bluuebunny/crossref_metadata_2025_split huggingface dataset:
Risk avoidance in strategic technology adoption
Authors: Mendes J. Pedro , Marques Miguel , Guedes Soares Carlos 
Published: March 2024

Purpose
Organizational technologies can be classified according to the roles they play as either commodity or strategic. Commodity technologies support common operations, while strategic technologies address perceived threats to competitiveness, often identified by strategic foresight. These must go through an adoption process before playing an effective role in strategy execution. The adoption process includes known activities, ranging from sourcing (itself from in-house development to turn-key acquisition) to operational integration. This paper aims to reveal strategic technology adoption risks that arise during strategy execution.

Design/methodology/approach
A gradually developed causal loop diagram model, supported by general literature, introduces three general classes of technology adoption risks: mismatched requirements, supplier dependence and unmanaged life cycles.

Findings
Rather than managed, these risks are incurred or avoided depending on decisions made during the adoption process.

Research limitations/implications
Despite the scarce literature coverage for the approach, examples revealing the presence of adoption risks are nevertheless available in the well-documented history of enterprise resource planning (ERP).

Practical implications
Although ERP is presented as a general-purpose strategic technology, the unique business features of maritime container terminals pose serious challenges to its adoption, which provides additional support to the discussion and reinforces the conclusions.

Originality/value
The approach to identifying risks in strategic technology adoption departs from the current risk paradigm in two significant ways. First, it emphasizes policy decision-making rather than external events. Second, it views risks as systemic rather than occurring independently.
More sharing, more engagement? The impact of free knowledge sharing on customer engagement in online health communities
Authors: Xu Zhen , Hao Ruohong , Lyu Xuanxuan , Jiang Jiang 
Published: March 2024

PurposeKnowledge sharing in online health communities (OHCs) disrupts consumers' health information-seeking behavior patterns such as seeking health information and consulting. Based on social exchange theory, this study explores how the two dimensions of experts' free knowledge sharing (general and specific) affect customer transactional and nontransactional engagement behavior and how the quality of experts' free knowledge sharing moderates the above relationships.Design/methodology/approachWe adopted negative binomial regression models using homepage data of 2,982 experts crawled from Haodf.com using Python.FindingsThe results show that experts' free general knowledge sharing and free specific knowledge sharing positively facilitate both transactional and nontransactional engagement of consumers. The results also demonstrate that experts' efforts in knowledge-sharing quality weaken the positive effect of their knowledge-sharing quantity on customer engagement.Originality/valueThis study provides new insights into the importance of experts' free knowledge sharing in OHCs. This study also revealed a “trade-off” between experts' knowledge-sharing quality and quantity. These findings could help OHCs managers optimize knowledge-sharing recommendation mechanisms to encourage experts to share more health knowledge voluntarily and improve the efficiency of healthcare information dissemination to promote customer engagement.
Living with the impact agenda – humanities academics negotiating and resisting the impact agenda as researchers and doctoral supervisors
Authors: Skov Signe , Bengtsen Søren Smedegaard 
Published: March 2024

Purpose
In Denmark, there has been, over decades, an intensified political focus on how humanities research and doctoral education contribute to society. In this vein, the notion of impact has become a central part of the academic language, often associated with terms like use, effects and outputs, stemming from neoliberal ideologies. The purpose of this paper is to explore how humanities academics are living with the impact agenda, as both experienced researchers and as doctoral supervisors educating the next generation of researchers in this post-pandemic era. Specifically, the authors are interested in the supervisor-researcher relationship, that is, the relationship between how the supervisors navigate the impact agenda as researchers and then the way they tell their doctoral students to do likewise.

Design/methodology/approach
The authors have studied how the impact agenda is accommodated by humanities academics through a series of qualitative interviews with humanities researchers and humanities PhD supervisors, encompassing questions of how they are living with the expectation of impact and how it is embedded in their university and departmental context.

