bluuebunny/crossref_metadata_2025_split huggingface dataset:
The influence of initial sponsor backing on post‐IPO acquisition activity
Authors: Kaufmann Mattheo , Kolaric Sascha , Walter Lennart 
Published: January 2024

AbstractWe investigate the impact of financial sponsor backing [venture capital (VC) or private equity (PE)] on post‐initial public offerings (IPO) acquisition strategies of newly public companies. We find that PE‐backed newly public firms undertake nearly three times more acquisitions than VC‐backed ones and almost twice as many as non‐backed firms, indicating that acquisitions are a primary growth strategy for PEs. This result remains robust after addressing potential endogeneity concerns. Additionally, PE syndicate‐backed firms engage in transformative acquisitions, proxied by size, while VC‐backed firms prioritise organic growth through R&D spending. Moreover, PE‐backed acquirers experience significant positive long‐run post‐IPO stock returns, unlike VC‐backed acquirers.
CD4+ T‐cell recovery in HIV/hepatitis C co‐infected patients following successful hepatitis C treatment
Authors: Ryscavage Patrick , Hussien Siham , Seung Hyunuk , Hynicka Lauren 
Published: January 2024

AbstractIntroductionHepatitis C virus (HCV)/HIV co‐infection has been identified as a risk for impaired CD4+ T‐cell recovery, possibly mediated by HCV‐induced liver fibrosis and/or immune activation. As HCV direct‐acting antivirals (DAAs) may partially reverse liver fibrosis and immune activation, sustained HCV virological response (SVR) may lead to improved CD4 recovery. We explored the effect of HCV DAA‐induced SVR on CD4 recovery among patients living with both HCV and HIV, including those with poor CD4 recovery on antiretroviral therapy (immunological non‐responders [INRs]).MethodsSubjects aged ≥18 years living with both HIV and HCV who achieved SVR with DAA were included. Pre‐DAA CD4 counts were included only after sustained HIV viral suppression and HIV viral suppression was maintained for the duration of the study. Segmented regression of interrupted time series analysis was used to evaluate changes in median CD4 count in the pre‐DAA period (−36 months) versus the post‐DAA period (+36 months).ResultsIn total, 156 patients were included. In the full cohort, median CD4 counts increased by 15% (p = 0.002) in the 6‐month period following DAA initiation, whereafter CD4 counts decreased by 2.7% per 6‐month period (p = 0.004). Among the 13 INRs, there was no immediate effect on median CD4 in the first 6 months after DAA initiation, whereafter there was a sustained CD4 increase (4.1% per 6‐month time interval [p = 0.02]). In total, 54% of INRs recorded a post‐DAA CD4 count of >350 cells/mm3.ConclusionsSuccessful DAA therapy induced a modest immediate CD4 immunological reconstitution among this cohort of patients living with both HIV and HCV, although this effect waned with time. By contrast, among INRs, achieving HCV SVR led to slower but sustained CD4 count recovery.
Adapting psychological interventions for people with severe and profound intellectual disabilities: A behavioural activation exemplar
Authors: Jahoda Andrew , Dagnan Dave , Hastings Richard , Gillooly Amanda , Miller Jenny , Baines Susie , Hatton Chris 
Published: January 2024

AbstractBackgroundPeople with severe to profound intellectual disabilities experience similar or higher levels of depression than those with more mild intellectual disabilities. Yet, there is an absence of evidence about how to adapt existing psychological therapies for this population.MethodA behavioural activation intervention (BeatIt) for people with mild to moderate intellectual disabilities was adapted for people with severe to profound intellectual disabilities and depression. Key considerations include: (i) beginning with a more in‐depth assessment process; (ii) including the person in session activities and developing a relationship with them; (iii) formulation and the use of film to document the link between activity and mood; and (iv) addressing barriers to change at an individual and inter‐personal level and considering how the carer could support the person's engagement in activity.ResultsSuccessfully adapting BeatIt represents a first step towards gathering evidence about the effectiveness of behavioural activation for people with severe to profound intellectual disabilities.
The implementation of non‐weight focused approaches in clinical practice: A Canadian cross‐sectional study among registered dietitians
Authors: Lichtfuss Kori , Franco‐Arellano Beatriz , Jefferson Katherine , Brady Jennifer , Arcand JoAnne 
Published: January 2024

