bluuebunny/crossref_metadata_2025_split huggingface dataset:
Development and Validation of a Quality Indicator System for Outpatient Service in Shenzhen, China
Authors: Lin Qian , Hao Horng-Shuh , Qin Deqing , Zhang Dan 
Published: May 2022

Abstract

Background
Outpatient services account for a large part of healthcare in China, and to survive in the competition with other hospitals, the management needs to understand and measure outpatient services quality for healthcare improvement and patient retention. There is a lack of comprehensive standardized outpatient healthcare quality measurement tools from patients’ perspective in China. This study aimed to develop and test a quality indicator system for outpatient services assessment in the Chinese healthcare sector.

Methods
Twenty-nine indicators were generated using literature review and focus group interviews. A modified Delphi process with the analytic hierarchy process (AHP) was conducted to screen and determine the final indicators with 13 interdisciplinary panelists through two-round email surveys. A two-level and three-column questionnaire was distributed to 250 outpatients in Shenzhen to pretest the indicator system. The validity and reliability of experts were tested by the experts' positive coefficient, authority coefficient, and degree of concentration of opinions. The reliability of the questionnaire was assessed using Cronbach's alpha coefficient and inter-subscale correlation.

Results
Of the two rounds of Delphi consultation, the active coefficients were 76.92% and 80%, and the authoritative coefficients were both 0.88. An assessment system for the Chinese outpatient services quality was constructed with six first-level dimensions and 23 second-level indicators. The weights of safety, tangibility, reliability, responsiveness, assurance, and empathy were 0.286, 0.096, 0.088, 0.135, 0.226, and 0.169, respectively. For the pretest, Cronbach’s alpha values for the importance of the indicator, perception of quality of service, and expected quality of service were 0.96, 0.94, and 0.96, respectively. The values of the KMO test were 0.94, 0.93, and 0.95. All Bartlett’s test results showed that the correlation matrix was significant (p&lt;0.001).

Conclusion
A multidimensional quality indicator system from patients’ perspective was developed for the outpatient services assessment in China’s healthcare sector. It has good validity and reliability and can be applied as a standardized tool by healthcare managers and policymakers in China to measure patients’ perceptions and expectations.
Burden, Clinical Characteristics, Risk Factors, and Seasonality of Adenovirus 40/41 Diarrhea in Children in Eight Low-Resource Settings
Authors: Guga Godfrey , Elwood Sarah , Kimathi Caroline , Kang Gagandeep , Kosek Margaret N , Lima Aldo A M , Bessong Pascal O , Samie Amidou , Haque Rashidul , Leite Jose Paulo , Bodhidatta Ladaporn , Iqbal Najeeha , Page Nicola , Kiwelu Ireen , Bhutta Zulfiqar A , Ahmed Tahmeed , Liu Jie , Rogawski McQuade Elizabeth T , Houpt Eric , Platts-Mills James A , Mduma Estomih R 
Published: May 2022

Abstract

Background
The application of molecular diagnostics has identified enteric group adenovirus serotypes 40 and 41 as important causes of diarrhea in children. However, many aspects of the epidemiology of adenovirus 40/41 diarrhea have not been described.

Methods
We used data from the 8-site Etiology, Risk Factors, and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development Project birth cohort study to describe site- and age-specific incidence, risk factors, clinical characteristics, and seasonality.

Results
The incidence of adenovirus 40/41 diarrhea was substantially higher by quantitative polymerase chain reaction than enzyme immunoassay and peaked at ∼30 episodes per 100 child-years in children aged 7–15 months, with substantial variation in incidence between sites. A significant burden was also seen in children 0–6 months of age, higher than other viral etiologies with the exception of rotavirus. Children with adenovirus 40/41 diarrhea were more likely to have a fever than children with norovirus, sapovirus, and astrovirus (adjusted odds ratio [aOR], 1.62; 95% CI, 1.16–2.26) but less likely than children with rotavirus (aOR, 0.66; 95% CI, 0.49–0.91). Exclusive breastfeeding was strongly protective against adenovirus 40/41 diarrhea (hazard ratio, 0.64; 95% CI, 0.48–0.85), but no other risk factors were identified. The seasonality of adenovirus 40/41 diarrhea varied substantially between sites and did not have clear associations with seasonal variations in temperature or rainfall.