Findings
The study shows that there is no link between how the supervisors navigate the impact agenda in relation to their own research work and then the way they tell their doctoral students to approach it. Within the space of their own research, the supervisors engage in resistance practices towards the impact agenda in terms of minimal compliance, rejection or resignation, whereas in the space of supervision, the impact agenda is re-inscribed to embody other understandings. The supervisors want to protect their students from this agenda, especially in the knowledge that many of them are not going to stay in academia due to limited researcher career possibilities. Furthermore, the paper reveals a new understanding of the impact agenda as having a relational quality, and in two ways. One is through a positional struggle, the reshaping of power relations, between universities (or academics) and society (or the state and the market); the other is as a phenomenon very much lived among academics themselves, including between supervisors and their doctoral students within the institutional context.

Originality/value
This study opens up the impact agenda, showing what it means to be a humanities academic living with the effects of the impact agenda and trying to navigate this. The study is mapping and tracking out the many different meanings and variations of impact in all its volatility for academics concerned about it. In current, post-pandemic times, when manifold expectations are directed towards research and doctoral education, it is important to know more about how these expectations affect and are dealt with by those who are expected to commit to them.
Innovation in technology: A game changer for renewable energy in the European Union?
Authors: Xinyu Wang , Haoran Liu , Khan Khalid 
Published: March 2024

AbstractAs environmental solutions emerge, technological innovations are driving the global transition from fossil fuels to renewable energy. These innovations are game changers in transforming the energy sector and are driving the rapid expansion of renewable energy. Hence, we analyze the nexus between technological innovations and renewable energy in the European Union. The results reveal that technology has a meaningful impact on renewable energy in one‐third of countries. This influence is driven by advancements in energy generation, storage, infrastructure, supportive policies, and incentives, which are crucial in promoting technology innovation and adoption, accelerating the growth of renewable energy. On the other hand, renewable energy is causing technological innovation in one‐third of countries due to the development of renewable energy, which promotes targeted technological innovation to exploit resources, enhance integration, and increase efficiency. A balanced approach works for countries lacking a strong link between the two factors.
Nonparametric analysis of the relationship between income inequality and energy consumption in African countries
Authors: Beldi Lamia , Ghazouani Tarek 
Published: March 2024

AbstractEnergy usage and disparities in income have emerged as the major threats that hinder the achievement of sustainable development goals in Africa. This study aims to assess the time‐varying impact of income inequality on both renewable and nonrenewable energy consumption, utilizing both parametric and nonparametric models across a panel of 18 African countries from 1990 to 2015. We find that, according to the parametric model, income inequality does not affect energy consumption. However, the nonparametric estimates point the presence of both positive and negative relationship between the two variables at different time period. The time varying impacts reveal that unfair income distribution affects renewable energy consumption via the dominance of some channels at specific times. Accordingly, the findings of this study emphasize that policymakers in African countries need to give particular heed to the role played by the income inequality in designing cleaner and greener energy transition policies.
Unlocking the potentials of Ustilago trichophora for up‐cycling polyurethane‐derived monomer 1,4‐butanediol
Authors: Phan An N. T. , Prigolovkin Lisa , Blank Lars M. 
Published: March 2024

AbstractPlastic usage by microbes as a carbon source is a promising strategy to increase the recycling quota. 1,4‐butanediol (BDO) is a common monomer derived from polyesters and polyurethanes. In this study, Ustilago trichophora was found to be an efficient cell‐factory to valorize BDO. To investigate product formation by U. trichophora, we refined the traditional ion exclusion liquid chromatography method by examining eluent, eluent concentrations, oven temperatures, and organic modifiers to make the chromatography compatible with mass spectrometry. An LC‐UV/RI‐MS2 method is presented here to identify and quantify extracellular metabolites in the cell cultures. With this method, we successfully identified that U. trichophora secreted malic acid, succinic acid, erythritol, and mannitol into the culture medium. Adaptive laboratory evolution followed by medium optimization significantly improved U. trichophora growth on BDO and especially malic acid production. Overall, the carbon yield on the BDO substrate was approximately 33% malic acid. This study marks the first report of a Ustilaginaceae fungus capable of converting BDO into versatile chemical building blocks. Since U. trichophora is not genetically engineered, it is a promising microbial host to produce malic acid from BDO, thereby contributing to the development of the envisaged sustainable bioeconomy.
Perioperative knowledge, self‐efficacy and clinical practices related to postoperative delirium care in older people across geographical regions in Australia
Authors: Igwe Ezinne O. , Nealon Jessica , O'Shaughnessy Pauline , Ormonde Callum , Traynor Victoria 
Published: March 2024

