bluuebunny/crossref_metadata_2025_split huggingface dataset:
To use or not use: Understanding Chinese consumers' intention toward “serving chopsticks”
Authors: Chen Qian , Huang Rong , Zhang Aiping , Guo Yingzhi 
Published: May 2022

AbstractServing chopsticks (or “community‐use chopsticks”) refers to chopsticks that are used to serve food from a shared dish to an individual's plate, they are used because of concerns about hygiene. This study aims to examine consumers' perceived values toward serving chopsticks and provide an insight into the formation of consumers' intentions to use serving chopsticks. A mixed‐method approach was utilized to collect data; interviews were conducted with 62 consumers, followed by a web‐based survey with 630 consumers. Qualitative analysis and structural equation modeling analysis were used in the data analysis. Qualitative analysis highlighted four dimensions that contribute to consumers' perceived value of serving chopsticks: functional, altruistic, symbolic, and emotional values. Structural equation modeling analysis illustrated that the more positive values consumers endorse toward serving chopsticks, the stronger they believe not using serving chopsticks has negative consequences. Also, the more they feel responsible for problems caused by not using serving chopsticks, the more they feel personally obliged to use serving chopsticks. Moreover, subjective norm was confirmed as having positive impacts upon consumers' intention to use serving chopsticks. This study contributes to the development of the value‐belief‐norm theory through exploring the dimensions of the value construct. In addition, the results can assist governments and industry in developing more effective strategies that promote the use of serving chopsticks.
Endogenous fertility cycles and childcare services
Authors: Muro Kazunobu 
Published: May 2022

AbstractWe construct a two‐sector overlapping generation model with endogenous fertility, where one sector produces goods and the other produces childcare services. The elasticity of fertility‐related expenditures on services is crucial for determining labor participation and whether fertility converges to a steady state with monotone or oscillation. If capital intensity in the goods sector is greater than the products of elasticity and capital intensity in the service sector, then capital per capita and fertility converge to a steady state monotonically. Conversely, they converge to a steady state with oscillations, otherwise. We find an inverse J‐shaped relationship between fertility and elasticity.
Multi‐objective reference point techniques to optimize profitability, growth, and risk in the non‐life insurance industry: international analysis
Authors: González‐Fernández Ana Isabel , Rubio‐Misas María , Ruiz Francisco 
Published: May 2022

AbstractThis paper combines reference point techniques and econometric analyses to provide the profile of non‐life insurers that simultaneously optimize the strategic growth, profitability, and risk goals. The econometric analyses provide the relevant relations among the variables. Non‐life insurers from 33 Organisation for Economic Co‐operation and Development countries over a six‐year period are analyzed. A cluster analysis allows forming groups of countries according to the non‐life insurance penetration ratio. Several scenarios, which are characterized by the maturity of the market and the crisis/non‐crisis situation, are studied. The results indicate that the highest level of profitability (growth) is linked to scenarios with a medium (low) level of maturity and booming times. They also show that the lowest level of risk that is representative of good performance is associated with scenarios where markets have a high level of maturity and crisis times. We find that a higher recommendable size is associated with more mature markets. The results also indicate that reinsurance utilization is linked to a crisis time. We additionally find that the recommendable level of capitalization differs significantly among scenarios.
The viability and acceptability of a Virtual Wound Care Command Centre in Australia
Authors: Barakat‐Johnson Michelle , Kita Badia , Jones Aaron , Burger Mitchell , Airey David , Stephenson John , Leong Thomas , Pinkova Jana , Frank Georgina , Ko Natalie , Kirk Andrea , Frotjold Astrid , White Kate , Coyer Fiona 
Published: May 2022

