bluuebunny/crossref_metadata_2025_split huggingface dataset:
Open innovation practices adopted by private stakeholders: perspectives for living labs
Authors: Lapointe Dominic , Guimont David 
Published: May 2015

Purpose– This paper aims to explore the role of private stakeholders in the living lab (LL) ecosystem and the relationship of private stakeholders to open innovation (OI) practices. There is extensive literature on private stakeholders and OI, but seldom mention is made on the specific question of how private stakeholders integrate OI in the context of a LL.Design/methodology/approach– The authors will analyze qualitatively how private businesses that have participated in ain situopen innovation evaluate and perceived their open innovation practices. Therefore, how they relate to open innovation. Then, the authors will identify a typology of the businesses in relation to OI.Findings– The research focused on the relationship of private stakeholders to OI in the context ofin situOI activities. The results obtained are consistent with literature on OI (Chesbrough, 2003). However, there are differences: if the elements mentioned by the respondents are described in literature, their representation of OI and its components allows us to affirm that this practice is not generalised and that it is often open to interpretation. That emphasises the importance of the role LLs can play as intermediaries to accompany private stakeholders in the OI process. Private stakeholders look for a guide to develop their OI know-how and find their way in the OI ecosystem.Originality/value– The value of this paper is to bridge the research on OI done with private organisation and the research on LLs. The research literature did not pay much attention to the representation of the private stakeholders in the OI ecosystem. This paper has provided the start to open up that field.
Developing a regional design support service
Authors: Salminen Juho , Rinkinen Satu , Khan Rakhshanda 
Published: May 2015

Purpose
– This paper aims to examine how to support use of design in small- and medium-sized enterprises (SMEs) by developing a new design support service. Design is emerging as one of the major themes of modern business development. However, most organisations – especially SMEs – view incorporating design as problematic.

Design/methodology/approach
– This paper presents the service development process as a case study and contributes to the discussions on service development projects realised in the Living Lab context and enhancing the use of design among SMEs. The project had two basic assumptions as a starting point: using design is beneficial for SMEs’ business and business advisors are the best channel for reaching these SMEs. The basics of service design process and several tools such as the service design blueprint, the business model canvas and problem interviews were utilised to develop a service concept and to test it among target SMEs.

Findings
– It is difficult to find SMEs that need design and are not yet served by the current regional or national service offerings. The findings demonstrate the importance of user involvement in the beginning of service design process.

Research limitations/implications
– Limited sample size may impact the generalisability of the results. Increasing the sample size of companies might provide new insights not yet discovered in this study.

Originality/value
– Policymakers can benefit from the insights on design support service development when designing new services for SMEs. Co-design processes that are elemental to the Living Lab approach could also benefit the development of public business-to-business (B2B) services.
How to keep a living lab alive?
Authors: Mastelic Joëlle , Sahakian Marlyne , Bonazzi Riccardo 
Published: May 2015

Purpose– This paper aims to explore how Living Labs might be evaluated, building on the current efforts of the European Network of Living Lab (ENoLL) to encourage new members, and complementing their existing criteria with elements from business model development strategies – specifically the Business Model Canvas (BMC) (Osterwalder and Pigneur, 2010).Design/methodology/approach– First, it is explored how Living Labs have emerged, at the intersection of transition management, open innovation and collaborative consumption. It is then suggested that the BMC could be a complementary tool in Living Lab evaluation.Findings– This tool helped identify three important elements missing from current ENoLL evaluation criteria: identification of the cost structure, customer segments and the revenue stream. The case study of an Energy Living Lab created in Western Switzerland is used to reflect on the strengths and weaknesses of different evaluation criteria; this paper is then concluded with some ideas on how future research might contribute to further strengthening Living Lab evaluation process towards long-term “sustainability”.Originality/value– This article will be of value for ENoLL to refine their evaluation criteria for the next “wave” of application. It could as well help living labs to reflect on how to keep a living lab alive.
No time for quality
Authors: Myszewski Jan M. 
Published: May 2015

Purpose
– This investigation focusses on the mechanisms that obstruct an organization’s ability to develop. The purpose of this paper is to focus on short-term phenomena, which occurs during an organization’s general development process.

