bluuebunny/crossref_metadata_2025_split huggingface dataset:
Customer obsession – the springboard for a value creation strategy
Authors: Weinstein Art T. 
Published: October 2022

Purpose
Customer-obsessed organizations put customers first, create exceptional value and enhance business performance. This paper aims to offer a framework for implementing the customer obsession construct.

Design/methodology/approach
Using relevant customer value literature, syndicated research and a qualitative analysis, customer obsession insights are offered.

Findings
Customer-obsessed companies know their customers’ needs and engage with them to offer the best solutions. Four customer-centric stages are evaluated, and applications of customer obsession in the Now Economy are discussed.

Research limitations/implications
This analysis of customer obsession is largely conceptual and presents a case study in one metropolitan statistical area. Although the findings are insightful, it may not be representative of the US or global health-care market.

Practical implications
Strategic implications relate to a bias for action, types of business obsessions, values alignment and benchmarking. This paper features an in-depth case study on Baptist Health South Florida which assesses customer obsession using a customer value framework.

Originality/value
Customer obsession is a strategic mindset built upon strong leadership, a sound business culture and superior value. While critical to business success, there has been limited scholarly work in this area. This paper fills that gap by providing a managerial approach for understanding this key business priority.
A diplomatic-informed archival pedagogy: fostering student-centered learning environments for novice archival researchers
Authors: Dearborn Carly , Flierl Michael 
Published: October 2022

PurposeThis paper begins to construct a theoretical foundation for using a diplomatic-informed pedagogy that specifically addresses common concerns in archival instruction in a higher education environment. The authors utilize self-determination theory (SDT) to define student-centeredness and provide empirical guidance for creating a learning environment supporting student motivation, persistence and academic achievement. The proposed framework provides both structure and theoretical grounding for the archivist while also cultivating a learning environment which effectively motivates novice researchers.Design/methodology/approachThe authors draw on diplomatics and archival instructional literature to propose an instructional framework utilizing SDT.FindingsA diplomatic-informed pedagogy is a new, theoretically viable approach to archival instruction for novice researchers intending to replace common archival orientation and competency-based instruction. This pedagogical approach also provides a reproducible structure to the instructional archivist, helping to organize classroom learning outcomes, assessments and activities in alignment with evidence-based research and well-established archival theory.Research limitations/implicationsThis is a conceptual paper and based on subjective analysis of existing literature and theory. The proposed framework has not been tested in a practical application, but it is based in the pedagogical foundations of diplomatics and SDT's focus on student perceptions and motivations.Originality/valueDiplomatics, the foundation of archival science and legal theory, can be applied pedagogically to provide concrete guidance to teach students to use archives in more intentional, creative and disciplinary authentic ways. Diplomatics gives the instructional archivist a pedagogical foundation, structure and guiding methodology to approaching novice researchers in the archives, while SDT presents how to implement such an approach.
Indicators for safety culture in SME construction firms: a Delphi study in Ghana
Authors: Adzivor Eric Kodzo , Emuze Fidelis , Das Dillip Kumar 
Published: October 2022

Purpose
The purpose of this article is to determine safety culture indicators that can improve the health and safety performance of small and medium-sized enterprise (SME) contractors in Ghana.

Design/methodology/approach
A three-round Delphi method was used. The first round consisted of 31 experts out of which 18 of them rated their agreements with a set of 87 potential safety culture indicators using a 10-point Likert scale of importance (1 = important and 10 = very important) and the 16 experts who completed the final round were given the opportunity to suggest other indicators. The 87 indicators were categorised into 14 core health and safety elements. Indicators that attained a group median value of 5–10 for 50% or more expert ratings were accepted.

Findings
At the end of the third round, a consensus was reached on the indicators when they attracted median scores of 5–10 for at least 50% or more of the health and safety experts rated the indicators between 5 and 10. Out of a total of 87 indicators at the start of the Delphi process, the consensus was reached on 70 that were retained.

Research limitations/implications
The health and safety experts were not given the opportunity to add new indicators to the structured questionnaire until the third round.

