bluuebunny/crossref_metadata_2025_split huggingface dataset:
Early Postoperative Opioid Requirement Is Associated With Later Pain Control Needs After Supratentorial Craniotomies
Authors: Wilson Bayard R. , Grogan Tristan R. , Schulman Nathan J. , Kim Won , Gabel Eilon , Wang Anthony C. 
Published: April 2022

Background:
Despite a renewed focus in recent years on pain management in the inpatient hospital setting, postoperative pain after elective craniotomy remains under investigated. This study aims to identify which perioperative factors associate most strongly with postoperative pain and opioid medication requirements after inpatient craniotomy.

Materials and Methods:
Using an existing dataset, we selected a restricted cohort of patients who underwent elective craniotomy surgery requiring an inpatient postoperative stay during a 7-year period at our institution (n=1832). We examined pain scores and opioid medication usage and analyzed the relative contribution of specific perioperative risk factors to postoperative pain and opioid medication intake (morphine milligram equivalents).

Results:
Postoperative pain was found to be highest on postoperative day 1 and decreased thereafter (up to day 5). Factors associated with greater postoperative opioid medication requirement were preoperative opioid medication use, duration of anesthesia, degree of pain in the preoperative setting, and patient age. Notably, the most significant factor associated with a higher postoperative pain score and Morphine milligram equivalents requirement was the time elapsed between the end of general anesthesia and a patient’s first intravenous opioid medication.

Conclusion:
Postcraniotomy patients are at higher risk for requiring opioid pain medications if they have a history of preoperative opioid use, are of younger age, or undergo a longer surgery. Moreover, early requirement of intravenous opioid medications in the postoperative period should alert treating physicians that a patient’s pain may require additional or alternative methods of pain control than routinely administered, to avoid over-reliance on opioid medications.
A Meta-Analysis Comparing Endoscopic Ultrasound-guided Fine-needle Aspiration With Endoscopic Ultrasound-guided Fine-needle Biopsy
Authors: Li Zhiwang , Liu Wei , Xu Xiaoda , Li Peiyu 
Published: April 2022

Background:
The superiority between endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) and endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) is still a debate. The purpose of this meta-analysis was to compare the diagnostic value and safety of these 2 needles in sampling of all solid lesions and separately pancreatic lesions.

Materials and Methods:
PubMed, EMBASE, and the Cochrane library were searched for randomized controlled studies that reported the comparison of FNA and FNB in solid mass. Outcome measures included diagnostic accuracy, number of needle passes, diagnostic adequacy, presence of tissue cores, and adverse events. Standard error, upper and lower confidence intervals at 95% confidence interval for the risk were obtained using Review Manager Version 5.3 which was also used to generate forest plots for pooled analysis. The random or fixed effect model was applied depending on the heterogeneity (I
2).

Results:
Eighteen randomized control trial studies with a total of 2718 patients (1141 patients with EUS-FNA, 1108 with EUS-FNB, and remaining 469 patients were sampled with both needles alternatively) were included in the meta-analysis.
FNB group has relatively good diagnostic accuracy relative risk (RR): 0.94, 0.92-0.97; P=0.0002), diagnostic adequacy (RR: 0.95, 0.9-1.0; P=0.04) and high quality histologic yield compared (RR: 0.77, 0.64-0.93; P=0.007) with the FNA group in solid gastrointestinal lesions, and the number of needle passes to obtain sufficient tissue (mean difference: 0.54, 0.45-0.64; P<0.00001) was lower in the FNB group. For solid pancreatic disease only, there was no difference in diagnostic accuracy (RR: 0.97, 0.93-1.01, P=0.13) or quality histologic yield (RR: 0.60, 0.29-1.23; P=0.16). The rate of adverse events (RR: 1.04, 0.48-2.29; P=0.92) did not significantly differ between FNA and FNB groups.

Conclusions:
In solid gastrointestinal lesions, FNB is associated with a relatively better diagnostic adequacy, diagnostic adequacy and tissue cores rates, and less number of needle passes. For solid pancreatic disease only, there is no difference in diagnostic accuracy or tissue cores rates.
In-Hospital Cardiac Arrest in Adult Patients Admitted to a Quaternary Children's Center
Authors: O'Halloran Amanda J. , Callif Charles G. , Romano Jane C. , Ross Catherine E. , Kleinman Monica E. 
Published: April 2022

Objective
This study aimed to describe baseline and event characteristics and outcomes for adult patients who experience in-hospital cardiac arrest (IHCA) in a quaternary children's hospital and compare IHCA outcomes in younger (18–24 years) versus older (≥25 years) adults. We hypothesized that the rate of survival to hospital discharge would be lower in the older adult group.