AbstractThe objective of this study was to assess the viability and acceptability of an innovative Virtual Wound Care Command Centre where patients in the community, and their treating clinicians, have access to an expert wound specialist service that comprises a digitally enabled application for wound analysis, decision‐making, remote consultation, and monitoring. Fifty‐one patients with chronic wounds from 9 centres, encompassing hospital services, outpatient clinics, and community nurses in one metropolitan and rural state in Australia, were enrolled and a total of 61 wounds were analysed over 7 months. Patients received, on average, an occasion of service every 4.4 days, with direct queries responded to in a median time of 1.5 hours. During the study period, 26 (42.6%) wounds were healed, with a median time to healing of 66 (95% CI: 56‐88) days. All patients reported high satisfaction with their wound care, 86.4% of patients recommended the Virtual Wound Care Command Centre with 84.1% of patients reporting the digital wound application as easy to use. Potential mean travel savings of $99.65 for rural patients per visit were recognised. The data revealed that the Virtual Wound Care Command Centre was a viable and acceptable patient‐centred expert wound consultation service for chronic wound patients in the community.
The prognostic impact of symptom clusters in patients with heart failure: A systematic review and meta‐analysis
Authors: Qiu Chen , Yu Doris Sau‐fung , Song Dan , Wang Xiaobing 
Published: May 2022

AbstractAimTo determine the impact of symptom clusters on clinical outcomes among heart failure patients.DesignSystematic review and meta‐analysis.Data sourcesPeer‐reviewed articles were searched from 12 English and Chinese language databases from inception to August 2021.Review MethodsNarrative syntheses were first conducted to integrate symptom clusters reported in the identified studies. This was followed by meta‐analysis to synthesize the evidence on the association or predictive effects of symptom clusters on clinical outcomes.ResultsTwelve studies were identified. Among studies which identified highly correlated symptoms as in a cluster, meta‐analysis indicated that severe congestive (r = .45, 95% CI = 0.38–0.52), weary (r = .41, 95% CI = 0.33–0.50), ischaemic (r = .29, 95% CI = 0.04–0.51) and stress‐related (r = .62, 95% CI = 0.31–0.81) symptom clusters were correlated with a poorer health‐related quality of life. As for studies used latent class to identified patient cohorts of similar symptom pattern, high symptom cohorts (hazard ratio = 1.86, 95% CI = 1.39–2.48) and incongruent physical and psycho‐cognitive symptom cohorts was associated with a significantly higher risk (hazard ratio = 2.10, 95% CI = 1.44–3.07) of combined event rate relative to low symptom presentation.ConclusionsThis review has identified the impact of symptom clusters on clinical outcomes in heart failure patients. In addition to the classical physical symptoms highlighted in the clinical management guidelines, our findings suggested the important predictive role of psycho‐cognitive and weary symptoms in determining the clinical outcomes of HF patients.ImpactThis review concluded the promising prospect of symptom clusters in shaping clinical outcomes of heart failure. The findings highlighted the importance of integrating care to minimize the disease impact on psycho‐cognitive function and weary symptoms among this clinical cohort. The review also inform the direction on how to advance the knowledge on symptom clusters among this clinical cohort.
Genetic and genomic analysis of oxygen consumption in mice
Authors: Ogawa Shinichiro , Darhan Hongyu , Suzuki Keiichi 
Published: May 2022

AbstractWe estimated genetic parameters for oxygen consumption (OC), OC per metabolic body weight (OCMBW) and body weight at three through 8 weeks of age in divergently selected mice populations, with an animal model considering maternal genetic, common litter environmental and cytoplasmic inheritance effects. Cytoplasmic inheritance was considered based on maternal lineage information. With respect to OC, estimated direct heritability was moderate (0.32) and the estimated proportion of the variance of cytoplasmic inheritance effects to the phenotypic variance was very low (0.01), implying that causal genes for OC could be located on autosomes. To assess this hypothesis, we attempted to identify possible candidate causal genes through selective signature detection with the results of pooled whole‐genome resequencing using pooled DNA samples from high and low OC mice. We made a list of possible candidate causal genes for OC, including those relating to electron transport chain and ATP‐binding proteins (Ndufa12, Sdhc, Atp10b, etc.), Prr16 encoding Largen protein, Cry1 encoding a key component of the circadian core oscillator and so on. The results, although careful interpretation must be required, could contribute to elucidate the genetic mechanism of OC, an indicator for maintenance energy requirement, and therefore feed efficiency.
Height‐based equations as screening tools for high blood pressure in pediatric practice, the GENOBOX study
Authors: Pérez‐Gimeno Gloria , Ruperez Azahara I. , Gil‐Campos Mercedes , Aguilera Concepción M. , Anguita Augusto , Vázquez‐Cobela Rocío , Skapino Estela , Moreno Luis A. , Leis Rosaura , Bueno‐Lozano Gloria 
Published: May 2022

