bluuebunny/crossref_metadata_2025 huggingface dataset:
Women Physicians and Nurses in Treatment for Substance Use Disorders
Authors: González-Irizar Olga , Nieva Gemma , Gómez-Duran Esperanza Luisa , Heredia Meritxell , Llavayol Enric , Pujol Tania , Valero Sergi , Grau-López Lara , Bruguera Eugeni , Braquehais Maria Dolores
Published: November 2024

Women physicians and nurses are health professionals with significant differences in their role, but they share common social and occupational stressors. This study compares the outcomes of female physicians and nurses in treatment in a highly specialized program for health professionals with substance use disorders. This was a 9-year, survival, observational, cohort study, conducted with data from medical e-records of female nurses (n = 58) and physicians (n = 50) in treatment for addictions. The most common drug of abuse was alcohol (62% of physicians and 75.9% of nurses) followed by sedatives (16% vs. 12.1%). The median time in treatment was similar (49.1 and 46.4 months for physicians and nurses, respectively). Abstinence rates of physicians (76%) were higher than those of nurses (61.4%) as well as their median time to first lapse (15.5 and 7.6 months, respectively). However, after multivariate analyses, differences did not remain statistically significant neither for their abstinence rates nor for their survival time. To have an alcohol use disorder emerged as a risk factor of relapse for all (Hazard Ratio = 3.41, p = .03). More knowledge is needed to ascertain the common and differential factors related to the treatment response of women physicians and nurses with addictions and particularly to improve alcohol use disorder outcomes in these populations.
Does Student and Staff Gender Affect Physician Associate Student Experience on Clinical Rotations?
Authors: Guest Brogan , Aichison Katie , Bascombe Kate , Chakraborty Tripti , Gnanapragasam Vasa , Haider Ban , Hickman Beck , Louis Chandran , McCann Lauren
Published: November 2024

Introduction

Physician assistant/associate (PA) courses rely heavily on hands-on experience during clinical placement, and higher education institutes aim to provide students with an equitable experience. This article aims to understand how student gender and supervisor gender affect student experience on clinical placement at 2 PA courses in the United Kingdom, where PAs are known as physician associates. We found no evidence of pedagogical literature that focused on the gender differences in PA experience, so we aim to be the first to provide this research.

Methods

To assess student experience, student feedback was collected through online qualitative surveys and stratified by student and supervisor gender. 95% confidence intervals were calculated for scaled questions.

Results

Qualitative feedback from students shows a clear difference in their clinical placement experiences. Male students report fewer opportunities to observe and assess female patients, while female students report fewer opportunities observe and assess male patients. The most significant difference is seen when male students are seeing female patients. The discrepancy becomes more pronounced when male students are supervised by male supervisors and when female students are supervised by female supervisors.

Discussion

In planning clinical placements for students, programs must understand and recognize the potential for differences in experience based on student and supervisor gender and should take action to ensure a more equitable experience for all students.
Transbronchial Needle Aspiration via Ultrathin Bronchoscope Improves Diagnostic Yield for Peripheral Lung Lesions
Authors: Olive Gerard N. , Leong Steven C. , Marshall Henry M. , Yang Ian A. , Bowman Rayleen V. , Fong Kwun M.
Published: November 2024

Background:

Peripheral pulmonary lesions (PPLs) are frequently identified and require diagnostic sampling. Diagnostic yield of radial endobronchial ultrasound (rEBUS) guided bronchoscopic biopsies is suboptimal, despite ultrasound confirmation of navigation success. Pairing ultrathin bronchoscopy and peripheral transbronchial needle aspiration (pTBNA) may improve yield.

Methods:

We prospectively recruited consecutive patients undergoing Olympus MP190F ultrathin bronchoscopy with rEBUS-guided sampling of PPLs. Cases were randomized to pTBNA (Olympus Periview FLEX) either before or after the usual transbronchial forceps biopsy (TBLBx) and brush. Diagnostic yield from cytology or histopathology, clinical outcomes to a minimum 24 months follow-up and complications were recorded.

Results:

One hundred one sampled lesions were included (pTBNA first 61, pTBNA last 40). Overall diagnostic yield was 66.3%, with no significant difference between groups (64% vs. 70% P=0.528) or prespecified subgroups according to sampling order. Seventy lesions had an end diagnosis of malignancy, of which 50 were correctly diagnosed (71.4%). TBLBx (49/96, 49%) and pTBNA (48/101, 47.5%) had the highest individual positive yield. For 12 (11.9%) participants, pTBNA was the only positive sample. Lesions <20 mm and those with eccentric rEBUS image seemed to benefit most from this approach. Rapid on-site cytologic examination (ROSE) was associated with both positive procedural diagnosis (P=0.019) and pTBNA-positive samples (P=0.004). Pneumothorax occurred in 4% and moderate bleeding in 5%. Thirteen percent had an unplanned admission within 1 month of bronchoscopy.

