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1

Wilson, Stuart P. "Modelling the emergence of rodent filial huddling from physiological huddling." Royal Society Open Science 4, no. 11 (November 2017): 170885. http://dx.doi.org/10.1098/rsos.170885.

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Huddling behaviour in neonatal rodents reduces the metabolic costs of physiological thermoregulation. However, animals continue to huddle into adulthood, at ambient temperatures where they are able to sustain a basal metabolism in isolation from the huddle. This ‘filial huddling’ in older animals is known to be guided by olfactory rather than thermal cues. The present study aimed to test whether thermally rewarding contacts between young mice, experienced when thermogenesis in brown adipose fat tissue (BAT) is highest, could give rise to olfactory preferences that persist as filial huddling interactions in adults. To this end, a simple model was constructed to fit existing data on the development of mouse thermal physiology and behaviour. The form of the model that emerged yields a remarkable explanation for filial huddling; associative learning maintains huddling into adulthood via processes that reduce thermodynamic entropy from BAT metabolism and increase information about social ordering among littermates.
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Philbrick, Ethan. "Huddling, Then and Now: Simone Forti and the Nonsovereign Collective." TDR/The Drama Review 62, no. 4 (December 2018): 183–96. http://dx.doi.org/10.1162/dram_a_00811.

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Between the choreographer Simone Forti’s 1960 score Huddle and the call of the 2017 Women’s March to form “huddles,” huddling emerges as both an image of politics and a rehearsal for political practices that continues to resonate today.
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Salo, Allen L., Lawrence E. Shapiro, and Donald A. Dewsbury. "Affiliative Behavior in Different Species of Voles (Microtus)." Psychological Reports 72, no. 1 (February 1993): 316–18. http://dx.doi.org/10.2466/pr0.1993.72.1.316.

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Data were collected on the huddling behavior of pine voles, Microtus pinetorum, and meadow voles, M. pennsylvanicus, to supplement earlier data on prairie voles and montane voles. Species that are social/monogamous in the field tended to huddle more in the laboratory. Contact proneness may be one factor driving different mating systems in the field.
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4

Ancel, André, Michaël Beaulieu, Yvon Le Maho, and Caroline Gilbert. "Emperor penguin mates: keeping together in the crowd." Proceedings of the Royal Society B: Biological Sciences 276, no. 1665 (March 11, 2009): 2163–69. http://dx.doi.org/10.1098/rspb.2009.0140.

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As emperor penguins have no breeding territories, a key issue for both members of a pair is not to be separated until the egg is laid and transferred to the male. Both birds remain silent after mating and thereby reduce the risk of having the pair bond broken by unpaired birds. However, silence prevents finding each other if the pair is separated. Huddles—the key to saving energy in the cold and the long breeding fast—continuously form and break up, but not all birds are involved simultaneously. We studied the behaviour of four pairs before laying. Temperature and light intensity measurements allowed us to precisely detect the occurrence of huddling episodes and to determine the surrounding temperature. The four pairs huddled simultaneously for only 6 per cent of the time when weather conditions were harshest. Despite this asynchrony, the huddling behaviour and the resulting benefits were similar between pairs. By contrast, the huddling behaviour of mates was synchronized for 84 per cent of events. By coordinating their huddling behaviour during courtship despite the apparent confusion within a huddle and its ever-changing structure, both individuals save energy while securing their partnership.
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Glancy, Jonathan, James V. Stone, and Stuart P. Wilson. "How self-organization can guide evolution." Royal Society Open Science 3, no. 11 (November 2016): 160553. http://dx.doi.org/10.1098/rsos.160553.

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Self-organization and natural selection are fundamental forces that shape the natural world. Substantial progress in understanding how these forces interact has been made through the study of abstract models. Further progress may be made by identifying a model system in which the interaction between self-organization and selection can be investigated empirically. To this end, we investigate how the self-organizing thermoregulatory huddling behaviours displayed by many species of mammals might influence natural selection of the genetic components of metabolism. By applying a simple evolutionary algorithm to a well-established model of the interactions between environmental, morphological, physiological and behavioural components of thermoregulation, we arrive at a clear, but counterintuitive, prediction: rodents that are able to huddle together in cold environments should evolve a lower thermal conductance at a faster rate than animals reared in isolation. The model therefore explains how evolution can be accelerated as a consequence of relaxed selection , and it predicts how the effect may be exaggerated by an increase in the litter size, i.e. by an increase in the capacity to use huddling behaviours for thermoregulation. Confirmation of these predictions in future experiments with rodents would constitute strong evidence of a mechanism by which self-organization can guide natural selection.
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Shah, Dhara Narendra. "Review on Improving Network Topology Lifetime by Optimal Node Position Clustering." International Journal of Emerging Research in Management and Technology 6, no. 6 (June 29, 2018): 224. http://dx.doi.org/10.23956/ijermt.v6i6.273.

