bluuebunny/crossref_metadata_2025_split huggingface dataset:
A roadmap for the application of PLS-SEM and IPMA for effective service quality improvements
Authors: Teeluckdharry Noorjahan Banon , Teeroovengadum Viraiyan , Seebaluck Ashley Keshwar 
Published: November 2022

PurposeThe paper provides a step-by-step guide in the guise of a roadmap for service improvement initiatives using importance performance map analysis (IPMA).Design/methodology/approachTo empirically illustrate how IPMA can be applied to any service industry, three sectors are considered; sports and fitness (study A), hospitality (study B) and higher education (study C). Following the proper selection of measuring instruments and their evaluation using structural equation modeling-partial least squares (Smart-PLS), IPMA is applied to identify those attributes having strong total effects (high importance) over the targeted construct (satisfaction) but which also have low average latent variable scores (low performance).FindingsFor sports and fitness (study A), the physical aspects and programme quality require managerial attention. For the hospitability sector (study B), it is service commitment, interaction quality and internal sense of happiness. Whereas for higher education (study C), it is administrative quality as well as the element of transformative quality, namely the university’s role in adding to its students’ emotional stability, which needs the attention of the top management.Originality/valueThis study provides researchers and practitioners with a roadmap for applying PLS-SEM and IPMA for continuous service quality improvement. The roadmap extends upon Ringle and Sarstedt’s (2016) work. It highlights critical decisions that need to be considered in the pre-analytical stages of the IPMA application, i.e. at the research design phase in selecting the most appropriate service quality measurement model specifications. It not only contributes to the existing body of knowledge by providing empirical evidence to advance theory development in the quality management field but also has implications for the practitioners in any service sector on where to focus their attention for an effective service improvement.
A novel index, Chinese visceral adiposity index is closely associated with urinary albumin‐creatinine ratio in Chinese community adults, especially in hypertensive or hyperglycemic population: Results from the REACTION study
Authors: Li Binqi , Wang Weiqing , Gao Zhengnan , Tang Xulei , Yan Li , Wan Qin , Luo Zuojie , Qin Guijun , Chen Lulu , Ning Guang , Mu Yiming 
Published: November 2022

AbstractBackgroundThe association between the Chinese Visceral Adiposity Index (CVAI) and urinary albumin to creatinine ratio (UACR) has not been illustrated. The current study aimed to investigate the association between CVAI and UACR and to compare the discriminative power of CVAI, triglyceride, body mass index (BMI), waist circumference (WC), and waist‐to‐hip ratio (WHR) with UACR in the Chinese community population.MethodsThis study included 34 732 participants from the REACTION (Risk Evaluation of cAncers in Chinese diabeTic Individuals) study. Binary logistic regression analyses were performed to detect the association between CVAI, triglyceride, BMI, WC, WHR and UACR.ResultsBinary logistic regression analysis showed that, after adjusting for potential confounders, in women, CVAI (odds ratio [OR]:1.16, 95% confidence interval [CI]: 1.01–1.34) and triglyceride (OR: 1.18, 95% CI: 1.04–1.33) were associated with UACR, whereas BMI, WC, and WHR were not associated with UACR; in men, CVAI (OR: 1.24, 95% CI: 1.02–1.50), WC (OR: 1.21, 95% CI 1.00–1.48), and triglycerides (OR: 1.18, 95% CI 0.97–1.44) were associated with UACR, whereas BMI and WHR were not associated with UACR. Stratified analysis showed that the correlation between CVAI and UACR was stronger in the population with 5.6 ≤ fasting blood glucose (FBG) <7.0 or 7.8 ≤ post‐load blood glucose (PBG) <11.1 mmol/L, FBG ≥7.0 or PBG ≥11.1, systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg.ConclusionsIn the Chinese general population, CVAI and UACR were significantly associated in both genders. At higher CVAI levels, the population with prediabetes, diabetes, and hypertension has a more significant association between CVAI and UACR.
Heuristic smartphone usability evaluations of the mobile application NANDA, nursing interventions classification, and nursing outcomes classification customized for nursing home registered nurses
Authors: Shin Juh Hyun , Jung Sun Ok 
Published: November 2022