Conclusion:

Adding pTBNA to conventional sampling through an ultrathin bronchoscope guided by rEBUS, improved diagnostic yield (11.9% additional diagnoses). The sampling sequence did not affect the yield of pTBNA.
Preparing Nurses for CD20-CD3 Bispecific Antibody Treatment in Patients With Non-Hodgkin Lymphoma
Authors: van der Linde Sam , Knights Emily , Robertson Molly , Krishnasamy Meinir , Minson Adrian , Dickinson Michael
Published: November 2024

Background

Bispecific T-cell engaging antibodies (BsAbs) are novel agents used to treat B-cell non-Hodgkin lymphoma (B-NHL); these agents demonstrate a different toxicity profile compared with standard chemoimmunotherapy.

Objective

To describe common adverse events (AEs) experienced by patients with B-NHL during BsAb treatment.

Methods

MEDLINE, EMCARE, and EMBASE were searched for relevant studies. Prospective interventional clinical trials of CD20-CD3 BsAbs in late development reporting on safety data for B-NHL patients, published until March 2023, were included.

Results

This search identified 1481 records; 28 met the inclusion criteria. Cytokine release syndrome (CRS), neutropenia, pyrexia, and anemia were the most commonly reported AEs. CRS primarily occurred during the first cycle of treatment and was mostly low grade; 14 publications (48%) reported a grade ≥3; however, these occurred in less than 10% of patients. Mitigation strategies included premedication with corticosteroids, antipyretics, and antihistamines; step-up dosing; and planned hospitalizations. Two articles reported common signs and symptoms of CRS, which included pyrexia (98% and 99%), chills (13% and 35%), tachycardia (27% and 28%), and hypotension (24% and 38%). Supportive management, tocilizumab, and corticosteroids were widely used (reported in 16/28 studies) for the treatment of CRS. Patient risk factors for CRS included high tumor burden, bone marrow infiltration, and circulating disease.

Conclusions

The AE profile of BsAbs requires specialized nurses, skilled in assessing patients for risk factors and recognizing signs and symptoms of AEs.

Implications for practice

Findings from this review will contribute to cancer nurses’ knowledge of CD20-CD3 BsAbs for B-NHL, optimizing the quality and safety of patient care.
Replication of clinical prosthetic sockets for research purposes
Authors: Chadwell Alix , Kenney Laurence , Prince Michael , Olsen Jennifer , Dyson Matthew
Published: November 2024

For research in the field of prosthetics to be representative of clinical realities, studies require inclusion of clinical standard prosthetic sockets. This necessitates involvement of a prosthetist (clinical professional) in any study, which is to truly explore the effectiveness of existing or novel prosthetic technologies. Unfortunately, there is a global shortage of prosthetists. With many technological advances in upper-limb prosthetics coming from engineering focused labs, it is unsurprising that studies are frequently conducted with anatomically intact individuals. In this paper, we present a method to clone the shape of a clinical standard prosthetic socket for research purposes. The technique uses silicone to capture the socket shape; this is then converted into a plaster mold, which can be used to manufacture an identically shaped socket using standard clinical manufacturing techniques. The whole process can be achieved without the involvement of a prosthetist. To validate the proposed technique, molds from an original socket and socket clone were 3D scanned. The distance between the aligned meshes were measured using CloudCompare software. The mean distance between the points on the 2 meshes was 0.16 mm (standard deviation 0.38 mm). This proof-of-concept study demonstrates that the proposed new approach to cloning a clinical standard prosthetic socket is feasible and accurate. This technique will facilitate improvements in the assessment of prosthetic technologies. The process is nondestructive, thus also opening opportunities for socket design and electrode placement research with the removal of confounding factors relating to socket shape.
Associations between multimorbidity burden and objective and patient-reported sleep outcomes among people with HIV
Authors: Sukumaran Luxsena , Sabin Caroline A. , Kunisaki Ken M. , Doyle Nicki , Post Frank A. , Vera Jaime , Mallon Patrick W.G. , Sachikonye Memory , Boffito Marta , Anderson Jane , Winston Alan
Published: November 2024

Background:

We aimed to provide insights into the effects of comorbidities on sleep health in people with HIV by assessing associations between multimorbidity patterns and sleep outcomes in the Pharmacokinetic and clinical Observations in PeoPle over fiftY (POPPY) sub-study.

Methods:

Principal component analysis identified six multimorbidity patterns among participants with HIV (n = 1073) at baseline: cardiovascular diseases (CVDs), sexually transmitted diseases, metabolic, mental/joint, neurological and cancer/other. Burden z scores were calculated for each individual/pattern. A subset of 478 participants completed sleep assessments at follow-up, including questionnaires [Insomnia Severity Index (ISI), Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance (SD) and Sleep Related Impairment (SRI)] and overnight oximetry [4% oxygen desaturation index (ODI) and percentage of time with oxygen saturation (SpO2) <90%). Multivariable regression assessed associations between burden z scores and sleep measures.