AbstractIntroductionIn older people undergoing surgery, there is a lower tolerance for complications. This highlights the need for documented clinical practices on proper prevention, pre‐screening and management of complications such as postoperative delirium (POD). Evidence‐based clinical practice guidelines exist for delirium management; however, the management of delirium in clinical settings differs widely.ObjectiveThis study aims to develop an understanding of the knowledge, components of self‐efficacy (confidence/competence), and clinical practice related to POD care among preoperative and recovery nurses across different types of geographical locations in Australia.DesignA 27‐item online survey was sent out to professional associations focused on perioperative care across Australia. The participants included practicing registered nurses specialising in perioperative care. The main outcome measures were Knowledge, confidence/competence and clinical practice relating to POD care in older patients.FindingsRespondents were categorised into two groups—major cities and rural and remote. Mean age was 46.3 years for respondents in Australian major cities and 49.5 for the comparison group. There was a statistically significant difference between Australian major cities and ‘rural and remote’ in confidence in detecting hyperactive delirium, 25.2% versus 11.7% respectively as well as managing hyperactive delirium, 13.8% versus 1.7%, respectively. Similar results were also observed on hypoactive delirium. Respondents from both groups did not mirror the ideal situation in managing a hyperactive delirium.DiscussionResults from this study are inconclusive and there is no clear‐cut observation in clinical practice or knowledge between the two geographical categories in this study.ConclusionThe absence of a distinct strategy with POD prevention highlights the need for a uniform approach and consensus on POD prevention and management in older people. This can be achieved by creating more awareness and education through professional development related to POD.
Positive change in intent to practice rurally is strongly associated with nursing and allied health students of metropolitan origin after rural clinical placement
Authors: Glenister Kristen M. , McNeil Robyn , Thorpe Trish , Bourke Lisa 
Published: March 2024

AbstractObjectiveTo: (1) assess whether rural clinical placements influence change in intention to practice rurally for nursing and allied health students, (2) to assess whether residential origin (metropolitan or rural) or university location (metropolitan or non‐metropolitan) influence this change, and (3) assess residential origin of health professionals practicing rurally after graduation.DesignCross‐sectional survey (2014‐2022) conducted in Northern/Northeastern Victoria and Grampians region by nursing and allied health students completing rural clinical placements. Survey explored student placement satisfaction, intention to practice rurally and demographic information, with a follow‐up two years’ post‐placement.FindingsExperience of a rural placement increased students’ intention of practicing rurally. Importantly, 57% of metropolitan origin students studying at metropolitan campuses exhibited positive change. Logistic regression analysis suggested that after controlling for age, gender and satisfaction with placement and supervision, students of metropolitan origin at metropolitan campuses were 6.4 times more likely to report positive change in intent to practice rurally after placement than students of rural origin studying at non‐metropolitan campuses.Follow‐up data suggested that a substantial proportion of health professionals providing services in rural areas were of metropolitan origin.ResultsThese findings concur that rural origin and rural training are important predictors of working rurally. Additionally, metropolitan students can change their intention to practice rurally after a rural placement.ConclusionsThis study supports strategies to enhance intention to practice rurally that are not restricted to rural origin students to build rural workforce.
A comparative analysis of non‐pharmaceutical interventions for preventing the respiratory syncytial virus in 30 European countries
Authors: Dallagiacoma Giulia , Arthur Rhedin Samuel , Odone Anna , Alfvén Tobias 
Published: March 2024