AbstractDue to the absence of easily applicable cut‐off points to determine high blood pressure or hypertension in children, as in the adult population, blood pressure is rarely measured in the pediatrician's clinical routine. This has led to an underdiagnosis of high blood pressure or hypertension in children. For this reason, the present study evaluate the utility of five equations for the screening of high blood pressure in children: blood pressure to height ratio, modified blood pressure to height ratio, new modified blood pressure to height ratio, new simple formula and height‐based equations. The authors evaluated 1599 children between 5 and 18 years. The performance of the five equations was analyzed using the receiver‐operating characteristics curves for identifying blood pressure above P90th according to the American Academy of Pediatrics Clinical Practice Guideline 2017. All equations showed an area under the curve above 0.882. The new modified blood pressure to height ratio revealed a high sensitivity whereas the height‐based equations showed the best performance, with a positive predictive value above 88.2%. Finally, all equations showed higher positive predictive values in children with overweight or obesity. The height‐based equation obtained the highest PPV values above 71.1% in children with normal weight and above 90.2% in children with overweight or obesity. In conclusions, the authors recommend the use of the height‐based equations equation because it showed the best positive predictive values to identify children with elevated blood pressure, independently of their sex, pubertal and weight status.
Evaluating the cascading‐use of wood furniture: How value‐retention processes can contribute to material efficiency and circularity
Authors: Russell Jennifer D. , Huff Kendria , Haviarova Eva 
Published: May 2022

AbstractAs utilized technical products, durable wood furniture plays an important role in a future circular economy (CE). However, contemporary CE literature predominantly focuses on wood's biochemical properties and its potential as a consumable material within the bio‐cycle. This perspective prevents meaningful consideration of CE strategies for the wood products sector, particularly for value‐retention processes (VRPs), including reuse, repair, and refurbishment. We adapt and apply the VRP model introduced by the UN International Resource Panel (IRP) to wood furniture products to quantify select environmental benefits made possible through cascading‐use, via VRPs (vs. new manufacturing). Unlike traditional life cycle assessment (LCA), this model accounts for impacts incurred and avoided through product life‐extension and VRPs, relative to conventional systems of new manufacturing, disposal, and replacement. Three case studies of wood‐based chairs are conducted to demonstrate this new application of the VRP model to compare the relative environmental impacts associated with wood furniture that is diverted to cascading‐use, prior to recycling. In collaboration with industry partners, new material requirements (kg/unit), energy requirements (kWh/unit), emissions (kg CO2‐e./unit), and waste generation (kg/unit) were calculated for newly manufactured chairs (OEM new) and subsequent cascading‐use via reuse, repair, and refurbishment. The differing degrees of environmental impact avoidance and material efficiency are presented for each case study product and VRP, to provoke discussion and future research regarding the effective and optimal utilization of technical, durable wooden furniture within a CE.
Inpatients Self‐Administration of Medication: Stakeholders' views and prerequisites
Authors: van Herpen‐Meeuwissen Loes J. M. , Djodikromo Melissa F. , Maat Barbara , van den Bemt Bartholemeus J. F. , Bekker Charlotte L. , van Onzenoort Hendrikus A. W. 
Published: May 2022

