bluuebunny/crossref_metadata_2025_split huggingface dataset:
Enhancing chronic care pathways with Health Lean Management: a case study in a Spanish hospital
Authors: Tiso Anna , Pozzan Caterina , Morales Contreras Manuel Francisco , Verbano Chiara 
Published: January 2025

Purpose
Facing the burden of chronic diseases has become a priority for health-care systems’ economic and social sustainability. To this end, this paper aims to focus on adopting Health Lean Management (HLM), a widely used managerial approach, to improve the performance and quality of care provided in chronic care pathways. HLM addresses not only efficiency and timeliness issues but also care effectiveness and integration. Indeed, the lack of continuity and co-ordination of care constitutes a major challenge for chronic pathways. This research provides an innovative contribution, by extending the implementation of HLM to chronic pathways developed across hospital and territorial care. Indeed, HLM scope typically regards hospital units and departments; hence, analysing the interaction between different levels of care represents a novelty from an academic and practical perspective.

Design/methodology/approach
With the aim of understanding how to extend the adoption of HLM towards the territory, an action research project has been developed. In particular, an improvement project focused on breast cancer care pathways has been launched in a Spanish hospital. The research investigates which HLM activities, tools and practices need to be accomplished in this kind of project, grasping insights into emerging wastes. To this end, the HLM project followed the Define, Measure, Analyse, Improve and Control (DMAIC) cycle, supporting the project team in effectively conducting a preliminary context analysis, qualitative and quantitative data collection, the current state analysis and the countermeasure proposals.

Findings
The analysis conducted on the breast cancer care pathway highlighted major criticalities in managing the diagnosis of new patients. In particular, waiting times to obtain diagnostic imaging and breast specialist consultations highly impacted the care pathway effectiveness and efficiency. Specific wastes that caused these delays have been investigated, leading to the definition of specific countermeasures that could minimise the inefficiencies: an 85% reduction of the staging process lead time was estimated.

Originality/value
The achieved results contribute to enhancing the quality of care delivered to breast cancer patients. This paper enriches the theoretical knowledge about HLM, extending its typical field of application; provides practical support to health-care providers, managers and leaders with a case demonstrating how to develop HLM projects adopting the DMAIC cycle; and finally, it has valuable social implications, addressing the global threat of chronic disease.
The family business in the digital era: advancing towards artificial intelligence
Authors: Atienza-Barba María , Álvarez-García José , Meseguer-Martínez Ángel , Barba-Sánchez Virginia 
Published: January 2025

PurposeThis study aims to analyse the literature on the digital transformation of family businesses and the impact of artificial intelligence on this process, highlighting key areas of interest and future perspectives.Design/methodology/approachA bibliometric analysis is performed to explore the interconnection between variables and the relationships between authors, countries and journals in this research area. The Scopus database was used as of March 2024, and the data analysis was carried out with Bibliometrix for result analysis and VOSviewer for scientific mapping.FindingsThe analysis confirms the increasing relevance of the topic, with a high number of articles in 2023. Prominent journals are identified, and authors are mainly from China and Europe. Keywords “family business” and “family firms” are strongly linked, showing a connection to artificial intelligence and digital transformation. Family businesses are embracing the digital era, and research must respond accordingly.Originality/valueThis pioneering study offers a novel contribution, as no prior bibliometric analysis has addressed this topic. It lays the groundwork for future research, identifying emerging themes with significant future potential.
Culture and individual attitudes towards responsible consumption
Authors: Shah Syed Sibghatullah 
Published: January 2025

Purpose
This study aims to analyse how cultural and religious values shape individual attitudes towards responsible consumption (RC), with a particular emphasis on contrasting Abrahamic and non-Abrahamic countries. The objective was to find out how adherence to religious beliefs could drive sustainable behaviours as a sure way to achieve sustainable development goals, among them RC and production.

Design/methodology/approach
The research classifies countries into Abrahamic and non-Abrahamic based on data derived from World Values Surveys from 1980 to 2020. To find out the effect of religious and cultural values on RC behaviours, the authors use a logistic regression model by controlling the sociodemographic variables country, denomination and town size.

Findings
The findings determined that in Abrahamic countries, high adherence to religious teachings is strongly correlated with positive RC behaviours. In most non-Abrahamic countries, however, while the strength of the effect of cultural values on RC is somewhat diminished, there is potential for a positive shift insofar as the central doctrines of the respective faiths will be adopted more actively by their adherents.

Research limitations/implications
While this study provides valuable insights into the influence of cultural and religious values on RC, it is limited by its reliance on cross-sectional data, which restricts the ability to infer causality. Future research could benefit from longitudinal studies to track changes over time or experimental designs to test causality more directly. Additionally, the study’s focus on broad religious categories may overlook the nuanced differences within each religious group, suggesting a need for more detailed subgroup analyses.

