bluuebunny/crossref_metadata_2025_split huggingface dataset:
Healthcare professional's perception of patient safety assessed by the hospital survey on patient safety culture in Taiwan: a systematic review
Authors: Wu Hsin-Hung , Lee Yii-Ching , Huang Chih-Hsuan , Li Li 
Published: March 2022

PurposeSafety activities have been initiated in healthcare organizations in Taiwan, but little is known about the performance and trends of safety culture on a timely basis. This study aims to comprehensively review the articles that have conducted two worldwide patient safety culture instruments (HSPSC and SAQ) in Taiwan to provide the extent of existing knowledge about healthcare professionals' perception related to patient safety.Design/methodology/approachThe Web of Science, Medline (Pubmed) and Embas were used as the database to search papers related to the patient safety culture in Taiwan from 2008 to June 30, 2019.FindingsTwenty-four relative articles in total were found and further investigations confirmed that the regular assessment of patient safety culture among hospital staff is essentially important for healthcare organizations to reduce the rates of medical errors and malpractice. Moreover, the elements influencing patient safety culture may vary due to the difference in job positions, age, experience in organization and cultural settings.Research limitations/implicationsThe summary of findings enables healthcare administrators and practitioners to understand key components of patient safety culture for continuous improvement in medical quality.Originality/valueAssessing the safety culture in healthcare organizations is a foundation to achieve excellent medical quality and service. The implications of this study could be useful for hospitals to establish a safer environment for patients.
Tourists’ travel intention: revisiting the TPB model with age and perceived risk as moderator and attitude as mediator
Authors: Wang Lan-Hsun , Yeh Shih-Shuo , Chen Kuan-Ying , Huan Tzung-Cheng 
Published: March 2022

Purpose
This study aims to understand tourists’ travel intention during the COVID-19 pandemic by using the theory of planned behavior (TPB) with additional causal links and moderators. The three research objectives of this study are to explore basic causality, mediating effects of attitude and moderating effects of age and perceived risk, of the extended TPB model, respectively.

Design/methodology/approach
An online survey was conducted in Taiwan during the COVID-19 pandemic. In total, the survey generated 351 responses. The structural model analysis was performed to test the cause-and-effect relationships in the traditional TPB model and the mediating role of an individual’s attitude regarding travel during the COVID-19 pandemic. The SmartPLS multi-group analysis procedure was applied to test the moderation effects of age and perceived risk.

Findings
It is found that the perceived behavioral control is the main contributor of travel intention for the traditional TPB while attitude partially mediates the relationship between subjective norm and travel intention for the test of mediation. Also, moderation tests confirm that both age and perceived risk show significant moderating effect only on subjective norm to travel intention relationship.

Originality/value
The novelty of this research is that this study proposed and verified the mediating influence of attitude and two additional paths, the moderating influence of age and perceived risk, which deepened the understanding of the TPB model and the impact of COVID-19 on travel intention. Because TPB model is context-dependent, using one mediating and two moderating variables allows the study to understand how TPB functions in a different situation.
The systemic value of integrating an adolescent day service into an inpatient service: A qualitative case study
Authors: Robinson Rory , Bakopoulou Ioanna 
Published: March 2022

AbstractIn 2019, the NHS established a taskforce to review inpatient care for young people, exploring ways to reduce inappropriate admissions and lengthy stays. This paper indicates that day services (DSs) could play a role in resolving these issues. Qualitative research investigating whether DSs are considered valuable to key stakeholders is scarce. Therefore, this qualitative case study sought the perspectives of ten clinicians working at a DS integrated with an inpatient service (IPS). Thematic analysis highlighted the systemic value of accessing intensive support whilst still living with family, with participants perceiving that day patients better consolidated therapeutic skills when compared with inpatients. Importantly, the DS was perceived to enhance the overall therapeutic impact of the wider IPS. The implications of these findings for the use and funding of DS are discussed, highlighting the need to further explore the efficacy of integrated services incorporating day and inpatient care.
Practitioner points

The DS was perceived to provide young people with high‐intensity support, whilst maintaining key systemic connections to their homes and communities.