Results:

Amongst 309 participants [median (interquartile range) age 53 (47–59) years], 21% had insomnia (ISI ≥15). Higher Mental/Joint z scores were associated with increased odds of insomnia [aOR 1.06 (95% CI 1.03–1.09)] and worse PROMIS-SRI [1.34 (1.22–1.48)] and PROMIS-SD [1.27 (1.16–1.39)] scores. Higher metabolic and neurological z scores were associated with worse PROMIS-SRI scores (P < 0.01). Higher CVDs z scores were associated with worse ISI and PROMIS-SRI scores, and a higher percentage of time with SpO2 below 90% (all P's < 0.01).

Conclusion:

This study is among the first to describe specific multimorbidity patterns linked to poorer sleep outcomes in people with HIV. Findings suggest the need for targeted sleep interventions based on multimorbidity profiles, which may mitigate broader health risks associated with poor sleep.
Managing cognitive impairment in people with HIV
Authors: Alford Kate , O’Brien Clara , Banerjee Sube , Fitzpatrick Colin , Vera Jaime H.
Published: November 2024

Purpose of review

To describe patient-centred multiciplinary management and care of people with HIV presenting with cognitive disorders

Recent findings

In the era of effective antiretroviral therapy a comprehensive, multifactorial approach to assessing and managing cognitive impairment in people with HIV is required. The complexity of cognitive disorders in this population demands more than current guidelines offer, which focus primarily on HIV management, overlooking broader clinical, psychological, and social factors. Key recommendations include the integration of medical history, physical examinations, brain imaging (especially MRI), neuropsychological testing, and lumbar puncture to identify underlying causes of cognitive decline. Pharmacological treatments for HIV-related cognitive decline remain ineffective, making nonpharmacological interventions, such as cognitive training and holistic rehabilitation programs, essential for managing symptoms. Additionally, the review calls for early detection through routine screening, monitoring, and preventive care. Social and psychological support are emphasized as critical factors in addressing the mental health issues exacerbated by cognitive decline in people with HIV. Emerging models of care, such as integrated, multidisciplinary clinics, show promise in delivering comprehensive, patient-centered care that addresses both cognitive issues and broader quality of life.

This review underscores the need for a holistic, multifaceted approach to managing cognitive impairment in people with HIV, integrating clinical, psychological, and social interventions alongside HIV treatment. Given the lack of effective pharmacological options, early detection, prevention, and nonpharmacological strategies are critical in optimizing quality of life and maintaining cognitive function in this vulnerable population.
Sleep Deprivation in Healthy Males Increases Muscle Afferents, Impairing Motor Preparation and Reducing Endurance
Authors: Rault Christophe C. S. , Heraud Quentin , Ansquer Solène , Ragot Stéphanie , Kostencovska Angela , Thille Arnaud W. , Stancu Alexandra , Saulnier Pierre-Jean , Drouot Xavier
Published: November 2024

Purpose:

Sleep deprivation (SD) reduces time to task failure during endurance exercises. The aim of our work was to study the effect of acute SD on the endurance of a skeletal hand muscle and to investigate cortical motor drive to muscle and perception of effort.

Methods:

Origin of the early exhaustion after SD might be insufficient cortical motor drive to muscle or motor inhibition because of excessive perception of effort. The supplementary motor area, the medial part of the premotor cortex, links the motor and sensory cortexes, prepares for voluntary movements, and may play a central role in the pathophysiology of impaired muscle endurance after SD. Supplementary motor area can be noninvasively assessed by electromyogram measuring amplitude of premotor potentials before hand movements. We investigated the effect of SD on muscle endurance in healthy volunteers performing moderate hand exercise by monitoring supplementary motor area activation and muscle afferents. Two sessions were performed, in random order, one after a normal sleep night and the other after a sleepless night.

Results:

Twenty healthy young men were included in this study. Sleep deprivation reduced time to task failure by 11%. Supplementary motor area activation was altered throughout the task and effort perception was increased.

Conclusions:

Our results suggest that SD reduces skeletal muscle endurance by increasing the effects of muscle afferents on the supplementary motor area. Sleep alterations frequently reported in chronic diseases might reduce patients' capacity to achieve the low-intensity motor exercises required in everyday life. Our results should lead to the search for sleep disorders in patients with chronic pathology.
A radiocarbon bomb pulse model for estimating the age of North Atlantic cetaceans
Authors: Garde Eva , Ditlevsen Susanne , Olsen Jesper , Heide-Jørgensen Mads Peter
Published: November 2024