AbstractAims and objectivesTo identify stakeholders' views on inpatient Self‐Administration of Medication and corresponding prerequisites for successful implementation.BackgroundSelf‐Administration of Medication allows capable patients to manage their medication regimen throughout hospitalisation. It is assumed to facilitate continuity of care, increase medication safety and patient empowerment. To enable sustainable implementation stakeholders should support it. Knowledge about stakeholders' views regarding Self‐Administration of Medication is currently lacking.DesignA qualitative study was conducted among stakeholders using semi‐structured interviews.MethodsUsing purposive and snowball sampling fourteen representatives from Dutch healthcare associations, organisations and authorities were interviewed between April and July 2019. These stakeholders were asked to reflected on Self‐Administration of Medication and its implementation. Data were examined using inductive thematic content analysis and reported following the COREQ checklist.ResultsMost stakeholders were positive towards Self‐Administration of Medication and foresaw benefits in terms of the following: improvements to patient‐centred care, contributions to sustainable use of healthcare assets and the need and opportunity for change. Critical concerns included reflecting potential risks for patient safety, concerns about implementation feasibility and questions regarding implementation necessity. Stakeholders highlighted prerequisites pertaining to the implementation process in which the following two themes emerged: (1) initiate a supported change and (2) perform research for best practices and identification of benefits. Other prerequisites concerned distinct levels within healthcare including individual patients (i.e. adequate communication), hospital organisation (i.e. to establish a workflow to secure medication safety) and healthcare system (i.e. to facilitate multidisciplinary collaboration in healthcare).ConclusionStakeholders were predominantly positive about Self‐Administration of Medication. For successful and sustainable implementation of Self‐Administration of Medication, prerequisites identified in this study should be met.Relevance to clinical practiceThis study provided knowledge about stakeholders' views which could foster implementation and evaluation of Self‐Administration of Medication, which may, in turn, promote effective deployment and patient empowerment.
HE4 is associated with clinical risk prognostic factors and survival outcome in primary fallopian tube carcinoma patients
Authors: Mi Dong , Zhang Yuexiang , Chen Shuqin 
Published: May 2022

AbstractAimTo explore whether HE4 was associated with clinical risk prognostic factors and survival outcome in primary fallopian tube carcinoma patients.MethodsNinety‐six primary fallopian tube carcinoma (PFTC) patients from March 2011 to June 2019 were enrolled in this study. Serum CA125 and HE4 concentrations were measured at four time points including primary diagnosis, postsurgery, pre‐recurrence, and recurrence. The relations between clinical risk prognostic factors with HE4 concentrations were investigated, and multivariate survival analysis was used to calculate the hazard ratios between HE4 levels with recurrence‐free survival and overall survival.ResultsHE4 were significantly elevated in poor performance status, advanced stage, high histological grade and residual tumor diameter >1 cm, and positive lymph node status, respectively, compared with those in well performance status, early stage, low histological grade, residual tumor diameter ≤1 cm, and negative lymph node status, respectively. Multivariate survival analysis indicated serum HE4 can predict outcome of recurrence‐free survival and overall survival with hazard ratios of 9.92 (95% confidence interval [CI]: 2.95–33.32) and 3.12 (95% CI: 1.07–9.08), respectively.ConclusionHE4 is associated with clinical risk prognostic factors in PFTC and contributes to predict survival outcome in PFTC cases.
Reliability and validity of the 15‐item Chronic Oral Mucosal Disease Questionnaire in China: A short‐form instrument to measure quality of life
Authors: Wang Weiren , Chen Qiuyu , Kang Yuanyuan , Wang Junyan , Wen Yan , Peng Chuanyang , Gao Yuqin , Cai Yannan , Yuan Lulu 
Published: May 2022