The DS was perceived to positively influence the systemic dynamics of the inpatient service, improving the efficacy of inpatient care.

Findings indicate a mutually beneficial relationship between day and inpatient services, strengthening the case for the integration of both services.
Generative Emergence: Exploring the Dynamics of Innovation and Change in High‐Potential Start‐Up Ventures
Authors: Kearney Claudine , Lichtenstein Benyamin 
Published: March 2022

AbstractStart‐up and early growth of new ventures is a complex process, filled with challenges and learning amidst continuous dynamic change. Understanding these dynamics is a critical goal for entrepreneurs and has been researched by entrepreneurship scholars using complexity sciences. Building on this literature, we explore the ‘dynamics of emergent change’ by interviewing 20 founders/CEOs of young, high‐potential ventures in the Republic of Ireland to generate theory on how these dynamics are experienced throughout the start‐up journey. Our findings suggest a set of process dynamics that are commonly experienced as instability, tension, non‐linear change, unpredictability and surprise, as well as the outcome dynamics of emergent structures, ongoing creation of new knowledge and enhanced capabilities. These are experienced across every aspect of entrepreneurship, from within the specific innovation, through marketing, operations and finance. These findings contribute towards our understanding of how the entrepreneurs deal with these dynamics. Given the current success of their venture, we take their suggestions as an outline for ‘generative leadership’ – behavioural and strategic tools for enhanced venture growth and development.
First‐in‐human study of blood amyloid β removal from early Alzheimer's disease patients with normal kidney function
Authors: Hasegawa Midori , Kitaguchi Nobuya , Takechi Hajime , Kawaguchi Kazunori , Ito Kengo , Kato Takashi , Kato Masao , Nii Norio , Yamada Sachie , Ohashi Atsushi , Koide Shigehisa , Hayashi Hiroki , Takahashi Kazuo , Inaguma Daijo , Yuzawa Yukio , Tsuboi Naotake 
Published: March 2022

AbstractIntroductionAmyloid β (Aβ) is a brain protein that causes Alzheimer's disease (AD). This study aimed to verify whether hemadsorption using a hexadecyl‐alkylated cellulose bead (HexDC) column removes blood Aβ and brain Aβ accumulation in mild cognitive impairment/mild AD cases with normal kidney function.MethodsTwo patients with positive Aβ on brain imaging underwent HexDC hemadsorption weekly for 6 months.ResultsThe Aβ removal efficiency of HexDC was 87–99%. Aβ1−40/Aβ1−42 influx into the blood in one session was 596/56 and 489/48 ng for Case A and Case B, respectively. Although brain Aβ accumulation did not clearly change after 6 months of hemadsorption, cognitive functions measured by the two tests were maintained or slightly improved.ConclusionBlood Aβ removal was performed in two early AD patients with normal kidney function without adverse events, and it slightly improved or maintained cognitive function.
Relationship between discretionary food intake and sex, body image, health, and geographical remoteness among Indigenous Australian adolescents
Authors: Blumfield Michelle , McConnell Andrew , Petocz Peter , Rouf Anika , Duve Emily , Teasdale Scott B. , Marshall Skye , Fayet‐Moore Flavia 
Published: March 2022