Conclusions
This study supports the situation of adenovirus 40/41 as a pathogen of substantial importance, especially in infants. Fever was a distinguishing characteristic in comparison to other nonrotavirus viral etiologies, and promotion of exclusive breastfeeding may reduce the high observed burden in the first 6 months of life.
Incidences of Infectious Events in a Renal Transplant Cohort of the German Center of Infectious Diseases (DZIF)
Authors: Sommerer Claudia , Schröter Iris , Gruneberg Katrin , Schindler Daniela , Behnisch Rouven , Morath Christian , Renders Lutz , Heemann Uwe , Schnitzler Paul , Melk Anette , Della Penna Andrea , Nadalin Silvio , Heeg Klaus , Meuer Stefan , Zeier Martin , Giese Thomas ,   for the Transplant Cohort of the German Center for Infection Research (DZIF Transplant Cohort) Consortium
Published: May 2022

AbstractBackgroundInfectious complications are a major cause of morbidity and mortality after kidney transplantation.MethodsIn this transplant cohort study at the German Center of Infectious Diseases (DZIF), we evaluated all infections occurring during the first year after renal transplantation. We assessed microbial etiology, incidence rates, and temporal occurrence of these infections.ResultsOf 804 renal transplant recipients (65.2% male, 51 ± 14 years), 439 (54.6%) had 972 infections within the first year after transplantation. Almost half of these infections (47.8%) occurred within the first 3 months. Bacteria were responsible for 66.4% (645/972) of all infections, followed by viral (28.9% [281/972]) and fungal (4.7% [46/972]) pathogens. The urinary tract was the most common site of infection (42.4%). Enterococcus was the most frequently isolated bacterium (20.9%), followed by E. coli (17.6%) and Klebsiella (12.5%). E. coli was the leading pathogen in recipients &lt;50 years of age, whereas Enterococcus predominated in older recipients. Resistant bacteria were responsible for at least 1 infection in 9.5% (76/804) of all recipients. Viral infections occurred in 201 recipients (25.0%). Of these, herpes viruses predominated (140/281 [49.8%]), and cytomegalovirus had the highest incidence rate (12.3%). In the 46 fungal infections, Candida albicans (40.8%) was the most commonly isolated. Other fungal opportunistic pathogens, including Aspergillus fumigatus and Pneumocystis, were rare.ConclusionsRenal allograft recipients in Germany experience a high burden of infectious complications in the first year after transplantation. Bacteria were the predominating pathogen, followed by opportunistic infections such as cytomegalovirus. Microbial etiology varied between age groups, and resistant bacteria were identified in 10% of recipients.
Minimal effects from injunctive norm and contentiousness treatments on COVID-19 vaccine intentions: evidence from 3 countries
Authors: Carey John M , Keirns Tracy , Loewen Peter John , Merkley Eric , Nyhan Brendan , Phillips Joseph B , Rees Judy R , Reifler Jason 
Published: May 2022

Abstract
Does information about how other people feel about COVID-19 vaccination affect immunization intentions? We conducted preregistered survey experiments in Great Britain (5,456 respondents across 3 survey waves from September 2020 to February 2021), Canada (1,315 respondents in February 2021), and the state of New Hampshire in the United States (1,315 respondents in January 2021). The experiments examine the effects of providing accurate public opinion information to people about either public support for COVID-19 vaccination (an injunctive norm) or public beliefs that the issue is contentious. Across all 3 countries, exposure to this information had minimal effects on vaccination intentions even among people who previously held inaccurate beliefs about support for COVID-19 vaccination or its perceived contentiousness. These results suggest that providing information on public opinion about COVID vaccination has limited additional effect on people’s behavioral intentions when public discussion of vaccine uptake and intentions is highly salient.
Species-Specific Detection and Quantification of Erwinia pyrifoliae in Plants by a Direct SYBR Green Quantitative Real-Time PCR Assay
Authors: Jin Yong Ju , Kong Hyun Gi , Yang Su In , Ham Hyeonheui , Lee Mi-Hyun , Park Dong Suk 
Published: May 2022