Methods
We performed a retrospective single-center cohort study of inpatient areas of a quaternary children's center. Adult patients (≥18 years of age) with an index pulseless IHCA requiring at least 1 minute of cardiopulmonary resuscitation or defibrillation were included.

Results
Thirty-three events met the inclusion criteria with a median patient age of 23.9 years (interquartile range, 20.2–33.3 years). Twenty-one (64%) patients had congenital heart disease, and 25 (76%) patients had comorbidities involving ≥2 organ systems. The most common prearrest interventions were invasive mechanical ventilation (76%) and vasoactive infusions (55%). Seventeen patients (52%) survived to hospital discharge.
Survival to discharge was lower in patients 25 years or older compared with patients aged 18 to 24 years old (3 of 15 [20%] vs 14 of 18 [78%], respectively; P = 0.002).

Conclusions
The majority of adult patients with IHCA in our pediatric hospital had preexisting multisystem comorbidities, the most common of which was congenital heart disease. Overall survival to discharge after IHCA was 52%, similar to that reported for the general pediatric population. Survival to discharge was significantly lower in the subgroup of patients 25 years or older when compared with those between the ages of 18 and 24 years.
Silver cities: planning for an ageing population in Singapore. An urban planning policy case study of Kampung Admiralty
Authors: Azzali Simona , Yew André Siew Yeong , Wong Caroline , Chaiechi Taha 
Published: April 2022

PurposeThis paper explores ways in which Singapore adapts its planning policy and practices to meet the needs of its growing silver population, particularly the relationship between ageing related policies and its urban development strategies.Design/methodology/approachThe research assesses Singapore's urban planning policies for the ageing population against the WHO framework for age-friendly cities using Kampung Admiralty (KA) (a pioneering project of integrated housing cum community for the ageing population) as a case study for the analysis. The methodology adopted includes a post-occupancy evaluation and a walking tour of the selected case study (Kampung Admiralty), and an analysis of Singapore's ageing policies in relation to urban planning governance.FindingsThe study examines the role and significance of a multi-agency collaborative governance structure in ageing planning policies with diverse stakeholders in the project. The evaluation carried out on KA reveals the challenges and opportunities in urbanisation planning for the ageing population. This paper concludes by emphasising the potential of multi-collaborative governance and policymaking in creating an inclusive, liveable built environment for the ageing population in Singapore, particularly but also potential implications for other ASEAN tropical cities.Practical implicationsThe case study identified key issues in Singapore's urban planning for betterment in ageing and highlighted the requirement for enhancing urban planning strategies.Originality/valueThis article fulfils an identified need for the Singapore government to address the issue of ageing by providing affordable and silver-friendly housing to its ageing population.
Relationship trend of energy consumption and economic growth studies: a global examination based on bibliometric and visualization analysis
Authors: Singh Kamaljit , Vashishtha Simmi 
Published: April 2022

Purpose
The evidence on the causality of energy consumption and economic growth nexus is plentiful in energy economics studies. The empirical research results documented are dissimilar because different methodologies, variables, time or data sources have been used. This study aims to examine and evaluate the existing literature to reveal the research inclinations, including future research directions. Therefore, from an application perspective, this study performed a bibliometric analysis that can serve as a basis for understanding research trend in relation to nexus of energy consumption and economic growth, its comprehensive research outcomes and the growing research inclination.

Design/methodology/approach
Using keyword search and delimiting criteria, 969 articles are selected for bibliometric analysis. Citation analysis, author keyword co-occurrence analysis, co-authorship and co-citation analysis are performed to assess the productive countries, authors, journals, articles, energy research trends, collaborating scholars and more frequently cited together articles.

Findings
Research results of the paper present a comprehensive research understanding of energy consumption and economic growth nexus studies. In terms of trending research topics, sustainable development, population density, urbanization, energy efficiency, energy intensity and carbon emission constitute a distinguished association that indicates the growth of these diverse fields’ study about energy.

Practical implications
As a policy implication and direction, the trade openness, natural gas/ resources, environmental kuznets curve, fossil-fuel consumption, agricultural land, financial development and foreign investments can be studied along with energy usage and economic growth nexus studies.

Social implications
The results provide valuable insight for the researchers selecting their potential disciplines for study, combining various techniques to deal with complex problems, identifying prospective co-authors and identifying the appropriate institutes for accompanying academic studies or collaborative research.