The tusk of the male narwhal is a prolonged canine tooth, reaching a size of up to 3 m in length. The tusk erupts through the young narwhal’s upper left lip and, over time, develops into an elongated structure composed of dentine growth layers with an outer coating of cementum. In this study, we utilized bomb radiocarbon (
14
C) to estimate the ages of three narwhal tusks, which allowed us to validate the assumption that one growth layer is deposited annually in narwhal tusks. We used radiocarbon values from samples collected from the annual growth layers along the lengths of the erupted tusks and from the tip and base of embedded teeth, together with published radiocarbon data from three North Atlantic whale species, for the purpose of building a model of the incorporation of bomb radiocarbon in marine mammal tissues. The results obtained contribute significantly to our understanding of narwhal growth and longevity, enhancing our comprehension of isotope flow in the Arctic marine environment and their incorporation into the living tissue of a marine top predator. The bomb radiocarbon model can serve as a valuable reference chronology for dating museum or field specimens of narwhals and other North Atlantic marine animals.
Quantum transition probability in convex sets and self-dual cones
Authors: Niestegge Gerd
Published: November 2024

The interplay between the algebraic structure (operator algebras) for the quantum observables and the convex structure of the state space has been explored for a long time, and most advanced results are due to Alfsen and Shultz. Here we present a more elementary approach with a more general structure for the observables, which focuses on the transition probability of the quantum logical atoms. The binary case gives rise to the generalized qubit models and was fully developed in a preceding paper. Here we consider any case with finite information capacity (binary means that the information capacity is 2). A novel geometric property that makes any compact convex set a matching state space is presented. Generally, the transition probability is not symmetric; if it is symmetric, we get an inner product and a self-dual cone. The emerging mathematical structure comes close to the Euclidean Jordan algebras and becomes a new mathematical model for a potential extension of quantum theory.
Adaptation of ACMG/AMP guidelines for clinical classification ofBMPR2variants in Pulmonary Arterial Hypertension resolves variants of unclear pathogenicity in ClinVar
Authors: Eichstaedt Christina A. , Maldonado-Velez Gabriel , Machado Rajiv D. , Balachandar Srimmitha , Coulet Florence , Day Kristina , Dooijes Dennis , Eyries Melanie , Gräf Stefan , Macaya Daniela , Shaukat Memoona , Southgate Laura , Tenorio-Castano Jair , Chung Wendy K. , Welch Carrie L. , Aldred Micheala A.
Published: November 2024

Purpose: Pulmonary arterial hypertension (PAH) is a rare disease that can be caused by pathogenic variants, most frequently in the bone morphogenetic protein receptor type 2 (BMPR2) gene. We formed a ClinGen variant curation expert panel to devise guidelines for the clinical interpretation ofBMPR2variants identified in PAH patients. Methods: The general ACMG/AMP variant classification criteria were refined for PAH and adapted toBMPR2following ClinGen procedures. Subsequently, these specifications were tested independently by three members of the curation expert panel on 28 representativeBMPR2variants selected from ClinVar, and then presented and discussed in the plenum. Results: Application of the finalBMPR2variant specifications resolved 6 of 9 variants (66%) where multiple ClinVar classifications included a Variant of Uncertain Significance, with all six being reclassified as Benign or Likely Benign. Four splice site variants underwent clinically consequential reclassifications based on the presence or absence of supporting mRNA splicing data. Conclusion: The variant specifications provide an international framework and a useful tool forBMPR2variant classification and can be applied to increase confidence and consistency inBMPR2interpretation for diagnostic laboratories, clinical providers, and patients.
Employing Microsoft Sway as a Repository for Data Generated in Pharmaceutics Experimental Courses: A Case study on Topical Formulation Characterization
Authors: Chen Qingxin , Luo Rui , Pan Xin , Wu Chuanbin , Huang Zhengwei
Published: November 2024

Microsoft Sway is an easy-to-use online creative software developed by Microsoft. It has many advantages as follows: easy to operate and does not require long-term practice and learning; network links can be created and accessed by devices such as Personal Computer (PC) and mobile terminals; Educators and Learners are allowed to browse this repository at anytime to facilitate the application prospects of mining relevant data. Therefore, the author proposes that Microsoft Sway may be a very promising data repository for pharmaceutical experimental teaching courses, and is expected to be extended to undergraduate experimental teaching in other natural science fields.
Directed Evolution of a Genetically Encoded Indicator for Chloride
Authors: Peng Weicheng , Tutol Jasmine N. , Phelps Shelby M. , Kam Hiu , Lynd Jacob K. , Dodani Sheel C.
Published: November 2024

Abstract Figure

Inarguably, the green fluorescent protein (GFP) family is an exemplary model for protein engineering, accessing a range of unparalleled functions and utility in biology. The first variant to recognize and provide an optical output of chloride in living cells was serendipitously uncovered more than 25 years ago. Since then, researchers have actively expanded the potential of GFP indicators for chloride through site-directed and combinatorial site-saturation mutagenesis, along with chimeragenesis. However, to date, the power of directed evolution has yet to be unleashed. As a proof-of-concept, here, we use random mutagenesis paired with anion walking to engineer a chloride-insensitive fluorescent protein named OFPxm into a functional indicator named ChlorOFF. The sampled mutational landscape unveils an evolutionary convergent solution at one position in the anion binding pocket and nine other mutations across eight positions, of which only one has been previously linked to chloride sensing potential in the GFP family.
Crisis management: a post-pandemic framework proposition and lessons learned at Hyundai Motor Brazil
Authors: Oliva Fabio Lotti , Bution Jefferson Luiz , Paza Andrei Carlos Torresani , Martins Ricardo Augusto , Albuquerque Marcelo , Savio Riccardo , Briamonte Massimiliano Farina
Published: November 2024