Design/methodology/approach
– The key resources in the development process include time and knowledge availability. The amount of the resources is one of basic factors of development effectiveness. From the “problems cleaner” equation, it follows that effectiveness depends on time, within which tasks are to be completed.

Findings
– There are a set of generic circumstances that produce specific organizational behaviors, referred to as the “culture of hurrying.” These circumstances are based on the natural expectation that organizational function is recovered as soon as possible after a failure occurs. The pathology begins when hurrying becomes a basic way to compensate for the effects of the failure, without eliminating its mechanisms. The culture of hurrying affects the organization’s ability to develop. Consequently, the conditions that stimulate the “culture of hurrying” to grow are formulated.

Originality/value
– Organizations managed by objectives provide examples of the culture of hurrying. On the other hand, organizations that adopt lean management illustrate how to escape from the culture of hurrying. This investigation shows that attitudes in favor of the culture of hurrying are related to the organization’s strategy.
Soil bacterial diversity patterns and drivers along an elevational gradient on Shennongjia Mountain, China
Authors: Zhang Yuguang , Cong Jing , Lu Hui , Li Guangliang , Xue Yadong , Deng Ye , Li Hui , Zhou Jizhong , Li Diqiang 
Published: May 2015

SummaryUnderstanding biological diversity elevational pattern and the driver factors are indispensable to develop the ecological theories. Elevational gradient may minimize the impact of environmental factors and is the ideal places to study soil microbial elevational patterns. In this study, we selected four typical vegetation types from 1000 to 2800 m above the sea level on the northern slope of Shennongjia Mountain in central China, and analysed the soil bacterial community composition, elevational patterns and the relationship between soil bacterial diversity and environmental factors by using the 16S rRNA Illumina sequencing and multivariate statistical analysis. The results revealed that the dominant bacterial phyla were Acidobacteria, Actinobacteria, Alphaproteobacteria, Betaproteobacteria, Gammaproteobacteria and Verrucomicrobia, which accounted for over 75% of the bacterial sequences obtained from tested samples, and the soil bacterial operational taxonomic unit (OTU) richness was a significant monotonous decreasing (P < 0.01) trend with the elevational increasing. The similarity of soil bacterial population composition decreased significantly (P < 0.01) with elevational distance increased as measured by the Jaccard and Bray–Curtis index. Canonical correspondence analysis and Mantel test analysis indicated that plant diversity and soil pH were significantly correlated (P < 0.01) with the soil bacterial community. Therefore, the soil bacterial diversity on Shennongjia Mountain had a significant and different elevational pattern, and plant diversity and soil pH may be the key factors in shaping the soil bacterial spatial pattern.
Postdetoxification Factors Predicting Alcohol‐Related Emergency Room Visits 12 to 24 Months After Discharge: Results from a Prospective Study of Patients with Alcohol Dependence
Authors: Constant Aymery , Le Gruyer Antonia , Le Lan Caroline , Riou Francoise , Moirand Romain 
Published: May 2015

BackgroundRelapse is common in patients with alcohol dependence, even after detoxification. The aims of this prospective study were to investigate changes affecting patients during the first 6 months after discharge from hospitalization for detoxification and to determine the influence of these changes on the likelihood of alcohol‐related emergency room (ER) visits in the following 18‐month period.MethodsThe study included 88 patients hospitalized for participation in a detoxification program in the addiction department of a university hospital in Rennes, France. Alcohol consumption, psychiatric symptoms, and life events were investigated by addiction specialists during hospitalization and 6 months afterward. For each patient, the number of alcohol‐related ER visits in the last 6 months was prospectively recorded at the hospital 12, 18, and 24 months after hospitalization. The rate ratios of ER visits as a function of sociodemographic variables and changes observed 6 months after discharge were estimated using Poisson regression with autoregressive errors.ResultsNearly half of the patients (47.7%) had ER visits in the 12‐ to 24‐month period following discharge. The likelihood of ER visits was higher for patients living with friends/parents and for those with aggravated psychiatric symptoms, negative changes in their family life, and who had a medical follow‐up in the 6 months after discharge. In contrast, the likelihood of ER visits was lower for patients living with children and those with improved psychiatric morbidity. Alcohol consumption and psychiatric symptoms at baseline had no significant effect.ConclusionsMonitoring changes in psychiatric symptoms and family life early after a detoxification program may help identify patients who are vulnerable to relapse in the subsequent 18‐month period. Systematic screening for these changes as early as possible, in combination with appropriate treatment and the establishment of a social support system, could be fundamental in avoiding further relapses and ER visits.
Randomized Controlled Trial of Mailed Personalized Feedback for Risky Drinkers in the Emergency Department: The Impact on Alcohol Consumption, Alcohol‐Related Injuries, and Repeat Emergency Department Presentations
Authors: Havard Alys , Shakeshaft Anthony P. , Conigrave Katherine M. 
Published: May 2015