AbstractBackgroundAn increasing number of dietitians use non‐diet approaches, referred to as non‐weight focused practice approaches (NWFAs), in clinical practice when working with higher weight adult clients. However, the factors that impact dietitians' ability to successfully implement these approaches in practice are unknown.MethodsAiming to examine how implementing NWFAs in clinical practice differs based on the extent to which a dietitian uses NWFAs with their clients, we conducted a cross‐sectional online survey among Canadian registered dietitians who work with higher weight adults (May to July 2021), developed and validated following the Consolidated Framework for Implementation Research. Descriptive statistics were conducted to identify barriers and facilitators with respect to implementing NWFAs. The Kruskal–Wallis was used to test for differences in barriers and facilitators with respect to implementing NWFAs among five different practice approaches. The results showed that, among participants (n = 383; 82% white; 95% women) the most important barriers for implementation of NWFAs were clients' focus on weight as an outcome, when losing weight is a condition to access enhanced services, requiring changes to their practice philosophy, difficulty funding professional development and not having sufficient skills or knowledge to implement NWFAs in practice. Top‐rated facilitators included the use of clinical guidelines, scientific publications and educational materials, which were rated with higher agreement across all implementation stages (p < 0.001).ConclusionsThe present study highlights important factors that may impact the effective implementation of NWFAs in dietetic practice for higher weight adult clients, which is essential to minimise barriers in practice.
Effectiveness of a self‐assessment application in evaluating the care coordination competency of intensive care unit nurses in managing patients on life support: An intervention study
Authors: Takiguchi Chie , Inoue Tomoko 
Published: January 2024

AbstractAimTo examine the effectiveness of the feedback from the Nurses' Care Coordination Competency Scale (NCCCS) application (app) used for self‐assessing the care coordination competency of intensive care unit (ICU) nurses in managing patients on life support.MethodsA non‐randomized open‐label study was conducted in Japan from November 2021 to March 2022. Participants were 318 ICU nurses from acute hospitals in Japan. They were divided manually into two groups based on their certification status. The intervention was immediate feedback on the results of the care coordination competency self‐assessment through the NCCCS app; the control group performed the NCCCS survey with no feedback. The primary outcome was an increase in the NCCCS score 1 month after the intervention. Mann–Whitney U test was used to compare the scores of the intervention and control groups. Wilcoxon's signed rank sum test was used to compare the scores in the first and second NCCCS surveys.ResultsForty‐one participants were lost to follow‐up, leaving 277 participants (intervention = 141, control = 136) for analysis. One month later, NCCCS scores similarly increased in both groups. For nurses with at least 5 years of ICU experience (n = 152), the NCCCS score increased in the intervention group (n = 75) (rising point mean: 4.8, standard deviation [SD]: 9.8) compared with that in the control group (n = 77) (rising point mean: 1.3, SD: 8.3) (p = .048).ConclusionsFeedback from the NCCCS app can improve care coordination behavior. However, a certain level of ICU experience may be required to translate feedback into improved behavior.
Navigating between two figured worlds: A constructivist grounded theory study on residents' workplace experiences with health care management tasks
Authors: Delgadillo‐Sánchez Vivian , Aluja‐Jaramillo Felipe , Olmos‐Vega Francisco 
Published: January 2024