Practical implications
The practical implications of such findings lie in the fact that marketers have to design campaigns that relate to the cultural and religious ethos of their target audiences. Therefore, marketing strategies locally practised bring effectiveness in running initiatives meant to be taken for sustainable consumption practices, to develop brand loyalty and to support corporate environmental and social responsibility.

Social implications
By aligning consumption practices with religious teachings, communities can foster a collective sense of purpose and ethical responsibility. This alignment not only enhances social cohesion but also supports broader social goals such as environmental sustainability and economic moderation. Moreover, by encouraging values like thrift and stewardship, societies can mitigate the adverse effects of consumerism, such as waste and environmental degradation, thus improving the quality of life and fostering a more sustainable future.

Originality/value
This paper is going to add to the existing literature by identifying how religious teachings can be pivotal for the sustainability of modern times. Its findings provide new insight for policymakers and marketers who are seeking to encourage RC in cultures.
An exploration of the social creation of mental illness
Authors: MacLennan Nigel 
Published: January 2025

Purpose
The purpose of this study is to explore the concept “the social creation of mental illness”, consider whether there is enough research evidence to support the thesis that mental illness can be socially caused, compare the social model to the medical model of the creation of mental illness and explore what may be necessary for the social causation model of mental health to be widely adopted and acted upon.

Design/methodology/approach
This study conducts a literature review seeking to identify the likely candidates for socially caused mental illness and explores whether there was research or other evidence for “the social creation of mental illness”.

Findings
Each area that was examined, from the literature, supported the notion of social factors being linked to, and predictive of, the social creation of mental illness; there appears to be a prima facie case for mental illness being predominantly socially created.

Research limitations/implications
It is one thing to identify risk factors, links with and predictors of mental ill health. It is quite another to prove the chain of causality between particular types of social trauma and the emergence specific mental dysfunctions. In the same way that tobacco was widely known to be dangerous to physical health, yet it took decades to collate enough evidence to persuade physicians and politicians to act, it is likely that it will be some time before the causal link between social factors and emerging mental dysfunction can be demonstrated with enough rigour to encourage politicians and mental health professionals to act. This paper seeks to make a contribution to that process.

Practical implications
If social factors are found to be the primary creators of mental illness, then more appropriate methods of helping those afflicted can be developed.

Social implications
Currently, the mental health system is based on the medical model. Vast and increasing resources are being allocated to mental health, yet the numbers of people disabled by mental health problems continues to increase. It appears that the medical model is false and failing. If the most common causes of mental ill health are social, then more appropriate help can be provided, and preventative measures can be developed.

Originality/value
By laying out some of the evidence that social factors are a primary predictor or cause of mental illness, it is hoped that future researchers can devise mechanisms to identify the causal route between various forms of social harm and the development of mental illness.
Developing an integrated model for remote teaching amelioration with artificial intelligence (AI) awareness
Authors: Zaheer Muhammad Asif 
Published: January 2025

Purpose
This research aims to propose a high-performance-based model of remote teaching where trained teachers (those who deliver lectures by using different tools i.e. Microsoft Team, Zoom, etc.) can get the desired results through artificial intelligence (AI) awareness, knowledge sharing and transformational leadership in the future.

Design/methodology/approach
This research is quantitative in nature and convenience sampling is followed to gather data from 307 trained faculty (those who deliver lectures by using different tools i.e. Microsoft Team, Zoom, learning management systems, etc.) from various universities of the federal capital territory (FCT) Islamabad and district Rawalpindi of Punjab province, Pakistan who worked online from home during novel corona lockdown. SmartPLS is used for data analysis and structural equation modeling is performed to test the suggested model.

Findings
Results revealed that AI awareness has a significant positive influence on knowledge sharing but exhibited a negative significant impact on teacher performance. Likewise, knowledge sharing acts as a partial mediator; however, transformational leadership moderates between remote working and knowledge sharing.

Originality/value
During the pandemic, the mode of instruction shifted from physical to online, generating several barriers for teachers who were used to on-campus teaching. This research presented an effective model for knowing the mechanism of possible and reliable implications at educational institutions of developing countries to get the desired outcomes of effective online teaching in calamity situations.
MNE subsidiaries CSR through institutional lens: a review, conceptual mapping and response strategies
Authors: Prakash Vineeth 
Published: January 2025

Purpose
The corporate social responsibility (CSR) premise is complicated for an MNE subsidiary operating across a geographically dispersed heterogeneous environment and conceptual literature on MNE subsidiaries’ CSR, a function that makes-or-break legitimacy in the home and host environment, is at best scattered. This paper aims to bridge that gap by reviewing the literature on three levels and plotting all those idiosyncratic counter-institutional forces into a single framework.

