bluuebunny/crossref_metadata_2025 huggingface dataset:
Understanding spectators’ intention to attend sport events: A perspective on perceived value
Authors: Quang Le Trang , Thi Thu Phung Thuy , Vo Song Le Huong , Chau Tran Thi , Tran Tien Dinh Duy
Published: September 2024

Sport events of various scales are becoming increasingly popular in modern society, attracting diverse audiences and offering significant entertainment value. This study aims to explore the factors that influence spectators’ intention to attend the stadium, by extending theory of planned behavior model from the perspective of perceived value. Using a quantitative research approach, the study involved a sample size of 334 spectators surveyed from the 2023 Vietnam Student Football Championship and utilized Smart PLS version 4.0 for data analysis. The results indicated that perceived enjoyment significantly affects both attitude (β = 0.358, p = 0.000) and perceived value (β = 0.712, p = 0.000). Perceived fee negatively affects attitude (β = –0.084, p = 0.025) and perceived value (β = –0.068, p = 0.047). Perceived risk negatively affects attitude (β = –0.130, p = 0.001) but does not significantly affect perceived value. Attitude positively influences intention (β = 0.227, p = 0.000), and perceived value significantly influences both attitude (β = 0.293, p = 0.000) and intention (β = 0.437, p = 0.000). Team identification moderates the relationship between attitude and intention (β = 0.128, p = 0.010). The findings highlight the importance of enhancing perceived value to positively shape spectators’ attitude and intention, thereby increasing attendance at sport events.
Principais causas de morte em crianças e adolescentes no Brasil: Análise de 2011 a 2020
Authors: De Almeida Camille Kaiser , Krauzer Caroline Corrêa , Sela Eduarda de Oliveira , Cichowicz Taíse de Fátima , Da Silveira Andressa , Soccol Keity Laís Siepmann , Dos Santos Lairany Monteiro , Zancan Sabrina
Published: September 2024

A infância e adolescência são etapas singulares no desenvolvimento humano. Todavia, muitas crianças e adolescentes estão expostas a riscos de morbimortalidade, o que leva a óbitos precoces. O presente estudo objetiva analisar as principais causas de morte em crianças e adolescentes, de 1 a 19 anos, no Brasil, notificados entre os anos de 2011 e 2020. Trata-se de um estudo quantitativo, descritivo, realizado a partir dos dados secundários obtidos na plataforma DataSUS. Utilizou-se o recorte temporal de 2011 a 2020, com abrangência geográfica de todas as regiões do Brasil estratificadas por faixa etária, sexo e causas de óbitos. Os dados foram submetidos à análise estatística simples através do Excel. As quatro faixas etárias analisadas apresentaram as “causas externas” e “neoplasias” como as principais causas de óbitos. Além disso, o sexo masculino é predominante nos óbitos de todas as faixas etárias, com ênfase na adolescência. Desse modo, salienta-se que os índices de mortalidade de crianças e adolescentes podem ser reduzidos. Nesta perspectiva, pontua-se a importância do desenvolvimento de políticas públicas acerca da prevenção de doenças, promoção de saúde, acesso aos serviços de saúde, redução de desigualdades sociais e segurança pública.
Fundamental Laws and Quantum Dynamics
Authors: Stefanescu Eliade
Published: September 2024

Background:

Recently, we obtained a unitary theory of quantum mechanics and general
relativity, where a quantum particle is a continuous distribution of matter in the two conjugate
spaces of the coordinates and momentum, quantized by the equality of the mass parameter describing
the relativistic dynamics of the matter, with the mass as an integral of the matter density.
However, in this framework, we have not explicitly revealed the connection between our new theory
and the fundamental laws of quantum mechanics.

Methods:

We analyzed in detail the three fundamental laws of quantum mechanics, explicitly describing
experimental data: 1) Planck’s law of the blackbody electromagnetic radiation of a system
of electrically charged harmonic oscillators, 2) Einstein’s law of the photon energy proportionality
with the photon frequency, and 3) de Broglie’s law of the quantum particle as an oscillator
in space.

Results:

We reobtained the two dynamical equations, in the conjugate spaces of the coordinates
and momentum, as functions of the Lagrangian system, unlike the Schrödinger equation, depending
on the Hamiltonian.

Conclusion:

According to the fundamental laws of quantum mechanics, a quantum particle is a
continuous distribution of matter with an intrinsic mass, unlike the conventional quantum mechanics
for the state occupation probabilities of punctual entities moving with the light velocity and
getting an apparent mass only by collisions with some bosons pervading the whole universe. According
to these laws, we obtained a quantum theory in agreement with common sense, classical
logic, and general relativity.
LEPROSY NEUROPATHY : CLINICAL PRESENTATION
Authors: Noer Rizki Rahamatullah , Kurniawan Shahdevi Nandar
Published: September 2024

