bluuebunny/crossref_metadata_2025_split huggingface dataset:
Migrant entrepreneurs as cosmopolitan change agents
Authors: Figueira Catarina , Caselli Giorgio , Theodorakopoulos Nicholas 
Published: September 2016

PurposeThe aim of this paper is to provide novel insights into how the cosmopolitan mind-set can be fostered at a time of globalization by considering a group of social actors that has received scant attention in the literature on institutional change, notably migrant entrepreneurs.Design/methodology/approachThis is a conceptual study that draws on Bourdieu’s theory of capital to develop a set of testable propositions as to how the economic, cultural, social and symbolic capital endowments of migrant entrepreneurs shape their agency in bringing about cosmopolitan transformation.FindingsTogether, migrant entrepreneurs endowed with higher levels of capital may act as institution reformers and promote the cosmopolitan mind-set by influencing the beliefs, incentives and behaviors of those embedded in more entrenched traditional institutions.Research limitations/implicationsThis conceptual framework deals with only one of the many agents that may help bring about cosmopolitan change and is particularly well suited to a Western European context.Practical implicationsThis conceptual paper provides a number of testable propositions that can be central to an empirical investigation into how the levels of capital possessed by migrant entrepreneurs affect their engagement in cosmopolitan change.Social implicationsThe findings help identify those individuals who are more likely to endorse the cosmopolitan movement. This implication may be of particular interest to policymakers concerned with conceiving ways of counteracting some of the negative effects caused by globalization, as they need to identify and understand the social agents who can take on the role of catalyzers of public reforms.Originality/valueThe novelty of this paper lies in the development of a set of propositions that shows how divergent change toward a cosmopolitan vision might be engendered by spatially dispersed actors endowed with varying degrees of economic, cultural, social and symbolic capital.
Evaluating the costs and cost-effectiveness of interventions for people with learning disabilities and behaviour that challenges: the need to improve the evidence base
Authors: Hunter Rachael 
Published: September 2016

Purpose
The purpose of this paper is to provide a commentary on the challenges associated with evaluating the costs and cost-effectiveness of interventions for people with learning disabilities and behaviour that challenges.

Design/methodology/approach
The paper is a commentary on a range of evidence relating to the findings of “Positive behavioural support for children and adolescents with learning disabilities: an initial exploration of service and costs”. Specific attention is paid to gaps in the literature and the evidence base for the cost of care for people with learning disabilities and behaviour that challenges.

Findings
Recommendations for person-centred support and increased use of behavioural and psychological interventions for people with learning disabilities and behaviour that challenges are based on limited evidence. The literature is particularly sparse in relation to the cost implications for service providers or informal carers of implementing such interventions and the question of whether they reduce costs through preventing residential placements and long-term inpatient admissions.

Originality/value
More high-quality research is required in the area of behavioural and psychological interventions for people with learning disabilities and behaviour that challenges. Trials in this area should include high-quality economic evaluations including budget impact analysis to provide information on the cost implications for different government agencies and cost-effectiveness analysis incorporating impact on quality of life.
Resource and dynamic capabilities in business excellence models to enhance competitiveness
Authors: Zapata-Cantu Laura , Cantu Delgado Jose Humberto , Gonzalez Fernando R. 
Published: September 2016

Purpose
The purpose of this paper is to identify those resources and capabilities that enable national award-winning organizations to generate value to their stakeholders and provide evidence to institutions holding business excellence model (BEM)-based programs of how dynamic capabilities theory can enhance excellence models.

Design/methodology/approach
Qualitative research based on systematic review and content analysis.

Findings
Empirical evidence supports that BEMs should consider the resource-based view and dynamic capabilities perspective as a basis for their continuous improvement. These theoretical perspectives consider resources and capabilities for the successful execution of the strategic plan and for a faster response to environmental changes through dynamic capabilities.

Research limitations/implications
The study is based on a systematic review and content analysis of evidence submitted by three national quality awards from Europe, Singapore and Mexico. This research should be extended to other national quality award companies, and their customers’ and suppliers’ insights should be considered.

