bluuebunny/crossref_metadata_2025_split huggingface dataset:
Intensive care unit nursing workload estimation in smart hospitals
Authors: Nolio Santa Cruz René , Vaz Sampaio Hugo , Becker Westphall Carlos , Dutra de Camargo Maximiliano , Couto Carvalho Barra Daniela 
Published: August 2024

PurposeThe objectives of the proposed model are: aiding nursing staff in documentation tasks, which can be onerous and stressful; and helping management by offering an estimate of the nursing workload, which can be considered for administrative purposes, such as staff scheduling.Design/methodology/approachAn exploratory-descriptive study was conducted in order to identify, investigate, and describe the problem of documenting nursing activities and workload estimation in an intensive care unit. Technological solutions were explored, and models were proposed to address these issues.FindingsCross-dataset experiments were performed, and the model was able to offer an adequate estimate of the nursing workload. The results suggest that continuous retraining is essential for maintaining high accuracy. While the proposed model was considered in the context of an adult ICU, it can be adapted to other contexts, such as elderly care.Research limitations/implicationsWhile the proposed solution seems promising, further research is required, such as deploying this system in an ICU and facing challenges in the areas of computer security, medical ethics, and patient data privacy. More patients’ variables could also be collected to improve the workload estimates.Originality/valueNursing workload assessment is critical to improve the cost-benefit ratio in health care, offer high-quality patient care, and reduce unnecessary expenses, and this process is usually manual. An automated device can automatically document the amount of time spent in patient care activities in a more transparent, efficient, and accurate manner, freeing staff for more urgent activities and keeping management better informed about day-to-day nursing operations.
Strategies and practices for organizational learning in integrated care
Authors: Lørum Rachel Margrethe , Smith Frida 
Published: August 2024

PurposeThe purpose of this study is to identify important strategies and practices supporting inter-organizational learning (IOL) in integrated care. The two research questions ask how organizational network architectures can help involved organizations overcome the barriers of IOL in integrated care (RQ1) and what design recommendations can strengthen the processes of IOL in integrated care (RQ2).Design/methodology/approachThis study applies a qualitative design to analyze an improvement initiative in a regional, integrated care service for elderly patients with multiple illnesses in Norway. An inductive thematic analysis for the triangulating of qualitative data from different sources was applied. Patterns within the data were organized into themes, categories and subcategories. No software was applied.FindingsThe identified characteristics of the organizational network architectures supporting IOL in integrated care in the case under study were: equality of the involved parties, shared goals, recognition of expertise and the abilities to coordinate, design IOL processes and make joint decisions (RQ1). The categories of practices supporting the process of IOL were: insight into complex realities, contradictions, iteration, motivation and prototypes (RQ2).Originality/valueThis study offers much-needed insight into a successful approach for IOL in integrated care. The results offer strategies to be considered when building organizational networks for the improvement of integrated care and relevant practices useful when designing IOL processes in such care services. We believe such knowledge has important implications for policymakers, frontline personnel, education, research and leaders.
Entrepreneurial thinking: rational vs intuitive
Authors: Krueger Norris , Mestwerdt Sönke , Kickul Jill 
Published: August 2024

PurposeIntentions are central to entrepreneurial thinking and thus entrepreneurial action yet we have not explored the different pathways of how intent evolves. How does an easily assessed measure of cognitive style influence how entrepreneurs develop their intentions?Design/methodology/approachWe examine how cognitive style interacts with entrepreneurial intentions testing the model separately with subjects scoring as Intuitives or Analytics on cognitive style, plus nationality and gender as covariates with entrepreneurial intensity as a prospective moderator, using 528 university students from Norway, Russia and Finland.FindingsCognitive style does moderate the intentions model. For intuitives, country influenced social norms and entrepreneurial intensity proved a moderator. For analytics, neither perceived desirability, country, nor entrepreneurial intensity were significant.Research limitations/implicationsWe will replicate these findings in different samples, especially non-WEIRD settings. It will also be useful to test alternate measures of cognitive style and other likely moderators.Practical implicationsWe offer diagnostics for educators and ecosystem actors given that our findings suggest intriguing differences in the entrepreneurial mindset.Social implicationsUnderstanding multiple pathways exist to entrepreneurial intent and thus action helps policymakers and entrepreneurial champions better able to help nurture entrepreneurs and thus entrepreneurship in their communities.Originality/valueCognitive style has dramatic effects on the specification of the formal intentions model arguing for multiple pathways to entrepreneurial intent. For example, two entrepreneurs might arrive at the same intention but through very different processes because they differ in cognitive style.
Negative consumer–brand relationships in services: does gender matter?
Authors: Chinelato Flavia Braga , Gonçalves Filho Cid , Gois Arquimedes Martins 
Published: August 2024

Purpose
Studies on the negative aspects of consumer–brand relationships have received increasing attention in academia, but most research on this phenomenon is not focused on services. On the other hand, the literature consistently demonstrates evidence that gender affects consumer behavior. In this context, this study aims to unprecedentedly identify the antecedents of brand hate and the effects of consumer gender across different service sectors.