Leprosy is a chronic infection caused by the bacteria M. leprae and causes damage to the skin and peripheral nervous system outside the brain and spinal cord, including the skin, mucous membranes of the nose, testicles, and eyes. This disease develops slowly over a long period, ranging from 6 months to 40 years, and can cause skin lesions and secondary defects. Leprosy is a common and treatable cause of peripheral neuropathy in many tropical and subtropical countries. Neuropathy is a condition that causes damage to the function and structure of the sensory, autonomic, and motor nerves in the peripheral nervous system. Complications of neuropathy can include loss of sensory abilities and muscle weakness. Impaired sensory nerve function is often the first symptom that appears in leprosy neuropathy. Therefore, early detection and treatment of neuropathy in leprosy is very important to prevent disability.
SALTWATER FISH CONSUMPTION AND THE RISK OF STROKE IN COASTAL POPULATION
Authors: Haq Abiyyu Didar , Harahap Herpan Syafii , Wahyudi Safat , Susilawati Ni Nyoman Ayu
Published: September 2024

Indonesia, consisting of tens of thousands of islands, has a rather long coastline with relatively high percentage of it is population that lives in the coastal area. High consumption of saltwater fish in the coastal population is an inevitability. Several studies have observed a relation between saltwater fish consumption and the risk of stroke with contradicting results, protective effect on one side and harmful on the other. The protective effect is mainly mediated by the poly-unsaturated fatty acid (PUFA) content of the saltwater fish while the harmful effect is mediated by the sodium content. PUFA exerts its protective effect through it is antioxidant effect on the endothelial wall, anti-inflammatory effect and the activation of anti-apoptotic pathways in the state of ischemic stroke while sodium increases the risk of hypertension which is the main predisposing factor for stroke and induces anatomical remodeling of the endothelial wall as well as functional abnormalities. Several public health interventions have been carried out to mitigate the harmful effect of the sodium content of saltwater fish yet there hasn’t been a specific intervention for coastal population.
THYMOMA REMISSION WITH STEROID THERAPY IN MYASTHENIA GRAVES WITH GIANT THYMOMA
Authors: Şimşek Fatma
Published: September 2024

The thymoma is an uncommon neoplasm. It is detected incidentally in some patients. Myasthenia gravis (MG) is an autoimmune disease and closely related to thymoma. Between 10% and 20% of patients with MG have thymoma and 30%–50% of patients with thymoma have MG. Thymectomy is part of the treatment for MG patients. However, the patient must be stabilized before thymectomy. We present a 26-year-old male case with giant thymoma. In the initial evaluation of the patient, a giant-sized thymoma was observed, which was thought to cause vascular invasion. Interestingly, the introduction of corticosteroid therapy for MG symptom management resulted in unexpected significant remission of giant thymoma. After steroid treatment, thymectomy was performed. This case demonstrated that steroid therapy was effective and well tolerated for the treatment of both thymoma and MG. Therefore, steroid therapy should be continued for a while for thymoma remission before surgery in MG patients with giant thymoma. Treatment is arranged according to the clinical findings of the patient. Each patient's response to treatment and duration of treatment may differ from each other. After thymectomy, long-term follow-up is required for the possibility of thymoma becoming malignant.
HYPERDENSE BASILAR ARTERY SIGN IN ISCHEMIC STROKE PATIENT WITH COVID-19: A CASE REPORT
Authors: Asrini Neoniza Eralusi , Umam David Noor
Published: September 2024

Background: Coronavirus disease 2019 (COVID-19) can cause coagulopathy, leading to thromboembolism disease such as ischemic stroke. Ischemic stroke due to basilar artery occlusion (BAO) is rare condition, which is hard to diagnose and has high mortality especially if accompanied by COVID-19. Objective: To evaluate the presence of infarction in the basilar area in COVID-19 patients and prevent complications that arise due to misdiagnosis Methods: 41 year old male patient came to the emergency unit with left-side weakness, slurred speech, vertigo, and nausea 7 hours before admission. He also had mild fever, cough, and fatigue a week before admission. Patient had full consciousness, blood pressure 180/100, left hemiparesis (motoric 3/5), dysarthria, dysphagia. His National Institutes of Health Stroke Scale (NIHSS) score was 7. Results: From laboratory examination, neutrophil lymphocyte ratio (NLR) was increased to 3.60, he tested positive for SARS-CoV-2 rapid antigen and Polymerase Chain Reaction (PCR) with cycle threshold (CT) value 28.66, and D-dimer was increased to 4000 ng/mL. Bronchovascular markings increased on chest X-ray and hyperdense bacillary artery sign found on head CT-scan suggesting vertebrobasilar infarct. Acute stroke ischemic due to large vessel occlusion in COVID-19 found more often in young men with mild symptoms or asymptomatic COVID-19. Prodromal symptoms and stroke onset in BAO can be atypical and variable. Hyperdense bacillary artery sign on head CT scan was a specific sign and can support the diagnosis of BAO. Concussion: Patient’s condition got better progressively and was allowed to discharge from hospital after 6 days. BAO patients with younger age, lower NIHSS scores, early diagnosis, and prompt treatment had better prognosis.
PROFILE OF CHARACTERISTIC, RISK FACTOR, AND CLINICAL SEVERITY OF ISCHEMIC STROKE PATIENTS
Authors: Perdana Philips Carel , Ardhi Mohammad Saiful , Susanto Hermawan
Published: September 2024

