bluuebunny/crossref_metadata_2025_split huggingface dataset:
Entrepreneurial mothers' behaviours on their business and family life: a case study in Sri Lanka
Authors: Kodagoda Thilakshi , Samaratunge Ramanie 
Published: March 2022

PurposeThis study examines women entrepreneurs' understanding of motherhood and entrepreneurial career and how they negotiate this combination with their gendered understandings and social norms in Sri Lanka.Design/methodology/approachData were collected using in-depth, semi-structured interviews from 20 entrepreneurial mothers in the Western Province of Sri Lanka. Sub-samples were taken to achieve demographic heterogeneity.FindingsThis study found that entrepreneurial mothers do not perceive their business as separate from their motherhood understanding. They believe that their profession is a part of motherhood responsibilities. This study also found that to negotiate a combination of roles, these mothers employed two coping strategies at different levels: family and business.Research limitations/implicationsAs the sample size is small, an extended research strategy would be more effective. Future research could seek to identify strategies that women entrepreneurs use to balance their business–family life.Practical implicationsThis research provides implications for balancing business and family life for women entrepreneurs.Originality/valueThe paper extends the cultural and geographical scope of the literature on women entrepreneurs' business–family life experiences.
Application of Six Sigma methodology to enhance the productivity and performance of a hotel in the UAE
Authors: Ramadan Mariam Ali , Al Dhaheri Maha Khalifa , Maalouf Maher , Antony Jiju , Bhat Shreeranga , Gijo E. V. 
Published: March 2022

PurposeThe hotel industry is one of the primary sectors contributing to every country's economy by promoting and reinforcing tourism. The pandemic situation across the globe is forcing the hospitality industry to adopt a suitable operational excellence (OPEX) methodology and its associated tools to deliver quality service at an affordable cost. However, there is limited evidence of applying one of the prominent OPEX methodologies, such as Six Sigma (SS), to enhance the hospitality industry's productivity and performance. Thus, the purpose of the study is to explore the application of the SS methodology to reduce the cycle time of a pantry workstation in a United Arab Emirates (UAE) hotel sector.Design/methodology/approachThe research adopted a case study approach using DMAIC (define-measure-analyse-improve-control) phases to improve the performance of the minibar updating process attached to the hotel rooms. In addition, the study effectively used several tools, including normality tests, control charts, capability analysis, cause and effect diagram, failure mode effects analysis (FMEA), value stream mapping (VSM) and GEMBA, to validate the root causes and draw robust inferences.FindingsThe average cycle time and standard deviation of the pantry process were drastically reduced. Further, the analysis showed that the process capability index was substantially improved. Consequently, a notable improvement in the process performance was witnessed, which has resulted in a profit of $50,000 per annum in the hotel.Practical implicationsThe article provides a structured and disciplined approach of SS in a hotel which can be used as a benchmarking document by the academicians, practitioners and policymakers for OPEX within the hospitality industry. Further, it paves the way to develop a road map for applying SS in the hospitality sector.Originality/valueAs per the authors' knowledge, to date, no case study has been reported in top tier refereed journals regarding the application of SS in the hotel sector. Thus, the current case study bridges this gap and reiterates that SS can be effectively used with meticulous planning and deployment in the hospitality industry.
Knowledge management and community-based enterprise: an initiative to preserve the shadow puppet traditional knowledge in Yogyakarta, Indonesia
Authors: Manik Hardo Firmana Given Grace , Christanti Rossalina , Setiawan Wahyu 
Published: March 2022

Purpose
This study aims to examine the dynamics of traditional wayang kulit or shadow puppet knowledge management in a community-based enterprise (CBE) known as “Wisata Wayang” in Wukirsari Village, Yogyakarta, Indonesia.

Design/methodology/approach
A qualitative case study was adopted, which allows the author to explore the dynamics or uniqueness of an event or cultural phenomenon more deeply.

Findings
The shadow puppet is an artefact of Javanese culture with rich life philosophy and wisdom. It guides people the pursuit of harmony with themselves, others, the universe and God. The success of knowledge management of the shadow puppet at CBE was supported by the high entrepreneurial orientation of the administrators. This study showed that entrepreneurial orientation should be extended into sociopreneurial with additional aspects, including preservation mission and communality, promoting the emergence of grassroots innovations. The knowledge of shadow puppet craft in this village is passed through nyantrik, also known as apprenticeship.

