bluuebunny/crossref_metadata_2025_split huggingface dataset:
Strategies for the Treatment of Auricular Complications after the First Stage of Autologous Cartilage Microtia Reconstruction
Authors: Xu Zhicheng , Li Tianya , Zhang Ruhong , Zhang Qun , Xu Feng , Li Datao , Li Yiyuan , Chen Xia 
Published: May 2022

Background:
Effective handling of auricular complications after the first stage of autologous cartilage microtia reconstruction remains one of the most demanding challenges for plastic surgeons. Here, the authors discuss relevant details for treatment of such complications in various conditions.

Methods:
A total of 1739 microtia patients underwent the first stage of auricular reconstruction with autogenous costal cartilage between 2007 and 2019. Different complications occurred in 136 cases. The details of complications are described, and relevant tactics for appropriate prevention and treatment are introduced.

Results:
Selective methods for the management of different complications in a prompt and effective manner after the first stage of ear reconstruction have been shown to salvage and maintain the contour of the reconstructed auricle to the maximum extent.

Conclusion:
Auricular complications can be well treated and prevented through careful preoperative preparation, meticulous intraoperative manipulation, and proper postoperative management.

CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, IV.
Evaluation of Interstitial Lung Disease in Idiopathic Inflammatory Myopathies Through Semiquantitative and Quantitative Analysis of Lung Computed Tomography
Authors: Roncella Claudia , Barsotti Simone , Valentini Adele , Cavagna Lorenzo , Castellana Roberto , Cioffi Elisa , Tripoli Alessandra , Zanframundo Giovanni , Biglia Alessandro , Bartholmai Brian , De Liperi Annalisa , Mosca Marta , Romei Chiara 
Published: May 2022

Purpose:
To perform a semiquantitative and quantitative analysis of interstitial lung disease (ILD), through computed tomography (CT), in different serological subgroups of idiopathic inflammatory myopathies (IIM) patients, to find radiologic and clinical differences of disease related to serology.

Materials and Methods:
This was a prospective study, which included 98 IIM patients, divided into serological subgroups: anti-aminoacyl-transfer-RNA-synthetases (anti-ARS) positive and myositis-specific autoantibodies (MSA) negative.
For each baseline CT the total semiquantitative score of Warrick (WS) and the automated software (Computer-Aided Lung Informatics for Pathology Evaluation and Rating) quantitative scores interstitial lung disease % (ILD%) and vascular-related structure % (VRS%) were calculated. Pulmonary function tests included total lung capacity % (TLC%), forced vital capacity % (FVC%), and diffusing capacity of the lung for carbon monoxide % (DLCO%).

Results:
Inverse correlations (P<0.001) between the radiologic scores and the functional scores DLCO% and TLC% were found, the most relevant being between ILD% and DLCO% (ρ=−0.590), VRS% and DLCO% (ρ=−0.549), and WS and DLCO% (ρ=−0.471).
Positive correlations between ILD% and VRS% (ρ=0.916; P<0.001), WS and ILD% (ρ=0.663; ρ<0.001), and WS and VRS% (ρ=0.637; P<0.001) were obtained.
Statistically significant higher values of WS, ILD%, and VRS% were found in the anti-ARS group (WS=15; ILD%=11; VRS%=3.5) compared with the MSA negative one (WS=2.5; ILD%=0.84; VRS%=2.2).
The nonspecific interstitial pneumonia pattern was dominant. No statistically significant differences emerged at pulmonary function tests.