Originality/value
This is the first study, to the best of the authors’ knowledge, to have a consensus by health and safety experts on leading indicator metrics of positive culture of construction safety in Ghana for improved SME construction company’s health and safety performance in Ghana. If these indicators are adopted and used effectively in Ghana, they would ensure positive culture of construction safety and subsequently help to protect construction workers.
How OER can support teacher collaborative learning to enact equitable teaching practices
Authors: Jensen Bryant , Kimmons Royce 
Published: October 2022

Purpose
Many K-12 teaching practices unwittingly reproduce social privileges. To transform their teaching and provide more equitable learning opportunities for students from minoritized communities, teachers need professional learning experiences that are collaborative and “close-to-practice” (Ermeling and Gallimore, 2014). This study aims to propose an approach to open educational resources (OER) to support teacher learning to enact equitable teaching practices.

Design/methodology/approach
Based on an integrative review of research on OER, equitable teaching and teacher collaboration, the authors propose the “Open Guidebook Approach” (OGA) to realize and sustain enactment of equitable teaching. OGA materials are practical, available and adaptable for teachers to learn together to transform their practice incrementally and continually within small, job-alike teams. The authors illustrate OGA with Making Meaning (https://edtechbooks.org/making_meaning), which offers information on equitable teaching through graphically illustrated scenarios and guides teachers to plan lessons together, observe each other, debrief and analyze implementation and reflect on and revise lessons based on peer observation and student learning goals.

Findings
Teachers using Making Meaning recommend ways to enhance its adaptability and practicality, e.g. by providing repositories of lesson ideas for and by teachers, using classroom videos in addition to illustrated scenarios and emphasizing teacher dispositions underlying equitable teaching practices.

Originality/value
OGA provides a promising way for educators, designers and researchers to work arm-in-arm to transform schooling for teachers and students. Further research is needed to identify structural conditions requisite for OGA use and how OGA materials can optimize teacher collaboration to enact meaningful and effective opportunities for minoritized students to participate and learn in classrooms.
Challenges of business models for sustainability in startups
Authors: Nunes Andressa Kelly da Silva , Morioka Sandra Naomi , Bolis Ivan 
Published: October 2022

Purpose
This study aims to analyze the challenges startups face in implementing business models for sustainability. In particular, the research question of this study is: How do the challenges faced by startups affect business models for sustainability in the context of an emerging country?

Design/methodology/approach
Startups are increasingly incorporating ways to thrive in a competitive environment with innovative sustainable business models, a key factor for competitive advantage and corporate sustainability. This paper analyses startups’ challenges in adopting business models for sustainability through a case study in two startups, using the sustainable value exchange matrix (SVEM) tool through workshops, to carry out the diagnosis of these challenges.

Findings
The barriers and challenges of business models for sustainability in startups were found in different categories, where the main barriers are linked to the institutional category, the organizational and the market and sales culture. Thus, the authors concluded that there is a need to reformulate public policies and to have greater participation of the actors involved.

Research limitations/implications
The main limitation of the research is the number of case studies (only two), which makes it difficult to generalize the results.

Practical implications
The research presents two major contributions. First, through the case studies, it is possible to verify that the barriers and challenges in business models for sustainability have relevance for startups. The second contribution is the adaptation of SVEM in conducting the debate by incorporating the barriers and challenges in value creation and delivery system.

Social implications
This study contributes to the business models for sustainability literature to better understand the challenges startups face in practice and can serve as insights to help overcome them. As this is an empirical study, the information gathered can help create metrics and public policies to achieve the United Nations sustainable development goals.

Originality/value
The present research has as originality the analysis of the challenges in startups in implementing business models for sustainability and their relationships with the value proposition, capture and creation, as well as and delivery (adapted to the challenges found in the literature) applying the SVEM tool proposed by Morioka et al. (2018).
Where racial and ethnic disparities in policing come from: The spatial concentration of arrests across six cities
Authors: Neil Roland , MacDonald John M. 
Published: October 2022

