also, various deficiencies and excesses of crude protein, crude fat, fatty acid and amino acid were observed in the majority of the cat foods.ConclusionsThe results of this study highlight a need for an improved method of ensuring that label information and nutrient composition are accurate and comply with the Australian Standard (AS 5812–2011) to ensure the adult cat's unique dietary requirements are being met by commercial adult cat food.
Emergency Contraceptives and the Beginning of Human Animals
Authors: Paez Eze 
Published: January 2016

AbstractEmergency contraceptives may sometimes prevent implantation, thereby causing the death of the embryo. According to some positions contrary to abortion, because the embryo is a human animal, there are usually decisive moral reasons not to use them. In this article, I will show that objecting to the use of emergency contraceptives on those grounds is unjustified. If organisms are real existents, then according to the most plausible conception of what is required for a group of cells to compose one, the embryo cannot qualify as a single organism. On the other hand, if organisms are virtual objects, then whether or not the embryo qualifies as one is morally irrelevant. I conclude that even if those positions are right about the morality of abortion, they are not entitled to oppose the use of emergency contraceptives.
Bulfin, Scott et al ed (2015) Critical perspectives on technology and educationPalgrave Macmillan (Basingstoke & St Martin's, New York) isbn 978‐1‐137‐38544‐4 265 pp £65 http://www.palgrave.com/page/detail/critical‐perspectives‐on‐technology‐and‐education‐scott‐bulfin/?K=9781137385451
Authors: Dettori Giuliana 
Published: January 2016

SummaryThis is an important book—but a dense and highly conceptual one—for researchers and scholars in learning technology (lt). Its purpose is to highlight critical perspectives on the field and broaden it by such means as opening up new topics, developing new theory, imagining how the field can advance, and working towards an informed agenda. Do you think the content of this book is likely to be relevant to you? If so, I advise that probably you will find only parts of interest.Giuliana Dettori
Rubie‐Davis, Christine (2015) Becoming a high expectation teacherRoutledge (New York & London) isbn 978‐0‐415‐71337‐5 254 pp £25.99 https://www.routledge.com/products/9780415713375
Authors: Cowan John 
Published: January 2016

SummaryHere is a rich and inspiring source book for those school (and other) teachers who have, and hope to realise, high expectations of all their students. It offers comprehensive coverage of the research in this field, all written in a clear, reader‐friendly style with a helpful index. I recommend that you buy a copy if you'd like to become a more inspired and more effective teacher.John Cowan
Reduced intensity VEPEMB regimen compared with standard ABVD in elderly Hodgkin lymphoma patients: results from a randomized trial on behalf of the Fondazione Italiana Linfomi (FIL)
Authors: Zallio Francesco , Tamiazzo Stefania , Monagheddu Chiara , Merli Francesco , Ilariucci Fiorella , Stelitano Caterina , Liberati Anna Marina , Mannina Donato , Vitolo Umberto , Angelucci Emanuele , Rota Scalabrini Delia , Vallisa Daniele , Bellei Monica , Bari Alessia , Ciccone Giovannino , Salvi Flavia , Levis Alessandro 
Published: January 2016

SummarySurvival rates for elderly Hodgkin Lymphoma (HL) have not improved substantially in recent years, mainly because of a lack of prospective randomized studies, due to difficulties in enrolling patients. Between 2002 and 2006, 54 untreated HL patients, aged between 65 and 80 years and considered ‘non‐frail’ according to a comprehensive geriatric evaluation, were enrolled into a phase III randomized trial to compare a reduced‐intensity regimen (vinblastine, cyclophosphamide, procarbazine, prednisone, etoposide, mitoxantrone, bleomycin; VEPEMB) with standard ABVD (adriamycin, bleomycin, vinblastine, dacarbazine). Primary endpoint was progression‐free survival (PFS). Seventeen patients were in early stage (I‐IIA), while 37 were advanced stage. Median age was 72 years and median follow‐up was 76 months. Five‐year PFS rates were 48% vs. 70% [adjusted Hazard ratio (HR) = 2·19, 95% confidence interval (CI) = 0·94–5·10, P = 0·068] and 5‐year overall survival (OS) rates were 63% vs. 77% (adjusted HR = 1·67, 95% CI = 0·69–4·03, P = 0·254) for VEPEMB compared to ABVD. Overall treatment‐related mortality was 4%. World Health Organization grade 4 cardiac and lung toxicity occurred in four patients treated with ABVD versus no cases in the VEPEMB arm. Standard ABVD regimen resulted in better PFS and OS than the VEPEMB, although the differences were not statistically significant. The low toxicity of both treatments was probably attributable to stringent selection of patients based on a Comprehensive Geriatric Assessment that excluded frail patients.
Influence of platelet‐derived growth factor on osseous remodeling properties of a variable‐thread tapered dental implant in vivo
Authors: Kämmerer Peer W. , Schiegnitz Eik , Palarie Victor , Dau Michael , Frerich Bernhard , Al‐Nawas Bilal 
Published: January 2016

AbstractObjectivesTo evaluate the effect of platelet‐derived growth factor (rhPDGF‐BB) on the promotion of osteogenesis around variable‐thread tapered implants in an animal model.Material and methodsTwenty‐four variable‐thread tapered implants were inserted in the tibia of 12 rabbits. Twelve sites received additional rhPDGF‐BB released from a presoaked xenogenic bone block that was fixed supracrestally. Primary outcomes were bone‐to‐implant contact (BIC; in % ± SD) and percentage of medullary bone fill around the implants (PMF; in % ± SD) after 3 weeks (PDGF n = 6, no PDGF n = 6) and 6 weeks (PDGF n = 6, no PDGF n = 6).ResultsConsiderable crestal and medullary bone remodeling could be found around all implants. After 3 weeks, both BIC and PMF values were higher in the no PDGF group (BIC: 63% ± 10 with PDGF vs. 85% ± 5 with no PDGF; PMF: 57% ± 10 with PDGF vs. 74% ± 4 with no PDGF). After 6 weeks, the BIC difference between the two groups was less distinct (BIC: 78% ± 17 with PDGF vs. 72% ± 25 with no PDGF), whereas the PDGF group showed higher PMF values (PMF: 77% ± 5 with PDGF vs. 56% ± 10 with no PDGF).ConclusionsThe addition of rhPDGF‐BB decreases early osseous crestal and medullar healing properties around dental implants. In a later phase, an increase in the cortical area as well as an increased medullar bone formation was seen. This response is likely to provide stronger secondary stability and stability in suboptimal situations involving poor‐quality bone.