ABSTRACT
Background. The hepatitis C virus (HCV) is often associated with people who inject drugs, and with a reduction in quality of life. While earlier forms of HCV treatment had low treatment uptake, newer HCV treatment integrated with opioid maintenance treatment appears to increase treatment uptake among those who inject drugs. The aim was to explore how people who inject drugs perceive changes in quality of life after treatment of HCV infection. Methods. Four focus group discussions, and 19 individual interviews were conducted with people who inject drugs or who had previously injected drugs and received opioid agonist therapy. All participants were successfully treated for and "cured” for HCV. Data were audio-recorded, transcribed verbatim, and analyzed using reflexive thematic analysis. Results. The HCV treatment helped participants to let go of negative thoughts and break destructive patterns of interaction. This facilitated the restoration of social relationships with family and others. Furthermore, some participants reported a general improvement in their health. Feeling healthy meant fewer worries such as infecting others. Also, interactions with health professionals were experienced as less stigmatizing. These physical, social, and psychological improvements led to a form of "awakening” and being treated for HCV gave participants hope for the future. Conclusion. HCV treatment improves the mental and physical health in addition to play an important social function. Successful HCV treatment was associated with a greater sense of hope for the future, reconnection with significant others, and reduced feeling of stigma. Overall, improved health and social relationships contributed to improved quality of life.
ABSTRACT
To alleviate the impact of the Covid-19 pandemic on tourism, tourist facilities in Bali are informing visitors of the relevant health protocols, using posters to describe the appropriate behaviours. Using critical discourse analysis, this study examines the microstructure of the texts in these posters to identify their semantic, syntactic, lexical, and rhetorical elements. The study findings show that the semantic aspects consist of background, intention, and detail. The syntactic elements involve coherence and the use of the pronouns 'you' and 'we', and of the imperative, and the declarative. The lexical aspects include abbreviations and vocabulary, related to the health protocol. The textual messages are delivered in official language, supported by pictures and photographs.
ABSTRACT
PurposeIn the context of heightened awareness and understanding of responsible tourism, it has become increasingly imperative for luxury hotels to introspect on the impact of their operations on environmental and social sustainability. This study aims at examining the prevalence and growth of sustainability practices in the Indian luxury hotel segment as it increasingly competes on a global platform.Design/methodology/approachThe research approach adopted in this paper is qualitative and emic. Primary data is gathered for the study through semi-structured interviews with select luxury hotel general managers from four hotel chains of Indian origin – ITC Luxury Hotels, Oberoi Hotels and Resorts, Taj Hotels and Palaces and The Leela – to gain an insight into sustainability initiatives adopted in the Indian hospitality industry. Secondary research data regarding the eco-friendly, green measures implemented in these hotels is collected primarily from the websites of the respective hotel chains and supplemented by review of academic literature, media articles, industry reports and company press releases.FindingsThe findings of the study reveal that Indian luxury hotel brands are increasingly adopting green products and integrating innovative sustainability practices in their day-to-day operations. However, several of these initiatives are in the non-customer-facing domains such as the engineering and back-of-the-house operations. Very few Indian hotel chains are building these sustainability initiatives into their core philosophy and embedding it in the front-line customer service experience at their properties to reinforce the green image of the hotels.Originality/valueThe paper also proposes the 6Cs Framework of Sustainability that can be utilised to categorise the green sustainable practices adopted in responsible hotels in a simplistic manner under six broad verticals. Practitioners, researchers and educationists in the hospitality industry would find the implications of this study useful in the context of a post-pandemic world where sustainability is influencing consumer choices across industries in today's eco-conscious and enlightened business and marketing environment.
ABSTRACT
Public libraries are popular gathering places, so understanding the factors that contribute to colony-forming unit (CFU) concentrations and how to minimize them is essential. This study aimed to investigate the factors that affect CFU concentrations in a public library, using air sampling (Bioluminescent ATP-assay) and statistical analysis software (SPSS) to collect and analyze data. The findings indicated that the CFU concentration in the library was significantly influenced by the air quality surrounding the building, the number of library visitors, and the hygiene and health of both visitors and employees. Additionally, indoor temperature and humidity were found to be key factors affecting CFU concentration. These findings suggest the need for better ventilation and air filtration systems, as well as regular cleaning and disinfection in public libraries. Furthermore, research is recommended to investigate other potential factors that may impact indoor air quality in public spaces.
