bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analysis of demand for Takaful insurance: a case study in Iran
Authors: Hamzeh Asma , Ghanbarzadeh Mitra 
Published: July 2023

Purpose
The Islamic financial system consists of three functional areas of Islamic banking, Islamic insurance and the Islamic capital market, which, with its development and progress, has become an important part of the global financial market and as an alternative, efficient financial model in front of the financial system. Takaful insurance is a relatively new but growing sector of the Islamic financial industry. Today, this insurance has attracted the attention of many researchers and executives. To further improve, it is important to identify the key factors according to the demand and also to evaluate their importance. In Iran’s insurance industry, Takaful product has not yet been released, and insurers have recently entered this field. Therefore, the purpose of this paper, an attempt has been made to identify the factors affecting the demand for Takaful insurance in Iran. The results of this research can be useful for policymakers and Takaful providers in formulating appropriate strategies to increase the demand for Takaful insurance.

Design/methodology/approach
In this regard, in this research, using library studies, indicators affecting demand were identified. After that, using a field study and distributing a questionnaire among experts in the field of research, the importance of the indicators was analyzed relative to each other and the indicators were ranked based on their importance.

Findings
Based on the results, the indicators are divided into five categories of economic, social, demographic, marketing and sales and features of Takaful insurance products.

Originality/value
To the best of the authors’ knowledge, this is the first study regarding the identification and ranking of factors affecting the demand for Takaful insurance in Iran’s insurance industry.
Do eco-labels trigger green product purchase intention among emerging market consumers?
Authors: Kumar Anil , Basu Rituparna 
Published: July 2023

Purpose
This study aims to explore the effect of eco-labels on green product purchase intention among consumers of electrical/electronic products in an emerging market context.

Design/methodology/approach
This study adopted an extended theory of planned behaviour to assess the effects of eco-labels. To measure the key constructs, scales pertaining to the relevant literature were used to design a structured questionnaire for empirical examination. A final data set of 680 consumers was analysed using structured equation modelling.

Findings
The results indicate that eco-labels significantly impact perceived behavioural control, attitude, subjective norms and consumers’ willingness to pay higher prices for environmentally friendly green products.

Practical implications
The findings not only complement research on green consumerism but also serve as an important direction for socially responsible marketers who aim to play an important role in propagating pro-social consumption among emerging cohorts of consumers. The importance of eco-labelling as an effective marketing tool is highlighted, with valuable insights for future research and practices pertaining to emerging consumer markets.

Originality/value
This study fills a void in contemporary research by examining consumers of electrical/electronic products that typically involve long-term usage, with potentially greater environmental footprints.
Randomized controlled trial and cost‐effectiveness analysis: Comparing chlorhexidine scrub, ZnO‐nanoparticle socks, and their combination in pitted keratolysis treatment
Authors: Leeyaphan Charussri , Kulthanachairojana Nattanichcha , Taychakhoonavudh Suthira , Chanyachailert Pattriya , Kobkurkul Pantaree , Buranaporn Panyapat , Yenyuwadee Sasitorn , Matthapan Lalita , Prasong Waranyoo , Panyawong Chatisa , Bunyaratavej Sumanas 
Published: July 2023

AbstractA cost‐effective treatment for pitted keratolysis (PK) is the use of 4% chlorhexidine scrub. Zinc oxide nanoparticle (ZnO‐NP)‐coated socks have also shown efficacy in PK prevention. In this study, we aimed to assess the cost‐effectiveness and safety of combined 4% chlorhexidine scrub and ZnO‐NP‐coated sock treatment compared to monotherapy. This randomized, controlled trial included 60 male security guards and hospital porters aged ≥18 with PK. Participants were randomly assigned to one of three treatment groups: 4% chlorhexidine scrub, ZnO‐NP‐coated socks, or combination therapy. Treatment outcomes were evaluated after 4 weeks. Incremental cost‐effectiveness ratios (ICERs) were calculated using cost‐utility analysis. The greatest reduction in visual analog scale scores for foot odor was observed in the combination therapy group, but it was nonsignificant (P = 0.186). Clinical improvement was observed across all groups. The cost‐utility analysis revealed that chlorhexidine scrub and regular socks were the least expensive options. The placebo and ZnO‐NP‐coated sock group had an ICER of US $31 082/quality‐adjusted life years (QALYs) gain, while the combination therapy gained US $45 105/QALYs compared to the chlorhexidine scrub and regular sock group. Based on our findings, for the treatment of PK, 4% chlorhexidine scrub remains the most cost‐effective choice.
‘Am I that bad?’: Middle‐class moralism and weight stigma towards parents of children with higher weight
Authors: Aamann Iben Charlotte , Erlik Mikala 
Published: July 2023