Research SummaryThis study examines the extent to which citywide racial and ethnic disparities in arrests are driven by a subset of places within cities. Data are drawn from six U.S. cities from 2014 to 2019. Results indicate that arrests are strongly concentrated within a few block groups, for all race and ethnicities in all cities. Coupled with higher rates of arrests for Blacks and (in some cities) Hispanics compared to Whites and other racial groups, this means that a few places in every city are responsible for driving citywide racial and ethnic disparities in arrests. These arrest hot spots demonstrate very high year‐to‐year stability. There is a strong relationship between crime and arrest hot spots, making crime hot spots key drivers of citywide racial and ethnic disparities in arrests.Policy ImplicationsOur results indicate that changes to arrest patterns in most parts of a city will have little impact on citywide racial and ethnic disparities in arrests. At the same time, an intense focus on reducing arrests in hot spots may yield outsized reductions in population‐level racial and ethnic disparities, while being especially feasible due to their limited scope. Place‐based and group‐based interventions at these locations may entail the dual benefit of reduced racial disparities in arrests along with enhanced public safety.
Sublobectomy for stage IA1‐2 invasive lung adenocarcinoma with consolidation tumor ratio ≤ 0.25
Authors: Qi Yi‐Fan , Qiu Zhen‐Bin , Zhang Chao , Fu Rui , Yang Xiong‐Wen , Chu Xiang‐Peng , Chen Zi‐Hao , Yang Xue‐Ning , Wu Yi‐Long , Zhong Wen‐Zhao 
Published: October 2022

AbstractBackgroundSublobectomy for early‐stage non‐small cell lung cancer (NSCLC) remains a matter of debate. This study aimed to discuss the feasibility of sublobectomy in patients with pathological‐stage IA1‐2 confirmed as pathologically invasive but radiologically noninvasive adenocarcinoma.MethodsFrom 2011 to 2019, we screened clinical stage IA1–IA2 lung cancer patients who underwent surgery at the Guangdong Provincial People's Hospital (GDPH). Inclusion criteria were maximum tumor diameter of 2.0 cm or less, consolidation tumor ratio (CTR) ≤ 0.25, and pathologically confirmed invasive adenocarcinoma. Sublobectomy (segmentectomy and wedge resection) and lobectomy groups were created, and propensity scores were computed. The primary endpoints were lung cancer‐specific overall survival (LCSS) and LCS‐ relapse‐free survival (LCS‐RFS) after adjusting propensity scores.ResultsA total of 1731 patients were screened, and 100 patients were enrolled. The lobectomy group had 51 patients and the limited resection group had 49. No cases relapsed, and two patients died from nontumor causes. For the entire cohort, the 5‐year LCSS and 5‐year LCS‐RFS were 100% in the lobectomy and limited resection groups. When propensity scores matched, there were no differences in LCSS and LCS‐RFS between the two groups (LCSS:100%, LCS‐RFS 100% in lobectomy and limited resection, respectively).DiscussionSublobectomy may be curative for pathologically invasive but radiologically noninvasive adenocarcinoma at pathological stage IA1‐2.
Pathologic responses to neoadjuvant chemoimmunotherapy in primary limited‐stage small‐cell lung cancer
Authors: Lu Meng , Zhang Ran , Qi Li‐sha , Wang Ya‐lei , Sun Xiao‐xuan , You Jian 
Published: October 2022

AbstractBackgroundImmunotherapy has been proved to have a large effect on extensive‐stage small cell lung cancer, but the role of immunotherapy in limited‐stage small‐cell lung cancer (LS‐SCLC) is still unknown.MethodsA retrospective study of six patients with LS‐SCLC who were treated with neoadjuvant chemoimmunotherapy (durvalumab plus etoposide combined with cisplatin) was performed. Patients were evaluated by the safety, feasibility and pathologic responses of neoadjuvant chemoimmunotherapy.ResultsNeoadjuvant durvalumab combined chemotherapy was associated with few immediate adverse events and did not delay planned surgery. All patients achieved partial pathologic response (pPR) instead of major pathologic response, or pathologic complete response. No association was observed between programmed death‐ligand 1 expression in tumor specimens and the pathologic response. However, tumors with high expression of immune cells such as CD4+ T cells, CD8+ T cells and FoxP3+ Tregs tended to have better pathologic responses than tumors with low expression of immune cells.ConclusionsNeoadjuvant durvalumab combined chemotherapy could induce pPR with few side effects in resectable LS‐SCLC. The immune cells in the tumor microenvironment might play an important role in neoadjuvant chemoimmunotherapy in resectable LS‐SCLC.
Biomarkers of potential harm in people switching from smoking tobacco to exclusive e‐cigarette use, dual use or abstinence: secondary analysis of Cochrane systematic review of trials of e‐cigarettes for smoking cessation
Authors: Hartmann‐Boyce Jamie , Butler Ailsa R. , Theodoulou Annika , Onakpoya Igho J. , Hajek Peter , Bullen Chris , Rigotti Nancy A. , Lindson Nicola 
Published: October 2022