Background: Ischemic strokes account for 87% of all strokes, making them the second leading cause of disability and one of the leading causes of mortality worldwide. Using the National Institutes of Health Stroke Scale (NIHSS), the clinical severity of an ischemic stroke can be assessed. Objective: The objective of this study is to ascertain the clinical severity, risk factors, and characteristics of patients with ischemic stroke at the neurology department of RSUD Dr. Soetomo Surabaya. Methods: The participants in this descriptive observational study comprise individuals who sought medical attention at the neurology department of RSUD Dr. Soetomo between January 2019 and December 2020 due to an ischemic stroke. The observed profile comprises the following factors: age, gender, obesity, smoking status, alcohol consumption, physical inactivity, family history of vascular disease, form of infarction, dyslipidemia, hypertension, cholesterol, and diabetes. Results: In the medical record data collection of 89 ischemic stroke patients, 36 patients were excluded when they first entered the hospital. So a total of 53 ischemic stroke patients were collected. 29 (54.72%) patients are male. The age range is dominated by 48 - 62 years from 29 (54.72%) patients. 44 (83.02%) patients are Javanese. 18 (33.96%) patients had a history of smoking, 1 (1.89%) patient consumed alcohol, and 1 (1.89%) patients were inactive physically. 13 (24.53%) patients have a family history of vascular disease, 45 (84.91%) patients have hypertension, 26 (49.06%) patients have dyslipidemia, and 19 (35.85%) patients have diabetes. 34 (64.15%) patients had moderate strokes, 15 (28.30%) patients had mild strokes, 2 (3.77%) patients had moderate-severe strokes, and 2 (3.77%) patients had severe strokes according to the results of the NIHSS assessment on the first admission. Conclusion: Ischemic stroke patients were mostly in the age range of 48 – 62 years. Comorbidities such as hypertension, dyslipidemia, hypertriglyceridemia, and diabetes are present in the majority of patients. The NIHSS scoring identified moderate stroke patients as having the most frequent outcomes, followed by patients with mild stroke.
DOES THE COMBINATION OF ROSMARINUS OFFICINALIS AND CENTELLA ASIATICA NANOEMULSIONS AFFECT BDNF EXPRESSION IN THE GESTATIONAL DIABETES MELLITUS MODEL IN ZEBRAFISH LARVAE
Authors: Khotimah Husnul , Lamadi Sutini , Amelia Rizki , Arista Devi Maya , Prastiwi Fajar Dwi , Raras Tri Yudani Mardining
Published: September 2024

Background: Pancreatic β-cells compensate for the increased insulin demand due to increasing glucose levels during pregnancy or in gestational diabetes mellitus (GDM). The enzyme that regulates the rate of gluconeogenesis production is PEPCK. Circulatory and metabolic disturbances in the brain caused by hyperglycemia could affect brain-derived neurotrophic factor (BDNF) expression as an agent for neurodevelopment. Objective: The purpose of this work is to ascertain the impact of combining nanoemulsions of Rosmarinus officinalis and Centella asiatica on the expression of BDNF and PEPCK. Methods: This study was a true experimental laboratory using zebrafish larvae. The larvae were exposed to 3% glucose and a combination of nanoemulsion extracts. The study sample of zebrafish larvae at 72 hpf (hour post fertilization) was divided into control, glucose, treatment 1, 2, and 3, with the combination of Rosmarinus officinalis and Centella asiatica nanoemulsions at 2.5 μg/ml, 5 μg/ml, and 10 μg/ml, respectively. PEPCK and BDNF expression were measured by the real-time PCR method. Results: The expression of PEPCK increased significantly in the glucose group (3.05 ± 0.27). The combination of Rosmarinus officinalis and Centella asiatica nanoemulsions significantly decreased PEPCK (p-value 0,001 < 0.05). The BDNF level did not significantly differ (p-value 0.253 >0.05) among groups, but the highest level (1.06 ± 0.60) was gained in the T2 group, which received an embryonic medium (EM), 3% glucose, and the combination of Rosmarinus officinalis and Centella asiatica nanoemulsions at 5μg/ml. Conclusion: The combination of Rosmarinus officinalis and Centella asiatica nanoemulsions significantly reduces PEPCK expression but does not affect BDNF expression.
FAMILIA LAMIACEAE II género Salvia
Authors:   INECOL, Bedolla García Brenda Yudith , Zamudio Ruiz Sergio , Cornejo Tenorio Guadalupe ,   UNAM
Published: September 2024

Salvia es el género más diverso de Lamiaceae con aproximadamente 1000 especies a nivel mundial. En México se registran 295 especies, de las cuales 82% son endémicas. En el área de esta flora se reconocen 67 especies. El género se distribuye en México principalmente en bosque templado (pino-encino); también en bosque tropical caducifolio y subcaducifolio, así como en matorral xerófilo de zonas áridas. En este fascículo se encuentran claves para identificar correctamente las especies de Salvia; sin embargo, se requieren plantas con flores y será necesario hacer disecciones de varias corolas para observar los caracteres al microscopio estereoscópico. También se incluyen fotografías como apoyo y se ilustran algunos caracteres útiles en la identificación de las especies; además de dibujos y mapas que ilustran tanto a las especies como su distribución.
‘The Trio-Model’
Authors: Varghese Nithin , Humphreys Rebekah
Published: September 2024