AbstractThe purpose of this article is to explore how parents of children with higher weights are represented in policy documents constituted by health authorities in the Danish welfare state. It focuses on how discourses of moral judgements might play a role in child rearing, by framing child obesity as a parental problem in health professionals' practical guidelines. The article is based on a discursive analysis of cases from three guidelines published by two respected Danish health bodies. The cases describe how health professionals should perceive families with obesity when providing interventions. Using sociocultural class theories, we find that the cases in the guidelines display a middle‐class hegemony, which implies a preoccupation with moral judgements. Combining this with a post‐structuralist concept of discursive subject positions and representations, we reveal how mothers of obese children are subject to these judgements, either as passive and irresponsible lower‐class citizens or as morally worthwhile and responsible middle‐class citizens because of shame and fear of being judged. We conclude that the ways obesity is discursively constructed by the Danish health authorities is concerning because they build on outdated and stigmatising views on obesity. The moral implications of this might increase inequity in access to health by distributing stigma and thereby legitimating welfare retrenchment with reference to economic necessities and irresponsibility among the less privileged groups.
Reduced-visit antenatal care model combined with telemedicine for low-risk pregnant women: protocol for a randomised controlled trial
Authors: Shi Huifeng , Wang Ying , Dang Binfei , Li Dantong , Ma Shang , Wang Xiaoli , Li Zhen , Hao Wenbin , Li Changhong , Jiang Yuanhui , Yuan Pengbo , Chen Lian , Gong Xiaoli , Wang Yipei , Wu Xinxia , Zhao Yangyu , Wei Yuan 
Published: July 2023

IntroductionAntenatal care (ANC) is a critical measure to reduce maternal and perinatal morbidity and mortality. However, there are issues of too many visits and cumbersome procedures of ANC in many maternity hospitals of China. In the past 2 years, reduced-visit ANC models combined with remote monitoring have been recommended and implemented at most hospitals in China during the COVID-19 pandemic. Nevertheless, due to limited evaluations of the cost-effectiveness, policy-makers remain confused on how to appropriately integrate online delivery strategies with routine models to improve ANC quality and efficiency sustainably at scale. This trial aims to evaluate the effectiveness, acceptability and cost of a reduced-visit ANC model combined with telemedicine.Methods and analysisA single-blind, randomised controlled trial will be conducted among low-risk pregnant women at Peking University Third Hospital in Beijing. 1476 patients (738 in each group) would be required, and they will be randomly assigned in a 1:1 ratio to receive the reduced-visit ANC combined with telemedicine services or the routine ANC. The primary outcome is the composite rate of adverse maternal and perinatal outcomes which will be extracted from the medical records. Secondary outcomes include acceptability of ANC models, which is assessed by satisfaction with ANC, pregnancy-related stress and ANC costs measured from the perspectives of both service providers and demanders. Both intention-to-treat and per-protocol analyses will be performed. Non-inferiority tests will be used to compare the two ANC models for the primary outcome. A cost-effectiveness analysis comparing the two ANC models will be conducted by estimating the incremental cost-effectiveness ratios.Ethics and disseminationThis study was approved by the ethical review committee of the Peking University Third Hospital (Beijing, China). The results of this study will be published in peer-reviewed scientific journals and presented at relevant academic conferences.Trial registration numberNCT05290467.
One-year recovery rates for young people with depression and/or anxiety not receiving treatment: a systematic review and meta-analysis
Authors: Roach Anna , Stanislaus Sureshkumar Diliniya , Elliot Kathryn , Hidalgo-Padilla Liliana , van Loggerenberg Francois , Hounsell Lauren , Jakaite Zivile , Esnal Fernando , Donaghy Jade , Bird Victoria Jane , Priebe Stefan 
Published: July 2023