AbstractAimDetermine the discretionary energy intake of Indigenous Australian adolescents and its relationship with sex, body image, health, and geographical remoteness.MethodsCross‐sectional data from the 2012 to 2013 National Aboriginal and Torres Strait Islander Nutrition and Physical Activity Survey (n = 264, 15–17 years). Dietary data were collected using an Automated Multiple‐Pass Method, anthropometric data by trained interviewers; self‐perceived measures of body weight, level of satisfaction with current weight, and self‐assessed health were self‐reported. General linear models were used to investigate predictors.ResultsDiscretionary energy intake contributed 35.4% and 54.2% of total energy intake for males and females, respectively, primarily from the sub‐groups: soft drinks; pastries; potatoes; sugar, honey and syrups; cordials; and potato snacks. Discretionary energy intake was associated with higher energy intake (p < 0.001) and self‐perceived body weight (p = 0.022), while sex had significant interactions with self‐assessed health (psex = 0.005), satisfaction with current weight (psex < 0.001), and geographical remoteness (psex = 0.007). Contribution of discretionary energy intake to total energy intake was greatest for males with an increased risk of metabolic complications (50% vs. 37%; p > 0.05), those who perceived themselves to be overweight (56% vs. 27%; p < 0.001), and those who were dissatisfied with their weight (56% vs. 19%; p < 0.001), compared to females. No differences were found by dieting status, risk of metabolic complications, and under‐reporting of energy intake.ConclusionsDiscretionary energy intake was excessive among Indigenous Australian adolescents and had relationships with self‐perceived health, weight satisfaction, and geographical remoteness, which was moderated by sex. To successfully reduce discretionary food intake among Indigenous Australian adolescents, further research is required to develop sex specific and culturally appropriate strategies.
Coupling validation effort with in situ bioacoustic data improves estimating relative activity and occupancy for multiple species with cross‐species misclassifications
Authors: Stratton Christian , Irvine Kathryn M. , Banner Katharine M. , Wright Wilson J. , Lausen Cori , Rae Jason 
Published: March 2022

Abstract

The increasing complexity and pace of ecological change requires natural resource managers to consider entire species assemblages. Acoustic recording units (ARUs) require minimal cost and effort to deploy and inform relative activity, or encounter rates, for multiple species simultaneously. ARU‐based surveys require post‐processing of the recordings via software algorithms that assign a species label to each recording. The automated classification process can result in cross‐species misidentifications that should be accounted for when employing statistical modelling for conservation decision‐making.

Using simulation and ARU‐based detection counts from 17 bat species in British Columbia, Canada, we investigate three strategies for adjusting statistical inference for species misclassification: (a) ‘coupling’ ambiguous and unambiguous detections by validating a subset of survey events post‐hoc, (b) using a calibration dataset on the software algorithm's (in)accuracy for species identification or (c) specifying informative Bayesian priors on classification probabilities. We explore the impact of different Bayesian prior specifications for the classification probabilities on posterior estimation. We then consider how the quantity of data validated post‐hoc impacts model convergence and resulting inferences for bat species relative activity as related to nightly conditions and yearly site occupancy after accounting for site‐level environmental variables.

Coupled methods resulted in less bias and uncertainty when estimating relative activity and species classification probabilities relative to calibration approaches. We found that species that were difficult‐to‐detect and those that were often inaccurately identified by the software required more validation effort than more easily detected and/or identified species.

Our results suggest that, when possible, acoustic surveys should rely on coupled validated detection information to account for false‐positive detections, rather than uncoupled calibration datasets. However, if the assemblage of interest contains a large number of rarely detected or less prevalent species, an intractable amount of effort may be required, suggesting there are benefits to curating a calibration dataset that is representative of the observation process. Our findings provide insights into the practical challenges associated with statistical analyses of ARU data and possible analytical solutions to support reliable and cost‐effective decision‐making for wildlife conservation/management in the face of known sources of observation errors.
Dietary inference from dental topographic analysis of feeding tools in diverse animals
Authors: Stockey Christopher , Adams Neil F. , Harvey Thomas H. P. , Donoghue Philip C. J. , Purnell Mark A. 
Published: March 2022

Abstract

Understanding the relationship between form, function and diet in feeding structures is critical to constraining the roles of organisms in their ecosystem and adaptive responses to food resources. Yet, analysis of this relationship in invertebrates has been hampered by a reliance on descriptive and qualitative characterisation of the shapes of feeding structures. This has led to a lack of robust statistical analyses and overreliance on analogy and plausibility, especially for extinct taxa and animals that are hard to observe feeding.

