bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efficacy of repetitive transcranial magnetic stimulation combined with peripheral magnetic stimulation on movement symptom and exploration of the optimal population in Parkinson’s disease: A randomized controlled trial
Authors: Sun Peili , Li Junrui , Shen Haiqing , Jiang Yongcheng , Wang Xinjue , Xu Tian , Shen Lihua , Gu Xiaosu 
Published: November 2024

Background:
This study explores the efficacy of repetitive transcranial magnetic stimulation (rTMS) and rTMS combined with repetitive peripheral magnetic stimulation (rPMS) (hereinafter referred to as rTMS + rPMS) on motor symptoms and quality of life in Parkinson’s disease (PD), and explores whether there are differences between the two treatment methods; At the same time, analyze data from different subgroups to explore the influencing factors, in order to find the most suitable treatment group.

Methods:
Eighty patients with PD were randomly divided into rTMS and rTMS + rPMS groups and administered 10 Hz rTMS, and 10 Hz rTMS + 25 Hz rPMS, respectively, for 10 days. Before and after treatment, the PD Motor Function Rating Scale (UPDRS Part III, 10m Walk Timing Test, Stand Up Walk Test Evaluation Scale (TUG)) and PD Quality of Life Questionnaire (PDQ-39) were used to evaluate the motor symptoms and quality of life. After quantifying the treatment effect, a comparative analysis of the efficacy before and after treatment was conducted. Simultaneously, we divided the two treatment groups into different subgroups, compared the subgroups under the same treatment method, analyzed the relevant factors affecting the treatment method, and found the most suitable treatment group.

Results:
(1) After rTMS or rTMS + rPMS, all scoring scales improved compared to those before treatment (P < .05). Compared to rTMS, rTMS + rPMS resulted in greater improvements in overall motor function (UPDRS III) and quality of life (PDQ-39) (P < .05). (2) Patients with rigidity-based type as the main type may be the most suitable for these two treatment methods (P < .05).(3) There was no significant difference in treatment efficiency between the two treatment methods for patients with PD at different disease stages, sexes, or treatment ages(P > .05).

Conclusion:
Both rTMS and rTMS + rPMS can improve movement symptoms and quality of life in patients with PD. rTMS + rPMS was more beneficial for improving the overall motor function. Patients with rigidity-based type as the main type may be the most suitable for these two treatment methods. The therapies work in all age groups, all gender and irrespective of the disease stage with varying levodopa equivalent daily doses as well.
Chemotherapy combined with immunotherapy in a patient with multiple primary gastric and rectal cancers with good prognosis: A case report
Authors: Peng Jibang , Zhu Zhu , Shi Min , Shao Weikang , Ji Xiang , Liu Chang , Zhou Dayang , Wang Xueqin , Huang Jian 
Published: November 2024

Rationale:
Multiple primary cancer is common in clinical practice, but its diagnosis process is complicated, and relevant genetic testing is required to assist in diagnosis when necessary. The formulation of treatment strategies for multiple primary cancer is a highly personalized process. In this article, we introduce a case of a patient with rectal cancer and gastric cancer who was diagnosed with multiple primary cancers, to investigate and explore the clinical application value of next-generation sequencing (NGS) testing in patients with multiple primary gastric and colorectal cancers.

Patient concerns:
A 74-year-old male patient had a mass at the anal verge.

Diagnoses:
Endoscopy, imaging studies, and pathological examinations showed adenocarcinoma in both the rectal and gastric antral regions. Genetic testing confirmed the diagnosis of multiple primary cancer.

Interventions:
The patient received 8 cycles of neoadjuvant chemotherapy combined with immunotherapy and underwent laparoscopic radical resection for rectal cancer. Postoperative adjuvant chemotherapy (XELOX) supplemented with PD-1 immunotherapy, and Camrelizumab was continued.

Outcomes:
Gastric lesions continued to regress and eventually disappeared completely at the end of adjuvant therapy.