Conclusions:
In this study, ILD in anti-ARS-positive and MSA-negative groups was defined through semiquantitative and quantitative analysis of lung CT. The inverse correlations between the radiologic scores and TLC% and DLCO% (P<0.001) confirm the role of lung CT in the evaluation of ILD in IIM.
My Deep Sea, My Backyard: a pilot study to build capacity for global deep-ocean exploration and research
Authors: Amon Diva J. , Rotjan Randi D. , Kennedy Brian R. C. , Alleng Gerard , Anta Rafael , Aram Eriatera , Edwards Thera , Creary-Ford Marcia , Gjerde Kristina M. , Gobin Judith , Henderson Laura-Ashley , Hope Alexis , Ali Raquel Khan , Lanser Sebastian , Lewis Keith , Lochan Hannah , MacLean Scott , Mwemwenikarawa Nabuti , Phillips Brennan , Rimon Betarim , Sarjursingh Stacey-Ann , Teemari Tooreka , Tekiau Aranteiti , Turchik Alan , Vallès Henri , Waysang Kareati , Bell Katherine L. C. 
Published: May 2022

The deep ocean is the largest ecosystem on the planet, constituting greater than 90% of all habitable space. Over three-quarters of countries globally have deep ocean within their Exclusive Economic Zones. While maintaining deep-ocean function is key to ensuring planetary health, deficiencies in knowledge and governance, as well as inequitable global capacity, challenge our ability to safeguard the resilience of this vast realm, leaving the fate of the deep ocean in the hands of a few. Historically, deep-ocean scientific exploration and research have been the purview of a limited number of nations, resulting in most of humankind not knowing the deep ocean within their national jurisdiction or beyond. In this article, we highlight the inequities and need for increased deep-ocean knowledge generation, and discuss experiences in piloting an innovative project ‘My Deep Sea, My Backyard’ toward this goal. Recognizing that many deep-ocean endeavours take place in countries without deep-ocean access, this project aimed to reduce dependency on external expertise and promote local efforts in two small island developing states, Trinidad and Tobago and Kiribati, to explore their deep-sea backyards using comparatively low-cost technology while building lasting in-country capacity. We share lessons learned so future efforts can bring us closer to achieving this goal.
This article is part of the theme issue ‘Nurturing resilient marine ecosystems’.
Nature-based solutions for atoll habitability
Authors: Barnett Jon , Jarillo Sergio , Swearer Stephen E. , Lovelock Catherine E. , Pomeroy Andrew , Konlechner Teresa , Waters Elissa , Morris Rebecca L. , Lowe Ryan 
Published: May 2022

Atoll societies have adapted their environments and social systems for thousands of years, but the rapid pace of climate change may bring conditions that exceed their adaptive capacities. There is growing interest in the use of ‘nature-based solutions' to facilitate the continuation of dignified and meaningful lives on atolls through a changing climate. However, there remains insufficient evidence to conclude that these can make a significant contribution to adaptation on atolls, let alone to develop standards and guidelines for their implementation. A sustained programme of research to clarify the potential of nature-based solutions to support the habitability of atolls is therefore vital. In this paper, we provide a prospectus to guide this research programme: we explain the challenge climate change poses to atoll societies, discuss past and potential future applications of nature-based solutions and outline an agenda for transdisciplinary research to advance knowledge of the efficacy and feasibility of nature-based solutions to sustain the habitability of atolls.
This article is part of the theme issue ‘Nurturing resilient marine ecosystems’.
Institutionalizing the Blue Economy: an examination of variations and consistencies among Commonwealth countries
Authors: Voyer Michelle , Benzaken Dominique , Rambourg Constance 
Published: May 2022

The Blue Economy is a catch all term that is used to describe a wide variety of development approaches and priorities in the ocean and coastal areas. A number of distinct, and sometimes conflicting discourses have emerged in relation to the Blue Economy, which are distinguished by the degree to which they prioritize different development objectives. This paper explores the range of Blue Economy interpretations, governance strategies and implementation approaches that exist across Commonwealth countries. Key Blue Economy policy statements and governance instruments are analysed in order to ascertain the way the Blue Economy is being institutionalized at a national level, with reference to the Sustainable Development Goals and the Commonwealth Blue Charter. High-level Blue Economy objectives appear to prioritize economic and environmental objectives, with limited engagement with equity objectives including food security and gender equality. Blue Economy objectives are primarily being institutionalized through a diverse array of strategies, plans and policies with limited information on mechanisms for implementation. Finally, there are signs that the Blue Economy may be facilitating a greater degree of integration across sectoral management, with the emergence of range of boundary-crossing arrangements in a number of the countries examined.
This article is part of the theme issue ‘Nurturing resilient marine ecosystems’.
Managed retreat and planned retreat: a systematic literature review
Authors: O'Donnell Tayanah 
Published: May 2022

