bluuebunny/crossref_metadata_2025_split huggingface dataset:
Understanding organizational learning in a healthcare organization during sudden and disruptive change
Authors: Karanika-Murray Maria , Whysall Zara , Liu-Smith Yu-Ling , Feltbower Ceri , Challans-Rasool Emma 
Published: June 2023

PurposeComplex and sudden change that healthcare organizations often have to respond to, such as during the recent pandemic, can create major disruptions and a prolonged state of alert. Although the impact of such crises can be predominantly negative, rapid adjustments during this time can also yield positive change that can support organizational response to crisis, if managed well. Using insights from organizational learning and organizational change theory, the aim of this study was to understand organizational learning during sudden change. Specifically, the authors aimed to understand the experiences and types of gains and losses in the processes of complex and disruptive change in one large healthcare organization in the UK.Design/methodology/approachFocus group data were used from 23 focus group discussions with 575 participants representing all functions and departments in one Healthcare Trust.FindingsThe participants revealed the rich gains, losses, and lessons experienced in response to sudden change that can promote organizational learning. Perceived losses are more likely to drive a desire to refreeze “back to normal” and perceived gains more likely to lead to an emphasis on embedding gains and changing to better. Therefore, on balance, the substantial, in number and variety, gains and learnings point to a learning organization. This is an essential attribute for responding to disruptive change successfully and facilitating organizational recovery in a post-pandemic world.Practical implicationsThe findings highlight the importance of timely harnessing of the organizational learning emerging from crises and how this can inform a more resilient organization, as well as supporting sustainable organizational cross-learning.Originality/valueBy extending these insights on workers’ adaptation to sudden change, the findings can help to advance the science and practice of organizational learning and support organizational recovery, especially as they describe the new status in UK healthcare organizations.
Identifying prosperity characteristics in small and medium-sized enterprises of Pakistan: firm, strategy and characteristics of entrepreneurs
Authors: Nazir Muhammad Arsalan , Khan Raza Saleem , Khan Mohsin Raza 
Published: June 2023

Purpose
The link between SME performance, growth and development is well established; however, the characteristics of SMEs that allow firms to be successful in the long run in an underdeveloped country context, i.e. Pakistan, are still unclear. This paper aims to bridge this gap by identifying the SMEs’ characteristics that set them apart from their rivals and become successful.

Design/methodology/approach
This study uses Storey’s development framework to identify the SMEs’ characteristics. Data is gathered using the case study method from SMEs with a metropolitan context in Pakistan. A narrative methodological framework was used during the data gathering and analysing stages.

Findings
Findings of this study indicate that the prosperity of SMEs in Pakistan is dependent on a combination of characteristics, including entrepreneurial characteristics of owner–managers, knowledge of business operating models, social networks and relationship building and innovation in business style. Additionally, other factors such as governance structure, strategic planning of market diversification and export characteristics also influence the prosperity of an SME. These findings may have several important implications for key stakeholders, including entrepreneurs, SMEs and policymakers in the government.

Originality/value
This research provides evidence about factors that can help an SME to become successful in uncertain situations surrounding a business environment. Theoretically, the contribution of this research is that it demonstrates that entrepreneurial characteristics and the effective leadership style of owner–managers can help SMEs achieve prosperity in external unforeseeable situations.
Adoption of dairy feed technology bundles improves smallholder dairy farmers' milk production
Authors: Akzar Rida , Peralta Alexandra , Umberger Wendy 
Published: June 2023

PurposeThis study examined the effects of adopting dairy feed technology bundles on the milk production of smallholder dairy farmers.Design/methodology/approachThe study was based on Multinomial Endogenous Switching Regression (MESR) to estimate the effects of the adoption of three feed technology bundles on milk production using data collected from 518 dairy farm households in West Java, Indonesia.FindingsThe findings indicated that adopting technology bundles had positive and robust effects on milk production, with gradual positive effects between non-adoption and the adoption of different bundles of technologies.Research limitations/implicationsThis study focused on the association between the adoption of feed technology bundles and milk production. However, further analysis of the causal links between the adoption of feed technologies and milk production as well as the inclusion of other outcomes in the analysis, such as production costs and risk mitigation, are required.Originality/valueMost of the literature on agricultural technology adoption focuses on the adoption of individual technologies, crop farming and conservation practices. Therefore, this study examined the effects of the adoption of dairy feed technology bundles.
Do linguistic features of research article titles affect received online attention? A corpus-based analysis
Authors: Zhu Haoran , Liu Xueying 
Published: June 2023

