bluuebunny/crossref_metadata_2025_split huggingface dataset:
Differential utilization of the online patient portal for completion of health‐related social needs screening during routine gynecologic cancer care
Authors: Beavis Anna L. , Wethington Stephanie L. , Yu Ruoxi , Topel Kristin M. , Bielman Marie L. , Olson Sarah , Rositch Anne F. 
Published: June 2024

AbstractBackgroundTelehealth technologies offer efficient ways to deliver health‐related social needs (HRSN) screening in cancer care, but these methods may not reach all populations. The authors examined patient characteristics associated with using an online patient portal (OPP) to complete HRSN screening as part of gynecologic cancer care.MethodsFrom June 2021 to June 2023, patients in a gynecologic oncology clinic completed validated HRSN screening questions either (1) using the OPP (independently before the visit) or (2) in person (verbally administered by clinic staff). The authors examined the prevalence of HRSN according to activated OPP status and, in a restricted subgroup, used stepwise multivariate Poisson regression to identify associations between patient and visit characteristics and using the OPP.ResultsOf 1616 patients, 87.4% (n = 1413) had an activated OPP. Patients with inactive OPPs (vs. activated OPPs) more frequently reported two or more needs (10% vs 5%; p < .01). Of 986 patients in the restricted cohort, 52% used the OPP to complete screening. The final multivariable model indicated that patients were less likely to use the OPP if they were Black (vs. White; adjusted relative risk [aRR], 0.70; 95% confidence interval [CI], 0.59–0.83); not employed (vs. employed; aRR, 0.81; 95% CI, 0.68–0.97), or had low measures of OPP engagement (aRR, 0.80; 95% CI, 0.68–0.92). New versus established patients were 21% more likely to use the OPP (aRR, 1.21; 95% CI, 1.06–1.38).ConclusionsDifferential use of the OPP suggested that over‐reliance on digital technologies could limit the ability to reach those populations that have social factors already associated with cancer outcome disparities. Cancer centers should consider using multiple delivery methods for HRSN screening to maximize reach to all populations.
CEO overseas experience and sustainability report disclosure: Evidence from Indonesia
Authors: Aini Siti Nur , Harymawan Iman , Nasih Mohammad , Kamarudin Khairul Anuar 
Published: June 2024

AbstractThis study examines the relationship between chief executive officers' (CEOs) overseas experience and social responsibility (SR) disclosure, as well as how CEOs from reputable universities can moderate this relationship. Using 488 firm‐year observations from firms listed on the Bursa Efek Indonesia (Indonesian Stock Exchange) and data from the Global Reporting Initiative databases from 2010 to 2021, this study finds a significant negative association between foreign‐educated CEOs (CEO overseas experience) and SR disclosure. This study also finds that CEOs from reputable universities can weaken this relationship. The results are robust to endogeneity tests using the coarsened exact match (CEM) and Heckman's two‐stage regressions. Furthermore, overseas experience CEOs have a significantly negative impact on all dimensions of SR disclosure, except for the environmental and product dimensions. Investors may consider CEOs' foreign education as an additional factor in their investment decisions. This study suggests that firms with CEOs with international exposure tend to exhibit lower levels of SR disclosures. This insight can aid investors in evaluating sustainability and ethical performance by aligning their investment portfolios with CSR objectives and preferences.
Do we have to choose between economic or environmental performance? The case of the ceramic industry cluster
Authors: Vallet‐Bellmunt Teresa , Del‐Corte‐Lora Víctor , Martínez‐Fernández M. Teresa 
Published: June 2024