Originality/value
No previous research has explored the dynamics of traditional knowledge management in the context of CBE in Indonesia. As Indonesia has rich traditional knowledge from hundreds of tribes and prominent communal cultures, this study of community-based knowledge management contributes new insights in the knowledge management literature.
Two novel mutations in the ATP2C1 gene found in Japanese patients with Hailey–Hailey disease
Authors: Miyazaki Shun , Nakano Hajime , Mizuno Maki , Ozaki Saeko , Hoashi Toshihiko , Kanda Naoko , Saeki Hidehisa 
Published: March 2022

AbstractHailey–Hailey disease (HHD) is an autosomal dominant genodermatosis and the defective gene in HHD is ATP2C1, which encodes secretory pathway Ca2+/Mn2+ ATPase type 1 (SPCA1). Here we report four Japanese HHD patients showing three kinds of mutations with premature termination codons in the ATP2C1 gene, including two novel ones. Patient 1 was a 39‐year‐old man with a novel heterozygous mutation, c.664dup in exon 8 (p.N215Kfs*26). Patient 2 was a 33‐year‐old man (the younger brother of patient 1) with the same mutation as patient 1. Patient 3 was a 55‐year‐old man with a previously reported heterozygous mutation, c.519dup in exon 7 (p.R174Tfs*4). Patient 4 was a 33‐year‐old woman with a novel heterozygous mutation, c.2640del in exon 27 (p.L881Ffs*10). The clinical characteristics of our four cases varied in disease severity and the response to treatment. The present cases enrich the database of mutational analysis for HHD.
Unravelling the processes between phenotypic plasticity and population dynamics in migratory birds
Authors: Liu Jin , Lei Weipan , Mo Xunqiang , Hassell Chris J. , Zhang Zhengwang , Coulson Tim 
Published: March 2022

Abstract

Populations can rapidly respond to environmental change via adaptive phenotypic plasticity, which can also modify interactions between individuals and their environment, affecting population dynamics. Bird migration is a highly plastic resource‐tracking tactic in seasonal environments. However, the link between the population dynamics of migratory birds and migration tactic plasticity is not well‐understood.

The quality of staging habitats affects individuals' migration timing and energy budgets in the course of migration and can consequently affect individuals' breeding and overwintering performance, and impact population dynamics. Given staging habitats being lost in many parts of the world, our goal is to investigate responses of individual migration tactics and population dynamics in the face of loss of staging habitat and to identify the key processes connecting them.

We started by constructing and analysing a general full‐annual‐cycle individual‐based model with a stylized migratory population to generate hypotheses on how changes in the size of staging habitat might drive changes in individual stopover duration and population dynamics. Next, through the interrogation of survey data, we tested these hypotheses by analysing population trends and stopover duration of migratory waterbirds experiencing the loss of staging habitat.

Our modelling exercise led to us posing the following hypotheses: the loss of staging habitat generates plasticity in migration tactics, with individuals remaining on the staging habitat for longer to obtain food due to a reduction in per capita food availability. The subsequent increasing population density on the staging habitat has knock‐on effects on population dynamics in the breeding and overwintering stage. Our empirical results were consistent with the modelling predictions.

Our results demonstrate how environmental change that impacts one energetically costly life‐history stage in migratory birds can have population dynamic impacts across the entire annual cycle via phenotypic plasticity.
Seascape connectivity of temperate fishes between estuarine nursery areas and open coastal reefs
Authors: Swadling Daniel S. , Knott Nathan A. , Taylor Matthew D. , Coleman Melinda A. , Davis Andrew R. , Rees Matthew J. 
Published: March 2022

Abstract

While estuaries are considered valuable nurseries for many harvested fish species, little quantitative data exist about the spatial scales over which estuaries supply individuals to coastal reefs and how this influences coastal metapopulations. Quantifying this connectivity between estuaries and coastal reefs will assist the sustainable management of fisheries and key fish habitat. This information is particularly pertinent considering estuaries world‐wide are experiencing degradation and habitat loss.