Here we test the efficacy of dental topographic metrics in quantification of form in invertebrate mandibles and assess their relationship with diet. Specifically, we analyse the mandibles of 45 species of extant orthopterans. Orthopterans' well‐constrained diets make them an ideal model system for our study.

We find that topographic metrics applied to Orthoptera successfully recover the same relationship between dietary intractability and dental tool morphology as they do in mammals, and that combination of individual metrics in multivariate analysis most strongly captures this relationship. Furthermore, multivariate topographic metrics calibrated to the food consumed by mammals accurately predict dietary differences between orthopterans (82% taxa correctly assigned).

Our results demonstrate that these metrics can be used in quantitative analysis and comparison of non‐homologous mouthparts to reliably investigate the relationship between diet, form and function of feeding tools across Bilateria. We anticipate that this will facilitate more rigorous ecological analysis of fossil and historical material, providing new methods to investigate adaptive responses and community‐level interactions through time.
The impact of CSR performance and CSR disclosure readability on investors’ earnings estimates
Authors: Gao Jingyu , Hartmann F.G.H. (Frank) , Zhang Min , Chen Yasheng 
Published: March 2022

AbstractWe investigate how the valence of corporate social responsibility (CSR) performance and the readability of CSR disclosure impact investors’ earnings estimates. Ninety‐seven part‐time MBA students participate in an experiment, in which we manipulate the valence of CSR performance (positive versus neutral) and the readability of CSR reports (high versus low), while holding financial information constant. Our findings reveal that investors make more positive earnings estimates when CSR performance is positive. The readability level of CSR reports also influences investors’ decision‐making process. Moreover, by using an eye‐tracking device, we are able to observe investors’ different reading behaviours upon the different levels of readability.
Occupancy models reveal potential of conservation prioritization for Central American jaguars
Authors: Calderón A P , Louvrier J , Planillo A , Araya‐Gamboa D , Arroyo‐Arce S , Barrantes‐Núñez M , Carazo‐Salazar J , Corrales‐Gutiérrez D , Doncaster C P , Foster R , García M J , Garcia‐Anleu R , Harmsen B , Hernández‐Potosme S , Leonardo R , Trigueros D M , McNab R , Meyer N , Moreno R , Salom‐Pérez R , Sauma Rossi A , Thomson I , Thornton D , Urbina Y , Grimm V , Kramer‐Schadt S 
Published: March 2022

AbstractUnderstanding species‐environment relationships at large spatial scales is required for the prioritization of conservation areas and the preservation of landscape connectivity for large carnivores. This endeavour is challenging for jaguars (Panthera onca), given their elusiveness, and the local nature of most jaguar studies, precluding extrapolation to larger areas. We developed an occupancy model using occurrence data of jaguars across five countries of Central America, collected from camera‐trap studies of 2–12 months' duration, deployed over an area of 14 112 km2from 2005 to 2018. Our occupancy model showed that habitat use of jaguars increased with primary net productivity and distance to human settlements, and distance to rivers. Detection of the species was related to survey effort and research team identity. Within the jaguar extent of occurrence, 73% was deemed suitable for the species, with 47% of it lying within Jaguar Conservation Units (JCU) and 59% of JCU land being legally protected. Suitable areas were divided into four distinct clusters of continuous habitat shared across country borders. However, large areas of predicted low habitat suitability may constrict connectivity in the region. The reliability of these spatial predictions is indicated by the model validation using an independent dataset (AUC = 0.82; sensitivity = 0.766, specificity = 0.761), and concordance of our results with other studies conducted in the region. Across Central America, we found that human influence has the strongest impact on jaguar habitat use and JCUs are the main reservoirs of habitat. Therefore, conservation actions must focus on preventing habitat loss and mitigating human pressure, particularly within the clusters of continuous areas of high suitability, and on restoring habitat to foster connectivity. The long‐term persistence of jaguars in the region will depend on strong international cooperation that secures jaguar populations and their habitat across Central American borders.
The opioid use disorder core outcomes set (OUD–COS) for treatment research: findings from a Delphi consensus study
Authors: Karnik Niranjan S. , Marsden John , McCluskey Connor , Boley Randy A. , Bradley Katharine A. , Campbell Cynthia I. , Curtis Megan E. , Fiellin David , Ghitza Udi , Hefner Kathryn , Hser Yih‐Ing , McHugh R. Kathryn , McPherson Sterling M. , Mooney Larissa J. , Moran Landhing M. , Murphy Sean M. , Schwartz Robert P. , Shmueli‐Blumberg Dikla , Shulman Matisyahu , Stephens Kari A. , Watkins Katherine E. , Weiss Roger D. , Wu Li‐Tzy 
Published: March 2022