Design/methodology/approach
After reviewing the literature on MNE subsidiaries’ CSR through institutional lens, this paper conceived a three-dimensional matrix of institutional force fields and mapped the quadrants with meta-level strategies that subsidiaries can assume. This paper further conceptualizes a linear flow model of subsidiary CSR.

Findings
An MNE subsidiary’s CSR premise could be plotted into a matrix structure of institutional force fields, with subsidiaries assuming strategies to balance these forces. This paper postulate that institutional complexities influence the CSR strategy of a subsidiary, subjected to firm-specific logic. This paper propose that for an MNC subsidiaries CSR, there is a systematic deviation path from Carroll’s hierarchical pyramid model to a need-based pyramidal model.

Originality/value
The three-dimensional force field matrix model with respective strategies that subsidiary could assume is proposed for the first time. The linear flow model of a subsidiary CSR is also new to literature.
When Economic Prowess Is a Liability—Unpredictable Black Swan Events Such as the Financial Crisis and COVID‐19 Pandemic Disrupt Hotel Value Dynamics
Authors: Chen Ying , Capener Don 
Published: January 2025

ABSTRACTThis study examines the relationship between operating efficiency and firm value in the hotel industry during the most recent economic crises: the 2008–2009 financial crisis and the COVID‐19 pandemic. Both were Black Swan events that were difficult or impossible to predict in advance. Using a sample of 161,031 hotel firms from 1991 to 2023, we employ OLS and GLS regression models and seemingly unrelated regression analyses to perform the quantitative analysis. Our findings reveal that operating efficiency generally positively impacts firm value, but this relationship varies significantly depending on the nature of the crisis. During the financial crisis, the positive impact of efficiency on firm value was amplified, particularly for financially more robust hotels. Conversely, during the COVID‐19 pandemic, the efficiency‐value relationship remained stable, with financially more robust hotels experiencing a more pronounced negative impact. These results highlight the need for context‐specific approaches to hotel financial management and valuation during Black Swan events, contributing to the literature on hospitality crisis management and financial performance.
Management of deep neck space infections – an Australian otolaryngology experience
Authors: Asairinachan Ashwinna , Santucci Walter , Kwok Matthew M. K. , Walsh Patrick , Michael Philip 
Published: January 2025

AbstractBackgroundDeep neck space infections (DNSI) are common, potentially life‐threatening presentations in otolaryngology. Treatment is often based on the severity of presenting symptoms and surgeon preference. This study aims to evaluate the presentation and predictors of complications in patients presenting with DNSI at an Australian Otolaryngology referral centre.MethodA retrospective review was conducted for all patients admitted under the Otolaryngology Unit with a DNSI between 2015 and 2020. Patient demographics, presentation, treatment and outcomes were recorded. Factors predictive of surgical intervention and complications were evaluated using univariate and multivariate analyses.ResultsA total of 422 patients were identified. The majority were peritonsillar abscesses (n = 323, 76.5%). The most common management was incision and drainage under local anaesthetic (n = 272, 64.4%). A non‐surgical approach was generally less successful for multispace and parapharyngeal abscesses. A median age of 48 years was significantly associated with a complication at presentation in both the peritonsillar abscess and non‐peritonsillar abscess group on multivariate analysis (P = <0.001) and P = 0.048, respectively. In the non‐peritonsillar abscess group, an elevated CRP at a median of 196 and 180 mg/L were predictive of a complication at admission and following initial treatment, respectively. Patients with multispace abscesses and presenting with dysphagia are more likely to experience a complication after initial treatment, P < 0.00001 and P = 0.031, respectively.ConclusionUnderstanding predictors of complications in patients presenting with DNSI will ensure timely, aggressive treatment upfront to minimize potential morbidity and mortality. Surgeons should maintain a close index of suspicion for complications in those with multispace abscesses.
Carbapenems in the management of valproic acid overdose (MPT‐01166‐24 R1)
Authors: Juurlink David N. 
Published: January 2025

AbstractSevere valproic acid (VPA) overdose is characterized by coma (sometimes with cerebral oedema), respiratory depression, hypotension and metabolic abnormalities. Traditional management of VPA poisoning has been limited to gastrointestinal decontamination, L‐carnitine supplementation and, in severe cases, haemodialysis. Recently, interest has developed in the use of carbapenem antibiotics as an adjunctive therapy in patients with severe VPA poisoning. Carbapenems inhibit acylpeptide hydrolase, the enzyme responsible for reconstituting VPA from VPA‐glucuronide, and transiently promote distribution of VPA into erythrocytes. In patients receiving VPA therapeutically, carbapenems lower VPA concentrations abruptly, dramatically, and for a sustained period. This article discusses the possibility of exploiting this pharmacokinetic drug–drug interaction in patients with or at risk of severe VPA poisoning.
A qualitative and quantitative study of radical pro‐environmental social change as anticipated future loss and threat: A gender perspective
Authors: Avery Robert A. T. , Korichi Asma , Vagli Catheline , Chkroun Hugo Jean Elie , Seefeld Florian Raphaël , Kaiser Isabella , Giaccari Kenzo , Defauw Lucie , Brey Lucien , Glardon Nelson , Ajani Noah , Sorgius Tom , Butera Fabrizio 
Published: January 2025