ObjectivesTo systematically review 1-year recovery rates for young people experiencing depression and/or anxiety who are not receiving any specific mental health treatment.DesignSystematic review and meta-analysis.Data sourcesMEDLINE, Embase, PsycINFO, Web of Science and Global Health were searched for articles published from 1980 through to August 2022.Eligibility criteriaArticles were peer-reviewed, published in English and had baseline and 1-year follow-up depression and/or anxiety outcomes for young people aged 10–24 years without specific treatment.Data extraction and synthesisThree reviewers extracted relevant data. Meta-analysis was conducted to calculate the proportion of individuals classified as recovered after 1 year. The quality of evidence was assessed by the Newcastle-Ottawa Scale.ResultsOf the 17 250 references screened for inclusion, five articles with 1011 participants in total were included. Studies reported a 1-year recovery rate of between 47% and 64%. In the meta-analysis, the overall pooled proportion of recovered young people is 0.54 (0.45 to 0.63).ConclusionsThe findings suggest that after 1 year about 54% of young people with symptoms of anxiety and/or depression recover without any specific mental health treatment. Future research should identify individual characteristics predicting recovery and explore resources and activities which may help young people recover from depression and/or anxiety.PROSPERO registration numberCRD42021251556.
Evaluating the effectiveness of a brief digital procrastination intervention targeting university students in Sweden: study protocol for the Focus randomised controlled trial
Authors: Åsberg Katarina , Bendtsen Marcus 
Published: July 2023

IntroductionThe concept of procrastination can be described as a conscious, yet irrational, postponement of important tasks or decisions—despite awareness that the delay may lead to negative consequences. Procrastination behaviours are common among university students and is often described as a failure of self-regulation, and the behaviour is associated with stress, symptoms of depression and anxiety, poorer academic performance and negative effects on overall health and well-being.Methods and analysisA two-arm, parallel groups (1:1), single-blind randomised controlled trial will be conducted to assess the effectiveness of a brief digital procrastination intervention (Focus) among university students in Sweden. The intervention consists of a screening and feedback component based on Pure Procrastination Scale (PPS) score, allowing intervention participants to assess their current procrastination behaviours and receive behaviour change advice. Participants in the control group will be shown their total PPS score without any further feedback. Monte Carlo simulations (assuming a standardised effect of 0.35 Cohen’s d of the intervention on the primary outcome, to at least 80% of the time estimate a posterior probability of effect of at least 95%) indicated that data from 1000 participants are required for analysis, meaning that 2000 participants are required to be randomised when assuming a 50% attrition rate. The primary outcome will be procrastination behaviour measured at 2 months postrandomisation. Secondary outcomes will be anxiety and stress symptoms and lifestyle behaviours. Outcomes will be analysed using multilevel regression models estimated using Bayesian inference.Ethics and disseminationThe study was approved by the Swedish Ethical Review Authority on 2022-08-24 (dnr 2022-00353). Students will be asked to give informed consent before participation and after having been given information about the study. The results will be submitted for publication in open access, peer-reviewed journals.Trial registration numberISRCTN13533793
Distinct socioeconomic profile of patients hospitalised with severe COVID-19 and prepandemic respiratory infections in Brussels’s deprived areas: a case–control study
Authors: Racape Judith , Dauby Nicolas , Goffard Jean-Christophe , Abdellaoui Kaoutar , Radulescu Cristina , Coppieters Yves , Rea Andrea 
Published: July 2023