BackgroundDue to the difficulty encountered in disseminating resource‐intensive emergency department (ED)‐based brief alcohol interventions into real‐world settings, this study evaluated the effect of a mailed personalized feedback intervention for problem drinking ED patients. At 6‐week follow‐up, this intervention was associated with a statistically significant reduction in alcohol consumption among patients with alcohol‐involved ED presentations. This study aimed to evaluate the effects of this intervention over time.MethodsA randomized controlled trial was conducted among problem drinking ED patients, defined as those scoring 8 or more on the Alcohol Use Disorders Identification Test. Participants in the intervention group received mailed personalized feedback regarding their alcohol consumption. The control group received no feedback. Follow‐up interviews were conducted over the phone, postal survey, or email survey 6 weeks and 6 months after baseline screening, and repeat ED presentations over 12‐month follow‐up were ascertained via linked ED records.ResultsSix‐month follow‐up interviews were completed with 210 participants (69%), and linked ED records were obtained for 286 participants (94%). The intervention had no effect on alcohol consumption, while findings regarding alcohol‐related injuries and repeat ED presentations remain inconclusive.ConclusionsFurther research in which the receipt of feedback is improved and a booster intervention is provided is recommended.
Intensive care practices in brain death diagnosis and organ donation
Authors: Escudero D. , Valentín M. O. , Escalante J. L. , Sanmartín A. , Perez‐Basterrechea M. , de Gea J. , Martín M. , Velasco J. , Pont T. , Masnou N. , de la Calle B. , Marcelo B. , Lebrón M. , Pérez J. M. , Burgos M. , Gimeno R. , Kot P. , Yus S. , Sancho I. , Zabalegui A. , Arroyo M. , Miñambres E. , Elizalde J. , Montejo J. C. , Domínguez‐Gil B. , Matesanz R. 
Published: May 2015

SummaryWe conducted a multicentre study of 1844 patients from 42 Spanish intensive care units, and analysed the clinical characteristics of brain death, the use of ancillary testing, and the clinical decisions taken after the diagnosis of brain death. The main cause of brain death was intracerebral haemorrhage (769/1844, 42%), followed by traumatic brain injury (343/1844, 19%) and subarachnoid haemorrhage (257/1844, 14%). The diagnosis of brain death was made rapidly (50% in the first 24 h). Of those patients who went on to die, the Glasgow Coma Scale on admission was ≤ 8/15 in 1146/1261 (91%) of patients with intracerebral haemorrhage, traumatic brain injury or anoxic encephalopathy; the Hunt and Hess Scale was 4–5 in 207/251 (83%) of patients following subarachnoid haemorrhage; and the National Institutes of Health Stroke Scale was ≥ 15 in 114/129 (89%) of patients with strokes. Brain death was diagnosed exclusively by clinical examination in 92/1844 (5%) of cases. Electroencephalography was the most frequently used ancillary test (1303/1752, 70.7%), followed by transcranial Doppler (652/1752, 37%). Organ donation took place in 70% of patients (1291/1844), with medical unsuitability (267/553, 48%) and family refusal (244/553, 13%) the main reasons for loss of potential donors. All life‐sustaining measures were withdrawn in 413/553 of non‐donors (75%).
The use of help options in multimedia listening environments to aid language learning: A review
Authors: Mohsen Mohammed Ali 
Published: May 2015