AbstractIntroductionMedical residents may be required to handle health care management (HCM) tasks alongside their clinical duties, despite not having received training to perform them. However, little research has been done on how medical residents acquire HCM skills at the workplace and how these experiences impact their learning.MethodsWe completed a qualitative research study using the Constructivist Grounded Theory approach inform by the Figured World theory. To gather data, we held focus groups and conducted semi‐structured interviews with 22 medical residents from various disciplines and learning levels at Pontificia Universidad Javeriana. We utilised iterative data collection and analysis, constant comparison methods and theoretical sampling to construct our findings.ResultsWe constructed two different worlds to represent how residents acquire HCM skills: the non‐managing physician and the physician‐as‐manager. The former was characterised by a discourse that underplayed the role of the HCM tasks as part of residents' training, was full of negative interactions with the health care team and limited residents' agency. In the latter, residents collaborated and learned from health care team members, had supervisors who modelled how to incorporate HCM tasks into daily activities and expanded residents' agency. Residents developed their professional identity according to the world they were introduced into.DiscussionEducational leaders must understand that the non‐managing physician figured world gives residents a feeling of uprooting and discomfort when carrying out this type of tasks. To transform this world into the physician‐as‐manager, it is necessary to reconfigure some workplace hierarchies, consolidate interprofessional collaborations and change the discourse perpetuated by influential role models. Supervisors must also strengthen their knowledge of HCM and improve its integration into clinical practice. Any effort to train residents on HCM competencies could be lost if the workplace underscores their value in patient care.
Obesity bias: How can this underestimated problem affect medical decisions in healthcare? A systematic review
Authors: Telo Guilherme Heiden , Friedrich Fontoura Lucas , Avila Georgia Oliveira , Gheno Vicenzo , Bertuzzo Brum Maria Antônia , Teixeira Julia Belato , Erthal Isadora Nunes , Alessi Janine , Telo Gabriela Heiden 
Published: January 2024

SummaryIntroductionObesity is often labeled as a physical characteristic of a patient rather than a disease and it is subject to obesity bias by health providers, which harms the equality of healthcare in this population.ObjectiveIdentifying whether obesity bias interferes in clinical decision‐making in the treatment of patients with obesity.MethodsA systematic review of observational studies published between 1993 and 2023 in MEDLINE, Embase, and Cochrane Library on obesity bias and therapeutic decisions was carried out. The last search was conducted on June 30, 2023. The main outcome was the difference between clinical decisions in the treatment of individuals with and without obesity. The Newcastle–Ottawa scale for observational studies was used to assess for quality. After the selection process, articles were presented in narrative and thematic synthesis categories to better organize the descriptive analysis.ResultsOf the 2546 records identified, 13 were included. The findings showed fewer screening exams for cancer in patients with obesity, who were also susceptible to less frequent pharmacological treatment intensification in the management of diabetes. Women with obesity received fewer pelvic exams and evidence of diminished visual contact and physician confidence in treatment adherence was reported. Some studies found no disparities in treatment for abdominal pain and tension headaches between patients presented with and without obesity.ConclusionThe presence of obesity bias has negative effects on medical decision‐making and on the quality of care provided to patients with obesity. These findings reveal the urgent necessity for reflection and development of strategies to mitigate its adverse impacts. (The protocol was registered with the international prospective register of systematic reviews, PROSPERO, under the number CRD42022307567).
Bridge to M4 (B2M4): An innovative residency application preparation curriculum
Authors: Codispoti Nicolette , Southworth Elizabeth , Wagner Sarah A. , Graziano Scott C. , Gruener Gregory 
Published: January 2024