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Wireless sensor network(WSN) is facing key challenges like extending network lifetime due to sensor nodes having limited power supplies. Extending WSN lifetime is complicated because nodes often experience differential power consumption. For example, nodes closer to the sink in a given routing topology transmit more data and thus consume power more rapidly than nodes farther from the sink. Inspired by the huddling behavior of emperor penguins where the penguins take turns on the cold extremities of a penguin “huddle”, we propose mobile node rotation, a new method for using low-cost mobile sensor nodes to address differential power consumption and extend WSN lifetime. Specifically, we propose to rotate the nodes through the high power consumption locations. We propose efficient algorithms for single and multiple rounds of rotations.
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7

Classen, Julie. "Huddle up!" Nursing Management (Springhouse) 40, no. 1 (January 2009): 8. http://dx.doi.org/10.1097/01.numa.0000343973.06473.bc.

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8

Rodriguez, Hector P., Lisa S. Meredith, Alison B. Hamilton, Elizabeth M. Yano, and Lisa V. Rubenstein. "Huddle up!" Health Care Management Review 40, no. 4 (2015): 286–99. http://dx.doi.org/10.1097/hmr.0000000000000036.

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9

Shunk, Rebecca, Maya Dulay, Calvin L. Chou, Susan Janson, and Bridget C. O’Brien. "Huddle-Coaching." Academic Medicine 89, no. 2 (February 2014): 244–50. http://dx.doi.org/10.1097/acm.0000000000000104.

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10

GILBERT, C., G. ROBERTSON, Y. LEMAHO, Y. NAITO, and A. ANCEL. "Huddling behavior in emperor penguins: Dynamics of huddling." Physiology & Behavior 88, no. 4-5 (July 30, 2006): 479–88. http://dx.doi.org/10.1016/j.physbeh.2006.04.024.

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11

de Lamo, Daniel A., Allen F. Sanborn, Cynthia D. Carrasco, and Donald J. Scott. "Daily activity and behavioral thermoregulation of the guanaco (Lama guanicoe) in winter." Canadian Journal of Zoology 76, no. 7 (July 1, 1998): 1388–93. http://dx.doi.org/10.1139/z98-070.

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We investigated daily activity and the effects of ambient conditions on that activity to determine behavioral mechanisms of thermoregulation in the guanaco (Lama guanicoe). Observations of captive animals (an adult female, an adult male, and a yearling male) show that ambient conditions affect the posture of the animals. These behaviors have the effect of closing "thermal windows" in the axillary and flank regions, thus decreasing heat loss through radiation and convection. When the ambient temperature (Ta) was between 0 and 10°C, the animals used postural adjustments to decrease the area of the thermal windows to 5-7% of total surface area. At Ta > 10°C the animals increased the area (up to 22%) of the thermal windows to regulate heat loss through radiation and convection. When Ta was below 0-1°C the animals tended to bed and huddle together. Bedding and huddling were only initiated by the yearling. Another thermoregulatory behavior the animals exhibited was to bed with their hindquarters into the wind. Bedding and the orientation of the animal in the bedding posture are two behavioral strategies used to decrease convective heat loss. These postures can lead to calculated energy savings of 67%. Posture was determined to be one of the most sensitive parameters for regulating heat loss in the guanaco.
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12

Allen, Joseph A., Roni Reiter-Palmon, Victoria Kennel, and Katherine J. Jones. "Group and Organizational Safety Norms Set the Stage for Good Post-Fall Huddles." Journal of Leadership & Organizational Studies 26, no. 4 (June 19, 2018): 465–75. http://dx.doi.org/10.1177/1548051818781820.

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We explored group and organizational safety norms as antecedents to meeting leader behaviors and achievement of desired outcomes in a special after-action review case—a post-fall huddle. A longitudinal survey design was used to investigate the relationship between organizational/group safety norms, huddle leader behavior, and huddle meeting effectiveness. The sample included health care workers in critical access hospitals ( N = 206) who completed a baseline safety norm assessment and an assessment of post-fall huddle experiences 3 to 6 months later. Findings indicate that organizational and group safety norms relate to perceived huddle meeting effectiveness through appropriate huddle leader behavior in a partial mediated framework. In contrast to previous research showing after-action reviews predicting group and organizational safety norms, the longitudinal study presented here suggests that group and organizational safety norms set the stage for the enactment of post-fall huddles in an effective manner.
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Schradin, C., M. Schubert, and N. Pillay. "Winter huddling groups in the striped mouse." Canadian Journal of Zoology 84, no. 5 (May 2006): 693–98. http://dx.doi.org/10.1139/z06-048.