Purpose Scientific impact is traditionally assessed with citation-based metrics. Recently, altmetric indices have been introduced to measure scientific impact both within academia and among the general public. However, little research has investigated the association between the linguistic features of research article titles and received online attention. To address this issue, the authors examined in the present study the relationship between a series of title features and altmetric attention scores.Design/methodology/approach The data included 8,658 titles of Science articles. The authors extracted six features from the title corpus (i.e. mean word length, lexical sophistication, lexical density, title length, syntactic dependency length and sentiment score). The authors performed Spearman’s rank analyses to analyze the correlations between these features and online impact. The authors then conducted a stepwise backward multiple regression to identify predictors for the articles' online impact.Findings The correlation analyses revealed weak but significant correlations between all six title features and the altmetric attention scores. The regression analysis showed that four linguistic features of titles (mean word length, lexical sophistication, title length and sentiment score) have modest predictive effects on the online impact of research articles.Originality/value In the internet era with the widespread use of social media and online platforms, it is becoming increasingly important for researchers to adapt to the changing context of research evaluation. This study identifies several linguistic features that deserve scholars’ attention in the writing of article titles. It also has practical implications for academic administrators and pedagogical implications for instructors of academic writing courses.
Digital twin: an approach to enhancing tourism competitiveness
Authors: Litavniece Lienite , Kodors Sergejs , Adamoniene Rūta , Kijasko Jelena 
Published: June 2023

PurposeThis study presents the concept of digital twin technology for the digitalization of tourism product competitiveness promotion recommendations.Design/methodology/approachA qualitative research method was applied, conducting pilot interviews with representatives of the tourism industry in order to evaluate the key performance indicators (KPIs) and ecosystem specific to the tourism product category “food service”. Based on expert evaluations, a recommendation for promoting the competitiveness of the tourism product was created. The expert evaluations and the provided recommendations were used to create a model of the digital twin for the promotion of tourism competitiveness.FindingsThe study found that it is possible to digitize tourism experts' knowledge into a format compatible with recommendation system development to create a digital twin to promote the competitiveness of the tourism industry.Originality/valueCurrently, there is almost no research on the use of digital twins in the tourism industry. The application of this methodology in practice can ensure the promotion of the competitiveness of the tourism sector.
Clinical practice patterns of speech‐language pathologists for screening and identifying dysphagia
Authors: Dumican Matthew , Thijs Zoe , Harper Kaitlynn 
Published: June 2023

AbstractPurposeTo identify how speech‐language pathologists (SLPs) in the United States are screening for and identifying dysphagia. To do this, we examined the approaches most often used to screen for dysphagia and the influence of contextual factors such as setting, continuing education and means of staying up to date with the most current literature on screening approaches.MethodA web‐based survey composed of 32 questions was developed and field tested for content, relevance and workflow. The survey was distributed online, via social media, online SLP forums and through the American Speech‐Language‐Hearing Association's Special Interest Group 13 (swallowing disorders). One hundred and thirty‐seven clinicians from the United States completed the survey and were included for analysis using descriptive statistics and linear regression modelling to assess associations of continuing education and years practicing with screening protocols and consumption of evidence.ResultsRespondents worked in a variety of settings, including acute care, skilled nursing facilities, and inpatient rehabilitation. Most respondents worked with adult populations (88%). The most common screening protocols reported were a volume‐dependent water swallow test (74%), subjective patient report (66%), and trials of solids/liquids (49%). Twenty‐four percent (24%) reported using a questionnaire, the Eating Assessment Tool (80%) being most common. How clinicians consume their evidence was significantly associated with the types of screening approaches used. Continuing education hours were significantly associated with dysphagia screening protocol choice (p < 0.001) and how clinicians stayed up to date with evidence (p < 0.001).ConclusionsResults from this study provide an in‐depth look at the choices clinicians are making in the field regarding how to effectively screen patients for the presence of dysphagia. Contextual factors such as evidence base consumption patterns should serve researchers to continue seeking alternative ways to share evidence with clinicians, accessibly. Associations between continuing education and protocol choice show the need for continued evidence‐based and high‐quality continuing education opportunities.WHAT THIS PAPER ADDS
This study provides an in‐depth look at the choices clinicians are making in the field regarding effective dysphagia screening practices. Clinician screening choices are examined with contextual factors such as evidence base consumption patterns and continuing education. This paper increases knowledge of the most used dysphagia screening practices and context for clinicians and researchers to improve use, evidence and dissemination of best practices.
Nest complexity correlates with larger brain size but smaller body mass across bird species
Authors: LI Shaobin , LIU Yuxin , DU Xiaolong , LI Guopan , LIAO Wenbo 
Published: June 2023