Practical implications
Regardless of corporate sector, organizations must recognize that visionary leadership is vital to their management models; a strategic plan and competent staff to execute the model are also of great importance. In addition, institutions holding BEM-based programs should evaluate incorporating dimensions related to dynamic capabilities and emphasize those strongly related to national culture.

Originality/value
Few studies in the BEMs literature have conducted resources and capabilities analysis from a multi-country perspective.
Using HCAHPS data to improve hospital care quality
Authors: Carter John C. , Silverman Fred N. 
Published: September 2016

Purpose
The purpose of this paper is twofold: to enable hospital administrators to increase reimbursement rates under value-based purchasing (VBP) by understanding the process by which the Centers for Medicare and Medicaid Services (CMS) calculate and use performance scores from the Hospital Consumer Assessment of Healthcare Providers and Systems survey of patient experience; to apply statistical methods to determine what dimensions of patient care have the greatest impact on overall satisfaction scores and thus reimbursement.

Design/methodology/approach
The expository purpose was met by locating, analyzing and interpreting published CMS documentation related to VBP to explain the complex methods used to convert raw survey data to total patient satisfaction scores on seven dimensions. The raw data on 2,984 hospitals were cleaned and correlation and regression analysis used to measure the relationship between raw survey scores and overall patient satisfaction scores. Finally, Pareto analysis was used to show the relative influence of each dimension on satisfaction performance scores.

Findings
Nursing communications accounted for 75 percent of the variance in the patient satisfaction domain score in a stepwise regression.

Research limitations/implications
This research focusses only on the patient satisfaction component of VBP, over which hospital administrators have significant control. Future research could explore how hospital management can improve scores on clinical outcomes, process and efficiency.

Practical implications
Shows hospital management the most influential methods for improving their patient satisfaction scores and reimbursement under VBP.

Originality/value
Offers a managerially focussed explanation of how patient satisfaction scores are computed from raw survey data and how statistical analysis of the data can be used to improve quality.
The effect of contingencies on mutual influence among quality awards and quality initiatives
Authors: Upadhyaya Gururaj , Bhat Subrahmanya 
Published: September 2016

Purpose
The purpose of this paper is to examine the interactive nature/mutual influence (MI) among quality initiatives (QI) and quality awards (QA) in Indian organizations subject to three contingencies, namely, QA won, QI adopted before winning a QA and QI adopted after winning a QA.

Design/methodology/approach
Administration of survey to collect the data were followed by validity and reliability analyses of the instrument. Hypotheses were tested by parametric/non-parametric one-sample and independent-samples tests.

Findings
The inferences on the effect of contingencies on the MI were inconclusive. Eight QI adopted before winning the QA, have influenced four such Indian QA. Three Indian QA have influenced four QI that were adopted after winning these QA. However, this MI is independent of specific QI adopted/QA won.

Research limitations/implications
The approach to test the hypotheses, small sample size and generic research questions have led to “preliminary” recommendations/inferences. Further research with larger data and advanced methods for analysis of interaction is suggested.

Practical implications
Based on clarity of MI, preliminary recommendations for adopting some QI before/after winning a QA were made. The way in which these recommendations can be used by experienced and fresh adopters of QI/QA and givers of QA has been outlined.

Originality/value
This study attempts to fill the gap of scarce holistic studies (that evaluate numerous QI and QA models) on the interactive nature of QI and the dissemination of QI into different periods of Continuous Improvement journey.
Intergenerational solidarity: the paradox of reciprocity imbalance in ageing welfare states
Authors: Thijssen Peter 
Published: September 2016