ABSTRACT
Background: Risk Based internal audit is a control and supervision activity carried out by internal auditors using the output of risk management. Purpose: The purpose of this study was to obtain a comprehensive understanding of the implementation of risk based internal audit at BPJS Ketenagakerjaan. Internal auditors need to know about risk management and risk maturity to identify key areas that require immediate supervision and follow-up. Method: This research is a case study qualitative research with a descriptive approach. Data was collected by means of interviews, observation and documentation. The analysis technique using triangulation is to collect data, reduce and draw conclusions. Results and findings: Researchers found that Social Security Agency while in Indonesian term is Badan Penyelenggara Jaminan Sosial (BPJS) Ketenagakerjaan as an institution that is mandated to manage labor social security membership fees and implement good governance and manage business risks. The risk management output is then used as the basis for conducting an internal audit. Discussion: BPJS Ketenagakerjaan carries out risk management to identify risks, identify areas that have potential risks and carry out risk profiling. This makes it easier for internal auditors to carry out the internal audit process. Impact: The results of risk management make it easier for auditors to identify risks and identify specific areas so that internal audits can run effectively and efficiently.
ABSTRACT
Intro: Acinetobacter calcoaceticus - A.baumannii complex is an opportunistic pathogen that has emerged as one of the multidrug resistant organism frequently associated with nosocomial infections especially causing ventilator- associated pneumonia (VAP). Colistin and Polymyxin B are currently being used as salvage therapy for treating MDR Acinetobacter spp. However, the emergence of resistance of colistin has been reported and treatment is further complicated by poor lung tissue penetration. Thus, we implied to explore on the prevalence of its resistance in our own facility, being the national COVID-19 referral hospital. Method(s): This is a cross-sectional retrospective analysis of MDR Acinetobacter spp. done for isolates of 2019 and 2021. Only clinically significant isolates were sent to Institute of Medical Research (IMR) for colistin susceptibility testing by broth microdilution. The identification of the isolates was performed by Bruker MALDI-ToF. CLSI breakpoints were used to determine susceptibility, applying the change of breakpoints interpretation in year 2020. Finding(s): In 2021, out of 203 isolates, 195 (96%) were Acinetobacter baumannii. Other spp. isolated were A. nosocomialis (6, 3%) and A. proteolyticus (2, 1%). Out of that, 107 (52.7%) were resistant with MIC of >4 ug/ml and 96 (47.3 %) were intermediate with MIC of <2 ug/ml. Pre-pandemic, resistance rates were compared with 2019 and this showed 47% were resistant with MIC of >4 ug/ml and 52% were susceptible with MIC <2 ug/ml. Clinical characteristics of patients were analysed;previous use of carbapenem, ventilation history, length of stay, and outcome (alive or deceased). Most of patients were severely ill with majority of admissions due to Category 4-5 COVID-19 and required ventilation in critical care unit. Previous carbapenem exposure was not significantly associated with colistin resistance (p=0.936). Conclusion(s): Emergence of colistin resistant MDR Acinetobacter spp. is alarming. Infection control measures are crucial and other therapeutic options need to be explored to improve quality of care.Copyright © 2023
ABSTRACT
Intro: Leptospirosis is an emerging zoonosis with a global health concern. In Malaysia, leptospirosis incidence remains significant, since its first gazettement as a compulsorily notifiable disease in 2010. However, the prevalence of this disease among local forensic cases is unknown. Therefore, the present study aimed to determine the frequency of human leptospirosis among post-mortem specimens. Method(s): Archived forensic specimens referred to the Institute for Medical Research (IMR), Malaysia between January 2020 and December 2021 were retrieved. DNA from the specimens were extracted using an automated MagNA Pure 96 instrument and subjected to in-house qPCR targeting LipL32 gene and 16S rRNA gene of the pathogenic group of Leptospira spp. Amplification of RNaseP gene was included as internal amplification control (IAC). Finding(s): A total of 408 forensic specimens from 365 patients were received during the study period. Majority of the specimens were blood (n = 195, 47.8%), followed by tissue (n = 136, 33.3%) and liver (n = 59, 14.5%). Of the tested specimens, 2.2% (n = 9) were positive for leptospiral DNA. These positive specimens belonged to 9 different patients, of which the vast majority were male (n = 8, 88.9%), with an average age of 37.5 years. Conclusion(s): Albeit low detection of leptospiral DNA among forensic specimens in Malaysia, this study highlighted that majority of the positive patients were males of productive age.Copyright © 2023
ABSTRACT