ObjectiveBelgium has been hit harder by COVID-19 than other countries in Europe. While clinical risk factors are well studied, socioeconomic risk factors remained underexplored. This study’s objective was to analyse the social and clinical profile of patients hospitalised for COVID-19 during the two waves of 2020, compared with a control population in 2019 in two hospitals located in Brussels’ most deprived area.Design and methodsWe did a case–control study by using the minimal clinical data set in two Brussels hospitals. All patients hospitalised for COVID-19 in 2020, divided into two waves (n=3220), were compared with all patients hospitalised for viral pneumonia and respiratory diseases in 2019 (control population n=2950). Multinomial regression models were used to estimate the relative risk ratios of the association between the COVID-19 hospitalised populations (waves 1 and 2) and risk factors (social and clinical) stratified by age.ResultsPatients under 65 years of age and hospitalised for COVID-19 presented significantly higher rates (relative rate ratio (95% CI)), especially for the first wave, of obesity 1.6 (1.2–2.2), African nationalities 1.4 (1.0–1.8), lack of health insurance 1.6 (1.3–2.1), living in high-density population areas 1.6 (1.3–2.1) and low incomes 1.7 (1.4–2.1), compared with the control population For patients over 65 years of age, we did not observe significant excess of COVID-19 hospitalisations for any risk factors, except diabetes during for the second wave but we have a significant excess mortality rate than the control population for both waves (p<0.002).ConclusionsThe social and clinical profile of patients hospitalised for COVID-19 compared with a population hospitalised for viral respiratory diseases differed between age groups and waves. For younger patients, risk factors were linked to patients’ precarious situations. This study underlines the role of selected social health determinants and the importance of routinely collecting social data, along with clinical data, particularly among vulnerable populations.
Quality of routine data for monitoring nutrition and diarrhoea indicators of children under 5 in Mozambique: an ecological study over a 5-year period
Authors: Sambo Júlia , Chicumbe Sérgio , de Deus Nilsa , Gonçalves Luzia 
Published: July 2023

BackgroundUndernutrition and diarrhoea have a high burden in children under 5 in low/middle-income countries. Having data-driven quality health services for these two diseases is key in order to address the high burden of diseases; therefore, health systems must provide data to monitor, manage, plan and decide on policies at all levels of health services.ObjectiveWe aimed to assess the quality of nutrition and diarrhoea routine data on children under 5 in Mozambique.DesignA longitudinal ecological study was implemented. Secondary data were used to assess the quality of moderate acute malnutrition (MAM), deworming and rotavirus vaccine indicators based on the data’s completeness, presence of outliers and consistency, and seasonality analysis in the form of time series analysis was performed.SettingWe used monthly district-level count data from 2017 to 2021, from all health facilities, from the Mozambican health information system (Sistema de Informação de Saúde para Monitoria e Avaliação, or District Health Information System version 2).ResultsThe rotavirus vaccine indicators presented better completeness when compared with other indicators under analysis. Extreme outliers were observed for deworming and rotavirus vaccines, with a higher number of outliers in the Zambezia and Nampula Provinces. Better consistency over time was observed when analysing the period before the COVID-19 pandemic, for all of the indicators and across provinces. Indicators of MAM and MAM-recovered showed more consistency issues over time in both periods of 2017–2019 and 2018–2021. In terms of seasonality analysis, for the MAM and MAM-recovered indicators, lower variation was observed, and heterogeneous patterns were seen across provinces for the rotavirus vaccine, which had the most pronounced negative seasonality components in Maputo City.ConclusionMajor deficits regarding the analysed quality indicators were observed for Cabo Delgado, Nampula, Zambezia, Tete, Manica, and Maputo City and Province.
Association between chiropractic spinal manipulation and gabapentin prescription in adults with radicular low back pain: retrospective cohort study using US data
Authors: Trager Robert J , Cupler Zachary A , Srinivasan Roshini , Casselberry Regina M , Perez Jaime A , Dusek Jeffery A 
Published: July 2023