AbstractThis paper provides a comprehensive review on the use of help options (HOs) in the multimedia listening context to aid listening comprehension (LC) and improve incidental vocabulary learning. The paper also aims to synthesize the research findings obtained from the use of HOs in Computer‐Assisted Language Learning (CALL) literature and reveals the theoretical framework that has guided multimedia listening studies. The term HOs refers to any form of assistance, such as visual, auditory (ie, variety of pronunciations) or textual, that is displayed synchronously or asynchronously on the computer screen to facilitate language learning. The paper analyzes the potentials of HO techniques and reveals how these techniques are utilized in CALL literature. The paper then summarizes the overall gain in the use of HOs, highlights their limitations in LC tasks and recommends directions for future research.
Fish faunal provinces of the conterminous United States of America reflect historical geography and familial composition
Authors: Matamoros Wilfredo A. , Hoagstrom Christopher W. , Schaefer Jacob F. , Kreiser Brian R. 
Published: May 2015

ABSTRACTAlthough the conterminous USA has a long history of ichthyological exploration, the description of biogeographical provinces has been ad hoc. In this study we quantitatively determined fish faunal provinces and interpreted them in the context of the geological history of North America. We also evaluated influences of major river basin occupancy and contemporary environmental factors on provincial patterns. Our data set comprised 794 native fishes, which we used to generate a presence and absence matrix for U.S. Geological Survey (USGS) four‐digit hydrologic units. Three nested data sets were analysed separately: primary freshwater families, continental freshwater families (including primary and secondary families) and all freshwater families (including primary, secondary and peripheral families). We used clustering analysis to delimit faunal breaks and one‐way analysis of similarity (ANOSIM) to determine significance among clusters (i.e. provinces). We used an indicator‐species analysis to identify species that contributed most to province delineations and a similarity‐percentage (SIMPER) analysis to describe the relative influence of representatives from each category (i.e. primary, secondary, peripheral) on provincial boundaries. Lastly, we used a parsimony redundancy analysis to determine the roles of historical (i.e. major river basin) and contemporary environmental factors in shaping provinces. Analysis of the nested data sets revealed lessening provincial structure with inclusion of more families. There were 10 primary freshwater provinces, 9 continental freshwater provinces and 7 all freshwater provinces. Major basin occupancy, but not contemporary environmental factors, explained substantial variance in faunal similarities among provinces. However, provincial boundaries did not conform strictly to modern river basins, but reflected river‐drainage connections of the Quaternary. Provinces represent broad‐scale patterns of endemism and provide a starting point for future studies. Relative malleability of province boundaries in the continental interior highlights this region as biogeographically diverse and dynamic. Interior‐core provinces of this region (Central Gulf Coastal Plains, Northern Interior) have not been recognized previously and warrant further study.
Undiagnosed severe sleep apnoea and diabetic foot ulceration – a case series based hypothesis: a hitherto under emphasized factor in failure to heal
Authors: Vas P. R. J. , Ahluwalia R. , Manas A. B. , Manu C. A. , Kavarthapu V. , Edmonds M. E. 
Published: May 2015

AbstractBackgroundAlthough great progress has been made in managing diabetic foot disease, it continues to carry significant morbidity and mortality. Obstructive sleep apnoea (OSA) and diabetes frequently coexist and recent studies suggest significant under‐recognition of OSA in those with diabetes. There are no current reports on the direct clinical impact of OSA on acute or chronic diabetic foot ulcer healing.Case reportWe describe three cases with Type 2 diabetes and a mean BMI of 50 kg/m2 in whom we believe undiagnosed severe OSA may have impeded the rate of recovery of acutely infected foot ulcers. Despite standard care whilst in hospital with optimization of glycaemia, daily wound care, ulcer offloading techniques including casting, it was difficult to achieve satisfactory granulation in the first two cases with previously unrecognized and hence untreated severe OSA (Apnoea–Hypopnea Index > 30) until correction had been achieved through continuous positive airway pressure therapy (CPAP). In the third case, despite all optimization techniques, healing has not been achieved and individuals’ reluctance to consider CPAP may be one possible factor.DiscussionWe observe in three severely obese individuals with diabetes that untreated severe OSA may have contributed to delayed wound healing. We also observed an improvement in two individuals after institution of CPAP therapy. Clinicians managing the diabetic foot should consider investigating the presence of OSA in non‐healing or slowly progressive foot ulcers when all other factors have been fully optimized.
Killer immunoglobulin receptor genes and their HLA–C ligand are associated with Type 1 diabetes in an Eastern Indian population
Authors: Sanjeevi S. , Sun C. , Kanungo A. , Sanjeevi C. B. 
Published: May 2015