AbstractAmniotes differ substantially in absolute and relative brain size after controlling for allometry, and numerous hypotheses have been proposed to explain brain size evolution. Brain size is thought to correlate with processing capacity and the brain's ability to support complex manipulation such as nest‐building skills. The increased complexity of nest structure is supposed to be a measure of an ability to manipulate nesting material into the required shape. The degree of nest‐structure complexity is also supposed to be associated with body mass, partly because small species lose heat faster and delicate and insulated nests are more crucial for temperature control of eggs during incubation by small birds. Here, we conducted comparative analyses to test these hypotheses by investigating whether the complexity of species‐typical nest structure can be explained by brain size and body mass (a covariate also to control for allometric effects on brain size) across 1353 bird species from 147 families. Consistent with these hypotheses, our results revealed that avian brain size increases as the complexity of the nest structure increases after controlling for a significant effect of body size, and also that a negative relationship exists between nest complexity and body mass.
Alcohol and vascular endothelial function: Biphasic effect highlights the importance of dose
Authors: Rajendran Naresh K. , Liu Weimin , Cahill Paul A. , Redmond Eileen M. 
Published: June 2023

AbstractBackgroundAlcohol (ethanol) consumption has different influences on arterial disease, being protective or harmful depending on the amount and pattern of consumption. The mechanisms mediating these biphasic effects are unknown. Whereas endothelial cells play a critical role in maintaining arterial health, this study compared the effects of moderate and high alcohol concentrations on endothelial cell function.MethodsHuman coronary artery endothelial cells (HCAEC) were treated with levels of ethanol associated with either low‐risk/moderate drinking (i.e., 25 mM) or high‐risk/heavy drinking (i.e., 50 mM) after which endothelial function was assessed. The effect of ethanol's primary metabolite acetaldehyde (10 and 25 μM) was also determined.ResultsModerate ethanol exposure (25 mM) improved HCAEC barrier integrity as determined by increased transendothelial electrical resistance (TEER), inhibited cell adhesion molecule (CAM) mRNA expression, decreased inflammatory cytokine (interferon‐γ and interleukin 6) production, inhibited monocyte chemotactic protein‐1 (MCP‐1) expression and monocyte adhesion, and increased homeostatic Notch signaling. In contrast, exposure to high‐level ethanol (50 mM) decreased TEER, increased CAM expression and inflammatory cytokine production, and stimulated MCP‐1 and monocyte adhesion, with no effect on Notch signaling. Reactive oxygen species (ROS) generation and endothelial nitric oxide synthase activity were increased by both alcohol treatments, and to a greater extent in the 50 mM ethanol group. Acetaldehyde‐elicited responses were generally the same as those of the high‐level ethanol group.ConclusionsEthanol has biphasic effects on several endothelial functions such that a moderate level maintains the endothelium in a nonactivated state, whereas high‐level ethanol causes endothelial dysfunction, as does acetaldehyde. These data show the importance of dose when considering ethanol's effects on arterial endothelium, and could explain, in part, the J‐shaped relationship between alcohol concentration and atherosclerosis reported in some epidemiologic studies.
Do venture capitalists with foreign experience drive corporate social responsibility better? Evidence from China
Authors: Zheng Jiami , Zhang Lin 
Published: June 2023

AbstractUsing a manually collected dataset, we examine the effects of venture capitalists with foreign experience on firms' corporate social responsibility (CSR) engagement. By analysing firm‐, deal‐ and venture capitalist‐level samples, we find that venture capitalists with foreign experience significantly improve their portfolio firms' CSR; this finding holds across extensive robustness tests. Venture capitalists with foreign experience promote CSR more significantly if they join the board of directors or invest in the firm's early stages. Our results suggest that venture capitalists with foreign experience transplant the client demands, management practices and social norms they have experienced abroad to their firms.
Taste and smell alterations affect nutritional status in children under chemotherapy
Authors: Grain Audrey , Camuset Margaux , Gras‐Leguen Christèle , Hardouin Jean‐Benoit , Scherdel Pauline , Caldari Dominique 
Published: June 2023

AbstractAimThis study aimed to evaluate the incidence of self‐reported taste and smell alterations (TSA) in cancer paediatric patients and evaluate the impact of TSA on nutritional status in this population. We also developed and validated a composite score to detect TSA in children undergoing chemotherapy.MethodsPaediatric patients who were undergoing chemotherapy in a paediatric oncology unit were included. TSA were assessed from the Gustonco questionnaire from which a composite score was developed and internally validated, eating behaviour was assessed using Child Eating Behaviour Questionnaire, and major weight loss was defined from nutritional status. All data were calculated at 1, 3 and 6 months after chemotherapy start. Associations between nutritional status and scores were studied by using logistic models.ResultsAmong 49 patients included, TSA occurred in 71.7% of patients at 1 month after chemotherapy start and persisted at 3 and 6 months. TSA led to altered appetite since 1 month after chemotherapy start. The occurrence of a major weight loss at 6 months seemed to be associated with a high Gustonco score.ConclusionTaste and smell alterations often occurred in paediatric cancer patients after chemotherapy start and seemed to be associated with impaired nutrition at 6 months after chemotherapy.
Bacterial translocation markers and toll‐like receptors in biliary atresia following successful portoenterostomy
Authors: Godbole Nimish , Kyrönlahti Antti , Hukkinen Maria , Pihlajoki Marjut , Heikinheimo Markku , Pakarinen Mikko P. 
Published: June 2023