Design/methodology/approach
This research compares the results of two studies with service companies. The first was accomplished with 307 consumers of mobile phone operators, and the second study was performed on 450 higher education students. The data were analyzed using structural equation modeling.

Findings
In both studies, females showed greater importance for ideological incompatibility than males. This suggests that females are more sensitive to moral issues and ethical behavior than males. As for males, negative experience is the most relevant antecedent of brand hate in both samples. However, when age is checked, the results indicate that younger males develop more brand hate than older males. This does not happen with females.

Originality/value
This study demonstrates gender differences and compares two samples applied in different service sectors: low-technological and high-touch consumer interactions. The results show that the antecedents of brand hate for males and females in the service sector differ. This study also points out that older males present a different behavior when compared to younger males, which does not happen with females.
Investigation of complex single-walled intersecting structures fabricated by wire-arc directed energy deposition
Authors: Silmbroth Mathias , Enzinger Norbert , Senck Sascha , Radlmayr Karl , Klein Thomas 
Published: August 2024

Purpose
This study aims to investigate an intersecting single-walled structure fabricated using wire-arc directed energy deposition (waDED). Because of the highly complex geometrical features of this structure, characterisation is used to identify potential weak points and provide a benchmark for future complex components.

Design/methodology/approach
A structural component with a process-specific design is built using additive manufacturing of an Al-Mg alloy and analysed using micro-computed tomography. Scans are carried out at different resolutions and subsequently compared to microsections. The chemical composition and hardness are also examined. These investigations provide an enhanced understanding of defects and overall quality of the manufactured parts.

Findings
The results show that very high-quality parts can be achieved using ER5183 alloy, even in intersecting areas. Defects in these regions are primarily caused by converging and diverging waDED paths and discontinuous waDED operations.

Originality/value
In addition to demonstrating the feasibility of complex structures using waDED, this study provides an overview of problem areas and potential improvements in waDED manufacturing.
Walking the talk? An exploratory study on the contributions of municipalities to the social entrepreneurship ecosystem in the Netherlands
Authors: Muftugil-Yalcin Seda , Verver Michiel , Theeuwes Nina Floor 
Published: August 2024

Purpose
This paper aims to investigate how municipalities contribute to the ecosystem for social entrepreneurs, focusing on the four largest municipalities in the Netherlands, also known as the G4 municipalities (Amsterdam, Rotterdam, Utrecht and The Hague). Building on the ecosystem model of Spigel (2017), the findings focus on the cultural, social and material contributions of the municipalities to the ecosystem and how these contributions are perceived by the founders of social enterprises.

Design/methodology/approach
Focusing only on G4 municipalities, 39 semi structured interviews were carried, 15 of which were conducted with civil servants from G4 municipalities and the rest with social enterprises operating in G4 municipalities.

Findings
The results indicate that the G4 municipalities mainly contribute by helping build a positive image of social entrepreneurship and by facilitating the network of social entrepreneurs. However, municipalities often fail to substantiate their commitment by way of material resources such as financial inducements, resource provision or policies.

Originality/value
In the analysis, Spigel’s ecosystem model is adopted and by adopting this lens, the authors believe that the contribution of this exploratory study lies in analysing the relation of municipalities with social enterprises in a more comprehensive way. A consideration of the cultural, social and material aspects of municipality support, along with the discrepancies between these kinds of support, allows a critical analysis of the role municipalities play in social entrepreneurship in the Netherlands.
Assessing Lean Six Sigma and quality performance improvement in Italian public healthcare organizations: a validated scale
Authors: Rosa Angelo , Capolupo Nicola , Romeo Emilia , McDermott Olivia , Antony Jiju , Sony Michael , Bhat Shreeranga 
Published: August 2024