AbstractAimsThis study aims to compare biomarkers of potential harm between people switching from smoking combustible cigarettes (CC) completely to electronic cigarettes (EC), continuing to smoke CC, using both EC and CC (dual users) and using neither (abstainers), based on behaviour during EC intervention studies.DesignSecondary analysis following systematic review, incorporating inverse variance random‐effects meta‐analysis and effect direction plots.SettingThis study was conducted in Greece, Italy, Poland, the United Kingdom and the United States.ParticipantsA total of 1299 adults smoking CC (nine studies) and provided EC.MeasurementsMeasurements were conducted using carbon monoxide (CO) and 26 other biomarkers.FindingsIn pooled analyses, exhaled CO (eCO) was lower in EC versus EC + CC [mean difference (MD) = −4.40 parts per million (p.p.m.), 95% confidence interval (CI) = −12.04 to 3.24, two studies] and CC (MD = −9.57 p.p.m., 95% CI = −17.30 to −1.83, three studies). eCO was lower in dual users versus CC only (MD = −1.91 p.p.m., 95% CI = −3.38 to −0.45, two studies). Magnitude rather than direction of effect drove substantial statistical heterogeneity. Effect direction plots were used for other biomarkers. Comparing EC with CC, 12 of 13 biomarkers were significantly lower in EC users, with no difference for the 13th. Comparing EC with dual users, 12 of the 25 biomarkers were lower for EC, and five were lower for dual use. For the remaining eight measures, single studies did not detect statistically significant differences, or the multiple studies contributing to the outcome had inconsistent results. Only one study provided data comparing dual use with CC; of the 13 biomarkers measured, 12 were significantly lower in the dual use group, with no statistically significant difference detected for the 13th. Only one study provided data on abstainers.ConclusionsSwitching from smoking to vaping or dual use appears to reduce levels of biomarkers of potential harm significantly.
Using recovery management checkups for primary care to improve linkage to alcohol and other drug use treatment: a randomized controlled trial three month findings
Authors: Scott Christy K , Dennis Michael L. , Grella Christine E. , Watson Dennis P. , Davis Jordan P. , Hart M. Kate 
Published: October 2022

AbstractBackground and AimsRecovery management checkups (RMC) have established efficacy for linking patients to substance use disorder (SUD) treatment. This study tested whether using RMC in combination with screening, brief intervention, and referral to treatment (SBIRT), versus SBIRT alone, can improve linkage of primary care patients referred to SUD treatment.DesignA randomized controlled trial of SBIRT as usual (n = 132) versus SBIRT plus recovery management checkups for primary care (RMC‐PC) (n = 134) with follow‐up assessments at 3 months post‐baseline.SettingFour federally qualified health centers in the United States serving low‐income populations.ParticipantsPrimary care patients (n = 266, 64% male, 80% Black, mean age, 48.3 [range, 19–53]) who were referred to SUD treatment after SBIRT.InterventionsSBIRT alone (control condition) compared with SBIRT + RMC‐PC (experimental condition).MeasurementThe primary outcome was any days of SUD treatment in the past 3 months. Key secondary outcomes were days of SUD treatment overall and by level of care, days of alcohol and other drug (AOD) abstinence, and days of using specific substances, all based on self‐report.FindingsAt 3‐month follow‐up, those assigned to SBIRT + RMC‐PC (n = 134) had higher odds of receiving any SUD treatment (46% vs 20%; adjusted odds ratio = 4.50 [2.49, 8.48]) compared with SBIRT only, including higher rates of entering residential and intensive outpatient treatment. They also reported more days of treatment (14.45, vs 7.13; d = +0.26), more days abstinent (41.3 vs 31.9; d = +0.22), and fewer days of using alcohol (27.14, vs 36.31; d = −0.25) and cannabis (19.49, vs 28.6; d = −0.20).ConclusionsRecovery management checkups in combination with screening, brief intervention, and referral to treatment are an effective strategy for improving linkage of primary care patients in need to substance use disorder treatment over 3 months.
Why do some patients with vulval lichen sclerosus on long‐term topical corticosteroid treatment experience ongoing poor quality of life?
Authors: Wijaya Marlene , Lee Geoffrey , Fischer Gayle 
Published: October 2022