Lessons:
According to the results of NGS testing, the multiple primary cancers’ patient received personalized treatment and ultimately achieved clinical complete remission. This case highlights the critical role of genetic testing in accurately identifying multiple primary cancer and the value of personalized guidance for patient treatment using NGS in clinical practice.
Short-term effects of denervation in the treatment of hypertension: A meta-analysis excluding drug interferences
Authors: Wang Yimu , Liu Jingyu , Wang Lingyu , Wang Xiang , Zhang Huiling , Fang Haiyan 
Published: November 2024

Background:
To evaluate the short-term efficacy of denervation in treating hypertension with the exclusion of drug-interfering factors.

Methods:
An electronic search was conducted across 8 databases, including MEDLINE, PubMed, Cochrane Library, and EMBASE, for articles on denervation in the treatment of medication-naïve hypertension published from inception to May 2024. All data were meta-analyzed using RevMan 5.3 software.

Results:
Four studies, comprising a total of 752 subjects, were screened according to the inclusion and exclusion criteria. Meta-analysis indicated that, compared to the sham-operated group, the denervation group showed a significant reduction in short-term 24-hour ambulatory systolic blood pressure and office systolic blood pressure (OSBP) as well as office diastolic blood pressure (ODBP). No significant safety events were identified.

Conclusion:
Denervation has the potential to reduce blood pressure in the short-term for patients with medication-naïve hypertension, demonstrating an acceptable safety profile. This offers hope for patients who are intolerant to drug therapy or unwilling to take lifelong medication. However, its long-term effects require further study. Future research should focus on expanding the sample size and prolonging the follow-up period to further solidify its role in the treatment of hypertension.
Chinese medicine as comprehensive therapy for psoriasis: A case report
Authors: Liu Lingjuan , Li Miao , Hu Minhua , Ge Zhilin , Dong Xiulan 
Published: November 2024

Rationale:
Psoriasis is an immune-mediated, chronic, relapsing, inflammatory disease induced by a combination of genetic and environmental factors. It can be comorbid with other systemic diseases and severely affects patient’s quality of life. This case report describes the therapeutic role of traditional Chinese medicine (TCM) in patient with psoriasis.

Patient concerns:
The 32-year-old male patient exhibited symptoms of increased dandruff and recurrent erythematous scales on various body regions for nearly a year. At the same time, he had multisystemic metabolic abnormalities and psychiatric disorders.

Diagnosis:
Severe plaque psoriasis.

Interventions:
The patient was treated with oral Chinese herbal medicine only.

Outcomes:
Following TCM treatment, the patient demonstrated significant improvement in his skin condition and various metabolic-related indexes.

Lessons:
TCM is involved in the harmonization of yin and yang, regulation of qi and blood, dispersion of pathogenic wind, cooling of blood, and alleviation of blood stasis. From a modern medical perspective, TCM prescriptions may address skin inflammation by restoring physiological functions and enhancing immune response. This case study illustrates the efficacy of TCM in treating skin disorders and enhancing the body’s internal environment.
Influence of pain neuroscience education and exercises for the management of neck pain: A meta-analysis of randomized controlled trials
Authors: Zhang Yue , Yang Chao 
Published: November 2024

Background:
It is elusive to combine pain neuroscience education with exercises to treat neck pain, and this meta-analysis aims to study the efficacy of pain neuroscience education plus exercises for the treatment of neck pain.

Methods:
Several databases including PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases were systemically searched from inception to August 2023, and we included the randomized controlled trials (RCTs) assessing the effect of pain neuroscience education plus exercises on the relief of neck pain.

Results:
We total included 4 eligible RCTs and 246 patients with neck pain in this meta-analysis. Compared with exercise intervention for neck pain, pain neuroscience education plus exercise was associated with remarkably decreased VAS after treatment (MD = −1.12; 95% CI = −1.51 to −0.73; P < .00001), VAS after 3 months (MD = −1.24; 95% CI = −2.26 to −0.22; P = .02), functional disability index (MD = −1.22; 95% CI = −1.46 to −0.97; P < .00001) and pain catastrophizing scale (MD = −4.25; 95% CI = −5.50 to −3.00; P < .00001).