We examine how the relative abundance and body length of three exploited fishes (Chrysophrys auratus, Pseudocaranx georgianus and Nemadactylus douglasii) varied in relation to the proximity and size of the nearest estuary, predicting that estuarine dependent species (i.e. C. auratus) would be smaller and more abundant on reefs close to large estuaries. As a network of ‘no‐take’ marine reserves exist across the study area, we also assessed for reserve effects and if these were influenced by the proximity and size of estuaries. Fish assemblages were surveyed using baited remote underwater video systems deployed on 629 rocky reefs across 417 km of coastline in south‐eastern Australia.

As predicted, C. auratus were smaller and more abundant on reefs adjacent to estuaries (<8.5 km), which is consistent with the species being heavily reliant on estuaries as nursery habitats. Neither the length nor abundance of N. douglasii and P. georgianus were influenced by the proximity or size of estuaries. Marine reserves consistently had higher abundances and larger C. auratus, regardless of their proximity to estuaries. However, reserve effects were more variable for both N. douglasii and P. georgianus.

Synthesis and applications. Our results suggest that the dispersal of subadult Chrysophrys auratus from estuarine nurseries to coastal reefs occurs across relatively small spatial scales, highlighting that conserving the ecological functioning of estuaries is paramount to sustaining recruitment to nearby coastal fisheries. Estuary size and proximity had little influence on populations of both Nemadactylus douglasii and Pseudocaranx georgianus as these species are not greatly dependent on estuaries. We also found that the proximity to estuaries did not enhance reserve effects, instead these effects were consistent across the study area.
Railway sound barriers and housing prices
Authors: Lee Kwan Ok , Pang Alvan Hui Kiat 
Published: March 2022

AbstractWe analyze the impact of sound barriers on residential satisfaction and well‐being manifested in housing prices in Singapore. Using the difference‐in‐difference approach, we demonstrate a significant price effect of sound barriers in high‐rise residential environments. There was a 0.6% price increase for public housing units located within 300 m from a railway track after public announcement of sound barriers and a 1.2% further increase after barrier installation. Price effects of sound barriers are heterogeneous by the noise level prior to installation as well as the degree of noise mitigation by barriers. In contrast to the result for public housing, no significant price change was observed for private housing units that have better building design to be shielded from noise even before sound barrier installation. Among public housing, higher‐floor units experienced more substantial price increases compared with lower‐floor units exposed to less noise prior to barrier installation. Finally, the units that are very close to the railway did not enjoy price premiums brought by sound barriers potentially because noise did not fall below the threshold level of annoyance even after barrier installation.
Practical assessment of DSM‐5 alcohol use disorder criteria in routine care: High test‐retest reliability of an Alcohol Symptom Checklist
Authors: Hallgren Kevin A. , Matson Theresa E. , Oliver Malia , Caldeiro Ryan M. , Kivlahan Daniel R. , Bradley Katharine A. 
Published: March 2022