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Huddling is a strategy to avoid heat loss and thus save energy and is often observed in birds and rodents, which, because of their small body size, are prone to relatively high heat loss. Huddling might thus explain group-living in some cases, such as the winter huddling groups described for several northern hemisphere rodents. Here we describe winter huddling groups in an African rodent, the striped mouse ( Rhabdomys pumilio (Sparrman, 1784)), from the Succulent Karoo of South Africa. Striped mice were radio-tracked and observed directly in the field. The importance of huddling in this species was demonstrated by comparing data collected over 2 years. The 2003 winter was characterized by a severe drought and 99% mortality. As a result, close kin were mainly unavailable and striped mice slept in non-kin huddling groups. In 2004, normal winter rainfall occurred, mortality was only 50%, and striped mice formed family groups that shared a nest at night. While family groups were stable in 2004, non-kin huddling groups in 2003 were highly flexible and often changed from night to night. Huddling groups are important for striped mice to save energy, and the instability of non-kin sleeping groups indicates that the potential for conflict is higher between non-kin than between kin and that there is a trade-off between thermoregulatory requirements and kin selection.
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14

Vermij, Rienk. "Huddes Specilla circularia." Studium 11, no. 1 (October 10, 2018): 96. http://dx.doi.org/10.18352/studium.10169.

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15

Waters, Aaron, François Blanchette, and Arnold D. Kim. "Modeling Huddling Penguins." PLoS ONE 7, no. 11 (November 16, 2012): e50277. http://dx.doi.org/10.1371/journal.pone.0050277.

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16

Iype, Mini, Mini Easo, and Francis Utley. "3pm Huddle Meeting." Journal of Vascular Nursing 27, no. 3 (September 2009): 83. http://dx.doi.org/10.1016/j.jvn.2009.05.019.

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17

al-Rifaie, Mohammad Majid. "Penguins Huddling Optimisation." International Journal of Agent Technologies and Systems 6, no. 2 (April 2014): 1–29. http://dx.doi.org/10.4018/ijats.2014040101.

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In our everyday life, people deal with many optimisation problems, some of which trivial and some more complex. These problems have been frequently addressed using multi-agent, population-based approaches. One of the main sources of inspiration for techniques applicable to complex search space and optimisation problems is nature. This paper proposes a new metaheuristic – Penguin Huddling Optimisation or PHO – whose inspiration is beckoned from the huddling behaviour of emperor penguins in Antarctica. The simplicity of the algorithm, which is the implementation of one such paradigm for continuous optimisation, facilitates the analysis of its behaviour and the derivation of the optimal value for its single adjustable parameter in the update equation. A series of experimental trials confirms the promising performance of the optimiser over a set of benchmarks, as well as its competitiveness when compared against few other well-known population based algorithms.
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18

Perry, Joanne, and Kelsey Kendellen. "In the Huddle." Journal of Sport Psychology in Action 9, no. 3 (April 5, 2018): 206–11. http://dx.doi.org/10.1080/21520704.2018.1445676.

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19

Petersen, Brennan, and Jim Doorley. "In the Huddle." Journal of Sport Psychology in Action 11, no. 1 (January 2, 2020): 1–5. http://dx.doi.org/10.1080/21520704.2020.1715679.

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20

Lowerre, Tracy S., Jonathan A. Silverman, and Jill M. McGehee. "Time to Huddle." Pediatric Quality and Safety 3, no. 2 (2018): e061. http://dx.doi.org/10.1097/pq9.0000000000000061.

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21

Komilova, Nilufar, and Bahodir Makhmudov. "TYPES OF CRIME AND TERRITORIAL DIFFERENCES IN FERGANA REGION." GEOGRAPHY: NATURE AND SOCIETY 1, no. 4 (April 30, 2020): 38–43. http://dx.doi.org/10.26739/2181-0834-2020-4-7.

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This article describes the crimes committed in the Fergana region, their socio-geographical aspects, regional differences in the types of crime. In addition, the cities and districts of the region are grouped by level and type of crime. Particular attention is paid to urban and rural crime. Appropriate conclusions and recommendations on the topic are given
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22

Chapman, Elaine, and David Leach. "Classwide Peer Tutoring: A Comparison of “Tutor Huddle” and Teacher-Directed Procedures." Australian Educational and Developmental Psychologist 8, no. 2 (November 1991): 2–7. http://dx.doi.org/10.1017/s0816512200026432.