Purpose

This study relies on the lessons learned from the recent pandemic crisis to propose a conceptual framework for organizational crisis management and illustrate its application in an organization that effectively protected its competitive position during the crisis.

Design/methodology/approach

Building upon the resource-based view and the dynamic capability theoretical framework, we first conducted a systematic literature review that involves content and bibliographic analysis. Subsequently, we developed a conceptual crisis management framework and applied it to the case of Hyundai Motor Brazil.

Findings

The systematic literature review found innovation and knowledge management as prominent response mechanisms to the pandemic crisis whereas the case provided a better understanding on how these mechanisms contributed to crisis navigation.

Practical implications

Managers will find valuable insights into the importance of linking risk management and crisis management, and leveraging innovation and knowledge to enhance resilience, with straightforward operationalization for benchmark.

Originality/value

This paper is original for relating enterprise risk management, innovation and knowledge management to each phase of existing crisis management processes. It enriches the theoretical and practical debate on the dynamic capabilities’ perspective of risk and crisis management.
Enforcement of smart contracts in cross-jurisdictional transactions
Authors: Atiyah Ghassan Adhab , Ibrahim Ahmed Ismael , Jasim Ahmed Abdulkhudhur
Published: November 2024

Purpose

This research aims to explore the complexities surrounding smart contracts enforcements in cross-jurisdictional transactions.

Design/methodology/approach

To achieve the aim of this study, doctrinal legal analysis was adopted. Although the subject is multidisciplinary, the aspect of enforcement in cross-jurisdictional transactions from legislative analysis does not require a technical method to be analysed, hence the adoption of this method. Where relevant legal academic journal articles were sourced and analysed along different legislative frameworks in some jurisdictions under review. To determine the legality of smart contracts, applicable law and court with jurisdiction to enforce blockchain smart contract disputes.

Findings

It was discovered that there remain fundamental questions regarding jurisdiction, applicable law and enforcement. Due to the problem of a uniform legislation to manage smart contract transactions.

Research limitations/implications

This study limits itself to the legality of smart contracts within a conflict of laws, and it propels the need for either a choice of domestic legislation for parties to be bound or the adoption of a universal legal framework for all smart contract formation through an international treaty or convention that has a binding effect on contracting parties to a smart contract.

Originality/value

This study highlights the fact that the key elements of smart contracts within traditional contract requirements as provided in domestic legislation vary across jurisdictions. This variation results not only in conflict of law but also affects enforcement in cases of dispute in the contractual terms.
ICT, heterogeneous labor structure and productivity of producer service enterprises: evidence from China
Authors: Song Jingxiang , Liu Xiaoqian , Cifuentes-Faura Javier , Duan Jihong
Published: November 2024

Purpose

This paper explores the impact of information and communications technology (ICT) on the productivity rates of producer service enterprises and its mechanisms.

Design/methodology/approach

The core dataset used in this paper is the World Bank’s 2012 China Enterprise Survey. The data on enterprises provided by the World Bank has its unique advantages. First, the questionnaire provides a detailed record of enterprises’ ICT investment and usage. Second, it provides a diversified description of the enterprises’ current labor structures in terms of education, skills and employment latitudes. Building on this dataset, this paper adopts quantitative methods, including the fixed effect model and instrumental variable approach for the study.

Findings

Our research shows that ICT application boosts the productivity of producer service enterprises. Employees with a high education background, proficient skills and non-lifelong contracts complement the application of ICT. Heterogeneity analysis reveals significant productivity and a complementary effect of ICT on labor structure in regions with well-developed markets, knowledge-intensive industries and enterprises with a relatively larger scale of operation.

Originality/value

In the context of digital globalization, the rational use of ICT to lead the high-quality development of the service industry is of great significance in achieving structural transformation.
Unleashing the potential: the impact of AI on corporate entrepreneurship with top management involvement
Authors: Fang Chuyi , Li Hanyun , Wang Yuting
Published: November 2024

Purpose

Previous research has mostly focused on how information technology (IT) can help firms create innovation, but the understanding of the impact of artificial intelligence (AI) on corporate entrepreneurship remains limited. Based on the resource-based view theory, this paper aims to explore how firms can use AI resources (AI utilisation and AI governance) to promote corporate entrepreneurship, particularly when top management is involved.