AbstractBackgroundAlcohol use disorder (AUD) is underdiagnosed and undertreated in medical settings, in part due to a lack of AUD assessment instruments that are reliable and practical for use in routine care. This study evaluates the test‐retest reliability of a patient‐report Alcohol Symptom Checklist questionnaire when it is used in routine care, including primary care and mental health specialty settings.MethodsWe performed a pragmatic test‐retest reliability study using electronic health record (EHR) data from Kaiser Permanente Washington, an integrated health system in Washington state. The sample included 454 patients who reported high‐risk drinking on a behavioral health screen and completed two Alcohol Symptom Checklists 1 to 21 days apart. Subgroups of these patients who completed both checklists in primary care (n = 271) or mental health settings (n = 79) were also examined. The primary measure was an Alcohol Symptom Checklist on which patients self‐reported whether they experienced each of the 11 AUD criteria within the past year, as defined by the Diagnostic and Statistical Manual of Mental Disorders‐5th edition (DSM‐5).ResultsAlcohol Symptom Checklists completed in routine care and documented in EHRs had excellent test‐retest reliability for measuring AUD criterion counts (ICC = 0.79, 95% CI: 0.76 to 0.82). Test‐retest reliability estimates were also high and not significantly different for the subsamples of patients who completed both checklists in primary care (ICC = 0.82, 95% CI: 0.77 to 0.85) or mental health settings (ICC = 0.74, 95% CI: 0.62 to 0.83). Test‐retest reliability was not moderated by having a past two‐year AUD diagnosis, nor by the age or sex of the patient completing it.ConclusionsAlcohol Symptom Checklists can reliably and pragmatically assess AUD criteria in routine care among patients who screen positive for high‐risk drinking. The Alcohol Symptom Checklist may be a valuable tool in supporting AUD‐related care and monitoring AUD criteria longitudinally in routine primary care and mental health settings.
Alcohol withdrawal in past‐year drinkers with unhealthy alcohol use: Prevalence, characteristics, and correlates in a national epidemiologic survey
Authors: Livne Ofir , Feinn Richard , Knox Justin , Hartwell Emily E. , Gelernter Joel , Hasin Deborah S. , Kranzler Henry R. 
Published: March 2022

AbstractBackgroundDespite its potential to produce serious adverse outcomes, DSM‐5 alcohol withdrawal syndrome (AWS) has not been widely studied in the general population.MethodsWe used cross‐sectional data from 36,309 U.S. adults from the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions‐III to examine the past‐year prevalence of AWS and its correlates. We focused on an important clinical population–past‐year drinkers with unhealthy alcohol use–i.e., those with a positive score on the Alcohol Use Disorders Identification Test–Consumption (AUDIT‐C) questionnaire. We also examined the association of AWS with sociodemographic measures, psychiatric disorders, alcohol‐related measures, and healthcare utilization.ResultsApproximately one‐third (n = 12,634) of respondents reported unhealthy alcohol use (AUDIT‐C+). Of these, 14.3% met criteria for a DSM‐5 AWS diagnosis. The mean (SE) number of withdrawal symptoms among individuals with AWS was 2.83 (1.88), with the most common being nausea/vomiting and insomnia (19.8% and 11.6%, respectively). Among AUDIT‐C+ respondents, the odds of AWS were significantly higher among males (adjusted odds ratio [aOR] = 1.17 [95% CI, 1.02–1.33]), unmarried participants (aOR = 1.55 [95% CI, 1.25–1.92]), and those at the lowest (vs. highest) income levels (aOR = 1.62 [95% CI, 1.37–1.92]). Among AUDIT‐C+ respondents, AWS was also associated with psychiatric disorders (with aORs that ranged from 2.08 [95% CI, 1.79–2.41]) for major depressive disorder to 3.14 (95% CI, 1.79–2.41) for borderline personality disorder. AUDIT‐C+ respondents with AWS also had higher odds of past‐year alcohol use disorder (aOR = 11.2 [95% CI, 9.66–13.07]), other alcohol‐related features (e.g., binge drinking), and healthcare utilization.ConclusionsAmong individuals with unhealthy alcohol use, AWS is prevalent, highly comorbid, and disabling. Given the risk of AWS among unhealthy drinkers, a comparatively large segment of the general population, clinicians should seek to identify individuals with AWS and intervene with them to prevent serious adverse outcomes.
The use of the myometrial‐cervical ratio in the ultrasound diagnosis of adenomyosis – A validation study
Authors: McCaughey Tristan , Mooney Samantha , Harlow Keryn , Healey Martin , Stone Kate 
Published: March 2022