In light of the United Nations’ aim to achieve the Sustainable Development Goals (SDGs) by 2030 and recognizing that the international community is nowhere near to achieving this aim, this paper argues for a change in practice and perspective regarding animals used for food, particularly those animals used in the industrial animal agriculture industry, and consequently calls for a transformative change in human-animal relationships. Using the global practice of factory farming as a case study, the paper aims to show that the interests of humans, nonhumans, and the environment overlap considerably and that the current anthropocentric stance, that provides the ethical framework for the SDGs, undermines itself in its attempt to meet the needs of present and future human beings whilst considering human interests only as of direct moral concern. Drawing on the concepts of “one health” and “doughnut economics”, the paper concludes with an urgent call for a more inclusive biocentric approach to global environmental problems, health, and disease. Such an approach should recognize the good of other than human beings in and of itself, and be guided by relevant anti-speciesist egalitarian principles and practices. This framework of biocentrism, doughnut economics, and one health the authors term the ‘trio-model’, for short.
Between Beautiful and Moral Action
Authors: Defrančeski Jan
Published: September 2024

In this paper, the author reflects on Immanuel Kant’s distinction between beautiful and moral action, and its influence on Arne Næss’s ecological thought. By referring to Næss’s interpretation of Kant’s moral philosophy, and especially his lesser-known writing An Attempt at Some Reflections on Optimism (German: Versuch einiger Betrachtungen über den Optimismus, 1759), the author presents the thesis that Kant – although it does not seem so at first glance – plays an important role in Næss’s environmental philosophy (i.e., Ecosophy T) and that his moral philosophy represents solid foundations for articulating one’s own ecosophies. This prompted the author to ponder about (I) the depth of Kant’s influence on Næss, (II) Kantian roots of deep ecology, and (III) Kantian contributions to deep-ecological thinking. In doing so, the author also outlined a Kantian ecosophy – by using some of the most important concepts of Kant’s moral philosophy (e.g., duty, intrinsic value, categorical imperative, moral law, moral autonomy, moral development, and humanity as an end in itself). Finally, as a result of this discussion, the author concluded that Kant’s and Næss’s philosophical theories and worldviews – regardless of their differences – agree at least on one point: human beings could and should make a difference by acting morally and/or beautifully.
How Demands Shape Morality
Authors: Guć Josip
Published: September 2024

Although Kant’s ethics excludes non-human animals from direct moral concern, animal ethics can still benefit from it. Some of Kant’s statements provide incentives for developing moral obligations towards non-human animals, rather than simply concerning them. These incentives are primarily found in two of his statements. Firstly, Kant defines duty as “the necessity of an action from respect for law,” but also as “moral constraint [Nötigung] by [another] subject’s will.” Therefore, the duty can be understood as a demand. In the Kantian framework, this demand can only come from another person, not non-human animals. However, Kant also acknowledges that man’s “reason certainly has a commission from the side of his sensibility which it cannot refuse.” Suppose this demand, arising from sensibility, can be interpreted as a demand of our animality in its own right. In that case, there should be no obstacles to rejecting the moral consideration of demands presented to us from the standpoint of a non-human being’s animality. The paper categorizes demands as either articulated or silent and as either moral or related to self-realization. It argues that non-human animals can indirectly shape moral demands by expressing their silent demands for self-realization. They do so indirectly because moral demands can only be articulated in our practical reason.
Jahrovi argumenti za zaštitu biljnog života i kantijanski utjecaj u njegovoj bioetici
Authors: Kos Marko
Published: September 2024

U radu se analizira doprinos Fritza Jahra utemeljenju bioetike s naglaskom na njegovu zaštitu biljnog života i kantijanski utjecaj. Jahr u raspravu uvodi pojam „bioetički imperativ“, koncept koji je inspiriran Kantovim kategoričkim imperativom i petom biblijskom zapovijedi „Ne ubij!“ – odnosno, Jahrov imperativ poziva na poštovanje svih oblika života, uključujući biljke, proširujući moralni obzir izvan ljudske vrste. Jahr argumentira svoju poziciju o moralnom obziru koristeći znanstvene, religijske, filozofske i pjesničke perspektive. Tekst prikazuje kako Jahrova „filozofija morala“ uključuje elemente suosjećanja, ljubavi i solidarnosti sa svim živim bićima, prikazujući autore koji služe kao relevantna mjesta za znanstvene i izvanznanstvene perspektive. Jahr se poziva na radove poznatih suvremenika, znanstvenika i filozofa, uključujući Wilhelma Wundta, Gustava Theodora Fechnera i Immanuela Kanta, kako bi podržao svoje teze. Kroz analizu Jahrovih članaka i ideja rad pokazuje kako njegova bioetika nadilazi povijesne okvire i ima relevantnost za današnje etičke izazove u zaštiti okoliša i života uopće.
Introducing and Evaluating the Effectiveness of Online Cognitive Behavior Therapy for Gambling Disorder in Routine Addiction Care: Comparative Cohort Study
Authors: Molander Olof , Berman Anne H , Jakobson Miriam , Gajecki Mikael , Hällström Hanna , Ramnerö Jonas , Bjureberg Johan , Carlbring Per , Lindner Philip
Published: September 2024

Background

Several treatment-related challenges exist for gambling disorder, in particular at-scale dissemination in health care settings.

Objective

This study describes the introduction of a newly developed internet-delivered cognitive behavioral therapy (iCBT) program for gambling disorder (GD), provided with therapist support in routine addiction care, in a nationally recruited sample in Sweden. The study details the introduction of the iCBT program, evaluates its effectiveness and acceptability, and compares registry outcomes among iCBT patients with other patients with GD at the clinic who received face-to-face psychological treatment as usual.