AbstractPurposeWe aimed to evaluate the usability of a smartphone application consisting of standardized nursing language (SNL) using NANDA, Nursing Intervention Classification, and Nursing Outcome Classification for nursing home nurses.Data sourcesApplying convenience sampling, a total of 14 experts and 15 real users were invited to test and evaluate the smartphone application independently. For the usability evaluation of the developed application, the Korean version of the Mobile Application Rating Scale for experts and Mobile Application Rating Scale: User Version developed by Stoyanov et al. were used.Data synthesisBoth groups determined that the SNL application was quite informative about SNL and efficient function; however, the engagement was quite lower than other categories.ConclusionsAlthough SNLs were scientifically developed for several decades, the widely available technological application for registered nurses in different languages is urgently needed to improve quality of nursing care.Implications for nursing practiceThe identified problems and recommendations by users and experts using heuristic evaluation will be reflected in the application's final version to be used for research.
Mistaken identity of polymorphous low‐grade adenocarcinoma treated as periapical lesion in anterior maxilla: A case report
Authors: Srirangarajan Sridharan , Shashidara R. , Ramya Raghu , Harika S. , Pritham Shetty N. , Ravi Rao J. , Malagi Prathima , Srikumar Prabhu , Ashish Shetty 
Published: November 2022

AbstractThis report presents a rare case of polymorphous low‐grade adenocarcinoma (PLGA) in the anterior maxilla, mimicking a periapical lesion. A 56‐year‐old male reported with a painless swelling in the maxillary right canine‐premolar region. The patient gave a history of root canal therapy for the same teeth one month ago. On intraoral examination, the involved teeth were restored with ceramic crowns. Radiographic examination revealed inadequate obturation with an ill‐defined radiolucency in the periapical region. 3D cone beam computer tomography (CBCT) revealed erosion of the buccal cortical plate near the apices of the roots. Endodontic re‐treatment was performed on both the teeth. Following this, the lesion was excised and submitted for histopathological analysis wherein it was identified as PLGA. Computerised tomographic (CT) scan and positron emission tomography scan (PET) results showed no regional or distant metastasis. Under general anaesthesia, the teeth were extracted, and wide surgical excision of the anterior maxilla was done till the healthy bone was exposed. Healing was uneventful during the follow‐up period.
Current approach and attitudes toward neonatal near‐miss and perinatal audits: An exploratory international survey
Authors: de Barros Medeiros Poliana , Liley Helen , Andrews Christine , Gordon Adrienne , Heazell Alexander E.P. , Kent Alison L. , Leisher Susannah H. , Flenady Vicki 
Published: November 2022

BackgroundCombined with perinatal mortality review, neonatal near‐miss (NNM) audit has the potential to inform strategies to better prevent adverse perinatal outcomes. Nonetheless, there is lack of standardised definitions of NNM and limited evidence of implementation of NNM audits.AimTo describe definitions of NNM and assess current approaches and attitudes toward perinatal mortality and morbidity audit.Materials and MethodsOnline survey from December 2021 to February 2022, with a mix of Likert scales, polar, pool, multi‐choice, and open‐ended questions, disseminated through national and international organisations to perinatal healthcare workers from high‐income countries.ResultsOne hundred and twenty participants came from Australia (n = 86), New Zealand (n = 18), Canada (n = 7), USA (n = 4), Netherlands (n = 2), other countries (n = 3). Neonatologists (35%), midwives (21.7%), obstetricians (12.5%), neonatal nurse practitioners (11.7%) and others (23.3%) responded. Most respondents thought the main characteristics to define NNM were birth asphyxia needing therapeutic hypothermia (68.3%), unexpected resuscitation at birth (67.5%), need for intubation/chest compression/adrenaline (65.0%) and metabolic acidosis at birth (60.0%). There were 97.5% of participants who considered NNM important for identifying cases for perinatal morbidity audits. However, only 10.0% of their institutions used a NNM definition. Overall, 98.4% of participants considered perinatal mortality and morbidity audits important to prevent adverse outcomes.ConclusionNeonatal near‐miss audit is viewed as a valuable tool to reduce adverse neonatal outcomes. There was reasonable consensus that NNM encompassed evidence of birth asphyxia and/or advanced neonatal resuscitation. Data from this international survey identifies a starting point for a consensus definition of NNM, which can be used for perinatal audits to identify opportunities for improvement.
Indicators for effective visiting primary care services: A case study
Authors: Healy Laura J. , Beccaria Gavin , McIlveen Peter 
Published: November 2022