Originality/value
To the best of the author’s knowledge, this study is one of its kind regarding investigating the trend of energy consumption and economic growth relationship-related research published from 2001 to 2020 on the Scopus database.
Determinants of indebtedness and institutional credit to rural agricultural households: an empirical evidence from South India
Authors: R.L. Manogna , Mishra Aswini Kumar 
Published: April 2022

PurposeThis article attempts to understand the pattern of credit (loan) among agricultural households and identify the correlates of their access to institutional credit for policy imperatives. It also focuses on the inclusivity of institutional credit and debt pattern in terms of outstanding loan in the southern region of India.Design/methodology/approachThis study employs the Tobit model along with the Heckman selection model to study the impact of various factors on the institutional borrowing and the amount outstanding.FindingsThe findings reveal that the access to credit is strongly associated with the socio-economic and demographic characteristics of agricultural households in South India. Asset position of households and size of holding are positively related with the probability of household having access to institutional credit. Education and family size are also found to be associated with higher access to formal credit. On the other hand, the socially disadvantaged households have lower access to formal credit. Similarly, other variables – assets, holding size and education – are associated with higher credit per household.Research limitations/implicationsThe findings indicate that the strategies to develop agriculture in southern India must encompass efforts to bring the small and marginal farmers under the coverage of institutional credit.Originality/valueThere are very few studies that have explored the credit access in South India from the perspective of land class despite the government’s attempts to include small and marginal farmers in the ambit of formal financial services.
Meaningful engagement with a gamified knowledge management system: theoretical conceptualization and empirical validation
Authors: Suh Ayoung , Cheung Christy M.K. , Lin Yongqian 
Published: April 2022

PurposeIn light of the recent increase in the scholarly attention given to meaningful engagement with gamified information systems (IS), this research explores the definition and measurement of meaningful engagement as well as its role in predicting employees’ knowledge contributions via gamified knowledge management systems (KMSs).Design/methodology/approachThe authors conducted two empirical studies. Study 1 develops a measure of meaningful engagement and evaluates its validity and reliability. Drawing on the literature on user engagement and work gamification theory, Study 2 places meaningful engagement in a nomological network and assesses the construct’s utility for predicting the quantity and quality of knowledge contributions via a gamified KMS.FindingsThe results show that meaningful engagement encompasses five specific dimensions: intense involvement, sense of meaning, self-discovery, pursuit of excellence, and personal expressiveness. The results also indicate that fostering meaningful engagement, which goes beyond hedonic and instrumental engagement, is essential to enhance the quality and quantity of knowledge contribution.Research limitations/implicationsThis research contributes to the literature on gamification by drawing scholarly attention to meaningful engagement as a parsimonious yet powerful construct that complements the notions of hedonic and instrumental engagement with KMSs. Although previous studies have highlighted the significance of meaningful engagement with gamified IS, little effort has been made to develop a scale to measure meaningful engagement. The scale the authors have developed will help researchers precisely measure users’ meaningful engagement and systematically examine its role in gamified systems compared to that of other forms of engagement. The study also has practical implications, as the results can inform future design strategies to enable the successful implementation of gamified KMSs that facilitate knowledge contribution in the workplace.Originality/valueThe development of new constructs is the starting point for theoretical development. This research responds to the call to conceptualize meaningful engagement with gamified IS.
Gender differences in the entrepreneurial ladder: evidence for Latin America
Authors: Bernat Luisa Fernanda , Lambardi German , Palacios Paola 
Published: April 2022

Purpose
The main objective of this paper is to identify the factors associated with a successful transition through the entrepreneurial ladder for both men and women in a sample of nine Latin American countries.

Design/methodology/approach
The authors classify individuals according to five categories of increasing entrepreneurial engagement and estimate separate generalized ordered logit models to account for possible gender differences. Compared to previous literature, this is a more efficient methodology that allows us to identify the factors that have a significant and persistent relationship across stages and those that are only significant to specific engagement levels.

Findings
The authors find that factors such as parent business ownership, access to loans and autonomy increase the probability of progressing in the entrepreneurial ladder for both men and women and through all the stages. The authors also find that span of activity and the proxy for income increase the likelihood of moving to the next stages only for men, while higher education and autonomy do so only for women.

Originality/value
To the best of the authors’ knowledge, this is the first study to identify the factors promoting progress through the different stages of the entrepreneurial ladder in Latin America. Separate regressions for women and men provide insight into the differential role of each variable by gender. Results from this study suggest that the gender dimension, currently absent in most policies, should be incorporated or strengthened in the design of entrepreneurship promotion programs in Latin America.
Blockchain technology: a troubleshooter for blood cold chains
Authors: Asokan Dinith , Sunny Justin , Pillai V. Madhusudanan , Nath Hiran V. 
Published: April 2022

Purpose
Blood cold chain (BCC) represents a system for preserving the blood during its journey from the donor to the ultimate transfusion site. Existing BCCs have many drawbacks related to information transparency and information security. Secured and real-time information sharing in BCC can bring several benefits. The purpose of this paper is to summarise the issues in typical BCCs and to explore the scope of blockchain in the management of BCCs.