AbstractIn this article a new theoretical framework is applied to a research field that is somewhat fragmented, namely that of intergenerational solidarity in ageing welfare states. Inspired by utilitarian considerations many scholars tend to problematize the lack of reciprocity characterizing intergenerational exchanges. As some generations are longer old and more numerous they may receive excessive state‐administered support of the younger generations, especially in a democratic setting. However, in reality there is limited empirical evidence of intergenerational conflict and theoretical explanations of this paradox are rare. An integrated and dynamical approach that incorporates Durkheim's solidarity theory, Honneth's intersubjective recognition theory, and the current work on reciprocal exchange is necessary in order to understand the survival of intergenerational solidarity in ageing welfare states. According to this model reciprocal recognition leading to the empathization of exchanges is the driving force of intergenerational solidarity in a prefigurative and democratized culture where the status of the young has risen dramatically. Hence, we come to the paradoxical conclusion that attempts to preserve intergenerational solidarity by openly denouncing excessive transfers and trying to bypass them institutionally sometimes might be counterproductive because they may erode their empathic underpinnings.
Differences in Hospital Readmission Risk across All Payer Groups in South Carolina
Authors: Chakraborty Hrishikesh , Axon Robert Neal , Brittingham Jordan , Lyons Genevieve Ray , Cole Laura , Turley Christine B. 
Published: September 2016

ObjectiveTo evaluate differences in hospital readmission risk across all payers in South Carolina (SC).Data Sources/Study SettingSouth Carolina Revenue and Fiscal Affairs Office (SCRFA) statewide all payer claims database including 2,476,431 hospitalizations in SC acute care hospitals between 2008 and 2014.Study DesignWe compared the odds of unplanned all‐cause 30‐day readmission for private insurance, Medicare, Medicaid, uninsured, and other payers and examined interaction effects between payer and index admission characteristics using generalized estimating equations.Data CollectionSCRFA receives claims and administrative health care data from all SC health care facilities in accordance with SC state law.Principal FindingsOdds of readmission were lower for females compared to males in private, Medicare, and Medicaid payers. African Americans had higher odds of readmission compared to whites across private insurance, Medicare, and Medicaid, but they had lower odds among the uninsured. Longer length of stay had the strongest association with readmission for private and other payers, whereas an increased number of comorbidities related to the highest readmission odds within Medicaid.ConclusionsAssociations between index admission characteristics and readmission likelihood varied significantly with payer. Findings should guide the development of payer‐specific quality improvement programs.
In vitro β‐Carotene Bioaccessibility and Lipid Digestion in Emulsions: Influence of Pectin Type and Degree of Methyl‐Esterification
Authors: Verrijssen Tina A.J. , Christiaens Stefanie , Verkempinck Sarah H.E. , Boeve Jeroen , Grauwet Tara , Van Loey Ann M. , Salvia‐Trujillo Laura , Hendrickx Marc E. 
Published: September 2016

AbstractCitrus pectin (CP) and sugar beet pectin (SBP) were demethoxylated and fully characterized in terms of pectin properties in order to investigate the influence of the pectin degree of methyl‐esterification (DM) and the pectin type on the in vitro β‐carotene bioaccessibility and lipid digestion in emulsions. For the CP based emulsions containing β‐carotene enriched oil, water and pectin, the β‐carotene bioaccessibility, and lipid digestion were higher in the emulsions with pectin with a higher DM (57%; “CP57 emulsion”) compared to the emulsions with pectin with a lower DM (30%; “CP30 emulsion”) showing that the DM plays an important role. In contrast, in SBP‐based emulsions, nor β‐carotene bioaccessibility nor lipid digestion were dependent on pectin DM. Probably here, other pectin properties are more important factors. It was observed that β‐carotene bioaccessibility and lipid digestion were lower in the CP30 emulsion in comparison with the CP57, SBP32, and SBP58 emulsions. However, the β‐carotene bioaccessibility of CP57 emulsion was similar to that of the SBP emulsions, whereas the lipid digestion was not. It seems that pectin type and pectin DM (in case of CP) are determining which components can be incorporated into micelles. Because carotenoids and lipids have different structures and polarities, their incorporation may be different. This knowledge can be used to engineer targeted (digestive) functionalities in food products. If both high β‐carotene bioaccessibility and high lipid digestion are targeted, SBP emulsions are the best options. The CP57 emulsion can be chosen if high β‐carotene bioaccessibility but lower lipid digestion is desired.
Ultrasound Pretreatment as an Useful Tool to Enhance Egg White Protein Hydrolysis: Kinetics, Reaction Model, and Thermodinamics
Authors: Jovanović Jelena R. , Stefanović Andrea B. , Šekuljica Nataša Ž. , Tanasković Sonja M. Jakovetić , Dojčinović Marina B. , Bugarski Branko M. , Knežević‐Jugović Zorica D. 
Published: September 2016