AbstractA growing number of academic studies are focusing on firms' sustainability orientation, organizational resilience, and social capital. A key challenge facing companies today is how to maintain or improve economic performance while becoming more sustainable. This research relates sustainability orientation, organizational resilience, and social capital to economic and environmental performance in the ceramic industry cluster of Castellón, Spain. It also analyzes the mediating effect of organizational resilience on the relationship between social capital and both types of performance. The results show that sustainability orientation is linked to environmental performance, while social capital and organizational resilience are linked to economic performance. The results of the analysis of the mediating effect of organizational resilience differ depending on the type of performance. These findings thus suggest that companies should decide what kind of results they want to prioritize in order to direct their efforts at a strategic level, focusing on organizational resilience and social capital if they want to achieve better economic results and on sustainability orientation if they want to improve their environmental performance. This research contributes to the academic literature on environmental and sustainability issues.
Beyond CREA: Evolutionary patterns of non‐allometric shape variation and divergence in a highly allometric clade of murine rodents
Authors: Marcy Ariel E. , Mitchell D. Rex , Guillerme Thomas , Phillips Matthew J. , Weisbecker Vera 
Published: June 2024

AbstractThe shared functions of the skull are thought to result in common evolutionary patterns in mammalian cranial shape. Craniofacial evolutionary allometry (CREA) is a particularly prominent pattern where larger species display proportionally elongate facial skeletons and smaller braincases. It was recently proposed that CREA arises from biomechanical effects of cranial scaling when diets are similar. Thus, deviations from CREA should occur with changes in cranial biomechanics, for example due to dietary change. Here, we test this using 3D geometric morphometric analysis in a dataset of Australian murine crania, which are highly allometric. We contrast allometric and non‐allometric variation in the cranium by comparing evolutionary mode, allometry, ordinations, as well as allometry, integration, and modularity in functional modules. We found evidence of stabilising selection in allometry‐containing and size‐free shape, and substantial non‐allometric variation aligned with dietary specialisation in parallel with CREA. Integration among cranial modules was higher, and modularity lower, with size included, but integration between rostrum and cranial vault, which are involved in the CREA pattern, dropped dramatically after size removal. Our results thus support the hypothesis that CREA is a composite arising from selection on cranial function, with substantial non‐allometric shape variation occurring alongside CREA where dietary specialisation impacts selection on gnawing function. This emphasises the need to research mammalian cranial evolution in the context of allometric and non‐allometric selection on biomechanical function.
Habitat suitability of biocrust communities in a cold desert ecosystem
Authors: Power Sarah N. , Thomas Valerie A. , Salvatore Mark R. , Barrett John E. 
Published: June 2024

AbstractDrylands are unique among terrestrial ecosystems in that they have a significant proportion of primary production facilitated by non‐vascular plants such as colonial cyanobacteria, moss, and lichens, i.e., biocrusts, which occur on and in the surface soil. Biocrusts inhabit all continents, including Antarctica, an increasingly dynamic continent on the precipice of change. Here, we describe in‐situ field surveying and sampling, remote sensing, and modeling approaches to assess the habitat suitability of biocrusts in the Lake Fryxell basin of Taylor Valley, Antarctica, which is the main site of the McMurdo Dry Valleys Long‐Term Ecological Research Program. Soils suitable for the development of biocrusts are typically wetter, less alkaline, and less saline compared to unvegetated soils. Using random forest models, we show that gravimetric water content, electrical conductivity, and snow frequency are the top predictors of biocrust presence and biomass. Areas most suitable for the growth of dense biocrusts are soils associated with seasonal snow patches. Using geospatial data to extrapolate our habitat suitability model to the whole basin predicts that biocrusts are present in 2.7 × 105 m2 and contain 11–72 Mg of aboveground carbon, based on the 90% probability of occurrence. Our study illustrates the synergistic effect of combining field and remote sensing data for understanding the distribution and biomass of biocrusts, a foundational community in the carbon balance of this region. Extreme weather events and changing climate conditions in this region, especially those influencing snow accumulation and persistence, could have significant effects on the future distribution and abundance of biocrusts and therefore soil organic carbon storage in the McMurdo Dry Valleys.
A new open‐source solver for early detection of atherosclerosis based on hemodynamics and LDL transport simulation
Authors: Molina Jorge , Obaid Daniel Rhys , Ademiloye A. S. 
Published: June 2024