Vulnerable locations, such as coastlines, are at a high risk of loss and damage. Such places will suffer deleterious impacts as climate change impacts are increasingly realized. As societies try to adapt to these impacts, managed or planned retreat—aimed at moving people and assets away from vulnerable locations—is gaining increased attention. Despite this increased attention, systematic literature reviews of the retreat literature remain scarce. This paper undertakes such review and uncovers a marked increase in retreat scholarly research papers in the past 5 years. An analysis of 135 managed and planned retreat journal articles is completed. Findings include a strong emphasis on regional or local case studies exploring governance, policy or institutional settings and levers across a range of geographies. Property rights and market interventions, such as compensation schemes, evidence the prevalence of neoliberal predilections. This emphasizes the importance of renewed engagement with political economy scholarship vis-à-vis climate change adaptation, also supported by the sharp increase in the evidenced social and environmental justice impacts.
This article is part of the theme issue ‘Nurturing resilient marine ecosystems’.
Accounting for direct and indirect cumulative effects of anthropogenic pressures on salmon- and herring-linked land and ocean ecosystems
Authors: Tulloch Vivitskaia J. D. , Adams Megan S. , Martin Tara G. , Tulloch Ayesha I. T. , Martone Rebecca , Avery-Gomm Stephanie , Murray Cathryn C. 
Published: May 2022

Salmon and herring support both land and ocean predators and are critical to ecosystem resilience. Their linkages across land and sea realms make them highly susceptible to human activities, which can have flow-on effects up the food web. We quantify and compare the potential cumulative effects of human-driven pressures on interdependent species in salmon- and herring-linked ecosystems of western Canada using a risk assessment methodology. Adding indirect risks resulted in 68% greater total risks for land species than for direct risk alone, versus 15% for marine species. Inclusion of climate change pressures resulted in the greatest change in risk for low trophic marine species and habitats (greater than 25% increase). Forestry-related pressures accounted for the highest risk to all species and projected management of these pressures resulted in a total reduction of risk across all ecosystem components that was more than 14% greater than management of fisheries pressures. Ignoring land food web linkages and pressures underestimated cumulative risk by more than 40% for salmon and herring. This simple framework can be used to evaluate potential risk of existing human uses and future change to inform immediate management of linked land-sea ecosystems and help species avoid the ‘death by a thousand cuts'.This article is part of the theme issue ‘Nurturing resilient marine ecosystems’.
The super wicked problem of ocean health: a socio-ecological and behavioural perspective
Authors: de Salas Kristy , Scott Jennifer Louise , Schüz Benjamin , Norris Kimberley 
Published: May 2022

We are dependent on our oceans for economic, health and social benefits; however, demands on our oceans are escalating, and the state of the oceans is deteriorating. Only 2% of countries are on track to achieve the desired outcomes for the sustainable development goal (SDG 14) for the oceans by 2030, and the changes needed to prevent further degradation, or limit the impact of existing degradation, are not being undertaken fast enough. This paper uses a socio-ecological lens to explore the nature of actors and behaviours for change at the local, community, state, national and international levels, and introduces the need for technology, information- and knowledge-sharing, and policy as interconnected mediators, that work both in concert, and independently, to address the ‘super wicked’ problem of ocean health and to promote resilience. We recommend the need to develop transformational teams and leaders, as well as transformative policies within a holistic and integrated system to ensure ocean health initiatives are greater than the sum of their parts and are actual, realistic, achievable and evidence-informed pathways to change.
This article is part of the theme issue ‘Nurturing resilient marine ecosystems’.
The underlying mechanisms of the relationships between corporate financial policies and firm value: flexibility and agency theory perspectives
Authors: El-Ansary Osama , Hamza Hatem Fouad 
Published: May 2022