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ABSTRACTA 12-week classwide peer tutoring program in multiplication based on the “tutor huddle” procedure was compared with a conventional teacher-directed procedure. Two sixth-grade classes (n=52) were divided into higher and lower achievers on the basis of an initial multiplication pretest. The higher-achieving members (n=26) were then randomly assigned to be either tutor huddle tutors or teacher-directed tutors. The remaining class members (n=26) were randomly assigned to be either tutor huddle tutees or teacher-directed tutees. Results indicated that the tutor huddle tutors made significantly greater gains in multiplication skills than the teacher-directed tutors. There was no significant difference in the gains made by the two tutee groups. Benefits of the tutor huddle procedure for tutors and practical implications for its use in classroom settings were discussed.
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23

Lele, Abhijit, Chong Cheever, Larry Healey, Kellie Hurley, Louis J. Kim, and Claire J. Creutzfeldt. "Operationalization of the Transition to Comfort Measures Only in the Neurocritical Care Unit: A Quality Improvement Project." American Journal of Hospice and Palliative Medicine® 36, no. 1 (July 24, 2018): 38–44. http://dx.doi.org/10.1177/1049909118790069.

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Introduction: Transition to comfort measures only (CMO) is common in the neurocritical care unit, and close communication between interdisciplinary health-care teams is vital to a smooth transition. We developed and implemented a CMO huddle in an effort to reduce inconsistencies during the process of CMO transition. Methods: The CMO huddle was a multiphase quality improvement project in a neurocritical care unit of a level-1 trauma and comprehensive stroke center. Interdisciplinary critical care clinicians engaged in a huddle during CMO processes and participated in a pre- and postimplementation survey to examine the impact of CMO huddle on communication, missed opportunities, and improvement in knowledge. Results: Since the CMO implementation, a total of 131 patients underwent CMO transitions. After implementation of an interdisciplinary CMO huddle, 64.3% of neurocritical care nurses reported that they felt included and involved in CMO process compared to 28% before implementation ( P = .003); 87.9% of all neurocritical care clinicians reported that they felt comfortable participating in CMO discussions compared to 69.8% before ( P < .001); 57.4% of all neurocritical care clinicians reported that the CMO huddle improved communication among neurocritical care clinicians, 51.9% reported reduction in missed opportunities during CMO process, and 21.7% reported witnessing less-than-ideal CMO process compared to 80% before ( P < .001). Conclusions: Implementation of a multidisciplinary huddle in the neuro–intensive care unit before transition to CMO may improve clinician’s experience of the end-of-life process through enhanced nursing inclusion and involvement and organized communication with the neurocritical care team.
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Gilbert, Caroline, Yvon Le Maho, Martine Perret, and André Ancel. "Body temperature changes induced by huddling in breeding male emperor penguins." American Journal of Physiology-Regulatory, Integrative and Comparative Physiology 292, no. 1 (January 2007): R176—R185. http://dx.doi.org/10.1152/ajpregu.00912.2005.

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Huddling is the key energy-saving mechanism for emperor penguins to endure their 4-mo incubation fast during the Antarctic winter, but the underlying physiological mechanisms of this energy saving have remained elusive. The question is whether their deep body (core) temperature may drop in association with energy sparing, taking into account that successful egg incubation requires a temperature of about 36°C and that ambient temperatures of up to 37.5°C may be reached within tight huddles. Using data loggers implanted into five unrestrained breeding males, we present here the first data on body temperature changes throughout the breeding cycle of emperor penguins, with particular emphasis on huddling bouts. During the pairing period, core temperature decreased progressively from 37.5 ± 0.4°C to 36.5 ± 0.3°C, associated with a significant temperature drop of 0.5 ± 0.3°C during huddling. In case of egg loss, body temperature continued to decrease to 35.5 ± 0.4°C, with a further 0.9°C decrease during huddling. By contrast, a constant core temperature of 36.9 ± 0.2°C was maintained during successful incubation, even during huddling, suggesting a trade-off between the demands for successful egg incubation and energy saving. However, such a limited drop in body temperature cannot explain the observed energy savings of breeding emperor penguins. Furthermore, we never observed any signs of hyperthermia in huddling birds that were exposed to ambient temperatures as high as above 35°C. We suggest that the energy savings of huddling birds is due to a metabolic depression, the extent of which depends on a reduction of body surface areas exposed to cold.
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Hyde, Paula. "Implementing the “Cardiac Huddle”." Critical Care Nurse 28, no. 2 (April 1, 2008): 144. http://dx.doi.org/10.4037/ccn2008.28.2.144.

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26

S.NOWLAN, GODFREY. "A Huddle on conodonts." Lethaia 26, no. 3 (December 1993): 214. http://dx.doi.org/10.1111/j.1502-3931.1993.tb01522.x.

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Brady, Mary, Brandon Brinkley, and S. Irfan Ali. "Effective multidisciplinary huddle implementation." Nursing Management (Springhouse) 49, no. 9 (September 2018): 9–12. http://dx.doi.org/10.1097/01.numa.0000544466.52743.4d.

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Butcher, Lola. "Clifford Hudis." Oncology Times 37, no. 22 (November 2015): 30–31. http://dx.doi.org/10.1097/01.cot.0000475238.76320.40.