AbstractThe impact of ultrasound waves generated by probe‐type sonicator and ultrasound cleaning bath on egg white protein susceptibility to hydrolysis by alcalase compared to both thermal pretreatment and conventional enzymatic hydrolysis was quantitatively investigated. A series of hydrolytic reactions was carried out in a stirred tank reactor at different substrate concentrations, enzyme concentrations, and temperatures using untreated, and pretreated egg white proteins (EWPs). The kinetic model based on substrate inhibition and second‐order enzyme deactivation successfully predicts the experimental behavior providing an effective tool for comparison and optimization.The ultrasound pretreatments appear to greatly improve the enzymatic hydrolysis of EWPs under different conditions when compare to other methods. The apparent reaction rate constants for proteolysis (k2) are 0.009, 0.011, 0.053, and 0.045 min−1 for untreated EWPs, and those pretreated with heat, probe‐type sonicator, and ultrasound cleaning bath technologies, respectively. The ultrasound pretreatment also decreases hydrolysis activation (Ea) and enzyme deactivation (Ed) energy, enthalpy (ΔH), and entropy (ΔS) of activation and for the probe‐type sonication this decrease is 61.7%, 61.6%, 63.6%, and 32.2%, respectively, but ultrasound has little change in Gibbs free energy value in the temperature range of 318 to 338 K. The content of sulfhydryl groups and ζ potential show a significant increase (P < 0.05) for both applied ultrasound pretreatments and the reduction of particle size distribution are achieved, providing some evidence that the ultrasound causes EWP structural changes affecting the proteolysis rate.
Physical, Textural, and Antioxidant Properties of Extruded Waxy Wheat Flour Snack Supplemented with Several Varieties of Bran
Authors: Fleischman Emily F. , Kowalski Ryan J. , Morris Craig F. , Nguyen Thuy , Li Chongjun , Ganjyal Girish , Ross Carolyn F. 
Published: September 2016

AbstractWheat represents a ubiquitous commodity and although industries valorize 10% of wheat bran, most of this antioxidant‐rich byproduct gets fed to livestock. The objective of this study was to incorporate wheat bran into an extruded snack. Bran samples from hard red spring, soft white club cv. Bruehl, and purple wheat lines were added to cv. Waxy‐Pen wheat flour (Triticum aestivum L.) at replacement concentrations of 0%, 12.5%, 25%, and 37.5% (w/w; n = 10). Extrudates were evaluated for antioxidant capacity, color, and physical properties. Results showed that high fiber concentrations altered several pasting properties, reduced expansion ratios (P < 0.0001), and created denser products (P < 0.0001), especially for white bran supplemented extrudates. Purple bran supplemented extrudates produced harder products compared to white and red bran treatments (P < 0.0001). Extrudates produced with 37.5% (w/w) of each bran variety absorbed more water than the control with no added bran. The oxygen radical absorption capacity assay, expressed as Trolox Equivalents, showed that extrudates made with addition of red (37.5%) and purple (37.5%) bran had higher values compared to the other treatments; the control, red, and white bran treatments had less antioxidant activity after extrusion (P < 0.0001) compared to purple bran supplemented extrudates. Purple and red brans may serve as viable functional ingredients in extruded foods given their higher antioxidant activities. Future studies could evaluate how bran variety and concentration, extruded shape, and flavor influence consumer acceptance.
Application of Freezing and Thawing in Apple (Malus domestica) Juice Extraction
Authors: Nadulski Rafał , Kobus Zbigniew , Wilczyński Kamil , Zawiślak Kazimierz , Grochowicz Józef , Guz Tomasz 
Published: September 2016