Design/methodology/approach
Issues in the existing BCCs are identified through a narrative review. To explain the potential of blockchain in mitigating these issues, a blockchain-based traceability solution is demonstrated with respect to a particular BCC scenario. The BCC management system discussed in this study makes use of the Ethereum blockchain’s smart contract feature and internet of things (IoT) technology. The smart contract is written in the solidity programming language and tested and validated using the Remix integrated development environment.

Findings
BCCs are concerned with several issues both from technical and non-technical perspectives. Blockchain technology is capable of troubleshooting the issues in the existing BCCs. Combining blockchain and IoT technology enables real-time information sharing among the entities. The demonstration presented in this work depicts how the blockchain-based smart contract can support operations in a typical BCC.

Research limitations/implications
This paper explores the scope of blockchain in BCCs through a demonstration. To get insights into its technical and economical feasibilities, further investigations are needed.

Originality/value
Blockchain-based traceability system presented in this work can be adopted in BCCs to ensure the quality of blood or blood products. Blockchain-based smart contracts can aid the BCCs to achieve a proper balance between blood shortage and outdating.
Measuring the effect of GST towards performances of Malaysian takaful operators
Authors: Che Mohd Salleh Marhanum , Chowdhury Mohammad Abdul Matin , Cahyono Eko Fajar , Widiastuti Tika 
Published: April 2022

Purpose
The main purpose of this study is to evaluate the performance of takaful operators in Malaysia.

Design/methodology/approach
The study applied the data envelopment analysis (DEA) technique and the ratio analysis, using secondary data available on Malaysian Takaful operators’ annual reports. The study period for the analysis ranged from 2013 to 2016.

Findings
Based on both analyses, the performance of Takaful operators was affected due to the additional cost imposed by the goods and services tax (GST) implementation. Results showed a decline in average technical efficiency for takaful operators upon GST implementation.

Research limitations/implications
The data were taken from the annual audited reports for selected firms that were available on the firm’s website only, which was limited. The data were taken till 2016, even though the GST is omitted from Malaysia on 1 June 2018. This study has applied Ratio analysis and DEA constant returns to scale (CRS) technique; the future study may adopt both DEA CRS and DEA carrying returns to scale model to evaluate along with other methods to identify the specific factors.

Practical implications
These findings may associate policymakers in identifying the shortcomings of GST or new tax implementation in a new and emerging industry. So, the policymakers and central banks may adopt necessary initiatives to support the industry. Because the Malaysian government is trying to push the takaful industry along with Islamic banking and finance in the competitive market, takaful operators may be exempted from the current sales and service tax (SST). In addition, takaful operators may use these findings to enhance their operational activities efficiently to improve performance. This paper might help the researchers and practitioners to learn the impact of GST. Even though GST seems not relevant anymore as the government has replaced it with SST, the trick is still the same as it is a kind of tax or costs incurred by the Takaful operators in running their business. Takaful managers may identify their efficient level in managerial aspects as well as the optimal scale of resources by the findings of this study.

Originality/value
To the best of the authors’ knowledge, this research is original in terms of data that is gathered directly from the annual report of the company during the GST period.
Social work's contribution to integrated primary health care teams in the UK for older adults with complex needs
Authors: Bailey Di , Mutale Gabriella Jennifer 
Published: April 2022

PurposeThis study examined the contribution of adult social work in integrated teams in the UK.Design/methodology/approachThe study design was realist, evaluation research using a mixed methods approach. Data collection methods included interviews and focus groups. Types of social work activities were extracted from older adults' case records and used to calculate costs of care. The presence or absence of indicators of care quality was recorded using the same sample of case records. Data were collected from three primary care teams in which social work was integrated. They were compared with data from three social-work-only teams in the same districts. Narrative data was analysed thematically. Inferential and descriptive statistics were used to compare costs and care quality.FindingsWhen social work was embedded or attached to a primary care team, costs of care delivery were lower than in their social-work-only team and more indicators of good quality care outcomes were recorded. Results suggest that embedding social work in integrated primary care teams contributes to cost-effective, quality care for older people if certain conditions for integration are met.Originality/valueThis is the first study to triangulate three data sources to quantify the social work contribution to integrated primary health care teams for older adults.