The present study describes a SYBR Green real-time quantitative (q) PCR assay to detect Erwinia pyrifoliae in plants. E. pyrifoliae, first described in South Korea, is a phytopathogenic bacterial species in the genus Erwinia. In particular, specific detection, quantitation, and identification of E. pyrifoliae is still challenging, as symptoms resulting from its colonization of Asian pear blossoms are very similar to those caused by E. amylovora. E. pyrifoliae has biochemical, phenotypic, and genetic properties similar to those of E. amylovora. Moreover, other Erwinia species, including E. tasmaniensis and E. billingiae, are also detected by currently available molecular methods and with traditional methods as well. Therefore, in this study, previously published genome sequences of the genera Erwinia and Pantoea were compared to exploit species-specific genes for use as improved qPCR targets to detect E. pyrifoliae. In silico analyses of the selected gene and designed primer sequences, in conjunction with bio-SYBR Green real-time qPCR, confirmed the robustness of this newly developed assay. Consequently, the bio-SYBR Green real-time qPCR-based protocols developed here can be used for rapid and specific detection of E. pyrifoliae. They will potentially simplify and facilitate diagnosis and monitoring of this pathogen and guide plant disease management. [Formula: see text] Copyright © 2022 The Author(s). This is an open access article distributed under the CC BY-NC-ND 4.0 International license .
OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY REVEALS PARADOXICALLY DECREASING CHOROIDAL THICKNESS AND INCREASING BLOOD FLOW IN REMITTING VOGT–KOYANAGI–HARADA SYNDROME
Authors: Fayed Alaa E. , Gerges Terese K. 
Published: May 2022

Purpose:
To assess changes in choroidal thickness and blood flow in active Vogt–Koyanagi–Harada syndrome and after remission using optical coherence tomography angiography.

Methods:
This was a prospective study of patients with active early uveitis secondary to Vogt–Koyanagi–Harada syndrome. They underwent optical coherence tomography angiography imaging twice: at baseline and after remission on treatment. 3- × 3- and 6- × 6-mm choriocapillaris slabs were used to evaluate parafoveal adjusted flow index as a marker for choroidal blood flow. Mean choroidal thickness of 3 points (subfoveally and 2 points 300 µm parafoveally) was also measured.

Results:
Thirty-nine eyes of 25 patients were initially recruited. After excluding eyes with media opacity, submacular fibrosis, and choroidal neovascularization, 23 eyes of 14 patients were included. The mean follow-up period was 8.7 ± 2.5 months. Mean choroidal thickness in activity and remission was 581.65 ± 108.29 µm and 318.34 ± 72.85 µm respectively (P < 0.01). Mean adjusted flow index in the 3- × 3-mm slabs activity and remission were 0.495 ± 0.027 and 0.519 ± 0.0336 (P = 0.011), and the 6- × 6-mm slabs were 0.487 ± 0.037 and 0.517 ± 0.052 respectively (P = 0.025).

Conclusion:
We demonstrate decreasing choroidal thickness with paradoxically increasing choroidal flow on optical coherence tomography angiography in remitting Vogt–Koyanagi–Harada syndrome. This may reflect inflammatory infiltrations or granulomas increasing choroidal thickness during activity and causing sluggish circulation of the choriocapillaris, and a reversal of this process with remission. These findings shed more light on the relationship between Vogt Koyanagi Harada syndrome and its underlying choroidal disturbances. Larger studies are needed to evaluate the efficacy of adjusted flow index in evaluating and predicting disease activity.
Prognostic value of node-to-primary tumor maximum standardized uptake value ratio in T1-4N1-3M0 non-small cell lung cancer patients treated with concurrent chemo-radiotherapy
Authors: Li Tian-cheng , Zhao Xin , Liu Yi-nuo , Wang Guo-lin , Liu Kai-feng , Zhao Kui 
Published: May 2022

Background
This study aimed to identify whether NTR is the independent risk factor for progression-free survival (PFS) and overall survival (OS) in patients treated with concurrent chemo-radiotherapy (cCRT).

Methods
We retrospectively studied 106 T1-4N1-3M0 non-small cell lung cancer patients treated with cCRT. The maximum standardized uptake value (SUVTumor) of the primary tumor and the metastatic lymph nodes (SUVLN) were measured. The prognostic significance of NTR for predicting PFS and OS was assessed. A multi-adjusted spline regression model was conducted to provide more precise estimates and examine the shape of the associations between NTR and the risk of progression.