AbstractThe paper presents the results of the research on the impact of enzymatic liquefaction, freezing and thawing on the efficiency of juice pressure extraction from apple pulp and quality of the obtained juices. The research was conducted using three types of pretreatment prior the pressing: crushing and enzymatic liquefaction in temperature of 25 °C, crushing and enzymatic liquefaction in temperature of 45 °C and crushing followed by freezing and thawing of the pulp. The study included three varieties of apples. The juice was obtained using a laboratory basket press. It was determined that the pretreatment of the pulp as well as the varietal characteristics of the fruits have a significant impact on the efficiency of the pressure extraction process. The enzymatic treatment of the pulp, irrespective of the temperature at which it was conducted, significantly increased the efficiency of the process. No effect of the temperature (25 or 45 °C) of enzymatic treatment on the efficiency of the pressure extraction process was found. Pretreatment of the pulp based on freezing and thawing contributes to the increase of efficiency of pressing in the case of two apple cultivars, that is, Idared and Red Delicious. It was showed that total phenolic content, antioxidant activity, the soluble solids content and juice acidity (pH) depend on the pretreatment of the pulp and the varietal characteristics of apples. Following the application of pretreatment of the pulp, an increase was observed in the content of polyphenols and in the antioxidant activity of the juices obtained.
Mid‐term results of Oxford phase‐3 medial unicompartmental knee arthroplasty for medial arthritis in Chinese patients
Authors: Xu Taotao , Lao Yangjun , Wang Jitao , Liu Fucun , Xiao Luwei , Tong Peijian 
Published: September 2016

BackgroundThe purpose of this study was to evaluate the mid‐term results of an Oxford phase‐3 unicompartmental knee arthroplasty (UKA) for medial arthritis in Chinese patients.MethodsThe study included 64 patients who underwent a minimally invasive Oxford phase‐3 UKA for medial knee arthritis. The patients were clinically evaluated preoperatively and at the final follow‐up according to the clinical and functional components of the Knee Society Score (KSS), the Hospital for Special Surgery knee score and range of motion. A Kaplan–Meier survivorship analysis was performed with revision surgery as the end point.ResultsThe mean preoperative clinical KSSs increased from 63.2 to 91.4 post‐operatively, and the mean functional KSSs increased from 54.9 to 86.5 post‐operatively. In addition, the mean Hospital for Special Surgery scores increased from 59.5 to 86.4. The mean active knee flexion increased from 109.1° preoperatively to 123.6° post‐operatively. A total of six patients (six knees) required revision surgery at the time of the maximum 10‐year follow‐up. Four conversions to total knee arthroplasty were performed because of arthritis progression in the lateral compartment. One revision to total knee arthroplasty was performed for aseptic loosening, and one liner exchange was performed for wear. The cumulative survival rates at the 6‐ and 8‐year follow‐ups were 97% and 93%, respectively.ConclusionOxford phase‐3 UKA was largely applicable for medial arthritis in Chinese patients. However, the Oxford phase‐3 medial UKA selection criteria for young Chinese males need further exploration to obtain the best treatment effect.
Type 1 diabetes risk in children born to women with fertility problems: a cohort study in 1.5 million Danish children
Authors: Hargreave Marie , Kjaer Susanne K. , Jørgensen Marit E. , Jensen Allan 
Published: September 2016

AbstractIntroductionWhile some studies have indicated that children born following fertility treatment are at an increased risk for insulin resistance and higher blood glucose levels, no study to date has investigated the risk of type 1 diabetes. In this large population‐based cohort study we aim to assess the association between maternal fertility problems and the risk of type 1 diabetes in children.Material and methodsInformation on all children, born in Denmark from 1987 to 2010, was extracted from the Civil Registration System and linked with the Danish Infertility Cohort to identify maternal fertility status. Diabetes information was obtained from the National Patient Register and the Childhood Diabetes Register. A Cox proportional hazard model was used to calculate hazard ratios and 95% confidence intervals.ResultsA total of 1 550 519 children made up the study cohort, of whom 110 393 (7.1%) were born to women with fertility problems. In all, 313 children born to women with fertility problems (0.36%) and 5176 children born to women without fertility problems (0.28%) were diagnosed with type 1 diabetes. The risk of type 1 diabetes was not affected by maternal fertility status (hazard ratio 1.01, 95% CI 0.90–1.13) when taking into account birth year, sex, history of parental diabetes, parental age and age at diagnosis.ConclusionsOur results showed no association between maternal fertility problems and risk of type 1 diabetes in children.