PurposeThis study aims to fully assess the readiness for Lean Six Sigma (LSS) and Quality Performance Improvement (QPI) in an Italian Public Healthcare ecosystem.Design/methodology/approachDrawing from previously established survey development and adaptation protocols, a replication study was carried out; Lean, Six Sigma and QPI were extracted and validated through confirmatory factor analysis in an Italian Public Healthcare setting, with a sample of health professionals from the Campania region.FindingsThis study reports the adaptation of an existing scale for measuring LSS and QPI in an Italian public healthcare organisation. This analysis extracts six conceptual domains and constitutes an original adaptation of an existing scale to assess the readiness to adopt Lean, Six Sigma and Quality Performance in Italian Public Health Organizations. The constructs show strong levels of internal consistency, as demonstrated by each item factor loading and each subscale reliability.Practical implicationsManagers, policymakers and academics can employ the proposed tool to assess the public healthcare ecosystem’s capability to implement LSS initiatives and strategies to improve quality performance.Originality/valueThis is one of the first studies to assess cross-regional organisational readiness for LSS and QPI in an Italian Public Healthcare environment at this scope and level.
Impact of new antifungal medications on onychomycosis prescriptions and costs in Japan: A nationwide claims database study
Authors: Miyachi Hideaki , Sato Daisuke , Sakamaki Kentaro , Togawa Yaei , Yoshimura Kensuke 
Published: August 2024

AbstractOnychomycosis, a fungal nail infection, is a common dermatological condition in Japan, with a prevalence of approximately 5%–10%. Despite the introduction of new antifungal medications and updated treatment guidelines published in 2019, data on real‐world prescription trends and the associated medical costs are limited. This study aimed to investigate the prescription patterns and medical costs of topical and oral antifungal medications for onychomycosis in Japan from fiscal years 2014 to 2021 using the National Database of Health Insurance Claims and Specific Health Checkups of Japan Open Data. We analyzed the annual prescription volumes and medical costs of four antifungal medications: efinaconazole, luliconazole, fosravuconazole, and terbinafine. The prescription volume of efinaconazole, a topical medication launched in 2014, rapidly increased and dominated the market share. Fosravuconazole, an oral medication introduced in 2018, showed an increasing trend, coinciding with a decline in efinaconazole prescriptions. Terbinafine, a well‐established oral medication, experienced a substantial decrease in prescription volume. The sex‐ and age‐adjusted prescription volume per 100 000 population was higher among older adults, particularly for efinaconazole. The total medical costs for onychomycosis treatment more than doubled in fiscal year 2015 compared with that for 2014, mainly driven by efinaconazole prescriptions, and exceeded 30 billion Japanese yen in fiscal years 2019–2021. The costs slightly decreased in fiscal years 2020 and 2021, possibly due to the introduction of fosravuconazole. The predominance of topical prescriptions, especially in older adults, raises concerns regarding adherence to the Japanese guidelines that recommend oral antifungals as the first‐line treatment for onychomycosis. The substantial increase in medical costs also highlights the economic burden of onychomycosis and the need for cost‐effective treatment strategies. This study provides valuable insights into the real‐world prescription trends and medical costs of onychomycosis treatment in Japan, suggesting an opportunity to assess potential gaps between guideline recommendations and clinical practice.
Full‐waveform inversion as a tool to predict fault zone acoustic properties
Authors: Alghuraybi Ahmed M. , Bell Rebecca E. , Jackson Christopher A.‐L. , Sim Melissa , Jin Shuhan 
Published: August 2024

AbstractUnderstanding the physical properties of fault zones is essential for various subsurface applications, including carbon capture and geologic storage, geothermal energy and seismic hazard assessment. Although three‐dimensional seismic reflection data can image the geometries of faults in the sub‐surface, it does not provide any direct information on the physical properties of fault zones. We currently cannot use seismic reflection data to infer directly which faults may be leaking or sealing and are reliant instead on shale‐gauge ratio type calculations, which are fraught with uncertainties. In this paper, we propose that full‐waveform inversion P‐wave velocity models can be used to extract information on fault zone acoustic properties directly, which may be a proxy for subsurface fault transmissibility. In this study, we use high‐quality post‐stack depth–migrated seismic reflection and full‐waveform inversion velocity data to investigate the characteristics of fault zones in the Samson Dome in the SW Barents Sea. We analyse the variance attribute of the post‐stack depth migrated and full‐waveform inversion volumes, revealing linear features that consistently appear in both datasets. These features correspond to locations of rapid velocity changes and seismic trace distortions, which we interpret as faults. These observations demonstrate the capability of full‐waveform inversion to recover fault zone velocity structures. Our findings also reveal the natural heterogeneity and complexity of fault zones, with varying P‐wave velocity anomalies within the studied fault network and along individual faults. Our results indicate a correlation between P‐wave velocity anomalies within fault zones and the modern‐day stress orientation. Faults with high P‐wave velocity are the ones that are perpendicular to the present‐day maximum horizontal stress orientation and are likely under compression. Faults with lower P‐wave velocity are the ones more parallel to the present‐day maximum horizontal stress orientation and are likely in extension. We propose that these P‐wave velocity anomalies may indicate differences in how ‘open’ and fluid filled the fault zones are (i.e. faults in extension are more open, more fluid filled and have lower VP) and therefore may provide a promising proxy for fault transmissibility.
Scrolling and hyperlinks: The effects of two prevalent digital features on children's digital reading comprehension
Authors: Krenca Klaudia , Taylor Emily , Deacon S. Hélène 
Published: August 2024