Design/methodology/approach

This paper collects questionnaire survey data from Chinese firms and uses hierarchical regression analysis when examining the relationships among the variables involved.

Findings

The empirical results demonstrate that AI utilisation and AI governance positively affect corporate entrepreneurship. Furthermore, top management beliefs positively moderate the impact of AI utilisation and AI governance on corporate entrepreneurship. Top management participation negatively moderates the effects of AI utilisation and AI governance on corporate entrepreneurship, with no significant moderating effect of AI governance on corporate entrepreneurship. The findings suggest that managers better maintain a positive attitude towards AI technology and gain in-depth knowledge and expertise in AI-related concepts and technologies to promote corporate entrepreneurship.

Originality/value

This paper contributes to the existing literature regarding the influence of AI on corporate entrepreneurship, as well as how top management beliefs and top management participation moderate these relationships.
Do Islamic fintech lending promote microenterprises performance in Indonesia? Evidence of difference-in-difference model
Authors: Kholidah Himmatul , Fianto Bayu Arie , Herianingrum Sri , Ismail Shafinar , Mohd Hidzir Putri Aliah
Published: November 2024

Purpose

This study aims to investigate the impact of Islamic fintech lending on the performance of microenterprises in Indonesia.

Design/methodology/approach

This study conducted a survey involving 400 microenterprises located in East Java, Indonesia. This investigation used a two-year panel data set and used the double differences-in-differences (DID) approach for rigorous analysis, including both standard DID and adjusted DID.

Findings

The findings demonstrate that microenterprises benefiting from Islamic fintech lending witnessed significant growth in their annual revenue, indicating a positive impact of Islamic fintech on their performance. In addition, these microenterprises showed an increase in the number of employees, suggesting improved business expansion and sustainability due to access to Islamic fintech lending services.

Research limitations/implications

This study’s limitations arise from its focus on a specific region and time frame. However, recognizing potential future developments enhances its relevance and applicability within Islamic finance literature.

Practical implications

This study offers valuable insights for microentrepreneurs, Islamic fintech platforms, policymakers and regulators, helping them make informed decisions and support the microenterprise sector in Indonesia.

Originality/value

This study brings new insights and adds value by examining the unique relationship between Islamic fintech lending and microenterprise performance, which can contribute to better understanding and decision-making in this field.
Physician’s service quality and patient’s review behavior: managing online review to attract more patients
Authors: Yan Junhui , Liang Changyong , Zhou Peiyu
Published: November 2024

Purpose

Online patient reviews are of considerable importance on online health platforms. However, there is limited understanding of how these reviews are generated and their impact on patients' choices of physicians. Therefore, this study aims to investigate the antecedents and consequences of online patient reviews on online health platforms.

Design/methodology/approach

This study introduced an online interaction model with multiple stages aimed at examining how physicians' service quality affects patients' review behavior and, consequently, influences patients' choices of physicians.

Findings

The results revealed that technical quality and emotional care significantly influenced the effort that patients exert and their use of positive emotional words when writing reviews, which, in turn, positively influenced patients' selection of physicians. Moreover, it was found that the voice channel had a significant moderating effect on the relationship between physician service quality and patient review behavior.

Practical implications

The study’s findings can help online health platform managers improve the platform system by optimizing the integrated text and voice interaction functions. The findings can also support physicians in improving service quality, managing online reviews and attracting patients’ choices.

Originality/value

This study enriches the literature on physician service quality, patient online reviews and choices in online health platforms. Furthermore, this study offers a novel perspective on the social exchange process in online healthcare settings by highlighting the role of media in shaping physician–patient interactions.
Designed to last: crowdfunding platforms’ strategic choices for long-term survival
Authors: Berbegal-Mirabent Jasmina , Alegre Inés , Gil-Doménech Dolors
Published: November 2024

Purpose

Multiple crowdfunding platforms have been created over the last decade. Some have become extremely successful, but many others have failed. This study focuses on those strategic choices that founders of crowdfunding platforms need to make early on and which determine the basic characteristics of a platform. Specifically, it examines which combination(s) of these initial strategic choices shape(s) the survival of a platform.

Design/methodology/approach

Qualitative comparative analysis is used to analyze the design configurations that are especially relevant for the long-term survival of crowdfunding platforms. Several robustness checks are performed. The empirical setting consists of a unique dataset of all crowdfunding platforms created in Spain over a period of ten years.

Findings

Ten configurations are obtained (four in the case of reward and donation platforms, and six for equity and lending), suggesting different paths to platform survival. Although equity and lending platforms tend to be more likely to survive than donation and reward platforms, the type of platform is not definitive. Another interesting observation is that when platforms fail, they do so quite fast.

Practical implications

We acknowledge that strategic choices are a combination of different elements; therefore, our approach offers a holistic view that mirrors the heterogeneity of resources and capabilities of entrepreneurs. Our study derives a different set of recommendations for lending and equity platforms than for reward and donation platforms, underlining the importance of designing and treating each type of platform in a particular way.