Conclusions:
Pain neuroscience education plus exercises is effective for the relief of neck pain.
The impact of adopting green procurement practices on the competitiveness of small and medium enterprises: a dual-mediation model
Authors: Safdar Nimra , Moazzam Muhammad , Ahmed Waqas , Khan Abdul Salam , Manzoor Wajiha , Raziq Muhammad Mustafa 
Published: November 2024

PurposeSmall and medium enterprises (SMEs) are engines of economic growth. Research indicates that the adoption of green procurement practices (GPPs) significantly influences the sustainable growth of SMEs. However, there is a lack of understanding of factors that link the adoption of GPPs with enhanced competitiveness. The purpose of this study is two-fold: first, to identify factors that affect the competitiveness of SMEs caused by adopting GPPs, and second, to test those factors whether they serve as necessary conditions in achieving that competitiveness.Design/methodology/approachA quantitative approach was used to survey 188 manufacturing SMEs in Pakistan. Cross-sectional data was collected through online questionnaires and analyzed using structural equation modelling (PLS-SEM) and necessary condition analysis (NCA).FindingsResults indicate a less pronounced direct association between the adoption of GPPs and firm competitiveness. However, this association becomes strongly positive with the mediating roles of SSB and GI. On the other hand, NCA results reveal that the adoption of GPPs, SSB and GI acts as necessary conditions for achieving firm competitiveness.Practical implicationsThis research highlights the fact that simply adopting GPPs is not sufficient to guarantee true competitiveness; a multifaceted approach is required. Moreover, it offers practical insights into effective planning of green investments leading to sustainable development.Social implicationsVarious practical measures can be adopted to manage the social outcomes of investment in the adoption of GPPs by SMEs.Originality/valueThis study relates and contributes to the natural resource-based view (NRBV) theory, the stakeholder theory and the necessity theory by developing a novel analytical framework.
Strengthening the satisfaction–loyalty link: a study of mediating factors in the retail banking industry of South Africa
Authors: Roberts-Lombard Mornay , Pieterse Vernon Albert , Gabriel Lennet 
Published: November 2024

Purpose
The study aims to explore how selected factors influence customer’s satisfaction in a business-to-consumer context. Furthermore, it also investigates the mediating role of affective and calculative commitment on the satisfaction–loyalty link.

Design/methodology/approach
Using quota sampling methods, data was collected from 300 retail banking customers in an emergent market setting through self-administered questionnaires. In addition, the measurement and structural models were assessed.

Findings
The study established that satisfaction (through selective precursors) has a positive and significant influence on the future loyalty intentions of retail banking customers in an emerging market. Also, both affective and calculative commitment was found to partially mediate the satisfaction–loyalty relationship in a retail banking setting.

Research limitations/implications
The tested model validates the hypothesized relationships between employee attitude and service performance, employee personality traits, perceived value and satisfaction of retail banking customers in South Africa as an emergent market. It also confirms the positive influence of satisfaction on loyalty and the partial mediation of affective and calculative commitment on the satisfaction–loyalty link.

Practical implications
The findings of the study can guide retail banks in developing enhanced knowledge of how employee attitude and service performance, employee personality traits and perceived value can nurture satisfaction, ultimately strengthening the future loyalty intention of customers. It furthermore informs the management of retail banks of the directional importance of affective commitment and calculative commitment in strengthening the satisfaction–loyalty link.

Originality/value
Limited studies have investigated the relationship between satisfaction, its precursors and outcomes in a developing African market context, such as South Africa. Also, few studies have examined how commitment (affective and calculative) impacts the satisfaction–loyalty link from an emerging market perspective in Africa.
A balancing act: exploring the effect of work–family conflict on women’s well-being in the workplace
Authors: Shaaban Safaa 
Published: November 2024

Purpose
This study seeks to address the existing knowledge gap by investigating the dual impact of work−life balance (WLB) on women’s well-being in the workplace within Egyptian society. In addition, this study aims to elucidate the mechanisms through which WLB influences employee well-being by examining its effects across the three dimensions of well-being.