BackgroundAdenomyosis is a benign disorder defined by ectopic endometrial glands within the uterine myometrium. A study by Mooney et al reported the myometrial‐cervical ratio (MCR), a novel ultrasound measurement that was found to improve the preoperative diagnosis of adenomyosis.AimsTo validate the association between sonographic MCR and adenomyosis confirmed on histopathology in an independent patient group.Materials and MethodsSingle‐centre retrospective cohort study including women who underwent hysterectomy between 1 January 2016 and 31 December 2018 for a benign, non‐obstetric indication with an ultrasound at the study centre prior to surgery. Clinical details and histopathology were extracted. Ultrasound images were reviewed by a gynaecology ultrasound subspecialist blinded to histological findings.ResultsEight hundred eighty‐seven patients underwent hysterectomy in the study period for eligible indications; 317 had an ultrasound at the study centre and were included. There was no statistically significant association between the MCR and adenomyosis on histology when all patients were included; however, increased MCR was associated with adenomyosis when those with fibroids on ultrasound were excluded. The area under the receiver operating characteristic for this model was 0.614 (95% CI: 0.53 to 0.69). The optimal MCR cut‐point in this subgroup was 1.79, which achieved 55.6% sensitivity and 62.8% specificity, with 58.5% correctly classified. There was no significant difference in MCR compared to traditional ultrasound markers of adenomyosis.ConclusionsIn a population undergoing hysterectomy for benign and non‐obstetric indications, the MCR applied to preoperative ultrasound was only weakly associated with a histological diagnosis of adenomyosis.
Blenders, Hammers, and Knives: Postpartum Intrusive Thoughts and Unthinkable Motherhood
Authors: Mason Katherine A. 
Published: March 2022

Summary“Intrusive thoughts” are common symptoms of perinatal mood and anxiety disorders such as postpartum obsessive‐compulsive disorder. These thoughts can include horrific flashes of violence involving one’s baby and frequently lead to shame and fear on the mother’s part, but rarely result in real‐world violence. Clinicians tend to downplay the importance of these images’ content and calm women by reminding them that they will not act on their impulses. This article leans into the dark nature of intrusive thoughts. I intersperse theoretical and ethnographic reflections with vivid fragments of narratives about intrusive thoughts collected from several years of ethnographic research conducted with postpartum women in the United States. I explore the fear, rage, and repulsion that characterize the thoughts themselves and the racism, classism, and sexism involved in clinical, institutional, and interpersonal responses to them. I suggest that dwelling on the “unthinkable” images contained within intrusive thoughts may be important for understanding and accepting the realities of mother love.
Meta‐analysis: prevalence of, and risk factors for, non‐alcoholic fatty liver disease in patients with inflammatory bowel disease
Authors: Zamani Mohammad , Alizadeh‐Tabari Shaghayegh , Singh Siddharth , Loomba Rohit 
Published: March 2022

SummaryBackgroundNon‐alcoholic fatty liver disease (NAFLD) is found in inflammatory bowel disease (IBD). However, uncertainties remain on the magnitude of the association.AimsTo explore systematically the prevalence of, and risk factors for, NAFLD in IBD patients.MethodsWe searched medical literature using Embase, PubMed, Web of Science, Scopus and ProQuest, from inception to September 30, 2021. We included observational studies reporting the prevalence of NAFLD in ≥50 adult patients with IBD. Diagnosis of NAFLD could be based on imaging, histopathology, and/or hepatic steatosis index. Sex, age, body mass index (BMI), diabetes, hypertension, dyslipidemia, prior surgery (bowel resection), corticosteroids, biologics and immunomodulators were assessed as potential risk factors for NAFLD.ResultsOf 1893 citations, 44 eligible studies were finally included, comprising 14 947 subjects from 18 different countries. Pooled prevalence of NAFLD was 30.7% (95% confidence interval [CI] 26.5–34.9) in patients with IBD worldwide, which varied regionally. No significant difference was observed in the odds ratio (OR) of NAFLD among Crohn’s disease (CD) patients compared with ulcerative colitis (UC) patients (1.16, 95% CI 0.93–1.44). Risk of NAFLD was almost twice as high in patients with IBD as in healthy subjects (OR 1.96, 95% CI 1.13–3.41). Age (adjusted OR 1.03, 95% CI 1.01–1.05) and BMI (adjusted OR 1.27, 95% CI 1.22–1.32) were statistically significantly associated with increased risk of NAFLD. The pooled prevalence of advanced liver fibrosis in IBD patients with NAFLD was 13.6% (95% CI 7.6–19.7) based on six studies.ConclusionUp to one‐third of patients with IBD experienced NAFLD worldwide. The risk of NAFLD was two times higher in IBD patients versus healthy subjects.