AbstractAimThe gut–liver axis may contribute to pathophysiology of cholestatic liver disorders like biliary atresia (BA) by bacterial translocation (BT). Toll‐like receptors (TLR) are pattern recognition receptors known to activate innate immunity and secretion of inflammatory cytokines. Herein, we examined BT‐associated biomarkers and TLRs in relation to liver injury after successful portoenterostomy (SPE) in BA.MethodsSerum levels of lipopolysaccharide‐binding protein (LBP), CD14, LAL, TNF‐α, IL‐6 and FABP2 along with liver expression of TLRs (TLR1, TLR4, TLR7 and TLR9), LBP and CD14 were measured during median 4.9 (1.7–10.6) years follow‐up after SPE in 45 BA patients.ResultsSerum LBP, CD14, TNF‐α and IL‐6 all increased after SPE whereas LAL and FABP‐2 remained unchanged. Serum LBP correlated positively with CD14 and markers of hepatocyte injury and cholestasis, but not with Metavir fibrosis stage, transcriptional markers for fibrosis (ACTA2) or ductular reaction. Serum CD14 concentration was significantly higher in patients with portal hypertension than without. While liver expression of TLR4 and LBP remained low, TLR7 and TLR1 showed marked BA‐specific increases, and TLR7 correlated with Metavir fibrosis stage and ACTA2.ConclusionBT does not seem to play a significant role in liver injury after SPE in our series of BA patients.
Ethical workplace climate in nonprofit organizations: Conceptualization and measurement
Authors: Verma Govind Gopi , Biswas Saswata Narayan 
Published: June 2023

AbstractEthical workplace climate has been extensively researched in the for‐profit context but neglected in nonprofits. Perhaps because nonprofits promote shared values, engage with people, and implement development interventions creating public good, they are considered implicitly ethical. This assumption has been questioned in recent studies. We attempted to develop a psychometrically valid scale measuring ethical workplace climate following a sequential research design to fill this gap. We interviewed 74 employees from 30 nonprofit organizations using the critical incident technique to generate statements on ethical workplace climate. The statements generated were categorized with expert judges' help, followed by a survey of 507 nonprofit employees across India. The exploratory factor analysis (EFA) and subsequent confirmatory factor analysis (CFA) resulted in a 43‐item scale, further reduced to 26 items using stepwise regression. Results of subsequent application of EFA and CFA confirmed a four‐factor solution: self‐interest, collegiality, internal legitimacy, and stewardship. A follow‐up study of 243 members of nonprofit organizations confirmed the hypothesized relationships that ethical work climate has a significant effect on affective commitment and job engagement. Finally, we discussed our findings along theoretical contributions, implications, limitations, and future direction.
Understanding parent engagement in advanced allied health single session therapy for children with developmental and behavioural disabilities
Authors: Creen Julie , Kennedy‐Behr Ann , Donkin Rebecca , Verdonck Michele 
Published: June 2023

AbstractBackgroundIncreasingly, health services are adopting short‐term consultative therapy models, such as single session therapy, to cope with increased service demands, finite budgets and changing consumer expectations. Within the paediatric sub‐specialty of child development and behaviour, allied health clinicians are central to supporting families to understand their children, provide therapeutic interventions and help achieve optimal developmental and health outcomes. This study aimed to describe parents'/caregivers' engagement during advanced allied health consultations utilizing a single session therapy framework for managing neurodevelopmental and behavioural concerns in children.MethodsBetween March to June 2021, 14 parents participated in a qualitative study involving focus groups. Reflexive thematic analysis was used to code and interpret the data to understand and explore families' engagement in single session therapy.ResultsThree overarching themes relating to parents' engagement during consultations emerged from the data: connection with the clinician, parental attributes and organizational influences. Clinician connection was the prominent construct that enhanced parent attributes and the positive perception of the organization in an ongoing manner. There was a complex interplay between the behavioural and affective components of the clinician, parents and the organization to create mutual presence, valued time, understanding and action.ConclusionsThis study demonstrates the importance of clinician connection, parental attributes and organizational influences to enhance engagement in therapeutic consultations. These factors are interrelated and are a complex blend of behaviour and internal states and highly individualized for each family. Understanding how services can continue to engage families is integral to ongoing sustainability and overall health and well‐being.