AbstractThis article presents a new open‐source solver within the OpenFOAM framework, to provide a cost‐free alternative to commercial software for simulating blood flows and the transport of low‐density lipoproteins (LDL) in arteries. The proposed algorithm utilizes the velocity field obtained from the hemodynamics computation to solve an advection‐diffusion equation governing a passive scalar variable, that represents the cholesterol concentration in blood. Moreover, two customized boundary conditions, namely periodic pulsatile inflow and LDL blood‐to‐wall transfer law, as well as a non‐Newtonian viscosity model, are included in the code to achieve more realistic results. The solver is first validated by reproducing two benchmark tests, the classical lid‐driven cavity experiment including heat transport, and a constricted tube simulating a stenosed artery. The results obtained were in good agreement with existing literature and experimental measurements, thus confirming the accuracy and robustness of the proposed open‐source solver. Finally, hemodynamics and LDL transport are computed in two arteries, one of them obtained by segmentation from an anonymized clinical patient. Stress and LDL concentration at the vessel's wall are employed to calculate significant descriptors revealing dangerous areas where atherosclerotic plaques could emerge. In the studied cases, the main branch of the artery, and especially the vicinity of the bifurcation, seem to be candidates to develop the illness. This conclusion is in line with medical in‐vivo studies evincing that bifurcations are an usual place where plaques grow.
Building a Technical Leadership Model
Authors: Godfrey Patrick 
Published: June 2024

ABSTRACTINCOSE's Vision 2025 identifies the development of systems thinking and technical leadership as one of seven key areas of systems engineering ‘competency’ required for delivery. Vision 2025 states: “Education and training of systems engineers and the infusion of systems thinking across a broad range of the engineering and management workforce will meet the demands for a growing number of systems engineers with the necessary technical and leadership competencies.” “The roles and competencies of the systems engineer will broaden to address the increasing complexity and diversity of future systems.” “The technical leadership role of the systems engineer on a project will be well established as critical to the success of a project.” These requirements imply the need to rapidly expand the art and science of systems technical leadership. In response to this need, INCOSE established an institute for technical leadership. This paper describes the Institute and the work that the first cohort (“Cohort of 2017”) has accomplished on developing a technical leadership model for systems engineers. It is envisaged that this first technical leadership model for systems engineers will be further developed and matured by the following cohorts of the INCOSE's Technical Leadership Institute.
Technical Leadership of Virtual and Remotely Distributed Teams
Authors: Dazzi Francesco , Gallego Elena , Keen W. Patrick , McKelvin Mark , McCoy Sean , Weigel Allison , Ziliox Lisa 
Published: June 2024

ABSTRACTThe world is increasingly virtual and complex, with many relationships and teams at a global scale. The situation will not be changing any time soon. Sometimes, it is only possible to interact at a distance, of not only time zones and space, but also sometimes interpersonal distance, where names and voices make up another person. Regardless, technical teams will need good leadership to address complex situations in these virtual and remotely distributed (VaRD) environments. So, in a VaRD environment, do leadership practices and skills have to change? Do the tools, techniques, and technology make current practices for leadership in general, and the application of those practices obsolete? Maybe not.This paper seeks to examine the nature of what is really changing when leading in a VaRD environment through the lens of engineers leading teams in global and complex technical challenges. Those perspectives are analyzed to determine the factors that go into a VaRD environment. In addition, this paper analyzes how interactions between teams compare to an in‐person environment, how leadership practices are applied in this environment, and how technical leadership is tailored for these new environments.
A Systems View of Career Development for Systems Engineering Leadership
Authors: Gupta Stueti , Kennedy Grace , Keim Jonathan , Opland Brandi , Sigterman Yoeri , Wingate Brandi 
Published: June 2024