Case fatality rates were lower during the Delta-dominated period than the Omicron period, however.3 Additionally, the report included the caveat that vaccination rates also increased from the period of Delta-dominated infections until Omicron took over.3 Although the US increase in the Omicron XBB variant is still relatively new, it has been significant, rising from about 4% of cases in a week to more than 40%,' dwarfing the Australian study's estimates of a weekly growth rate of around 57%.2 It is still too early to estimate the exact impact of the Omicron XBB variant, but some experts believe they have zeroed in on the source of its potency. The mechanism for higher transmis-sibility in this variant is still a mystery, but increased angiotensin-converting enzyme 2 binding in this latest variant explains its superior growth and resistance to antibodies.4 Changes to the spike protein-the major target for vaccines-and monoclonal antibodies in the XBB variant make it more immune evasive than previous Omicron variants, data from another study suggested.5 Omicron, XBB, and children Most of the data on the impact of the Omicron strains that have taken over US COVID-19 infections focus on adult patients, but some reports have estimated the impact on the pediatric population specifically. [...]he said, influenza has taken over both COVID-19 and respiratory syncytial virus (RSV) cases in his community.
ABSTRACT
Renal transplantation is the optimal approach to improve the quality of life and restore normal life for patients with end-stage renal diseases. With the development of medical techniques and immunosuppressants, the short-term survival of renal graft has been significantly prolonged, whereas the long-term survival remains to be urgently solved. Renal ischemia-reperfusion injury (IRI), acute rejection, chronic renal allograft dysfunction, renal fibrosis and other factors are still the major problems affecting the survival of renal graft. Relevant researches have always been hot spots in the field of renal transplantation. Meantime, 2020 is an extraordinary year. The novel coronavirus pneumonia (COVID-19) pandemic severely affects the development of all walks of life. Researches related to renal transplantation have also sprung up. In this article, the frontier hotspots of clinical and basic studies related to renal transplantation and the COVID-19 related researches in the field of renal transplantation in China were reviewed, aiming to provide novel therapeutic ideas and strategies.Copyright © 2021 Journal of Zhongshan University. All Rights Reserved.
ABSTRACT
PurposeMost epidemic transmission forecasting methods can only provide deterministic outputs. This study aims to show that probabilistic forecasting, in contrast, is suitable for stochastic demand modeling and emergency medical resource planning under uncertainty.Design/methodology/approachTwo probabilistic forecasting methods, i.e. quantile regression convolutional neural network and kernel density estimation, are combined to provide the conditional quantiles and conditional densities of infected populations. The value of probabilistic forecasting in improving decision performances and controlling decision risks is investigated by an empirical study on the emergency medical resource planning for the COVID-19 pandemic.FindingsThe managerial implications obtained from the empirical results include (1) the optimization models using the conditional quantile or the point forecasting result obtain better results than those using the conditional density;(2) for sufficient resources, decision-makers' risk preferences can be incorporated to make tradeoffs between the possible surpluses and shortages of resources in the emergency medical resource planning at different quantile levels;and (3) for scarce resources, the differences in emergency medical resource planning at different quantile levels greatly decrease or disappear because of the existing of forecasting errors and supply quantity constraints.Originality/valueVery few studies concern probabilistic epidemic transmission forecasting methods, and this is the first attempt to incorporate deep learning methods into a two-phase framework for data-driven emergency medical resource planning under uncertainty. Moreover, the findings from the empirical results are valuable to select a suitable forecasting method and design an efficient emergency medical resource plan.
ABSTRACT
This study aims to determine the effect of environmental strategy on dynamic capabilities based on digital literacy and the performance of marketing innovations for micro, small and medium enterprises. Digital literacy-based dynamic capabilities consist of two important components, namely marketing competencies and research and development competencies. The nature of this research is explanatory where the number of research samples is micro, small and medium enterprises that have used information technology with a total number of respondents as many as 200 micro, small and medium enterprises which are divided proportionally to seven regions in Indonesia with the sampling method using accidental sampling method. The data analysis technique used SEM analysis with the help of AMOS software. The results showed that environmental strategy had no significant effect on marketing competence. Environmental strategy has a significant effect on the direction of a positive relationship to research and development competencies and has a significant effect on the direction of a positive relationship on the marketing innovation performance of micro, small and medium enterprises. Marketing competence and research and development competence have a significant effect with a positive direction of relationship to the marketing innovation performance of micro, small and medium enterprises. Research and development competence has a significant effect on the direction of a positive relationship to the marketing performance of micro, small and medium enterprises.