AbstractDegrowth‐oriented climate change mitigation policies offer inspiring possibilities for future societies. However, they require radical change to individual and collective behaviours; and research has not yet fully addressed how people may anticipate future loss and threat when confronted with such policies. This study proposes a twofold examination of anticipated reactions to pro‐environmental degrowth‐oriented minority influence. First, we conducted a qualitative study of 21 semi‐structured interviews. Both thematic analysis and consensual approach methodologies were adopted to explore emerging trends in the perception of a minority call to reduce human overpopulation, consumption of natural resources, and infrastructural incursions into nature. Results revealed three recurring themes: loss of individual freedom, fear of extremism, and loss of comfort. Second, a quantitative study (N = 488) followed up these results by testing the hypothesis that anticipated loss would be associated to a gendered perception of threat. In line with our conjecture regarding the relationship between policy change, status quo preservation, and gender, moderation analysis showed that men reported more threat than women, the more perceptions of degrowth‐oriented policies were anticipated as a loss. Implications for a future‐forming approach of research and policy making are discussed considering perceiving radical pro‐environmental change as a threatening loss.
The local effects of the first Golden Age of Globalization: Evidence from American ports, 1870–1900
Authors: Chan Jeff 
Published: January 2025

AbstractThis paper uses digitized US trade flows data at the customs district level from 1870 to 1900 to investigate whether trade shocks had an effect on the size and composition of the population of US ports and on their economic activity. I find that trade increased the population of districts, driven principally by growth in urban populations, and that manufacturing activity also increased. However, these results dissipate rapidly with distance: counties adjacent to ports do not see similar gains from trade booms at nearby ports. My results imply that trade was a contributing factor in the structural transformation of America's economy.
Parent–Child Online Interaction and the Well‐Being of Children in Rural China: The Effects of Family Social Capital and Parental Migration
Authors: Zhou Qiushi , Chen Mengtong , Liang Jiachen , Chen Qiqi , Li Hongduo 
Published: January 2025

ABSTRACTExisting empirical evidence supports the close relationships between parent–child interactions and child well‐being outcomes. Internet and mobile phone–mediated communication has facilitated interaction between children and their family members, which can be related to increased family social capital for the welfare of children. The objectives of the present study were to examine the associations between parental–child online interactions, family social capital and child well‐being in rural China and to investigate the moderating role of parental migration in these associations. A sample of 1384 secondary school students (47.6% girls, mean age = 14.14 years) participated in the survey and answered questions about their interaction with parents, family structure and relationships and well‐being. A series of regression analyses showed that parent–child online interactions were positively associated with child well‐being by increasing children's family social capital at three parental migration patterns. Furthermore, there is no significant difference in the moderating mediating effect between non–left‐behind children and children whose one parent migrated. The findings provide evidence for the potential beneficial effects of parent–child online interactions on child well‐being and have implications for policies and practices that support the use of the Internet and mobile devices among children living in disadvantaged situations.
Assessment of Child Care Institutions in India: Perspectives from Children Who Have Transitioned From Institutions
Authors: Wanglar Evergreat 
Published: January 2025

ABSTRACTThis study focused on assessing the former residents' perspectives of the quality of care provided in child care institution in India, particularly those rehabilitated from the facilities in the Manipur region. With a large share of the world's children population, India takes up the responsibility of bringing care to millions of children who are orphaned or destitute. The Juvenile Justice (Care and Protection) Act sets standards for protection of the welfare of children in institutional care; however, concerns of poor care quality as well as abuse and trafficking continue to be raised. The methodology applied in this study uses a qualitative technique with a fundamental interpretative design to explore the lived experiences of children who have exited these institutions. Findings from the study illuminate large discrepancies between children's need for independence and their ability to thrive independently after care, including insufficient post care preparation, inconsistent levels of emotional support, and meagre educational and skill building opportunities. These findings contrast previous studies that tend to focus on pervasive structural and regulatory shortcomings in child care institutions, while neglecting to consider the relational lived experiences of children in the aftermath of institutional care. This study stresses the need for a thorough nurturing approach to care that not only supplies children with the practical essentials to live independently but additionally handles their emotional needs. As such, this study provides important recommendations for governments, child welfare practitioners and organizations that wish to improve the institutional care and the long‐term trajectories of children leaving care.