ABSTRACTSystems engineering leaders' career development journeys are primarily driven by their experiences that shape their capability, qualities, and perspective; however, the pathways that individuals take are not only broad and varied, but also equally affected by personal life decisions and external factors. This paper describes a two‐fold study that aimed to: a) provide insight into commonalities in the career journeys of systems engineering leaders, and b) ascertain how key areas affect career development. Five key areas were explored: education, technical experience, soft skills experience, job satisfaction, and work‐life balance. A mixed and multi‐method approach was taken, gathering data from sixty‐one participants through interviews, surveys, and facilitated workshop. The study found that although there was no ‘blueprint’ that yields successful systems engineering leadership, there were themes/trends that were common. An influence model was developed to highlight these trends in the form of the key areas, factors affecting them, and the interrelationships between them.
A Tinkerer's Mindset: Lessons from the Technical Leadership Institute's Cohort 8 on Safe‐to‐Fail Probing as a Tool for Informing Judgement
Authors: Williams Adam D. , Aveiro Leandro V. , McGrath Rachel A. , Leandri Carlo , Terpant Guilluame , Masson Dimitri , Unger Adrian 
Published: June 2024

ABSTRACTTinkering — or making small changes to experiment toward an improvement in performance — is seemingly a natural characteristic of many systems engineers. As such, systems engineers are uniquely qualified to develop complex solutions necessary to overcome lack of clarity, achieve order, and avoid failure. Further, there is a much broader conversation surrounding the possibility of “failure” being beneficial in systems engineering projects. In response to the needing to inform judgment in situations shrouded in uncertainty, members of INCOSE's Technical Leadership Institute (TLI) cohort 8 examined the role of safe‐to‐fail probes play in informing judgement for systems engineers. Within the constraints of the TLI's major project, virtual workshops and qualitative interviews were two data collection mechanisms established to empirically investigate the role(s) of safe‐to‐fail probing in systems engineering. Overall, the data sets offered conclusions describing the potential role(s) of safe‐to‐fail probes for systems engineers working in uncertain environments. Resulting from this (limited) empirical exploration are additional insights and implications for how systems engineers may invoke safe‐to‐fail probes to improve decision‐making in uncertain and challenging situations. Such a tinkerer's mindset can help systems engineers transition from the constraints of “intolerable failure” to the opportunities related to probing‐sensing‐responding to “responsible failures.”
Perceptions and outcomes of a nationwide remote pharmacy mentorship program
Authors: Wheeler Sarah E. , Kiser Katie , Lipari Melissa , Majerczyk Daniel , Pritchard R. Iain , Bansal Swati , McDanel Deanna 
Published: June 2024

AbstractIntroductionMentorship is crucial for professional development in health care. However, the outcomes of national remote mentorship programs in pharmacy remain largely unexplored. This study evaluates the perceptions and experiences of student pharmacists, residents, fellows, and nontrainee pharmacists in such a program.ObjectivesThis study aimed to assess the perceptions and outcomes of a nationwide remote pharmacy mentorship program designed for student pharmacists, residents, and fellows. It explores the efficacy, benefits, and barriers within a national pharmacy professional organization mentorship program.MethodsThe mentor and mentee experiences in the American College of Clinical Pharmacy (ACCP) Ambulatory Care Practice and Research Network (PRN) from program years 2019–2022 were assessed using an anonymous online survey, employing a mixed‐methods approach. The survey featured quantitative Likert scale and qualitative free‐response questions. In addition, publicly available online sources provided data for postprogram placement outcomes of learner participants in the program. Summary statistics were computed from the quantitative data, and content analysis was applied to the qualitative data.ResultsOf the 356 invited program participants, 48 mentors (32.7%) and 18 mentees (8.6%) responded to the survey. Most respondents agreed or strongly agreed on the program's effectiveness, contributing to a high postprogram placement rate in residencies and ambulatory care positions, emphasizing the program's success in supporting career progression. Respondents recognized significant benefits like career development and professional satisfaction. Notable demographic disparities, especially in age, gender, and race, were observed among participants. The study also identified logistical challenges that impeded the program's full potential.ConclusionDespite limitations, including a low number of responses, the study revealed that remote mentorship may positively affect professional development and well‐being. The data supports the program‐impacted respondent involvement and professional growth. Moreover, these findings suggest the need for further research to address the program barriers and disparities in participation.
Intravenous Immunoglobulin offers temporary improvement in acquired von Willebrand syndrome due to monoclonal gammopathy: A case report
Authors: Zablonski Kevin G. , Rajkumar Aarthi , Nayak Lalitha 
Published: June 2024