AbstractObjectiveThe objective of this study was to assess the clinical utility of a model of seven principles for effective visiting primary care services and to determine how it could be conceptualised as a tool for evaluation.SettingThe research was undertaken in the context of visiting primary care services with an agency, Outback Futures, selected as a case study.ParticipantsThree executive staff with Outback Futures participated in the research.DesignThe case study design involved data collection by four group interviews conducted between July and November 2021. The interview data were analysed using thematic analysis.ResultsThis case study is additional evidence for the clinical utility of the model of seven principles. The results reinforce the importance of a community‐focussed approach to assess the impact of visiting service organisations on rural and remote communities. A comprehensive approach to evaluation is required to justify the investments made and safeguard the health and well‐being of rural and remote residents. A self‐assessment protocol has been established from the model for use by visiting services. Furthermore, three themes were drawn from the data: relationship is fundamental, the importance of co‐design, and being effective as a visiting service is challenging.ConclusionThe model is appropriate for the case study organisation, and has clinical utility and implications for other visiting services. A self‐assessment protocol has been developed. Future research should apply the model and protocol self‐assessment tool in an effort to construct a consistent and credible approach to evaluation of visiting primary care services.
Returning to My Past: Caring in a Crisis
Authors: Marshall Tom 
Published: November 2022

SUMMARYWhat was it like to care for older residents in a care home during the COVID‐19 pandemic? Care work was in crisis before the pandemic, which brought the fragility of the UK's healthcare system and those who work in it to the fore. I recount my experiences in a care home with isolated older people during the early months of the COVID‐19 global pandemic. In this autoethnography, I consider my attempt to prioritize isolated older care home residents' personhood alongside the complexities of caring during an inordinately physically and emotionally precarious time. While neglecting some aspects of my own needs, I describe how care work, while rewarding, can reproduce the already ingrained inequalities that characterize it. I argue that sensing absence as experienced by older people can be a means to help reduce some of their isolation and loneliness. During my time caring during the pandemic, time to care was corroded, further frustrating what care should be. Through my autoethnographic account of caring during the pandemic, I argue that the well‐being needs of caregivers alongside care receivers should be acknowledged as an integral aspect of care. [caring, COVID‐19, absence, care home, isolation].
Ultrasound ciliary plasty in glaucoma treatment: A long‐term follow‐up study
Authors: Bolek Bartłomiej , Wylęgała Adam , Wylęgała Edward 
Published: November 2022