PurposeThis paper aims to discover the underlying mechanisms by which corporate financial policies, cash holdings, capital structure and dividend payouts, transmit their effects on firm value in the “Middle East and North Africa” (MENA) emerging markets.Design/methodology/approachThe authors employ a novel integration of path modelling with parallel multiple mediation analysis to empirically test the hypothesised indirect effects through the mechanisms represented by the value of financial flexibility (VOFF) and agency costs.FindingsThe authors do not find any evidence of the association between cash holdings, dividend payouts, and firm value when the mechanisms through the VOFF and agency costs are considered. While these two forces, i.e. the VOFF and agency costs, have balanced mediation effects on the relationship between cash holdings and firm value, they represent equivalent and complementary mechanisms by which dividend payouts transmit their positive impact on firm value. Moreover, we document a significant negative partial mediation effect of agency costs on the relationship between leverage and firm value; however, we do not find any evidence supporting the mediation effect of the VOFF on such a relationship.Originality/valueThis paper sheds new light on the forces that govern the nature of the relationships between corporate financial policies and firm value.
Risk assessment of underground and elevated metro projects from clients' and contractors' perspective
Authors: Karmarkar Omkar Deepak , Krishnan Shivram G. , Delhi Venkata Santosh Kumar , Velaga Nagendra R. Rao 
Published: May 2022

PurposeIndia is a rapidly urbanizing developing country with a population of 1.4 Billion. Indian governments have invested USD 50 Billion) in metro rail projects in 18 cities. Metro constructions are multi-stakeholder mega-projects and are prone to a variety of risks. The purpose of this paper is to analyze the risks involved in metro rail construction projects in a densely populated developing country for two types of systems and from two perspectives. Current literature lacks an understanding of similarities and differences in the risks involved in underground and elevated metro projects from clients' and contractors' perspectives, which the paper highlights.Design/methodology/approachA total of twenty-five risks were identified, categorized and assessed through experts' opinions about the impact and probability of occurrence of the risks through a questionnaire-based survey. The survey respondents included experts in metro rail construction from client and contractor sides. Paper uses a Fuzzy Inference System to calibrate risk magnitude from occurrence probability and impact.FindingsA notable difference was observed in the views of clients and contractors, except for certain common risks. Both stakeholders had different risk perceptions for the underground and elevated metro rail systems.Practical implicationsThis study contributes to the risk assessment for different types of metro systems. This research can help policymakers as well as consultants in prioritizing their risk management strategies in developing countries like India.Originality/valueHighlighting the critical aspects of risks in metro projects in a developing country, this paper also provides system-based and stakeholder-based comparative aspects of risk analysis.
The role of health orientation in determining purchase intention and behaviour
Authors: Szymkowiak Andrzej , Antoniak Marcin Adam , Borusiak Barbara 
Published: May 2022

PurposeThe objective of the study is to explain how health orientation influences attitude towards paying attention to nutrition claims (NCs), intention to pay attention to NCs, and willingness to buy products containing NCs.Design/methodology/approachIn the first study, conducted amongst 770 respondents using the CAWI (Computer-Assisted Web Interview) method, the authors investigated the role of health orientation in explaining intention to pay attention to NCs and willingness to buy products with NCs. The theory of planned behaviour was used as the main theoretical framework. In the second online experiment, carried out amongst 485 respondents, the impact of health orientation on attitude towards the label containing NC and on NC product purchase intention was studied.FindingsThe authors revealed that health orientation plays a significant (direct and indirect) role in explaining attitude towards paying attention to NCs, and intention to pay attention to NCs, as well as NC product purchase intention.Originality/valueHealth orientation appeared to be an important determinant of selecting products with NCs. Consumers' intent to choose products containing claims is mainly determined according to their attitudes driven by health orientation and outcome expectancy. Consequently, intention to pay attention to NCs is strongly related to intention to buy products containing claims.
Dust yourself off and try again: the positive process of career changes or shocks and career resilience
Authors: Peeters Ellen R. , Caniëls Marjolein C.J. , Verbruggen Marijke 
Published: May 2022