ABSTRACT
SPECIAL REPORT Since the inception of the United States, social, economic, political, and scientific institutions have been built on a foundation emphasizing the inferiority of individuals related to phenotypic differences.1 This hierarchy ensconced white individuals as superior to all other groups with Native Americans and Blacks on the bottom. Some fifty years after the discovery of the genetic code, at a White House ceremony in 2000 to announce the discovery, Craig Venter, a pioneer of DNA sequencing, observed, "The concept of race has no genetic or scientific basis. With structural or institutional racism, there is decreased access to health care and resources for education, leading to lower health literacy and fewer health care providers of color.12'13 Over time, this has led to a distrust of the health care system as a whole by POC due to widely publicized historical events such as the Tuskegee Syphilis Study and the Marion tuberculosis outbreak. [...]non-Hispanic Blacks have a higher prevalence of recurrent asthma exacerbations and hospitalizations than Whites after adjusting for demographic and socioeconomic factors.16 One study revealed that with non-Black children, poor children were 45% more likely than children who were not poor to have asthma.
ABSTRACT
The concepts of short agri-food supply chains and circular bioeconemy are complementary and mutually reinforcing, while they may play an important role in sustainability transitions. The elimination of middlemen and the possibilities of forward vertical integration of farmers are the key components ofshort agri-food supply chains, while bioeconomy refers to the sustainable production and use of biological resources stemming from forestry, agriculture, fisheries, and waste streams. The development of closed-loop systems where waste is converted into new resources, lies in the core of circular bioeconomy, which seeks to reduce waste and maximize resource usage. A sustainable and regenerative economy where waste is viewed as a resource and the use of finite resources is decreased is what this strategy seeks to achieve. When combined, short agri-food supply chains and circular bioeconomy can support sustainable economic growth, social advancement, and environmental protection by encouraging local manufacturing, minimizing waste, and developing innovative bio-based goods and procedures. In this article, we examine the benefits which occur in short agri-food supply when they adopt the principles of circular bioeconomy. Also, we examine how can the ideas of the circular bioeconomy be applied to short agri-food supply chains in order to minimize waste and maximize resource usage. In addition, we explore the corresponding difficulties and opportunities for creating bio-based goods and procedures in short agri-food supply chains. Last but not least, we discuss the effects of short agri-food supply chains and the circular bioeconomy on global agri-food systems and how these concepts are connected with issues at stake, such as food security and sustainability.
ABSTRACT
PurposeThis study aims to reveal the topic structure and evolutionary trends of health informatics research in library and information science.Design/methodology/approachUsing publications in Web of Science core collection, this study combines informetrics and content analysis to reveal the topic structure and evolutionary trends of health informatics research in library and information science. The analyses are conducted by Pajek, VOSviewer and Gephi.FindingsThe health informatics research in library and information science can be divided into five subcommunities: health information needs and seeking behavior, application of bibliometrics in medicine, health information literacy, health information in social media and electronic health records. Research on health information literacy and health information in social media is the core of research. Most topics had a clear and continuous evolutionary venation. In the future, health information literacy and health information in social media will tend to be the mainstream. There is room for systematic development of research on health information needs and seeking behavior.Originality/valueTo the best of the authors' knowledge, this is the first study to analyze the topic structure and evolutionary trends of health informatics research based on the perspective of library and information science. This study helps identify the concerns and contributions of library and information science to health informatics research and provides compelling evidence for researchers to understand the current state of research.