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29

Christensen, Kristen, Nora Colman, Kay Van Voorhis, Katherine Daniels, Haley Culpepper, Kiran Hebbar, and Michael Wolf. "Situational Awareness Huddles in a Pediatric Cardiac Intensive Care Unit During the COVID-19 Pandemic." Critical Care Nurse 41, no. 4 (August 1, 2021): e11-e18. http://dx.doi.org/10.4037/ccn2021975.

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Background The COVID-19 pandemic has created challenges for provider teams working in intensive care units, including rapidly changing patient care regulations, staffing considerations, and preservation of personal protective equipment. The need for enhanced respiratory precautions for infected patients and patients under investigation has necessitated a new process for interventions and resuscitation. Local Problem Along with changing regulations and equipment, significant staff anxiety surrounded caring for infected patients and preparing for emergency situations. Methods A huddle process was implemented in the pediatric cardiac intensive care unit for acutely ill patients who required enhanced respiratory precautions and were at risk of imminent decompensation, or who required a bedside procedure. During a huddle, the multidisciplinary team used process maps displayed in patient rooms; the huddle process created a situational awareness of events among these teams. Intervention After implementation of huddles, a survey was distributed to cardiac intensive care unit staff in order to understand their satisfaction with the huddle process. Results A total of 36 staff responded to the survey. They thought the huddles helped them to prepare for resuscitation scenarios, helped limit the number of personnel responding to an emergency, and reduced their anxiety surrounding caring for these patients. Staff suggested generalizing this huddle process to all patients at acute risk for decompensation in the cardiac intensive care unit. Conclusions A novel huddle process created situational awareness among staff caring for patients requiring enhanced respiratory isolation because of COVID-19. Multidisciplinary huddles allowed staff from various disciplines to apply a process map for interventions and resuscitations among critically ill children with heart disease.
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Gilbert, Caroline, Stéphane Blanc, Sylvain Giroud, Marie Trabalon, Yvon Le Maho, Martine Perret, and André Ancel. "Role of huddling on the energetic of growth in a newborn altricial mammal." American Journal of Physiology-Regulatory, Integrative and Comparative Physiology 293, no. 2 (August 2007): R867—R876. http://dx.doi.org/10.1152/ajpregu.00081.2007.

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Huddling is considered as a social strategy to reduce thermal stress and promote growth in newborn altricial mammals. So far, the role of huddling on the allocation of saved energy has not been quantified nor have the related impacts on body temperature rhythms. To determine the energy partitioning of rabbit pups either raised alone or in groups of eight, four, or two individuals, when thermoregulatory inefficient (TI) and efficient (TE), we first investigated their total energy expenditure and body composition. We then monitored body temperature and activity rhythms to test whether huddling may impact these rhythms, centered on the suckling event. Pups in a group of eight utilized 40% less energy for thermogenesis when TI than did pups alone and 32% less energy when TE. Pups in groups of eight and four had significantly lower thermoregulatory costs in the TI period, whereas pups in groups of two, four, and eight had lower costs during the TE period. Huddling pups could therefore channel the energy saved into processes of growth and accrued more fat mass (on average 4.5 ± 1.4 g) than isolated pups, which lost 0.7 g of fat. Pups in groups of four and eight had a body temperature significantly higher by 0.8°C than pups in groups of two and one when TI, whereas no more differences were noted when the TE period was reached. Moreover, pups alone showed an endogenous circadian body temperature rhythm that differed when compared with that of huddling pups, with no rise before suckling. Thus huddling enables pups to invest the saved energy into growth and to regulate their body temperature to be more competitive during nursing, particularly at the early time when they are TI.
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Thompson, Lisa, and Cyndy Krening. "Huddle Up for Fetal Safety." Journal of Obstetric, Gynecologic & Neonatal Nursing 46, no. 3 (June 2017): S8. http://dx.doi.org/10.1016/j.jogn.2017.04.011.

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Morrison, Dolores, and Chakaire Sanders. "Huddling for optimal care outcomes." Nursing 41, no. 12 (December 2011): 22–24. http://dx.doi.org/10.1097/01.nurse.0000407682.12130.f3.

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Bhatnagar, Mamta, and Robert Arnold. "The Prefamily Meeting Huddle #368." Journal of Palliative Medicine 22, no. 2 (February 2019): 223–24. http://dx.doi.org/10.1089/jpm.2018.0619.

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Stapf, Siegfried. "How molecules huddle in holes." Nature Physics 2, no. 11 (November 2006): 731–32. http://dx.doi.org/10.1038/nphys441.

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L'Hommedieu, Elizabeth, and Elizabeth Govero. "Huddle for Improved Staff Productivity." Journal of PeriAnesthesia Nursing 28, no. 3 (June 2013): e22. http://dx.doi.org/10.1016/j.jopan.2013.04.065.