Originality/value

Most crowdfunding literature has the individual crowdfunding project as the main level of analysis. Research to date has focused on the characteristics that projects must possess to succeed. The present study explores differences at the platform level. Our research brings new evidence on some of the decisions entrepreneurs need to confront when starting a crowdfunding platform and provides useful recommendations that might help them increase the chances of survival for their platform.
Assessment of active back-support exoskeleton for carpentry task: muscle activity and range of motion
Authors: Okunola Akinwale , Akanmu Abiola , Afolabi Adedeji Olushola
Published: November 2024

Purpose

This study aims to investigate the impact of active back-support exoskeletons on muscle activity and range of motion during carpentry tasks, focusing on addressing back disorders in the construction sector. The purpose is to understand how exoskeletons can serve as ergonomic solutions in the construction industry.

Design/methodology/approach

Sixteen participants engaged in simulated carpentry framing tasks under “no-exoskeleton” and “active-exoskeleton”. The study measured muscle activity and range of motion during tasks such as measuring, assembly, moving, lifting, installing and nailing. This experimental design was chosen to assess the effectiveness of the exoskeleton in different carpentry scenarios.

Findings

The results indicate that the active back-support exoskeleton reduced the back’s range of motion by 3%–26% during various tasks, suggesting its impact on movement limitations. Additionally, the exoskeleton led to reduced muscle activity in most muscles, with task-specific variations. There was an increase in muscle activity by 1–35%, during measuring and assembly tasks, revealing nuanced effects.

Research limitations/implications

The findings may be task-specific, however, the absence of a consistent correlation between muscle activity and range of motion suggests potential complexities that warrant further investigation.

Originality/value

This research contributes to the understanding of exoskeletons in construction, emphasizing that task-specific designs are crucial for addressing unique work requirements. The study provides valuable data on the diverse effects of exoskeletons in different carpentry tasks.
A qualitative investigation into prisoners’ reasons for absconding from an open prison in England: implications for developing abscond prevention strategies
Authors: Harrington-Fletcher Megan
Published: November 2024

Purpose

This study aims to investigate prisoners’ reasons for absconding from open prison conditions at a specific prison site in England, given their increasing number of absconds over recent years.

Design/methodology/approach

A reflexive thematic analysis approach was used from a postpositivist epistemological perspective to gain an understanding of each participant’s decision-making around absconding. Four participants who had absconded from the site between May 2020 and May 2022 engaged in a semi-structured interview.

Findings

Themes relating to difficulties within the open prison environment itself, feeling unsupported by staff and procedural unfairness were identified.

Practical implications

Recommendations for future practice, including identifying “warning signs” and developing abscond prevention policy and strategy, are made.

Originality/value

There had not yet been any empirical research conducted to explore the nature and extent of the issue of absconds at the prison. It is unclear as to why those who have absconded from the site have chosen to do so, or what the factors might have influenced these decisions. The current research has therefore aimed to understand the issue more fully to support the establishment’s wider abscond reduction/management strategy and contribute to custodial policy in this area. The present study gives an in-depth insight into abscond decision-making via an exploration of prisoner narrative; allowing prisoner voice to contribute to the identification of specific support needs and understanding the implications of these to open conditions practice and abscond prevention strategies. Results are considered, and recommendations made accordingly, to support future abscond prevention strategy development for the prison in which the research was conducted, with implications for the wider open estate. This strategy development focus is an original consideration contributed by the study to the relatively small but growing literature base in this area.
Exploring telemedicine and organizational challenges in the healthcare system: a qualitative analysis using Grounded Theory
Authors: Thapa Surya Bahadur , Gandhi Aradhana
Published: November 2024

Purpose

Telemedicine is a context-specific intervention that implies significant procedural changes in a health organization. The objective of the study is to explore healthcare professionals’ usage of and perceptions towards telemedicine technology and identify the perceived factors and related process change, influencing the effective adoption of telemedicine from an organizational perspective.

Design/methodology/approach

The study includes multi-disciplinary commentaries of a purposive sample of 31 healthcare professionals, conducted through semi-structured qualitative interviews and employs Grounded Theory and Thematic Analysis techniques to analyze the data.

Findings

Telemedicine is perceived as a highly beneficial digital intervention in healthcare, focusing on the delivery of effective healthcare, and promoting healthcare equity. Healthcare professionals showed their willingness to assimilate technology into clinical decision-making, resulting in better treatment outcomes, and recommended its’ adoption into mainstream healthcare as a viable approach to providing remote healthcare. The key organizational issues with telemedicine adoption were system requirements, network connectivity, non-standardized medical records, and legal bottlenecks, that can be addressed by improving infrastructural convenience, optimizing service processes, imparting training, and adopting better technical measures.