AbstractBackground and AimThere is no gold‐standard and considerable heterogeneity in outcome measures used to evaluate treatments for opioid use disorder (OUD) along the opioid treatment cascade. The aim of this study was to develop the US National Institute on Drug Abuse (NIDA) National Drug Abuse Treatment Clinical Trials Network (CTN) opioid use disorder core outcomes set (OUD–COS).DesignFour‐round, e‐Delphi expert panel consensus study and plenary research group discussion and targeted consultation.SettingUnited States.ParticipantsA panel of 25 members including clinical practitioners, clinical researchers and administrative staff from the CTN, the network's affiliated clinical and community sites and the NIDA Centre for the CTN.MeasurementsFrom a pool of 24 candidate items in four domains (biomedical/disease status; behaviors, symptoms and functioning; opioid treatment cascade; and morbidity and mortality), the panel completed an on‐line questionnaire to rank items with defined specification on a 9‐point scale for importance, with a standard 70% consensus criterion.FindingsAfter the fourth round of the questionnaire and subsequent discussion, consensus was reached for five outcomes: two patient‐reported (global impression of improvement and incident non‐fatal overdose); one clinician‐reported (illicit/non‐medical drug toxicology); and two from administrative records (duration of treatment and fatal opioid poisoning).ConclusionsAn e‐Delphi consensus study has produced the US National Institute on Drug Abuse (NIDA) National Drug Abuse Treatment Clinical Trials Network opioid use disorder core outcomes set (version 1) for opioid use disorder treatment efficacy and effectiveness research.
Medium‐to‐large mammal diversity and status of forest antelopes in the Sapo National Park, Liberia
Authors: Amin Rajan , Wacher Tim , Kerwillain Shadrach , Narayana Malavika , Ndjassi Constant 
Published: March 2022

AbstractSapo National Park, Liberia's largest protected area, comprises an area of 1804 km2 within the Upper Guinea forest ecosystem, a global biodiversity hot spot. Our baseline camera‐trap study revealed 32 medium‐to‐large mammal species, including ten Upper Guinea forest endemics, within the park. Results show important populations of threatened antelopes, particularly zebra duiker and Jentink's duiker, along with bay duiker, black duiker, Ogilby's duiker and Maxwell's duiker. Water chevrotain and lowland bongo were also recorded. Camera‐trap images of giant and white‐bellied pangolins, western chimpanzee, pygmy hippopotamus and forest elephant collected during this study further confirm the high conservation value of the site. The ecology of the antelope community is investigated, noting the diurnal activity pattern of zebra duiker and the nocturnal activity of Jentink's duiker, in contrast to previous studies. Both species preferred lower altitude primary forest. Ogilby's duiker was the only antelope that showed a preference for higher altitude forest and was found to be more common than the similar‐sized black duiker and bay duiker. Sapo National Park faces many threats including habitat degradation, poaching for bushmeat and animal parts, and illicit gold mining. Commercial logging and agriculture in the buffer and surrounding forested areas threatens connectivity and increases human–wildlife conflict.