AbstractBackgroundThe medical residency application process is daunting, time‐consuming, and variable, making mentorship in preparation for this process important. In light of changes to the residency application process due to the COVID‐19 pandemic, medical students identified a need to create a formal residency application preparation curriculum. The curriculum focused on reflection, while also furthering professional development and preparing for the nuances of the residency application cycle through structured advising.ApproachBridge to M4 (B2M4) included reflective activities to help guide curriculum vitae (CV) refinement, personal and professional values clarification, residency program exploration, elevator pitch formation, personal statement development, mentor identification, guidance on requesting letters of recommendation, and virtual residency interview preparation.EvaluationThe B2M4 elective first took place in June 2020 with 36 rising fourth year students enrolled. Perceived effectiveness of the curriculum was assessed by having student cohorts evaluate the importance of the CV, personal statement, general preparation, and residency program selection before and after the course. Student feedback was reviewed with content analysis, which highlighted the usefulness of a structured residency preparation course that was rooted in reflection and incorporated faculty mentorship and feedback.ImplicationsThis student‐driven, innovative curricular design provided students the opportunity to prepare for the residency application process through reflective activities including values clarification, strengths identification, and goal setting. B2M4 demonstrates a process that can be used not only during the Residency Match process, but also throughout graduate medical education and future career decisions.
Clinical educator expertise: A scoping review
Authors: Evans Gretel , Penman Merrolee , Thomson Kate 
Published: January 2024

AbstractBackgroundAllied health clinicians supervising healthcare students in workplace learning play a key role in a learner's progression to autonomous practice, yet expert educator practice is not well understood. How expert clinical educators in allied health professions are defined, enact their role, develop educational expertise and bring value to workplace learning is unclear.MethodsA scoping methodology was chosen to understand what is known about clinical educator expertise in allied health, focusing on definitions, characteristics, impacts and development. Searching seven databases, the authors used an iterative, systematic approach to the selection, collation and analysis of peer‐reviewed and grey literature.ResultsWithin 21 included papers, diverse terms and definitions were used to describe expert clinical educators across 9 allied health professions and 5 countries. Expert educator characteristics included advanced skills in facilitating learning, the ability to build positive relationships with learners and a proactive attitude to developing personal supervision skills through reflection. Impacts were identified for learners and educators, and the few sources examining educator development found that expert practice grows in a dynamic, multi‐mode, non‐linear fashion.ConclusionA comprehensive picture of the expert clinical educator in allied health is not yet conceptualised, despite some characteristics being associated with expertise. The differences between expert and less proficient educators are unclear with little examination of the impacts, value or development of expert educator capabilities. We offer a framework for future research and advocate for focused studies that examine clinical educator expertise, to enhance approaches to professional development and recognition of excellence in clinical educator practice.
Virtual training for small group facilitators
Authors: Axelsson Carl Gustaf S. , Healy Michael G. , Ramani Subha , Wolbrink Traci , Armstrong Elizabeth , Phitayakorn Roy 
Published: January 2024

AbstractBackgroundIn addition to providing patient care, interprofessional health care teams work collaboratively on a variety of projects. These projects often benefit from using facilitated small group project discussion sessions, such as the Harvard Macy Institute's (HMI) Step Back Process (SBP). Although having a trained facilitator is an important component of the SBP, only a limited number of health care professionals can attend HMI courses in person or virtually, limiting its impact.ApproachWe developed three video‐based education (VBE) modules to deliver facilitator training on the SBP, informed by principles of Mayer's cognitive theory of multimedia learning. For module development, we used a five‐step approach. We evaluated effectiveness of the modules as a self‐directed method to enhance SBP facilitator training. An initial survey collected demographic data and module feedback, a follow‐up survey collected feedback on the modules' impact on facilitation and interviews focused on the participants' overall experience.EvaluationSurvey results indicated that the modules were positively received and helped to improve participant confidence in facilitating. We identified four themes from the interviews: challenges of facilitating, value of group feedback, value of modules for experienced facilitators and the modules as part of a multi‐modal approach to train new facilitators.ImplicationsThis innovation provides insight on delivering facilitator training on the SBP using VBE. Health professions educators developing online facilitator training could adapt our development process and modify implementation guided by our results. Future work should evaluate the best methods to integrate VBE modules into a longitudinal virtual community and assess facilitation techniques.
Storm Characteristics for Monopile Wind Turbine Foundation Design
Authors: Bachynski-Polić Erin E. 
Published: January 2024