AbstractPurposeThe present study aimed to evaluate the efficacy and safety of ultrasound ciliary plasty (UCP) in patients with open‐angle glaucoma for three consecutive years.MethodsSixty‐one patients (62 eyes) with primary and secondary glaucoma were enrolled to undergo UCP. The primary outcome measures were intraocular pressure (IOP) reduction, success rates, glaucoma medication use and visual acuity after UCP. An IOP reduction of 20% compared to the baseline value without re‐intervention was considered a successful treatment. Complete success was defined as cessation of antiglaucoma medications. Secondary outcome measures included intraoperative and postoperative complications. Measurements were performed preoperatively and at the first week, and 1, 3, 6, 12, 18, 24, 30 and 36 months postoperatively.ResultsA total of 41 patients (41 eyes) were evaluated 36‐month after UCP. The mean ± SD values of IOP preoperatively at 1 day, 1 week, 1; 3; 6; 12; 18; 24; 30 and 36 months postoperatively were 22.7 ± 5.0 mmHg, 17.1 ± 4.2 mmHg (p < 0.001), 15.7 ± 4.8 mmHg (p < 0.001), 18.8 ± 4.8 mmHg (p < 0.001), 17.3 ± 3.7 mmHg (p < 0.001), 16.9 ± 3.2 mmHg (p < 0.001), 16.6 ± 2.7 mmHg (p < 0.001), 16.3 ± 3.0 mmHg (p < 0.001), 15.8 ± 3.4 mmHg (p < 0.001), 15.3 ± 2.1 mmHg (p < 0.001) and 16.3 ± 3.0 mmHg (p < 0.001), respectively. The mean IOP at the last follow‐up was reduced by 28.5%. The qualified success rate was 64.0%. All patients at 36‐month follow‐up visit required the use of antiglaucoma medications – none of the patients achieved complete success. The decrease in the number of antiglaucoma medications was statistically significant at each follow‐up visit compared to the baseline. Choroid detachment was observed in three patients (4.8%), while macular oedema was observed in three patients (4.8%) after the procedure. No other major intraoperative or postoperative complications occurred.ConclusionUltrasound ciliary plasty seems to be an effective and well‐tolerated method to reduce IOP in patients with refractory glaucoma. Further studies with a larger group are needed to confirm the efficacy of this procedure.
Functional constipation as a risk factor for pyelonephritis and recurrent urinary tract infection in children
Authors: Axelgaard Sofie , Kristensen Rasmus , Kamperis Konstantinos , Hagstrøm Søren , Jessen Alexander Slot , Borch Luise 
Published: November 2022

AbstractAimAcute pyelonephritis is one of the most common bacterial infections in childhood. This potentially serious condition can lead to renal scarring, loss of kidney function and hypertension. The aim of this study was to identify risk factors associated with pyelonephritis in children without kidney or urinary tract abnormalities.MethodsMedical records of children aged 4–18 diagnosed with 1st time pyelonephritis from 2016 to 2021 were retrospectively analysed. Children with abnormal kidney ultrasound were excluded. In addition to demographic data, information on bladder and bowel function was extracted together with habits of fluid intake.ResultsA total of 105 patients were diagnosed with 1st time pyelonephritis. Of these, 47% were diagnosed with constipation according to the Rome IV criteria within a mean follow‐up period of 167 days after their pyelonephritis, which is markedly higher than the estimated prevalence of constipation in the background population. Constipation was positively associated with recurrent urinary tract infection (p = 0.01).ConclusionConstipation is associated with pyelonephritis and recurrent urinary tract infection in children (primarily girls) 4–18 years of age without evident kidney or urinary tract abnormalities. We recommend systematic evaluation of bowel and bladder function after 1st time pyelonephritis in all children >4 years.
Mechanisms of improvement in generalized anxiety disorder: A mediation and moderated mediation analysis from a randomized controlled trial
Authors: Costa Marianna de Abreu , Russell Tamara A. , Gosmann Natan Pereira , Gonçalves Francine , Tatton‐Ramos Tiago , de Oliveira Felipe Borges , Manfro Gisele Gus 
Published: November 2022

AbstractBackgroundGeneralized anxiety disorder (GAD) is associated with the lowest treatment response rate among all anxiety disorders. Understanding mechanisms of improvement may help to develop more effective and personalized treatments.AimThe objective of the study was to investigate different improvement mechanisms in the treatment of individuals diagnosed with GAD.DesignWe reported data from a randomized controlled trial that evaluated three different GAD treatments (mindfulness‐based intervention, BMT; fluoxetine, FLX; and an active comparison group, QoL) for 8 weeks.MethodMediation analyses were performed evaluating the association between worry symptoms at baseline and anxiety scoring at the endpoint, considering self‐compassion or mindfulness or its dimensions at mid‐treatment as mediators for the whole sample (assessing GAD improvement mechanism) and the different interventions as moderators.ResultsContrary to mindfulness state scoring (C = .06; 95% CI = −.05 to .20), self‐compassion (C = .11; 95% CI = .01 to .28) and non‐judgement of inner experience (C = .10; 95% CI = .004 to .21) mediated the association between worry symptoms at baseline and anxiety at the endpoint. When comparing BMT to FLX, the intervention modality did not moderate these associations.ConclusionSelf‐compassion and non‐judgement of inner experience seem to be essential targets in GAD treatment, contrary to the mindfulness state itself. Although no difference was found considering the intervention modality, future research may assess how to boost these dimensions in specific treatments for GAD.
Site prioritization and the reproduction of inequity in the restoration of Biscayne Bay
Authors: Bradbury Mason 
Published: November 2022