AbstractBackgroundChronic oral mucosal diseases have been a common problem, which affected individuals' health and social functions seriously. Although there has been a rigorous Chinese version of the Chronic Mucosal Diseases Questionnaire (COMDQ‐26) to measure the quality of life of patients with chronic oral mucosal diseases, 26 items were so redundant to be a burden for patients. It was necessary to make a brief, practical, and easy‐to‐use tool in China. This study aimed to test the validity and reliability of the Chinese version of the short‐form Chronic Mucosal Diseases Questionnaire (COMDQ‐15).MethodsA total of 165 respondents from a tertiary stomatological hospital were recruited in this study from July to December, 2020. Internal consistency, test–retest reliability, criterion validity, confirmatory factor analysis, and exploratory factor analysis were used to evaluate the reliability and validity of the Chinese version of Chronic Mucosal Diseases Questionnaire‐15.ResultsThe total Cronbach's α of 0.841 and subscale ranging from 0.736 to 0.965 revealed good internal consistency of the reliability. The intraclass correlation coefficients exceeded 0.80 indicated excellent test–retest reliability. Compared with the Oral Health Impact Profile‐14, the criterion validity was 0.549. The confirmatory factor analysis results supported acceptable validity of the Chinese version of Chronic Mucosal Diseases Questionnaire‐15, and the exploratory factor analysis demonstrated that the 15 items were classified into four domains, with a cumulative proportion of 71.52%.ConclusionThe Chinese version of Chronic Mucosal Diseases Questionnaire‐15 is a brief and low‐burden tool, and has been proved reliable and valid to assess the quality of life of patients with chronic oral mucosal diseases in China (the Chinese Clinical Trial Registry (no. ChiCTR2000031607).
Relationships of mineralized dermal layer of mountain endemic miniature frogs with climate
Authors: Mari R. de B. , Mori G. M. , Vannucchi F. S. , Ribeiro L. F. , Correa C. N. , de Lima S. K. S. , Teixeira L. , Sandretti‐Silva G. , Nadaline J. , Bornschein M. R. 
Published: May 2022

AbstractThe mineralized dermal layer (MDL) is found in most terrestrial anurans. Its thickness represents on average up to 8% of that of the entire skin. It has been proposed that it may reduce body water loss, act on homeostasis, support skin structure, or conversely, it may be a currently functionless trait constrained by groups' evolutionary history. We described the MDL morphology of 11 Brachycephalus species, terrestrial, miniaturized and microendemic anurans, and tested for its relationship with climate of higher latitude regions of the Atlantic Rainforest of Brazil. All species presented MDL, described with two distinct morphological patterns: homogeneous or heterogeneous MDL, the latter distinguishable by MDL with dorsal or lateral expansion, sometimes up to the limit of the epidermis and comprising up to 50% of the thicknesses of the entire skin. Climate differed between locations by MDL morphological group, less rainy or seasonally less rainy where species with heterogeneous MDL occur. Our results indicate that the abundance of calcium in MDL and its heterogeneous condition suggest its adaptive function in reduce water loss. Such adaptations in anurans in very humid highlands reinforce the mountains' propensity for rapid loss of humidity, demystifying them as an extremely abundant source of water. This is the third study that tested the relationship between the MDL morphology and the environment where species occur and the first that correlated this structure with the climate of anurans of the same habit and distributed in a single habitat, the Atlantic Rainforest.
The Relative Contribution of Language Complexity to Second Language Video Lectures Difficulty Assessment
Authors: ALGHAMDI EMAD A. , GRUBA PAUL , VELLOSO EDUARDO 
Published: May 2022

AbstractAlthough core in the teaching of academic language skills, little research to date has investigated what makes video‐recorded lectures difficult for language learners. As part of a larger program to develop automated videotext complexity measures, this study reports on selected dimensions of linguistic complexity to understand how they contribute to overall videotext difficulty. Based on the ratings of English language learners of 320 video lectures, we built regression models to predict subjective estimates of video lecture difficulty. The results of our analysis demonstrate that a 4‐component partial least square regression model explains 52% of the variance in video difficulty and significantly outperformed a baseline model in predicting the difficulty of videos in an out‐of‐sample testing set. The results of our study point to the use of linguistic complexity features for predicting overall videotext difficulty and raise the possibility of developing automated systems for measuring video difficulty, akin to those already available for estimating the readability of written materials.