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Haneberg, Lisa. "To improve teamwork, huddle up!" Leader to Leader 2006, no. 42 (2006): 16–19. http://dx.doi.org/10.1002/ltl.202.

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Ancel, André, Henk Visser, Yves Handrich, Dirkjan Masman, and Yvon Le Maho. "Energy saving in huddling penguins." Nature 385, no. 6614 (January 1997): 304–5. http://dx.doi.org/10.1038/385304a0.

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Tseng, Ann. "Huddling Up: Expanding Clinic Huddles." Annals of Family Medicine 15, no. 6 (November 2017): 584. http://dx.doi.org/10.1370/afm.2156.

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Kylor, Colleen, Teresa Napier, Amber Rephann, and Sara Jane Spence. "Implementation of the Safety Huddle." Critical Care Nurse 36, no. 6 (December 1, 2016): 80–82. http://dx.doi.org/10.4037/ccn2016768.

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Schoenfelder, Stefan, and Peter Fraser. "Interchromosomal Huddle Kickstarts Antiviral Defense." Cell 134, no. 1 (July 2008): 14–16. http://dx.doi.org/10.1016/j.cell.2008.06.041.

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41

Sourial, R., J. Teitelbaum, C. Bouchard, R. Sanchez, M. Boutin-caron, and J. Freder. "Let There Be." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 42, S1 (May 2015): S25. http://dx.doi.org/10.1017/cjn.2015.123.

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Background: In 2014, the Montreal Neurological Hospital reorganized its stroke unit, grouping together all strokes serviced by Neurology/Neurosurgery to ensure continuity of care. This unprecedented change created a new interdisciplinary /interdepartmental team which required a new form of communication to facilitate information dissemination and patient care in a timely manner. Method: Unlike typical rounds, the purpose of the daily huddle is to briefly set the patients’ goals of the day. The huddles are attended by all interdisciplinary team members, lasting approximately 30 minutes. The Assistant Nurse Manager leads the huddle in the morning in the nursing station to discuss the main issues. The huddle outcomes were assessed by: Length of stay (LOS), turnaround time to implement discharge, patient/family and team satisfaction. Results: Length of stay decreased by 4 days, delay to application to disposition was <24 hours. Interdepartmental team stated satisfaction in sharing their expertise in their different domains. Concerns were expressed if the huddle LOS exceeded 30 minutes. Eighty (80%) percent of patients/ families experienced satisfaction that information provided was given in a caring/timely manner. Conclusion: Daily huddles improved LOS and team learning was enhanced. However, huddles need to be more concise.
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Chan, Alvin, and Sumeet Vadera. "110 Neurosurgery Morning Huddle Reduces Costs and Increases Patient Satisfaction." Neurosurgery 64, CN_suppl_1 (August 24, 2017): 222–23. http://dx.doi.org/10.1093/neuros/nyx417.110.

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Abstract INTRODUCTION Morning discharge huddles, consisting of inpatient care team members, improve communication and patient care, facilitating patient flow through the hospital. However, how huddles affect hospital costs and patient satisfaction is unclear. The aim was to investigate how a neurosurgery-led interdisciplinary daily morning huddle affected different costs of patient care and patient satisfaction. METHODS Data was collected retrospectively for average ICU days, average stepdown days, average direct cost, average laboratory costs, average pharmacy costs, hospital ratings, hospital recommendations. Then the data before and after implantation of the huddle were compared. RESULTS >There was a significant decrease in the number of ICU days, average laboratory costs, and average pharmacy costs per patient after the huddle was implemented (all P < 0.05), resulting in an estimated $1408,047.66 in savings. The percentage of patients who rated our hospital as a “9 or 10” significantly increased (P < 0.05). The percentage who answered “strongly agree” when asked whether they would recommend the hospital also significantly increased (P < 0.05). There was no difference for average direct cost. CONCLUSION Implementation of a morning huddle may result in significant hospital savings while simultaneously increasing patient satisfaction.
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Sauerbaum, James J., Gina DeMaio, Bradley Geiger, Regina Cunningham, Marianna Holmes, Amy Avellino, Roger B. Cohen, James M. Metz, and Tracey L. Evans. "Minimizing wait time between chemotherapy and radiotherapy treatments." Journal of Clinical Oncology 30, no. 34_suppl (December 1, 2012): 82. http://dx.doi.org/10.1200/jco.2012.30.34_suppl.82.