AbstractThe restoration of urban estuaries is challenging due to the complexity of prioritizing sites in a context of social and biophysical unevenness. Site prioritization and selection are crucial components of ecological success and equity in restoration. In many cases, site prioritization is conducted according to simple opportunity or political expediency, but this needs to be investigated further in local contexts, with accompanying analysis of the impacts on urban environmental equity. Using a critical physical geography framework, I explore site selection processes in the restoration of Biscayne Bay through case studies of two urban streams. I use multiple data types to present an integrated perspective on urban restoration priority and the social context that produces restoration siting decisions. I find that the logics of restoration site selection in the Biscayne Bay watershed have produced ecologically questionable decisions and inequitable outcomes. Therefore, I argue that restoration decision making needs to include environmental justice criteria.
Investigating the relationship between inaccurate blood alcohol concentration estimates, harm and other negative consequences
Authors: de Andrade Dominique , Button Kira , Coomber Kerri , Taylor Nicholas , Ferris Jason , Curtis Ashlee , Miller Peter G. 
Published: November 2022

AbstractIntroductionAlcohol‐related harms place a significant burden on the Australian economy and health‐care system. The current study aims to: (i) explore the relationship between blood alcohol concentration (BAC) and self‐estimated blood alcohol concentration (EBAC); and (ii) determine whether BAC underestimation is related to an increased risk of experiencing physical aggression, verbal aggression, drink driving, ejection from a venue or refusal of service.MethodsPatron street surveys were conducted in four night‐time entertainment precincts (NEP) across Queensland, Australia, between June 2016 and November 2018. Participants (N = 2144) reported on their EBAC and recent negative or harmful experiences in NEPs. BAC was measured via a breathalyser. Paired samples t tests were conducted to determine if patrons' BAC and EBAC were significantly different. Logistic regressions were conducted to examine whether BAC underestimation is a significant predictor of harm and negative outcomes.ResultsAnalyses identified a small, significant difference between patron's BAC and EBAC. Patrons with a low BAC were more likely to overestimate their BAC, while patrons with higher BACs were more likely to underestimate their BAC. Moderately intoxicated patrons had the most precise BAC estimations. Patrons with a high BAC and who underestimated their intoxication level were more likely to have been recently ejected from licensed venues, compared to accurate estimators or over‐estimators.Discussion and ConclusionsOverall, patrons are poor evaluators of their own intoxication level, which may have implications for their experiences in NEPs. The findings highlight the need for improved BAC education for patrons.
Current and novel echocardiographic assessment of left ventricular systolic function in aortic stenosis—A comprehensive review
Authors: Luke Peter , Alkhalil Mohammad , Eggett Christopher 
Published: November 2022

AbstractAortic stenosis (AS) is a complex and progressive condition that can significantly reduce the quality of life and increase the incidence of premature mortality. Transthoracic echocardiography (TTE) is the gold standard imaging modality for the assessment of AS severity. While left ventricular ejection fraction (LVEF) derived from TTE is a very well‐understood parameter, limitations such as high inter and intra‐observer variability, insensitivity to sub‐clinical dysfunction, and influence of loading conditions make LVEF a complicated and unreliable parameter. Myocardial deformation imaging has been identified as a promising parameter for identifying subclinical left ventricular dysfunction, however, this parameter is still afterload dependent. Myocardial Work is a promising novel assessment technique that accounts for afterload by combining the use of myocardial deformation imaging and non‐invasive blood pressure to provide a more comprehensive assessment of mechanics beyond LVEF. This review evaluates the evidence for various echocardiographic assessment parameters used to quantify left ventricular function including myocardial work in patients with AS.