Design/methodology/approach
This study used a mixed method, combining qualitative and quantitative methods, to examine the relationship between WLB and women’s well-being. The sample consisted of 100 university-educated married women employed in various industries in Egypt including engineering, medicine, academia, civil aviation, manufacturing and banking.

Findings
Human resource experts and leaders recognized the significant impact of family obligations on women’s well-being in the workplace. This study aligns with the theoretical perspective that women in the specific sectors studied face numerous challenges in their work environments due to the interplay between WLB and familial responsibilities.

Research limitations/implications
This study had several limitations that should be acknowledged. First, the trigger events considered were limited to those documented in existing literature and participant responses, potentially overlooking other significant triggers. Second, the participants were predominantly from a specific geographic region, namely, Cairo, Egypt which may limit the generalizability of the study’s findings. In addition, relying on the participants’ memory to report trigger events introduces the possibility of inaccurate recall or memory bias. Furthermore, the instrument used to assess trigger events did not capture participant demographics or psychographics, which could have influenced reported trigger events.

Originality/value
This study addresses the need to examine the impact of work−family conflict on women’s well-being in the workplace. Drawing on theories and perspectives from successful women, this study aimed to construct and validate a framework that captures the balance between family conflict and well-being within the professional environment. The results are presented to participants in their respective firms and organizations.
Importance-performance analysis in the tertiary healthcare centres: evidence from India
Authors: Padamata Karthik , Vangapandu Rama Devi 
Published: November 2024

PurposeIn the process of providing quality healthcare services, identifying the important healthcare attributes and their operational performance is crucial in the healthcare industry. Highlighting this, the authors have aimed to find the importance of certain healthcare attributes and their respective performance from the customers’ perspective in the Indian private tertiary healthcare facilities by conducting an importance-performance analysis (IPA).Design/methodology/approachFor this study, the authors have derived 10 healthcare attributes from the literature and responses regarding their importance and performance were taken from 350 inpatients from 6 hospitals.FindingsThe analysis resulted in identification of the most and least important, high and low performing healthcare attributes as perceived by the patients. In terms of attribute importance, the doctors’ competencies and provision of safe and effective patient care have been ranked most important, whereas the doctors’ competencies and accessibility have been rated high in terms of performance. In addition, the importance ranks and performance scores helped in the development of a two-dimensional IPA grid.Practical implicationsThe IPA grid helped in identifying the areas for improvement, hence determining the need for implementation of significant strategies in the process of cost-effective high-quality healthcare service provision.Originality/valueThere is a paucity of IPA studies with a focus on the Indian healthcare system in identifying and demonstrating the healthcare components that need to be addressed for improvement. Emphasizing the gap, this is one of the pioneering studies that captured various healthcare attributes’ importance and their respective performance from the lens of hospital inpatients, which helped in the development of an IPA grid by clearly outlining the areas that need attention, especially in the post-pandemic scenario.
Intellectual property rights protection, trade, and GVC participation – an empirical analysis based on South Korean data
Authors: Yoo Jeong-ho , El Ayboud Rajae 
Published: November 2024

PurposeThis paper explores the impact of South Korea’s partner countries’ intellectual property rights protection (IPRP) level on South Korea’s trade dynamics and its GVC participation.Design/methodology/approachThrough a literature review and an empirical analysis based on two models, the paper studies first the impact of Korea’s partner countries’ IPRP on South Korea’s trade, then investigates the impact of South Korea’s imports from countries having high, medium and low IPRP levels on its exports to third countries.FindingsImports from countries with high IPRP appeared to facilitate Korea’s technology transfer and enhance its GVC participation, thereby boosting South Korea’s export growth to third countries with varying IPRP levels. Conversely, imports from countries with medium IPRP drive exports only to third countries with low IPRP, but still contributing to South Korea’s GVC participation.Originality/valueThis research sheds light on South Korea’s strategic adaptation to global trade dynamics, especially with partner countries having varying levels of IPRP. Also, this paper has a particular focus on the effect that IPRP can have on countries’ GVC participation.
How to improve financial performance through sustainable manufacturing practices? The roles of green product innovation and digital transformation
Authors: Turkcan Hulya 
Published: November 2024