PurposeTo deepen the understanding of the process of growth and development of career resilience, this study aims to investigate the impact of career history and openness to change as antecedents of career resilience and the effect of career resilience on career self-management and career outcomes (salary and career satisfaction) over time using the Career Construction Theory.Design/methodology/approachThe authors applied structural equation modeling with cross-lagged associations between career characteristics (number of employees, job seniority and missed promotions), openness to change, career resilience, individual career management (ICM) and career success (salary and career satisfaction) using three-wave data of 872 employees.FindingsOpenness to change had cross-lagged positive relationships with career resilience. The number of (previous) employers and missed promotions had a positive effect on career resilience, whereas job seniority was related negatively to career resilience. Furthermore, career resilience had a positive effect on individual career self-management in terms of networking, practical things and drawing attention over time. No effect was found on the individual career self-management dimension of mobility-oriented behavior over time. Finally, ICM had a positive effect on salary and career satisfaction over time.Originality/valueAltogether these results suggest that career resilience is not only a way to stay active as an employee and cope with career changes, but it also enhances employees’ chances to achieve objective and subjective career success.
Authentic leadership: making meaning and building engagement
Authors: Winton Bradley Gene , Whittington J. Lee , Meskelis Simone 
Published: May 2022

Purpose
Today’s organizations continue to suffer from the detrimental effects of employee disengagement. Leaders and their behavior play a significant role in limiting these negative effects. The literature provides evidence that facets of the full-range leadership model impact employee engagement. This paper aims to extend the leader-engagement connection to include the role authentic leadership plays in cultivating meaningfulness and engagement.

Design/methodology/approach
This research uses a quantitative survey of 90 working professionals to test a mediated model and its hypothesized relationships among authentic leadership, meaningfulness and employee engagement. Hypotheses were tested with ordinary least squares regression in the PROCESS macro for Statistical Packages for the Social Science.

Findings
The results confirmed the positive impact of authentic leadership on engagement. The indirect effect of authentic leadership on engagement through meaningfulness was not found to be significant. However, post hoc analysis found evidence that the impact of authentic leadership is mediated by the dimensional aspect of meaningfulness, positive meaning.

Originality/value
These findings extend the empirical evidence tying leadership behavior to employee engagement by clarifying how authentic leadership influences employees to participate more fully in their organization’s activities. Further, this research provides alternative pathways for leaders to encourage and elicit engagement from their followers.
Environmental policy uncertainty and corporate green innovation: evidence from China
Authors: Huang Jinrong , Wang Zongjun , Jiang Zhenyu , Zhong Qin 
Published: May 2022

PurposePrevious studies have mostly discussed the impact of environmental policy on enterprise innovation, but the discussion on how turbulence in environmental policy may affect firms' green innovation has been insufficient. This paper explores the effect of environmental policy uncertainty on corporate green innovation in the turnover of environmental protection officials (EPOT) context.Design/methodology/approachThe authors manually collected the data on the EPOT of 280 Chinese prefecture-level cities, and used the Poisson regression model to conduct empirical analyses based on the panel data of 1472 Chinese listed manufacturing firms from 2008 to 2017.FindingsThe results show that environmental policy uncertainty leads firms to reduce their green patent applications only for green invention patent applications. Such an effect is more pronounced in non-state-owned enterprises (non-SOEs). In addition, when the new directors of the Ecology and Environmental Bureau take office through promotions or are no more than 55 years old, the negative effect is more obvious, but there is no significant difference regardless of whether new directors have worked in environmental protection departments.Originality/valueFirst, this paper supplements the research on the antecedents of corporate green innovation from the perspective of environmental policy uncertainty and extends the applications of real options theory. Second, this paper expands the research on the government–business relationship from the EPOT perspective.