Originality/value

The focus is on exploring factors significant for the adoption of telemedicine technology from the perspective of multi-specialties in a health organization, rather than a specific specialty, as studied in previous scholarly work. This study contributes to the theory by proposing a conceptual framework on critical factors for telemedicine adoption, integrating the theory of planned behavior (TPB) and diffusion of innovation (DOI).
Herzberg’s motivational factors applied to generational influencers
Authors: Ser Elliot M. , Webber Jon K.
Published: November 2024

Purpose

The purpose of this paper was to examine the two-factor theory (Herzberg et al., 1959), determining whether millennials experience similar job satisfaction and dissatisfaction with Herzberg et al.’s motivation/hygiene descriptors as they relate to job enrichment.

Design/methodology/approach

This paper analyzed the historical relevancy of Herzberg et al.’s controversial motivation theory to 21st-century workers. Extensive research of scholarly journal articles included historical studies and recent studies from 1919 to 2024.

Findings

In the late 1950s, Herzberg, Mausner and Snyderman identified, from two simple reflective questions to participants, 14 work factors, which vary in the degree of motivational effect across two independent continuums of satisfaction and dissatisfaction. Given the seminal work by Herzberg et al. in this area of motivation and hygiene factors, as well as subsequent contributors in the field, the authors of this study explored the role of generational motivational changes as they relate to job enrichment.

Originality/value

The authors offer a reassessment of the Herzberg motivation theory to account for the generational differences that might influence its practice in the current historical context. The authors laid a foundation for further inquiry into how future workplace motivational choices compare with past generations, potentially increasing performance, and higher levels of personal achievement.
Mental health literacy training for employees in cooperative extension: a qualitative program evaluation
Authors: Gossner Jacob , Aller Ty B. , Russo Raechel , Clay Nathan , Fauth Elizabeth B.
Published: November 2024

Purpose

This study aims to evaluate the outcomes of participating in a brief three-part mental health literacy (MHL) training, the Mental Health Awareness and Advocacy (MHAA) training among employees in cooperative extension.

Design/methodology/approach

The authors used a case study research approach for program evaluation to understand the outcomes of participating in a brief three-part mental health literacy training, the Mental Health Awareness and Advocacy training. Participants were eight individuals who completed all three parts of the training and consented to participate in semi-structured interviews. The authors used knowledge, self-efficacy and behavior as the theory-informed analytic framework, the authors also engaged in inductive coding to examine other salient areas as discussed by participants.

Findings

All participants reported meaningful increases in knowledge, self-efficacy and covert (non-observable) behavior changes, while some reported overt (observable) behavior changes.

Originality/value

The current study used a case study research approach for program evaluation to understand the outcomes of participating in a brief three-part mental health literacy (MHL) training, the Mental Health Awareness and Advocacy (MHAA) training. While previous quantitative research on MHAA programming have documented significant increases in knowledge and self-efficacy, quantitative analyses have largely failed to identify significant behavioral changes. The qualitative methods used in the current study were valuable in identifying behavioral indicators of MHL that may help refine evaluation of behavioral changes following MHL programming.
Evaluating the challenges of implementing social value in the procurement of construction works
Authors: Gidigah Brandsford Kwame , Agyekum Kofi , Baiden Bernard Kofi
Published: November 2024

Purpose

There is proliferation of regulatory frameworks and guidelines globally to implement social considerations in the procurement of construction projects. However, there are scanty empirical studies that have researched into the implementation of social consideration in the procurement of construction projects in Africa, particularly Ghana. Therefore, this study aims to examine the challenges that hinder the implementation of social value in the procurement of construction works in Ghana.

Design/methodology/approach

The study used an explanatory sequential mixed-methods design with an initial quantitative instrument phase, followed by a qualitative data collection phase. A critical comparative review of the related literature resulted in the identification of 29 challenges. A total of 100 questionnaire responses from professionals in the construction industry in Ghana based on the challenges on the implementation of social value were retrieved. The data obtained were coded with SPSS version 22, analysed descriptively (mean scores and standard deviation) and via inferential analysis (exploratory factor analysis). These data were then validated through semi-structured interviews with 10 professionals. The data obtained from the semi-structured validation interviews were analysed through the side-by-side comparison of the qualitative data with the quantitative data.

Findings

The results revealed that the critical challenges to the implementation of social value in the procurement of construction works can be clustered into three major components, i.e. weak processes and bureaucracy, the incongruence of social value with the traditional procurement process, and the misaligned social targets and erosion of public procurement principles. The interviewees agreed to and confirmed the criticality of these factors as challenges to the implementation of social value in the procurement of construction works.

Research limitations/implications

A substantial number of studies have identified numerous challenges to the implementation of social value. This study presents a major cluster of challenges to the implementation of social value. Social value through construction procurement is a strategic tool globally and Ghana can leverage on its multiplier effects for social development.

Originality/value

The study extends the global discourse on social value in construction management literature by providing empirical evidence on the cluster of challenges that have the potential to hinder the implementation of social value in the procurement of construction works.