AbstractAimRespiratory syncytial virus (RSV) is a leading cause of childhood respiratory infections. Non‐pharmaceutical interventions (NPIs) can help to reduce RSV transmission and our aim was to provide an overview of recommended NPIs across Europe during the 2022–2023 epidemic season.MethodsThe webpages of national European public health agencies and ministries were reviewed and the information they provided on RSV prevention was compared with the December 2022 guidelines from the European Centre for Disease Prevention and Control.ResultsWe examined 30 countries, leading to 21 issued recommendations for RSV prevention through institutional channels, including six that were specific for the 2022–2023 season. The top five recommendations were: hand and respiratory hygiene (95%), avoiding crowded spaces (67%), staying at home when ill (62%), cleaning household items (57%) and limiting contact with sick people (57%). They also included: face masks (33%), ventilating indoor spaces (29%), properly disposing of contaminated material (13%) and keeping siblings home from preschool if there was a newborn infant in the family (10%).ConclusionThere was significant heterogeneity in the NPIs recommended by different countries during RSV epidemics. Ongoing evaluation is essential to optimise the effectiveness of NPIs and adapt to changing RSV patterns.
Safety and quality of cystectomy and pelvic lymph node dissection after neoadjuvant durvalumab and cisplatin/gemcitabine
Authors: Afferi Luca , Spahn Martin , Hayoz Stefanie , Strebel Räto T. , Rothschild Sacha I. , Seifert Helge , Özdemir Berna C. , Kiss Bernhard , Maletzki Philipp , Engeler Daniel , Wirth Gregory , Hadaschik Boris , Lucca Ilaria , John Hubert , Sauer Andreas , Müntener Michael , Bubendorf Lukas , Schneider Martina , Musilova Jana , Petrausch Ulf , Cathomas Richard ,   for the Swiss Group for Clinical Cancer Research (SAKK)
Published: March 2024

ObjectiveTo report on the surgical safety and quality of pelvic lymph node dissection (PLND) in patients treated with radical cystectomy (RC) and PLND for muscle‐invasive bladder cancer (MIBC) after neoadjuvant chemo‐immunotherapy.Patients and MethodsThe Swiss Group for Clinical Cancer Research (SAKK) 06/17 was an open‐label single‐arm phase II trial including 61 cisplatin‐fit patients with clinical stage (c)T2–T4a cN0–1 operable urothelial MIBC or upper urinary tract cancer. Patients received neoadjuvant cisplatin/gemcitabine and durvalumab followed by surgery. Prospective quality assessment of surgeries was performed via central review of intraoperative photographs. Postoperative complications were assessed using the Clavien–Dindo Classification. Data were analysed descriptively.ResultsA total of 50 patients received RC and PLND. All patients received neoadjuvant chemo‐immunotherapy. The median (interquartile range) number of lymph nodes removed was 29 (23–38). No intraoperative complications were registered. Grade ≥III postoperative complications were reported in 12 patients (24%). Complete nodal dissection (100%) was performed at the level of the obturator fossa (bilaterally) and of the left external iliac region; in 49 patients (98%) at the internal iliac region and at the right external iliac region; in 39 (78%) and 38 (76%) patients at the right and left presacral level, respectively.ConclusionThis study supports the surgical safety of RC and PLND following neoadjuvant chemo‐immunotherapy in patients with MIBC. The extent and completeness of protocol‐defined PLND varies between patients, highlighting the need to communicate and monitor the surgical template.
Co‐producing ethics guidelines together with people with learning disabilities
Authors: Bottomley Mary , Bradley Jodie , Clark Lisa , Collis Bryan , Srdanovic Bojana Daw , Farnsworth Victoria , Ferguson Annie , Goodley Dan , Fox Andrew , Hayden Nikita K. , Lawthom Charlotte , Lawthom Rebecca , Magwood Claudia , McLean Robert , Middleton Ian , Owen Alison , Prothero Matty , Rice Simon , Richards Simon , Runswick‐Cole Katherine , Scargill Kelly , Shankar Rohit , Wood Toni Ann 
Published: March 2024