Methods

The study site was the Stockholm Addiction eClinic, which offers digital interventions for addictive disorders in routine care. The iCBT program was introduced nationally for treatment-seeking patients through the Swedish eHealth platform. After approximately 2 years of routine treatment provision, we conducted a registry study, including ordinary patients in routine digital care (n=218), and a reference sample receiving face-to-face psychological treatment for GD (n=216).

Results

A statistically significant reduction in the Gambling Symptom Assessment Scale scores during the treatment was observed (B=–1.33, SE=0.17, P<.001), corresponding to a large within-group Cohen d effect size of d=1.39. The iCBT program was rated high for satisfaction. A registry-based survival analysis, controlling for psychiatric comorbidity, showed that patients receiving iCBT exhibited posttreatment outcomes (re-engagement in outpatient addiction care, receiving new psychiatric prescriptions, enrollment in psychiatric inpatient care, and care events indicative of contact with social services) similar to comparable patients who underwent face-to-face treatment-as-usual.

Conclusions

A lack of randomized allocation notwithstanding, the iCBT program for GD evaluated in this study was well-received by patients in routine addiction care, was associated with the expected symptom decrease during treatment, and appears to result in posttreatment registry outcomes similar to face-to-face treatment. Future studies on treatment mechanisms and moderators are warranted.

International Registered Report Identifier (IRRID)

RR2-10.1186/s40814-020-00647-5
Applicability of Retrospective and Prospective Gender Scores for Clinical and Health Data: Protocol for a Scoping Review
Authors: Schindler Lea , Beelich Hilke , Röll Selina , Katsari Elpiniki , Stracke Sylvia , Waltemath Dagmar
Published: September 2024

Background

Gender is known to have a strong influence on human health and disease. Despite its relevance to treatment and outcome, gender is insufficiently considered in current health research. One hindering factor is the poor representation of gender information in clinical and health (meta) data.

Objective

We aim to conduct a scoping review of the literature describing gender scores. The review will provide insights into the current application of gender scores in clinical and health settings. The protocol describes how relevant literature will be identified and how gender scores will be evaluated concerning applicability and usability in scientific investigations.

Methods

Our scoping review follows the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. A title and abstract screening was conducted on PubMed, followed by a full-text screening. The inclusion and exclusion criteria were discussed by a team of 5 domain experts, and a data-charting form was developed. The charted data will be categorized, summarized, and analyzed based on the research questions during the scoping review.

Results

We will report our research results according to the PRISMA-ScR guidelines. The literature retrieval was carried out on June 13, 2024, and resulted in 1202 matches. As of July 2024, the scoping review is in the data extraction phase and we expect to complete and publish the results in the first quarter of 2025.

Conclusions

The scoping review lays the foundation for a retrospective gender assessment by identifying scores that can be applied to existing large-scale datasets. Moreover, it will help to formulate recommendations for standardized gender scores in future investigations.

International Registered Report Identifier (IRRID)

DERR1-10.2196/57669
Rethinking Health Systems Responsiveness in Low- and Middle-Income Countries: Validation Study
Authors: Iqbal Meesha , Cazaban Cecilia Ganduglia , Morgan Robert , Bauer Cici , Siddiqi Sameen
Published: September 2024

Background

Health systems responsiveness (HSR) is the ability of systems to respond to legitimate non-health expectations of the population. The concept of HSR by the World Health Organization (WHO) includes respect for dignity, individual autonomy, confidentiality, prompt attention to care, availability of basic amenities, choice of provider, access to social support networks, and clarity of communication. The WHO tool is applied globally to assess HSR in low, middle, and high-income countries.

Objective

We have revised the conceptual framework of HSR following a rigorous systematic review and made it specific for low- and middle-income countries (L&MICs). This study is designed to (1) run the Delphi technique to validate the upgraded conceptual framework of HSR, (2) modify and upgrade the WHO measurement tool for assessing HSR in the context of L&MICs, and (3) determine the validity of the upgraded HSR measurement tool by pilot testing it in Pakistan.

Methods

The Delphi technique will be run by inviting global public health experts to provide suggestions on the domains and subdomains of HSR specific to L&MICs. Cronbach ɑ will be calculated to determine internal consistency among the participants. The upgraded HSR conceptual framework will serve as a beacon to modify the measurement tool by the research team, which will be reviewed by subject experts for refinement. The modified tool will be pilot-tested by administering it to 1128 participants from primary, secondary, and tertiary care hospitals in Rawalpindi district, Pakistan. Additionally, an “observation checklist” of HSR domains and subdomains will be completed to objectively measure the state of HSR across health care facilities.
HSR assessment will be further strengthened by incorporating the perspective of hospital managers, service providers, and policy makers (ie, the supply side) as well as community leaders and representatives (ie, the demand side) through qualitative interviews.

Results

The study was started in January 2024 and will continue until February 2025. A multidimensional approach will yield significant quantifiable information on HSR from the demand and supply sides of L&MICs.

Conclusions

This study will provide a conceptual understanding of HSR and a corresponding measurement tool specific to L&MICs. It will contribute to global public health literature and provide a snapshot of HSR in Rawalpindi district, Pakistan, with concrete action points for policy makers.