AbstractAcquired von Willebrand syndrome (AVWS) is a bleeding disorder in which an underlying condition induces a quantitative or qualitative deficiency in the von Willebrand factor. This case demonstrates the rare diagnosis of AVWS due to an Immunoglobulin G monoclonal gammopathy in an elderly woman who presented with significant gastrointestinal bleeding. Originally thought to be type 1 von Willebrand disease, this case provides a cautious example to clinicians that without a detailed history or an understanding of the associated laboratory work‐up, AVWS may be missed with potentially fatal consequences. Fortunately, AVWS was recognized and treated with intravenous immunoglobulin with a resolution of bleeding.
Managing coopetition dynamics: A longitudinal study of a multiparty alliance formation in a large utilities project
Authors: Taubeneder Renate , Roehrich Jens K. , Tyler Beverly B. , Squire Brian , Gnyawali Devi R. 
Published: June 2024

AbstractMultiparty alliances (MPAs) are increasingly used to deliver large utilities infrastructure projects on‐time, on‐budget, and to specified quality. In theory, MPAs should help buyers to coordinate suppliers, enable concurrent scheduling, and create process innovations. On the other hand, these governance structures are inherently less stable than dyadic relationships due to their additional complexity and greater opportunities for free riding. We conduct a multi‐source, longitudinal study, investigating how a buyer actively manages the dynamics between competition and cooperation during the formation of an MPA consisting of a lead organization and directional relationships between all partners. We contribute to MPA and coopetition literature by exploring cooperation and competition dynamics that are associated with the MPA structure that would largely be absent in dyads, and unpack the process by which a buyer orchestrates these dynamics by sequentially introducing new initiatives that seek to balance coopetition. MPAs have been recommended by governments and industry bodies as one solution for time and cost overruns in the utilities infrastructure sector, our study also provides guidance to buyers on the management of the alliance during the critical formation stage of the relationship lifecycle.
Contrast‐Enhanced Ultrasound‐Guided Endoscopic Retrograde Appendicitis Treatment—A Pilot Study on the Diagnostic and Therapeutic Efficacy in Uncomplicated Appendicitis
Authors: Chen Zekun , Li Xingcai , Chen Jingfang , Zheng Weikun , Li Yaya , Dai Zeyi , Yao Caifang , Lin Feng , Chen Xiaokang 
Published: June 2024

ObjectiveTo determine the diagnostic and therapeutic value of contrast‐enhanced ultrasound‐guided endoscopic retrograde appendicitis treatment (ERAT) in patients with uncomplicated appendicitis.MethodsA retrospective analysis was performed on clinical and ultrasound data collected from 105 pediatric patients with uncomplicated appendicitis between January 2020 and December 2023. The ultrasound findings before and after treatment, as well as postoperative follow‐up and recurrence rates, were summarized and analyzed.ResultsSuccessful intubation was achieved in 96 patients (91.4%). The conventional ultrasound appendix visualization rate was 39.6% (38/105), while the appendix visualization rate after contrast‐enhanced ultrasound‐guidance was 75% (72/105). Contrast‐enhanced ultrasound revealed various appendiceal morphologic changes in 89 patients, such as twisting, tortuosity, stiffness, rough inner wall, dilated diameter, and narrowing of the lumen. Additionally, local filling defects, which indicated the presence of fecal stones or debris deposition, were noted in 68 patients. No leakage of the contrast agent occurred. Post‐treatment evaluation showed improvement in appendiceal diameter, lumen, and filling defects (P < .01). The follow‐up rate was 82 of 89 patients (92.1%), all of whom recovered well without a recurrence. The recurrence rate was 7.9% (7/89). Among the patients with recurrences, five patients resolved after medical treatment and two patients recovered after surgical treatment.ConclusionContrast‐enhanced ultrasound‐guided ERAT for uncomplicated appendicitis is safe and effective. Specifically, the appendix is increased, which facilitates an evaluation of therapeutic effectiveness. ERAT serves as a valuable supplementary modality to determine the need for surgical treatment of acute appendicitis, which is of significant clinical value.