PurposeThis research aims to explore the relationship between sustainable manufacturing practices (SMP) and financial performance (FP) by considering the mediating role of green product innovation (GPI) and the moderating effect of digital transformation (DT).Design/methodology/approachThis study proposes a research model grounded in a practice-based view and a resource-based view and conducts empirical tests by using a sample of 244 manufacturing firms.FindingsThis study revealed that SMP influences GPI, and GPI mediates the SMP–FP link. In addition, findings demonstrated that DT strengthens the impact of SMP on GPI, and moderates the mediation impact of GPI on the relations between SMP and FP.Originality/valueAlthough overwhelming environmental concerns cause SMP to be considered increasingly crucial, there is a dilemma regarding its impact on FP. Moreover, due to the strategic importance of DT, there is a lot of interest in its relationship with sustainability-related issues. Nevertheless, this association is still not clarified. This study addresses the research gaps, provides an extended understanding of how SMP affects FP and offers a novel insight that reveals the role of DT.
Unpacking the gendered nature of police work in India
Authors: Varghese Ashwin , Rajeev Aishwarya 
Published: November 2024

PurposeThe paper aims to examine the gendered underpinnings of policework in India. In doing so, it contributes to discourses on gender, work and policing, by focusing on a particular facet of gender and policing in India, i.e. the various forms of work that women in policework undertake.Design/methodology/approachThis paper brings together data drawn from an ethnographic study of two police stations in India and feminist literature on women’s work. The two police stations were located in states of Delhi and Kerala (one in each state), and the ethnography covered a span of 11 months (February to July 2019 in Kerala and July 2019 to January 2020 in Delhi).FindingsWe find that women’s work in the police stations is conditioned by gendered norms and gendered social relations that also significantly condition the unpaid work that they do, and these different forms of work overdetermine each other. In this context, increasing representation of women within the police force has to be accompanied by a re-imagination of the police as a civic service which is gender-neutral (but not gender-blind) as well as a recognition of women’s unpaid work.Originality/valueThis paper offers a unique lens through which everyday policing activities can be holistically understood. By foregrounding the interplay of gender relations and work relations in policework, the paper sheds light on facets of policing which have hitherto been unexplored by literature on policing and gender, especially in the Indian context.
Green knowledge sharing as the backbone of sustainable performance: evidence from the Spanish wine industry
Authors: Martínez-Falcó Javier , Sánchez-García Eduardo , Marco-Lajara Bartolomé , Zaragoza-Sáez Patrocinio 
Published: November 2024

Purpose
This research aims to analyze the impact of the green knowledge sharing (GKS) on the sustainable performance (SP) of Spanish wineries, as well as the antecedent role of the top management environmental awareness (TMEA) and environmental proactivity (EP) on the said variables. In addition, the variables age, size and membership in a protected designation of origin are included to increase the accuracy of the cause–effect relationships examined.

Design/methodology/approach
To achieve the research objective pursued, this study proposes a conceptual model based on previous studies, which is tested using structural equations with data collected from 196 Spanish wineries between September 2022 and January 2023.

Findings
The research results reveal the existence of a positive and significant relationship between the development of GKS and SP in Spanish wineries, as well as the partial mediation of GKS in the TMEA–SP and EP–SP linkages.

Originality/value
The originality of this study derives from its pioneering nature, as the research enters unexplored terrain by investigating the role of TMAE and EP as antecedent variables of GKS and SP, there being no previous research, to the best of the authors’ knowledge, that has ventured in this direction.