International Registered Report Identifier (IRRID)

DERR1-10.2196/59836
Using Extended Reality to Enhance Effectiveness and Group Identification in Remote Group Therapy for Anxiety Disorders: A Critical Analysis
Authors: Bouguettaya Ayoub , Aboujaoude Elias
Published: September 2024

Group therapy is a scalable and effective treatment for anxiety disorders. However, when performed online, the reduced ability to identify with group members and the reduced interactivity can limit its appeal and effectiveness. Extended reality (XR) technology, including virtual reality and augmented reality, may help address these limitations, thereby enhancing the reach of online group therapy and the benefits that can be drawn from it. To understand how the incorporation of XR technology may improve online group therapy for anxiety disorders, this viewpoint paper examines evidence related to the treatment of anxiety disorders using offline group therapy, online group therapy, and virtual reality, as well as ways to increase social identification and interactivity with the platform, the therapist, and other users. This viewpoint paper suggests ways to integrate these research streams to leverage the strengths of XR platforms and improve group therapeutic offerings.
Introducing and Evaluating the Effectiveness of Online Cognitive Behavior Therapy for Gambling Disorder in Routine Addiction Care: Comparative Cohort Study (Preprint)
Authors: Molander Olof , Berman Anne H , Jakobson Miriam , Gajecki Mikael , Hällström Hanna , Ramnerö Jonas , Bjureberg Johan , Carlbring Per , Lindner Philip
Published: September 2024

BACKGROUND

Several treatment-related challenges exist for gambling disorder, in particular at-scale dissemination in health care settings.

OBJECTIVE

This study describes the introduction of a newly developed internet-delivered cognitive behavioral therapy (iCBT) program for gambling disorder (GD), provided with therapist support in routine addiction care, in a nationally recruited sample in Sweden. The study details the introduction of the iCBT program, evaluates its effectiveness and acceptability, and compares registry outcomes among iCBT patients with other patients with GD at the clinic who received face-to-face psychological treatment as usual.

METHODS

The study site was the Stockholm Addiction eClinic, which offers digital interventions for addictive disorders in routine care. The iCBT program was introduced nationally for treatment-seeking patients through the Swedish eHealth platform. After approximately 2 years of routine treatment provision, we conducted a registry study, including ordinary patients in routine digital care (n=218), and a reference sample receiving face-to-face psychological treatment for GD (n=216).

RESULTS

A statistically significant reduction in the Gambling Symptom Assessment Scale scores during the treatment was observed (B=–1.33, SE=0.17, P<.001), corresponding to a large within-group Cohen d effect size of d=1.39. The iCBT program was rated high for satisfaction. A registry-based survival analysis, controlling for psychiatric comorbidity, showed that patients receiving iCBT exhibited posttreatment outcomes (re-engagement in outpatient addiction care, receiving new psychiatric prescriptions, enrollment in psychiatric inpatient care, and care events indicative of contact with social services) similar to comparable patients who underwent face-to-face treatment-as-usual.

CONCLUSIONS

A lack of randomized allocation notwithstanding, the iCBT program for GD evaluated in this study was well-received by patients in routine addiction care, was associated with the expected symptom decrease during treatment, and appears to result in posttreatment registry outcomes similar to face-to-face treatment. Future studies on treatment mechanisms and moderators are warranted.

INTERNATIONAL REGISTERED REPORT

RR2-10.1186/s40814-020-00647-5
Evaluation of Drug and Herbal Medicinal Promotions on Social Media During the COVID-19 Pandemic in Relation to World Health Organization Ethical Criteria and South African Health Products Regulatory Authority Guidelines in South Africa: Cross-Sectional Content Analysis (Preprint)
Authors: Chimukuche Rujeko Samanthia , Ndlazi Julia , Mtolo Lucky Thembani , Bird Kristien , Seeley Janet
Published: September 2024

BACKGROUND

Consideration of ethics in the promotion of medications is essential to safeguard the health of consumers, particularly during health crises. The World Health Organization (WHO) and the South African Health Products Regulatory Authority (SAHPRA) have established stringent standards to ensure the integrity of pharmaceutical promotions and safeguard public health, including advertisements on the internet and social media platforms. However, the dynamic nature of online advertising poses challenges for monitoring and enforcing ethical standards.

OBJECTIVE

The study aimed (1) to examine the COVID-19 drug and medicinal promotions across online platforms and social media from 2020 to 2022 in South Africa and (2) to ensure that drug promotions adhere to ethical guidelines outlined by the WHO and SAPHRA.

METHODS

A cross-sectional content analysis was conducted to assess drug and medicinal advertisements across various internet and social media platforms. A systematic approach was used to identify and analyze promotional content, focusing on adherence to ethical guidelines outlined by WHO and SAPHRA. Data were collected and analyzed to determine the extent of compliance and identify any potential violations or areas for improvement.

RESULTS

A total of 14 online drug advertisements were included in this analysis. Our findings show that most of the drugs advertised did not meet the regulations and guidelines provided by WHO and SAHPRA. There were omissions about active ingredients, proprietary names, adverse drug responses, precautions, and overdosage and adverse drug reactions. Traditional medicines were not fully consistent with the approved WHO ethical criteria data sheet.