ObjectivesRadicular low back pain (rLBP) is often treated off-label with gabapentin or by chiropractors using chiropractic spinal manipulative therapy (CSMT). To date, no studies have examined the association between these interventions. We hypothesised that adults under 50 years of age receiving CSMT for newly diagnosed rLBP would have reduced odds of receiving a gabapentin prescription over 1 year-follow-up.DesignRetrospective cohort study.SettingUS network including linked medical records, medical claims and pharmacy claims of >122 million patients attending large healthcare organisations (TriNetX), queried 15 June 2023, yielding data from 2017 to 2023.ParticipantsAdults aged 18–49 were included at their first occurrence of rLBP diagnosis. Exclusions were severe pathology, other spinal conditions, on-label gabapentin indications and gabapentin contraindications. Propensity score matching controlled for variables associated with gabapentin use and receipt of prescription medication over the preceding year.InterventionsPatients were divided into CSMT or usual medical care cohorts based on the care received on the index date of rLBP diagnosis.Primary and secondary outcome measuresOR for gabapentin prescription.ResultsAfter propensity matching, there were 1635 patients per cohort (mean age 36.3±8.6 years, 60% women). Gabapentin prescription over 1-year follow-up was significantly lower in the CSMT cohort compared with the usual medical care cohort, with an OR (95% CI) of 0.53 (0.40 to 0.71; p<0.0001). Sensitivity analyses revealed early divergence in cumulative incidence of prescription; and no significant between-cohort difference in a negative control outcome (gastrointestinal medication) suggesting adequate control for pharmacological care preference.ConclusionsOur findings suggest that US adults receiving CSMT for newly diagnosed rLBP have significantly reduced odds of receiving a gabapentin prescription over 1-year follow-up compared with those receiving usual medical care. Results may not be generalisable and should be replicated in other healthcare settings and corroborated by a prospective study to reduce confounding.
COVID-19 outcomes in patients with rheumatoid arthritis with biologic or targeted synthetic DMARDs
Authors: Tsai Jih-Jin , Liu Li-Teh , Chen Chun-Hong , Chen Liang-Jen , Wang Shiow-Ing , Wei James Cheng-Chung 
Published: July 2023

ObjectivesWe aimed to investigate the role of rheumatoid arthritis (RA) with biologic or targeted synthetic disease-modifying antirheumatic drugs (b/tsDMARD) exposure in COVID-19 outcomes.MethodsOur study retrieved data from the US Collaborative Network in TriNetX between 1 January 2018 and 31 December 2022. We investigated b/tsDMARD use for RA: interleukin 6 inhibitor (IL-6i), Janus-associated kinase inhibitors (JAKi) or tumour necrosis factor-alpha inhibitors (TNFi, reference group). The outcomes of COVID-19 were the incidence of infection and adverse outcomes (hospitalisation, critical care services, mechanical ventilation and mortality). The HR and 95% CI of the outcomes were calculated between propensity score-matched (PSM) patients with different b/tsDMARDs.ResultsAfter PSM, 2676 JAKi vs 2676 TNFi users and 967 IL-6i vs 967 TNFi users were identified. As for COVID-19 incidence, JAKi users did not reach statistical significance (HR: 1.058, 95% CI: 0.895 to 1.250) than TNFi users. RA with JAKi users had a significant risk for hospitalisation (HR: 1.194, 95% CI: 1.003 to 1.423), mortality (HR: 1.440, 95% CI: 1.049 to 1.976) and composite adverse outcomes (HR: 1.242, 95% CI: 1.051 to 1.468) compared with TNFi users. Mortality risk tended to be significantly higher in the JAKi group without COVID-19 vaccination (HR: 1.511, 95% CI: 1.077 to 2.121). IL-6i users compared with TNFi users did not have the above findings.ConclusionsRA with JAKi users had a significant risk for hospitalisation, mortality or composite adverse outcomes, especially higher mortality among those without COVID-19 vaccination. COVID-19 vaccination should be encouraged in these target cohorts. When using JAKi for patients with RA, clinicians should be vigilant about these adverse outcomes to prevent their occurrence or detect them early for early intervention.
Organic Solar Cells: An Analysis of AC and DC Electrical Properties
Authors: Al Hashimi Mohammed K. , Abdulameer Ameer F. , Kadem Burak Yahya , Abdullah Muatazbullah Ibrahim 
Published: July 2023

In this paper, AC and DC electrical properties of organic solar cells based on P3HT:PCBM active layer have been investigated. The performance of such solar cell has demonstrated the efficiency of 2.31% corresponding with short-circuit current density of 6.08 mA ⋅ cm[Formula: see text], open circuit voltage of 0.64 V and fill factor of 60%. The equivalent circuit and the properties of the supposed interfaces between the layers in the P3HT:PCBM-based solar cell have been estimated. AC properties have demonstrated series capacitance increasing with increasing frequencies, which means series capacitance saves charges and parallel capacitance has decreased with increasing of frequency work as discharge part of charges stored in series capacitance. Also, equivalent series and parallel resistances have demonstrated a decrease from 7 [Formula: see text] and 120 k[Formula: see text] at low frequency to 1 [Formula: see text] and 43 k[Formula: see text] at high frequencies, respectively.