AbstractAimKiller immunoglobulin‐like receptors (KIRs) and their interaction with HLA class I ligands have been shown to be associated with Type 1 diabetes mellitus. The aim of our study was to investigate the influence of KIR genes and their HLA–C ligands for susceptibility to Type 1 diabetes in patients from Eastern India.MethodsA total of 135 patients with Type 1 diabetes and 98 healthy subjects from Eastern India were typed for KIR genes and HLA–C ligands using PCR‐based genotyping. The frequencies of these genes were compared between patients and controls.ResultsComparison of KIR genes between Type 1 diabetes patients and healthy subjects revealed significantly different frequencies of KIRs 2DL2 and 2DS4. The presence of HLA–C1 was negatively associated with disease. The presence of both HLA–C1 and ‐C2 showed a negative association with Type 1 diabetes, whereas the absence of C1 and presence of C2 was positively associated with disease. Stratification analysis of HLA–C ligands and KIRs showed significant associations between Type 1 diabetes and 2DL2+/C1−, 2DL2−/C1+, 2DL3+/C1+, 2DL3+/C1− and 2DS2+/C1−.ConclusionsOur results suggest that the interaction of KIRs with HLA–C ligands are significant and certain combinations contribute to susceptibility to and protection against Type 1 diabetes.
Effectiveness of tailored support for people with Type 2 diabetes after a first acute coronary event: a multicentre randomized controlled trial (the Diacourse‐ACE study)
Authors: Kasteleyn M. J. , Vos R. C. , Rijken M. , Schellevis F. G. , Rutten G. E. H. M. 
Published: May 2015

AbstractAimsTo evaluate the effectiveness of a tailored, supportive intervention strategy in influencing diabetes‐related distress, health status, well‐being and clinical outcomes in people with Type 2 diabetes shortly after a first acute coronary event.MethodsPeople with Type 2 diabetes and a recent first acute coronary event (n = 201) were randomized to the intervention group (three home visits by a diabetes nurse) or the attention control group (one telephone consultation). Outcomes were measured after discharge (baseline) and at 5 months (follow‐up) using validated questionnaires for diabetes‐related distress (Problem Areas in Diabetes), well‐being (WHO Well‐Being Index) and health status (Euroqol 5 Dimensions; Euroqol Visual Analogue Scale). ancova was used to analyse change‐over‐time differences between groups.ResultsFollow‐up data were available for 81 participants in the intervention group (66.0 ± 9.3 years, 76% male) and 80 in the control group (65.6 ± 9.4 years, 75% male) participants. Mean diabetes‐related distress was low after hospital discharge (intervention group: 8.2 ± 10.1; control group: 9.2 ± 12.4) and did not change after 5 months (intervention group: 9.2 ± 12.4; control group: 9.0 ± 11.2). Baseline well‐being was less favourable but improved significantly in the intervention group (baseline: 58.5 ± 28.0; follow‐up: 65.5 ± 23.7; P = 0.005), but not in the control group (baseline: 57.5 ± 25.2; follow‐up: 59.6 ± 24.4; P = 0.481). Health status also improved in the intervention group (baseline: 69.9 ± 17.3; follow‐up: 76.8 ± 15.6; P < 0.001) but not in the control group (baseline: 68.6 ± 15.9; follow‐up: 69.9 ± 16.7; P = 0.470). A significant group effect was found for health status (F = 7.9; P = 0.006).ConclusionsAlthough the intervention had no effect on diabetes‐related distress, this might be at least partially attributable to very low levels of diabetes‐related distress at baseline. Interestingly, health status scores and well‐being, which were less favourable at baseline, both improved after the tailored support intervention.