CONCLUSIONS

Our analysis highlights the critical importance of ensuring compliance with ethical guidelines in drug promotions on the internet and social media platforms. There is a need for continued vigilance and enforcement efforts to uphold ethical standards and protect the health of the public. Ongoing monitoring and collaboration between national drug regulatory agencies, pharmaceutical companies, and online platforms will be essential for promoting responsible advertising. In addition, safety monitoring and pharmacovigilance systems for herbal medicinal products are yet to be established.
Education Program for Enhancing Health Care Students’ Attitudes Toward People Living With Dementia: Protocol for a Single-Arm Pre-Post Study (Preprint)
Authors: Sari Dianis Wulan , Kugai Haruna , Igarashi Ayumi , Takaoka Manami , Matsumoto Hiroshige , Suzuki Haruno , Wu Jinyan , Fitryasari Rizki , Nasifah Ike Ayunda , Has Eka Mishbahatul M , Yamamoto-Mitani Noriko
Published: September 2024

BACKGROUND

Health care students are instrumental in shaping the future of dementia care. Cultivating a positive attitude and understanding toward people living with dementia is crucial for diminishing the stigma associated with the condition, providing effective and person-centered care, and enhancing the quality of life for people living with dementia. Educational programs about dementia are increasingly recognizing the potential of gaming tools.

OBJECTIVE

This study aimed to evaluate the effectiveness of gaming-based dementia educational programs in improving attitudes toward people living with dementia among health care students.

METHODS

This single-arm pre-post study will be conducted among health care students in Indonesian universities. This educational program based on gaming tools will consist of a lecture on dementia, the use of N-impro (gaming tool), and the enactment of short dramas depicting desirable and undesirable communication with people living with dementia behaviors. We will assess attitudes toward people living with dementia, intention to help people living with dementia, knowledge of dementia, and the stigma associated with people living with dementia. The gaming-based dementia education program will be integrated into the curriculum of the health care students. The program will be implemented once with a duration of 90 minutes.

RESULTS

Data collection will occur from August 2023 to March 2024. Analysis of the data will be finalized by May 2024, and the outcome will be determined by July 2024. The impact of the gaming-based dementia educational program on improving attitudes toward people living with dementia will be reported. The study findings will be published in a peer-reviewed journal.

CONCLUSIONS

The gaming education program demonstrates significant potential in enhancing attitudes toward people living with dementia across various countries, introducing an innovative method for the community-based support of people living with dementia.

CLINICALTRIAL

ClinicalTrials.gov NCT06122623; https://clinicaltrials.gov/study/NCT06122623

INTERNATIONAL REGISTERED REPORT

DERR1-10.2196/62654
PSYCHOLOGICAL DISTRESS AMONG ICU AND ED NURSING THE INFLUENCES OF EMOTIONAL INTELLIGENCE
a cross-sectional descriptive and predictive design, targeting ICU and ED nurses (Preprint)
Authors:   0000, masha`al dina , shahruer ghada
Published: September 2024

BACKGROUND

Nurses in Intensive Care Units (ICUs) and Emergency Department (ED) often contend with elevated psychological distress (stress, anxiety, and depression), impacting patient care and personal well-being. Despite the known negative association between Emotional Intelligence (EI) and these psychological disorders, limited research in Jordan has explored this relationship

OBJECTIVE

This study aims to examine the relationship between Emotional Intelligence (EI) and psychological distress (stress, anxiety, and depression) among acute care nurses in Jordan.

METHODS

The study utilized a cross-sectional descriptive and predictive design, targeting ICU and ED nurses (n=296) from University Hospital (JUH) and King Abdullah University Hospital (KAUH). Eligible participants included registered nurses with a minimum of one year of experience in ICU or ED settings. A self-administered questionnaire consisting of a sociodemographic data sheet, the Wong and Law Emotional Intelligence Scale (WLIES), and the Depression, Anxiety, and Stress Scale-21 (DASS-21) were employed. Descriptive and inferential statistics were applied for data analysis. Linear regression analysis was used to examine the predictors of EI with social demographics were tested as predictor variables.
Also SPSS’s PROCESS macro (Hayes, 2013) was used to determine if EI significantly moderates the relationship between stress and depression as well as between stress and anxiety.

RESULTS

Despite nurses exhibiting high EI levels (5.34 ±1.0), 65.9%, 10.1%, and 14.9% of participating nurses experienced extremely severe stress, anxiety, and depression, respectively. Negative but non-significant correlations were observed between EI and stress, anxiety, or depression. No moderation effects of EI were detected. Stress has a significant positive effect on anxiety (b=.547, p=.035, but not EI (b= -1.488, p=.187). The interaction between stress and EI was not significant as well (b = .047, p =.304), indicating that EI did not moderate the relationship between stress and anxiety. On regression analysis, higher education level (B.s degree) was a significant predictor, higher education level (Bs degree) was a significant predictor, and higher education level (Bs degree) was a significant predictor of EI, explaining 5.3% of the variance.