BackgroundThis study examined how children's ability to understand what they read on screens is impacted by two specific digital features: hovering hyperlinks and scrolling.MethodsThe participants were 75 English‐speaking children (M = 9.90 years, SD = 0.90 years) in Grades 3 to 5 who participated in an online research study. Using a within‐participants design, children read standardised passages from the Gates–MacGinitie Reading Tests (MacGinitie et al., 2000) and answered multiple‐choice comprehension questions. In one condition, passages were presented without digital features referred to as the clicking condition; in another, children had to scroll to navigate through the passages, in a third, there were hyperlinks that provided a word definition when a participant hovered their cursor over a blue and underlined word, and a final condition included both scrolling and hyperlinks.ResultsAs expected, there was a significant main effect of grade on children's ability to understand what they read, with better performance for children in Grade 5 than 3. Critically, there was a significant main effect of condition on children's performance on the reading comprehension questions, with higher scores for the condition with no digital features compared with the conditions with hovering hyperlinks and both scrolling and hovering hyperlinks. Performance was similar between the clicking and scrolling conditions. There was no significant interaction between grade and condition, showing consistency in effects across the upper elementary school years.ConclusionsThese findings could inform the optimal design of digital texts by identifying digital features that do and do not interfere with reading comprehension, with hyperlinks providing word level information interfering and scrolling having no negative impacts.
Targeting Machine Learning and Artificial Intelligence Algorithms in Health Care to Reduce Bias and Improve Population Health
Authors: HURD THELMA C. , COBB PAYTON FAY , HOOD DARRYL B. 
Published: August 2024

Policy Points
Artificial intelligence (AI) is disruptively innovating health care and surpassing our ability to define its boundaries and roles in health care and regulate its application in legal and ethical ways. Significant progress has been made in governance in the United States and the European Union.
It is incumbent on developers, end users, the public, providers, health care systems, and policymakers to collaboratively ensure that we adopt a national AI health strategy that realizes the Quintuple Aim; minimizes race‐based medicine; prioritizes transparency, equity, and algorithmic vigilance; and integrates the patient and community voices throughout all aspects of AI development and deployment.
Migratory outcomes across localities and generations in Kupang, Indonesia
Authors: Akhmad Fandi , Utomo Ariane , Dressler Wolfram 
Published: August 2024

AbstractThis study explores the outcomes of internal migration in Indonesia, specifically focusing on the intersecting themes of ethnicity, informality, and entrepreneurial migration. We examine how Javanese migrants perceive the benefits and challenges of their migration and subsequent engagement in the informal sector as self‐employed migrants/small business owners in and around Kupang’s traditional markets. We use a sequential mixed‐methods approach (a household survey with a structured interview [n=344] and in‐depth/semi‐structured interviews [n=28] in 2020). Drawing on Hein de Haas’s framework on the internal dynamics of migration, we explore the multifaceted outcomes of entrepreneurial migration beyond the economic consequences addressed in similar studies. The perceived positive impacts of this migration include sufficient income to cover daily needs and children’s education, as well as new remittances and employment opportunities for communities in Java and Kupang. However, these broadly empowering trends were set against the experience of those migrants who, because of less informal sector labour experience, could not easily negotiate their settlement in a new host environment, leading to varied adverse consequences. Ultimately, then, the article highlights the importance of social networks, knowledge, and reciprocity in supporting the successful establishment of entrepreneurial migrants in emerging destinations.
Scottish Trade With Spain in the 1770s: The Progress of Carron Company and the Growth of Spanish Naval Power
Authors: Amenedo‐Costa Mónica 
Published: August 2024

AbstractThe establishment of a Royal Naval Dockyard in Ferrol (Spain) favoured engagement in international activities and hence the development of useful connections with other European cities and towns. This article examines trade links between Scotland and Spain through the port of Ferrol during the 1770s, with particular emphasis on the British press and on Scottish customs accounts. Both data sources were used to address three research questions. First, what were the policies and mechanisms of this trade? Second, how important was this trade in terms of the industrial needs of Spain? Third, did this trade have any effect on economic development? The findings provide insight into Scottish industrial history and the relationship between the economy and political spheres during periods of war. They also reveal historical narratives that shed light on the supply of weaponry to Ferrol and the customs administration related to this trade.