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82 Background: Members of the scheduling teams at the Abramson Cancer Center observed prolonged delays between chemotherapy and radiation therapy treatments scheduled by staff from 2 independent departments leading to inconvenience for patients receiving concurrent chemo- and radiation therapy (CRpts). Methods: An analysis of baseline data over 6 weeks revealed that for 157 unique consecutive patients undergoing daily chemotherapy and radiation (a total of 353 encounters), the mean time between scheduled treatments was 122 minutes. For 39% of encounters the wait time was greater than 120 minutes. To improve the adjacency of chemotherapy and radiation appointments and to consistently reduce wait time between treatments to less than 120 minutes, we formed a Chemotherapy/Radiation Scheduling Task Force consisting of patient service representatives, practice managers, and physician and nurse advisors. We determined that CRpts should be scheduled using a “huddle” strategy whereby prospectively identified CRpts are simultaneously scheduled for both treatments in a coordinated manner. Identifying CRpts for coordinated scheduling was facilitated by the creation of a chemo-radiation scheduling inbox to which clinicians and support staff e-mail names of new CRpts in order to alert the scheduling team. Our two lead schedulers meet 2-3 times per week to coordinate patient schedules. A weekly scorecard of the wait times for CRpts patients is distributed via e-mail to the clinicians and support staff. Results: Over the past 6 months, we have used the huddle method for 80% of 986 consecutive CRpt encounters. Our average wait time for huddle-scheduled encounters has been reduced to 62.5 minutes with only 9% of encounters having wait times over 120 minutes. For non-huddle-scheduled encounters, the average wait time is 129 minutes with 57% having wait times over 120 minutes. Conclusions: Utilization of a huddle scheduling method has successfully reduced wait time for CRpts. Use of the huddle method continues to grow with staff training and awareness of the new process.
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Aldawood, Fatima, Yasser Kazzaz, Ali AlShehri, Hamza Alali, and Khaled Al-Surimi. "Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool." BMJ Open Quality 9, no. 1 (February 2020): e000753. http://dx.doi.org/10.1136/bmjoq-2019-000753.

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BackgroundOpen communication between leadership and frontline staff at the unit level is vital in promoting safe hospital culture. Our hospital staff culture survey identified the failure to address safety issues as one of the areas where staff felt unable to express their concerns openly. Thus, this improvement project using the daily safety huddle tool has been developed to enhance teamwork communication and respond effectively to patient safety issues identified in a paediatric intensive care unit.MethodsWe used the TeamSTEPPS quality approach. TeamSTEPPS is an evidence-based set of teamwork tools developed by the US Agency of Healthcare Research and Quality to enhance teamwork and communication. We applied TeamSTEPPS using a tool called the Daily Safety Huddle, aiming at improving communication and interaction between healthcare workers and building trust by acting immediately when there is any patient safety issue or concern at the unit level.ResultsDuring the period from April to December 2017, the interaction between frontline staff and unit leadership increased through compliance with the daily safety huddle. Initially, compliance was at 73%, but it increased to 97%, with a total of 340 safety issues addressed. The majority of these safety issues pertained to infection control and medication errors (109; 32.05%), followed by communication (83; 24.41%), documentation (59; 17.35%), other issues (37; 10.88%), procedure (20; 5.88%), patient flow (16; 4.7%) and equipment and supplies (16; 4.7%).ConclusionsSystematic use of daily safety huddle is a powerful tool to create an equitable environment where frontline staff can speak up freely about daily patient safety concerns. The huddle leads to a more open and active discussion with unit leadership and to the ability to perform the right action at the right time.
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Franklin, Brian J., Tejal K. Gandhi, David W. Bates, Nadia Huancahuari, Charles A. Morris, Madelyn Pearson, Michelle Beth Bass, and Eric Goralnick. "Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy." BMJ Quality & Safety 29, no. 10 (April 7, 2020): 1.2–2. http://dx.doi.org/10.1136/bmjqs-2019-009911.

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BackgroundDespite significant advances, patient safety remains a critical public health concern. Daily huddles—discussions to identify and respond to safety risks—have been credited with enhancing safety culture in operationally complex industries including aviation and nuclear power. More recently, huddles have been endorsed as a mechanism to improve patient safety in healthcare. This review synthesises the literature related to the impact of hospital-based safety huddles.MethodsWe conducted a systematic review of peer-reviewed literature related to scheduled, multidisciplinary, hospital-based safety huddles through December 2019. We screened for studies (1) in which huddles were the primary intervention being assessed and (2) that measured the huddle programme’s apparent impact using at least one quantitative metric.ResultsWe identified 1034 articles; 24 met our criteria for review, of which 19 reflected unit-based huddles and 5 reflected hospital-wide or multiunit huddles. Of the 24 included articles, uncontrolled pre–post comparison was the prevailing study design; we identified only two controlled studies. Among the 12 unit-based studies that provided complete measures of statistical significance for reported outcomes, 11 reported statistically significant improvement among some or all outcomes. The objectives of huddle programmes and the language used to describe them varied widely across the studies we reviewed.ConclusionWhile anecdotal accounts of successful huddle programmes abound and the evidence we reviewed appears favourable overall, high-quality peer-reviewed evidence regarding the effectiveness of hospital-based safety huddles, particularly at the hospital-wide level, is in its earliest stages. Additional rigorous research—especially focused on huddle programme design and implementation fidelity—would enhance the collective understanding of how huddles impact patient safety and other targeted outcomes. We propose a taxonomy and standardised reporting measures for future huddle-related studies to enhance comparability and evidence quality.
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Zhang, Shuwei, Chengjun Yu, Tuo Feng, Bo Wang, and Fadao Tai. "The effects of olfactory and sound signals from dams during prior brief isolation on levels of paternal behaviours in mandarin voles." Behaviour 153, no. 2 (2016): 209–26. http://dx.doi.org/10.1163/1568539x-00003338.