Results
From 2012 to 2017, 106 eligible patients were analyzed. The median follow-up time was 15.3 months (3.5–44.6 months). We determined the maximizing area under the time-dependent receiver operating characteristic curve was at an NTR of 0.73 for predicting PFS. The two-year PFS was significantly lower in the high-NTR group (35.7% vs. 55.4%, P = 0.02) and two-year OS (43.4% vs. 61.1%, P = 0.03 was also significantly worse. Multivariable analysis revealed that only NTR was an independent prognostic factor for PFS (hazard ratio [HR]: 10.04, P < 0.001) and OS (HR: 4.19, P = 0.03). The restricted cubic spline regression model showed that NTR had a non-linear relationship with log relative risk for progression.

Conclusion
NTR was an independent risk factor for predicting PFS and OS in T1-4N1-3M0 non-small cell lung cancer patients treated with cCRT.
Trade price clustering in the corporate bond market
Authors: Cole Brittany , Goldstein Michael A. , Moser Shane M. , Van Ness Robert A. 
Published: May 2022

PurposeIn this paper, the authors document the existence of price clustering in the US corporate bond market.Design/methodology/approachUsing a sample of 8,422,593 corporate bond trades in 2014, the authors find that over 18% (1,522,284 trades) of all bond trades end in a clustered price, defined as a price ending in 00, 25, 50, or 75.FindingsOverall, the authors find that both bond rating category and risk, as measured by standard deviation of prices, play a role in price clustering; speculative grade bonds account for the majority of clustered prices. Clustered prices are more likely to have higher coupon rates, higher prices, and higher standard deviations of price than bonds with non-clustered prices. Regardless of size, both buy and sell dealer trades with customers (relative to interdealer trading) lead to an increase in price clustering. Dealers appear to use clustered prices when purchasing from and selling to institutions and, therefore, may use a clustered price to insulate themselves from the risk of asymmetric information. Additionally, the prevalence of clustered prices for retail-sized dealer sell trades suggests that dealers exercise dealer power over retail-sized traders.Originality/valueThis paper contributes to the literature on price clustering by examining trade price clustering of corporate bonds. It is different from previous papers on price clustering in equities. Given that bonds tend to be priced off of yield, it is unusual that trade prices cluster. It also demonstrates what kind of bonds cluster and with which customers dealers trade at clustered prices. It parallels other research in demonstrating dealer power over retail-sized traders.
CEO lessons on workforce development and success in a global pandemic
Authors: Longenecker Clinton Oliver , Wittmer Jenell Lynn-Senter  
Published: May 2022

Purpose
The purpose of the current study is to explore the lessons learned by CEOs during the pandemic on how to develop themselves and their workforce to bring success during this chaotic and uncertain time.

Design/methodology/approach
Thirty CEO interviews were conducted with two trained interviewers that lasted an average of 76 minutes. Three independent reviewers conducted a content analysis.

Findings
Through the content analysis, six main themes emerged that we have labeled “success lessons”: Your workforce really is your most important resource, leaders, at all levels, must lead effectively and with empathy, leaders must practice 360° two-way communication with honesty and transparency, equip your workforce for success and leverage technology, trust and empower your workforce, and invest more time reinforcing and celebrating victories.

Originality/value
The size and scope of the pandemic provides for lessons on leadership and workforce development never experienced before. The current study provides in-depth insights from CEO experiences during the pandemic.
Cryptocurrency adoption: a systematic literature review and bibliometric analysis
Authors: Sousa Ana , Calçada Eva , Rodrigues Paula , Pinto Borges Ana 
Published: May 2022

PurposeCryptocurrencies put consumers at the heart of a potential revolution by shifting central authority to a distributed peer-to-peer monetary system. This study aims to perform a systematic literature review and bibliometric analysis within the topic of cryptocurrencies and consumer trust.Design/methodology/approachThe Web of Science database has been selected, and the analyses performed allowed us to identify five research trends obtained from the bibliographic coupling analysis: (1) Understanding consumer's (non)acceptance of cryptocurrencies, (2) Ethical aspects and trust in cryptocurrencies, (3) Blockchain technology as a trust-free technology, (4) The blockchain/trust economy, and (5) Blockchain technology: challenging trust.FindingsFindings uncover the intellectual structure in the field of cryptocurrencies and consumers' trust and offer insights on the pros and cons of consumers' willingness to trust the digital currency.Originality/valueThe study proved a great gap in the current literature in linking cryptocurrencies and trust theories in a consumer context. The authors also outline several gaps that allowed us to propose future research guidelines.
Procyclicality of loan-loss provisions and competitive environment – a global perspective
Authors: Olszak Małgorzata Anna , Kowalska Iwona 
Published: May 2022