AbstractBackgroundWe are a research team of clinical, academic and advocacy‐based researchers with and without learning disabilities, working on the Humanising Healthcare (for people with learning disabilities) project. The project is dedicated to finding and sharing healthcare practices that enhance the lives of people with learning disabilities. As part of our ethics applications to access National Health Service study sites for fieldwork, we worked together to write guiding principles for co‐producing research ethics with researchers with learning disabilities. In this paper, we introduce these Participatory Ethics Good Practice Guidelines and reflect on our collaboration.MethodsWe reflect on developing the Participatory Ethics Good Practice Guidelines. These guidelines were developed during online co‐production meetings with our full research team, including advocacy‐based organisation researchers, clinical researchers and university researchers. We considered consent, understanding research, and understanding research methods during the development of these Guidelines.FindingsWe present ten guidelines for co‐producing research with people with learning disabilities.ConclusionsOur findings may be helpful to researchers with learning disabilities, university and clinical researchers, funders, and those who work in research governance (e.g., ethics committees and university research departments).
Evaluation of a co‐designed Health Check‐in for adults with intellectual and developmental disabilities and family caregivers to support pandemic recovery
Authors: Lunsky Yona , Volpe Tiziana , St. John Laura , Thakur Anupam , Lake Johanna ,   the H‐CARDD COVID Program Team
Published: March 2024

AbstractBackgroundThe COVID‐19 pandemic has brought about disruptions in healthcare for adults with intellectual and developmental disabilities. There is a need to explore ways to promote proactive healthcare and better prepare individuals for healthcare encounters.MethodsA co‐designed tool, the COVID Check‐in Tool, was introduced as part of a virtual health education programme to encourage proactive healthcare. Implementation of this Health Check‐in was evaluated with 36 adults with intellectual and developmental disabilities and 96 family caregivers who completed the programme using surveys, structured interviews and focus groups.FindingsForty‐four percent of participants engaged in the Health Check‐in process, resulting in many reported benefits for those who participated. However, there were also barriers to initiating the Check‐in, along with challenges using the COVID Check‐in Tool, according to both the adults with disabilities who were interviewed and the family caregivers.ConclusionsThe study underscores the importance of considering ways to integrate tools into routine healthcare practices, to facilitate improved healthcare delivery for people with intellectual and developmental disabilities during pandemic recovery efforts. As well, involving people with lived experience in the development and implementation of healthcare resources is critical.
Dysregulation of the renin‐angiotensin system in vascular dementia
Authors: Tayler H. M. , Skrobot O. A. , Baron D. H. , Kehoe P. G. , Miners J. S. 
Published: March 2024

AbstractThe renin‐angiotensin system (RAS) regulates systemic and cerebral blood flow and is dysregulated in dementia. The major aim of this study was to determine if RAS signalling is dysregulated in vascular dementia. We measured markers of RAS signalling in white matter underlying the frontal and occipital cortex in neuropathologically confirmed cases of vascular dementia (n = 42), Alzheimer's disease (n = 50), mixed AD/VaD (n = 50) and age‐matched controls (n = 50). All cases were stratified according to small vessel disease (SVD) severity across both regions. ACE‐1 and ACE‐2 protein and activity was measured by ELISA and fluorogenic peptide assays respectively, and angiotensin peptide (Ang‐II, Ang‐III and Ang‐(1–7)) levels were measured by ELISA. ACE‐1 protein level and enzyme activity, and Ang‐II and Ang‐III, were elevated in the white matter in vascular dementia in relation to SVD severity. ACE‐1 and Ang‐II protein levels were inversely related to MAG:PLP1 ratio, a biochemical marker of brain tissue oxygenation that when reduced indicates cerebral hypoperfusion, in a subset of cases. ACE‐2 level was elevated in frontal white matter in vascular dementia. Ang‐(1–7) level was elevated across all dementia groups compared to age‐matched controls but was not related to SVD severity. RAS signalling was not altered in the white matter in Alzheimer's disease. In the overlying frontal cortex, ACE‐1 protein was reduced and ACE‐2 protein increased in vascular dementia, whereas angiotensin peptide levels were unchanged. These data indicate that RAS signalling is dysregulated in the white matter in vascular dementia and may contribute to the pathogenesis of small vessel disease.