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Although effects of paternal deprivation on offspring have been previously studied, the factors initiating and maintaining paternal care are not very clear. Using socially monogamous mandarin voles, we investigated whether cues from dams affect paternal behaviours. The sires were separated from their pups individually or placed with dams immediately prior to paternal behaviour testing. The results showed that sires kept with dams displayed more huddling behaviour and shorter latency of retrieving than sires isolated individually. Sires placed with dams in a closed box also exhibited less huddling behaviour and longer latency of retrieving than sires placed with dams in an open box. In addition, anosmia, deafness or combination of these two treatments all significantly reduced huddling and licking behaviour compared with sham-operated group respectively. These results suggest that communication between sires and dams especially via olfactory and auditory signals plays an important role in strengthening paternal behaviours.
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Fortin, Daniel, Gilles Gauthier, and Jacques Larochelle. "Body Temperature and Resting Behavior of Greater Snow Goose Goslings in the High Arctic." Condor 102, no. 1 (February 1, 2000): 163–71. http://dx.doi.org/10.1093/condor/102.1.163.

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Abstract We examined the control of body temperature during active and resting behaviors in chicks of a large precocial bird, the Greater Snow Goose (Chen caerulescens atlantica), growing in a cold Arctic environment. Imprinted goslings from 4 to 31 days old maintained their mean (± SD) body core temperature within a narrow range around 40.6 ± 0.2°C (range: 38.7–42.2°C), independently of changes in their thermal environment. Average body temperature increased <0.4°C between 4 and 31 days of age. Hypothermia, potentially an energy-saving mechanism, was not used by active goslings. The potential for heat loss to the environment influenced the length of resting bouts in wild goslings. As environmental temperature increased, wild goslings remained sitting alone for longer periods, whereas when it decreased, brooding behavior was prolonged. The time spent huddling increased with the number of goslings involved. Body temperature during huddling bouts measured in imprinted chicks was significantly lower than during periods of activity, showing a rapid decrease averaging 0.8°C at the onset of huddling, followed by a slow recovery before activity was resumed. Thus, huddling behavior was not used as a rewarming mechanism. Greater Snow Goose goslings appear to prioritize metabolic activity by maintaining a high body temperature, despite the high energy costs that may be involved. Social thermoregulation is used to reduce the energy costs entailed by the strict maintenance of homeothermy.
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Zhao, Linsen. "Mock Impoliteness and Co-Construction of Hudui Rituals in Chinese Online Interaction." Chinese Journal of Applied Linguistics 43, no. 1 (March 26, 2020): 45–63. http://dx.doi.org/10.1515/cjal-2020-0004.

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AbstractThis paper examines an under-researched phenomenon of mock impoliteness in Chinese online interaction, namely, the practice of hudui (lit. reciprocal jocular abuse) as a solidarity enhancing device among acquaintances. Drawing on data from Qzone interaction among Chinese university students, this study focuses on ritual features, sequential patterns and interpersonal functions of hudui through the lens of Kádár’s (2013, 2017) interpersonal ritual theory. The results show that hudui is co-constructed by the online participants with the symmetric pattern of mutual abuse, which distinguishes it from previous studies of jocular abuse (i.e., the asymmetric pattern of abuser– recipient). They also reveal that hudui accomplishes various kinds of relational work, including fostering intimacy, enhancing mutual affection-based face and creating amusement.
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McMahon, Mary, and Davide Ruggero. "A Translation Tuning HuDdle for Neurons." Molecular Cell 71, no. 2 (July 2018): 195–96. http://dx.doi.org/10.1016/j.molcel.2018.07.007.

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L'abate, Luciano. "Hugging, Holding, Huddling and Cuddling (3HC)." Journal of Clinical Activities, Assignments & Handouts in Psychotherapy Practice 1, no. 1 (January 2001): 5–18. http://dx.doi.org/10.1300/j182v01n01_02.

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