AbstractObjectiveTo identify reasons for ongoing poor quality of life (pQOL) in a subset of long‐term topical corticosteroid‐treated vulval lichen sclerosus (VLS) patients.MethodsA prospective cross‐sectional study of patients attending a dermato‐gynaecology practice in Sydney, Australia, comparing VLS patients with good quality of life (gQOL) and pQOL, in pre‐treatment and long‐term treatment groups, using the Vulval Quality of Life Index (VQLI). Demographics, VQLI scores and treatment characteristics were compared between gQOL and pQOL patients.ResultsA total of 255 biopsy‐proven VLS patients, 67 in pre‐treatment and 188 in long‐term treated groups were considered. There were 33 (49.3%) pQOL patients in pre‐treatment and 13 (6.9%) in treatment groups (p < 0.001). The highest‐scoring domain in treated pQOL patients was sexuality (1.7 [interquartile range (IQR) 1.0–2.0]), followed by anxiety [1.3 (IQR 1.0–1.5]), symptoms (1.0 [IQR 0.5–1.5]) and activities of daily living (0.7 [IQR 0.3–1.0]). Compared to treated gQOL, treated pQOL had significantly higher proportions of patients with partial treatment adherence (8 [61.5%] vs 42 [24.0%], p = 0.006), suboptimal disease control (7 [53.8%] vs 20 [11.4%], p < 0.001), scarring progression (3 [23.1%] vs 7 [4.0%], p = 0.024) and urinary incontinence (5 [38.5%] vs 27 [15.4%], p = 0.049).ConclusionsOnly a minority of long‐term treated VLS patients reported ongoing pQOL. Of those who did, sexuality and anxiety domains were found to be the main sources of distress. Three major areas distinguishing gQOL from pQOL patients were (1) treatment adherence and disease control, (2) psychological factors and (3) urinary incontinence.
Maternal mortality in women with pre‐viable premature rupture of membranes: An analysis from the French confidential enquiry into maternal deaths
Authors: Abrahami Ylann , Saucedo Monica , Rigouzzo Agnès , Deneux‐Tharaux Catherine , Azria Elie ,   ENCMM group
Published: October 2022

AbstractIntroductionPre‐viable premature rupture of membranes (pre‐viable PROM) is a rare event occurring in less than 1% of pregnancies. Nevertheless, it can be responsible for severe maternal complications, the risk of which needs to be balanced with the possibility to prolong the pregnancy up to viable gestational age. Maternal sepsis was reported in 1%–5% of women who received conservative management and prophylactic antibiotics, but information on maternal mortality is lacking. Our objective was to identify maternal deaths in women who had pre‐viable PROM, describe the characteristics of the women, explore preventability factors within the care they received, and estimate the lethality of pre‐viable PROM.Material and methodsWe identified all maternal deaths associated with pre‐viable PROM from the 2001–2015 French National Confidential Enquiry into Maternal Deaths (NCMM). Data on women's characteristics and the care they received were extracted from the ENCMM database. The lethality was determined after estimating the total number of pregnant women with pre‐viable PROM from the national hospital discharge database.ResultsBetween 2001 and 2015, we identified seven maternal deaths associated with pre‐viable PROM, representing 0.6% of all maternal deaths over this period (ie, maternal mortality ratio 0.06/100 000 live births). Six maternal deaths were attributed to sepsis after genital infection by Gram‐negative bacilli and one to postpartum hemorrhage due to placenta accreta. Four of these seven cases were considered preventable. The main preventability factors were delayed diagnosis, delayed fetal extraction, and inappropriate antibiotic treatment. The estimated lethality was 4.5/10 000 women with pre‐viable PROM.ConclusionsMaternal death associated with pre‐viable PROM is rare but possible. Most of these deaths seem preventable, with areas for improvement related to earlier diagnosis and better treatment of uterine infections, which can evolve rapidly.