CONCLUSIONS

The study highlights the mental health challenges faced by acute care nurses in Jordan, emphasizing the need for targeted interventions to reduce psychological distress (stress, anxiety, and depression) in these settings. This research provides valuable insights for healthcare providers and policymakers to improve the overall well-being of nurses.
Do the Characteristics of Startup Founders Matter for Funding Performance?
Authors: Brahmana Rayenda Khresna , Setiawan Doddy , Lau Evan , Kontesa Maria
Published: September 2024

Introduction/Main Objectives: Based on the upper echelons theory, this research examines the role of startup founders' characteristics on startup funding performance (SFP). This study considers the founder's experience, education, and gender as the characteristics that positively affect the SFP. Background Problems: While academia and industry emphasize the importance of startup funding performance (SFP), the empirical evidence on its determinant has received less attention. Yet, upper echelons theory addresses the importance of a leader's characteristics in increasing the organization's performance. Therefore, the current study focuses on investigating the role of startup founders' characteristics in the SFP. Novelty: The current study proposes the founder's characteristics as the key factor for startup funding. Unlike previous studies, this study utilized a survey design to answer the research question. Additionally, this study is the pioneer for entrepreneurial finance studies in gauging the upper-echelons framework. Research Methods: This research collected information from 228 Indonesian Startups through a survey. The estimation model is estimated using robust cross-sectional OLS regression and logistic regression. For robustness purposes, this study tackles the endogeneity issue by using two-stage least squares (TSLS) and PLS-SEM. Finding/Results: The regression results (including the two-stage least square approach) reveal that education and gender play a significant role in SFP but not experience. Moreover, it shows that higher education would increase a startup's probability of having better funding. Meanwhile, male entrepreneurs have lower funding performance than women entrepreneurs. Conclusion: Our study surmises that the education of the founders is crucial for startup financing in Indonesia. It also shows that the experience of founders has a trivial effect. It supports the upper echelons theory, emphasizing the pivotal role of founders' characteristics in entrepreneurial finance. Policy-wise, focusing on education can enhance startup success while addressing gender disparities is crucial. However, limitations exist, suggesting the need for longitudinal studies and broader sample sizes. Future research could explore managerial abilities and cultural factors, offering fresh insights into the literature.
Video-On-Demand Streaming Services Subscription Antecedents and Consequences: The Uses and Gratifications Theory Approach
Authors: Syafira Shofwah , Dharmmesta Basu Swastha
Published: September 2024

Introduction: This study aims to examine the impact of affective gratification, tension release, cognitive gratification, perceived risk, and viewing addiction on subscription behavior as antecedents and its consequence namely customer engagement. Background Problems: The need for satisfaction is a trigger for media use. As time passes, research on media use through use and audience gratification approaches will always be needed, so this should be carried out in the context of streaming services. Novelty: This research focuses on streaming services using the uses and gratifications theory approach. Similar research has focused on the theoretical implications of usage attitudes, but this research has implications for actual usage behavior, namely subscription behavior. Research Methods: Data have been collected using an online survey with purposive sampling and then analyzed using partial least squares structural equation modeling. Findings: The results suggest that only five of the 13 hypotheses proposed are supported. Companionship and cognitive gratification do not affect subscription behavior, while perceived risk did not impact subscription behavior negatively. Conclusion: The results of this study indicate that streaming service subscribers are more concerned with functional benefits, such as service usability, variety of content, entertainment, and relaxation media. Furthermore, the implications of this research provide benefits both theoretically and practically
Socio-Demographic Determinants of Insurance Literacy among University Students in Indonesia
Authors: Siregar Reza Yamora , Serpina Nada
Published: September 2024

Introduction/Main Objectives: This research aims to investigate the level of insurance literacy among economics and business students and identify the socio-demographic factors impacting the level of insurance literacy. Background Problems: Low insurance literacy has long been identified as the cause behind the weak insurance penetration growth in Indonesia. College students area potential market for the development and deepening of the insurance sector. Novelty: However, hardly any studies have been published that assess the insurance literacy of university students in Indonesia. This study also presents a unique view of students’ insurance knowledge across different universities in Indonesia, providing an understanding of the factors contributing to their literacy level. Research Methods: We conduct the commonly applied ordinary least squares test on the survey data collected using stratified random sampling. Findings/Results: The test results conclude that students from universities in Java, who have mothers who graduated from college, come from middle-income families, and live in Java have significantly higher insurance literacy levels compared to the rest of the students. However, gender and residency do not seem to significantly impact insurance literacy. Conclusion: Our study shows that socio-demographic factors influence university students’ level of insurance literacy. These findings provide valuable information for policymakers and insurance firms to target this potential market with their insurance products.
Research on the Problems and Countermeasures of Using Management Accounting Methods to Promote the Reform of State-owned Enterprises
Authors: Wang Haichao
Published: September 2024

This paper deeply discusses how to use the power of management accounting to promote the deepening of the reform of state-owned enterprises, and proposes effective solutions to the existing problems. The reform of state-owned enterprises, as an indispensable part of China's economic map, is of great importance. Management accounting, as a mature and efficient management tool, is gradually becoming an indispensable supporting force in the reform of state-owned enterprises. This paper provides an in-depth analysis of the unique role of management accounting in the reform of state-owned enterprises. We find that by introducing management accounting concepts and methods, we can effectively optimize resource allocation, improve decision-making efficiency, and inject new vitality into the reform of state-owned enterprises. The research results of this paper are of great significance for guiding the reform practice of state-owned enterprises and improving the operating performance of state-owned enterprises. We believe that with the help of management accounting, the reform of state-owned enterprises will be able to take more solid steps and contribute more to the sustainable development of China's economy.