Abstract
The temporal evolution of storms is relevant for permanent rotations of monopile-supported offshore wind turbines, as the load cycles encountered during these 35- or 42-hour events can be critical. Existing design standards do not provide guidance on selecting the peak period during the storm evolution, nor do they consider the operational state of the turbine. Previous work defined a storm profile based on hindcast data for the North Sea. The present work examines storm sequences at five relevant locations and finds that the previously defined profile generally agrees well with the observations at all locations. The storm profile disregards wind-wave misalignment, wind and wave directions, and the separation of wind sea and swell sea. Based on aero-hydro-servo-elastic simulations of two different turbines, the effect of separating wind sea and swell sea is found to be small. The effect of the operational condition of the turbine is found to be important, with an operational turbine giving larger mean loads and a parked turbine giving larger load variations. The effect of the emergency shutdown event during the load sequence depends on the turbine and wind speed during the shutdown.
AI-Based Structural Defects Detection of Offshore Wind Turbines for Automatical Operation and Maintenance
Authors: Jiang Xue , Zeng Weiming , Zhao Penghui , Cui Lin , Lu Mengyao 
Published: January 2024

Abstract
The scale and speed of offshore wind installation are increasing fast, and the associated maintenance risks and challenges attracting more and more research attention. Blades and towers are the most vulnerable structures for offshore wind turbines and their structural defects account for 59.54% of the total maintenance costs. To ensure the proper operation of offshore wind turbines and minimize financial losses, it is crucial to promptly identify and assess their structural damages. However, traditional object detection techniques suffer from issues like a shortage of defect databases, slow model inference, and poor recognition accuracy. The world has witnessed a rapid development of AI technology, hence, to further explore and resolve structural defects detection issues, state-of-the-art object-detecting algorithms as well as a defect database of offshore floating wind turbines in China are introduced in the AI-based tool, particularly the detection effectiveness of YOLOV5, YOLOX, and YOLOV6 are compared. Furthermore, the performance of these models on structural damages is discussed by analyzing experimental results. At last, it is concluded the YOLOV6 algorithm achieves the best performance, with a mean Average Precision (mAP) of 82.71%, and the Frame Per Second (FPS) is as high as 207.03. Hence, real-time motion detection based on YOLOV6 with semantic segmentation is used to further enhance model accuracy.
Coupling Bladed With External Finite-Element Mooring Libraries
Authors: Alexandre Armando , Fabregas Flavia Francesc , Yu Jingyi , Bakhshandehrostami Ali , Parkinson Steven 
Published: January 2024

Abstract
Bladed is an aero-hydro-servo-elastic commercial software package used for floating offshore wind turbine (FOWT) simulation to perform site specific load calculations and component design. To accurately calculate the response of the FOWT to environmental conditions, it is necessary to account for the coupled contribution of all sub-systems, including the turbine, the platform and the moorings.
Aero-hydro-servo-elastic tools are built upon a suite of engineering models that capture key physics of each sub-system. Being able to change the fidelity of some of these engineering models within a single aero-hydro-servo-elastic tool presents several advantages for main component design, including but not limited to the blades and the tower. One of the most important ones is that stakeholders can reduce the number of software and simulations required within a project, which leads to significant improvements in project efficiency and delivery. One way to increase modelling fidelity consists of coupling aero-hydro-servo-elastic tools with other numerical models dedicated to specific sub-systems, for instance the mooring lines.
The focus of this paper is to illustrate how Bladed can be coupled with finite-element mooring FEM line models to improve the fidelity of the station-keeping sub-system. A generic FOWT system composed of the IEA 15MW turbine model and the VolturnUS-S platform is used to verify the coupling. Tests are carried out for a range of environmental conditions, including both simplistic and representative FOWT system design load cases. Both quasi-static and dynamic mooring models are used to assess the coupling. Results demonstrate that successful coupling can be established between Bladed and external mooring line models. In addition, results show that the use of different mooring model fidelity may have an impact on the platform motion and key component loads.