PurposeDespite the extensive debate on the impact of bank competition on risk-taking, there is no evidence of its role in procyclicality of loan-loss provisions (LLPs). The purpose of this study is to find out what is the role of competition in the procyclicality of LLPs.Design/methodology/approachUsing over 70,000 bank-level observations in 103 countries in 2004–2015 and the LLPs model, this study interacts competition with business cycle to check what is the effect of competition on procyclicality of LLPs.FindingsThis study finds that intense competition is associated with more procyclicality of LLPs. Increased procyclicality of LLPs in a more competitive environment is binding for high-income countries. The opposite effect is shown for low-income countries.Research limitations/implicationsFuture research can be extended by testing the role of additional factors – such as regulations, supervision or institutional protection of shareholders' rights, in the association between procyclicality and competition.Practical implicationsThe main message of this paper is that the competitive environment changes the procyclicality of LLPs. The results are important from the point of view of the COVID-19 pandemic because government interventions during lockdowns will affect competition in the banking industry and in other industries of the economy.Originality/valueThis paper contributes to the extant research in three dimensions. First, it shows that competition is an important factor behind procyclicality of LLPs. Second, it adds to the research on the links between competition and financial stability. Third, it shows that the link between competition and procyclicality of LLPs depends on the economic development of the country in which the banks are located.
Sustainability in library management in higher education institutions: a bibliometric analysis
Authors: Ensslin Leonardo , Dutra Ademar , Ensslin Sandra Rolim , Moreno Edinei Antonio , Chaves Leonardo Corrêa , Longaray André Andrade 
Published: May 2022

Purpose
This study aims to examine the characteristics of scientific publications that address the management of higher education institution (HEI) libraries from a sustainability perspective, through a bibliometric analysis, to contribute to the development of knowledge and to identify opportunities for further research.

Design/methodology/approach
The knowledge development process-constructivist instrument was used to select a portfolio of 24 articles that are scientifically acknowledged and aligned with the theme “Sustainable Management of Libraries in Higher Education Institutions” and delimited by the authors. This study, guided by a constructivist perspective, was carefully conducted to discern selections that differ from traditional definitions. The analysis followed a qualitative approach and used the following variables: fruitful authors, connection networks between authors and vision of sustainability (the degree of dimensional coverage).

Findings
The analysis of the literature highlighted the partnerships of authors from countries belonging to the American continent as the most involved in research on the subject and the evolution from a one-dimensional view – centred on the environment – to a multidimensional view.

Originality/value
The understanding is that library management in HEIs, from a sustainability perspective, is an essential aspect of institutional legitimacy for the stakeholders. Therefore, sustainability should be treated in a multidimensional way and integrated with the institution’s values.
Travelling fire in full scale experimental building subjected to open ventilation conditions
Authors: Nadjai Ali , Alam Naveed , Charlier Marion , Vassart Olivier , Dai Xu , Franssen Jean-Marc , Sjostrom Johan 
Published: May 2022

PurposeIn the frame of the European RFCS TRAFIR project, three large compartment fire tests involving steel structure were conducted by Ulster University, aiming at understanding in which conditions a travelling fire develops, as well as how it behaves and impacts the surrounding structure.Design/methodology/approachDuring the experimental programme, the path and geometry of the travelling fire was studied and temperatures, heat fluxes and spread rates were measured. Influence of the travelling fire on the structural elements was also monitored during the travelling fire tests.FindingsThis paper provides details related to the influence of travelling fires on a central structural steel column.Originality/valueThe experimental data are presented in terms of the gas temperatures recorded in the test compartment near the column, as well as the temperatures recorded in the steel column at different levels. Because of the large data, only fire test one results are discussed in this paper.