ABSTRACT
Stormwater harvesting via managed aquifer recharge in retrofitted infrastructure has been posited as a method for resource augmentation in Cape Town. However, the existing guidelines on stormwater retrofits are technically inclined, occidental, and generally misaligned with the realities and socio-economic contexts of developing nations like South Africa. Water and urban practitioners from developing nations cannot just 'copy and paste' existing guidelines as different socio-economic dimensions and colonial histories typically hinder 'traditional' approaches. This paper assesses how a transdisciplinary team navigated these realities in a case study of a retrofitted pond in Mitchells Plain, Cape Town. A decolonial thinking framework was applied for reflection and thematic content analysis. The framework was used to unpack how the team encountered, addressed, and learned from the challenges during the retrofit process. The research team found that the retrofit process within a context of under-resourced South African communities can be viewed as developmental work with a strong emphasis on continuous community engagement. Thus, it is suggested that in the South African context, water practitioners should consider, at the fore, interaction with local communities, including awareness of racialised histories, to ensure projects are successfully implemented and completed.
ABSTRACT
Background and Objectives: Due to the high prevalence of COVID-19 disease and its high mortality rate, it is necessary to identify the symptoms, demographic information and underlying diseases that effectively predict COVID-19 death. Therefore, in this study, we aimed to predict the mortality behavior due to COVID-19 in Khorasan Razavi province. Method(s): This study collected data from 51, 460 patients admitted to the hospitals of Khorasan Razavi province from 25 March 2017 to 12 September 2014. Logistic regression and Neural network methods, including machine learning methods, were used to identify survivors and non-survivors caused by COVID-19. Result(s): Decreased consciousness, cough, PO2 level less than 93%, age, cancer, chronic kidney diseases, fever, headache, smoking status, and chronic blood diseases are the most important predictors of death. The accuracy of the artificial neural network model was 89.90% in the test phase. Also, the sensitivity, specificity and area under the rock curve in this model are equal to 76.14%, 91.99% and 77.65%, respectively. Conclusion(s): Our findings highlight the importance of some demographic information, underlying diseases, and clinical signs in predicting survivors and non-survivors of COVID-19. Also, the neural network model provided high accuracy in prediction. However, medical research in this field will lead to complementary results by using other methods of machine learning and their high power.Copyright © 2022 The Authors.
ABSTRACT
PurposeThis paper aims to examine how message consistency pursued through integrated marketing communications (IMC) can build a strong destination brand equity in a very dynamic environment and whether this process is affected by the perceived risk of COVID-19.Design/methodology/approachData collection was conducted among 333 international tourists visiting Croatia, a destination that has experienced a remarkable boom in the summer/autumn season of 2021, regardless of the pandemic. Partial least squares–structural equation modelling (PLS-SEM) was used for data analysis.FindingsResults show that IMC consistency has a significant impact on the four destination brand equity dimensions, i.e. awareness, image, perceived quality and loyalty. This influence is found to be the highest on destination brand awareness and the lowest on destination brand loyalty. Perceived risk of COVID-19 moderates the impact of message consistency on brand image and perceived quality.Originality/valueTo the best of the authors' knowledge, this is the first study that examines the role of IMC consistency in a tourism context during turbulent times. The impact of IMC consistency is analyzed on different components of destination brand equity, which addresses the most recent research call from tourism literature. The moderating effects of perceived risk are considered, thus providing additional implications in a context of high uncertainty. Finally, IMC consistency is assessed from the consumer rather than managerial viewpoints, thus adopting the necessary outside-in approach embedded in the IMC idea.
ABSTRACT
PurposeDuring emergencies and times of widespread social fear, such as wars and epidemics, society witnesses many instances of consumer misbehaviour (e.g. panic buying). Therefore, this study aims to understand what drives consumers to enact socially irresponsible while shopping during emergencies.Design/methodology/approachThis study employs a quantitative approach with 400 responses from consumers who shopped during the pandemic.FindingsResults show a positive relationship between consumers' awareness of the negative social consequences of shopping misbehaviour and their ascription of responsibility, which is positively moderated by death-by-emergency-related anxiety. Ascription of responsibility, in turn, has a positive impact on socially responsible behaviour.Originality/valueThis research is the first to examine new applications of norm activation theory in retailing. Furthermore, this research is the first to extend the theory by examining psychological factors that may regulate socially irresponsible behaviour. The research demonstrates the significant role of anxiety and attachment in facilitating the impact of awareness of negative consequences and aspirations of responsibility in the retailing during emergencies.
ABSTRACT
PurposeThis paper draws on the affordance perspective, to explore the social media (SM) usage experiences that might render valuable for academic women professionals, for knowledge exchange, networking and success. Owing to the increased SM usage during COVID-19 pandemic, this paper tries to find out that in what ways do SM affordances facilitate the underprivileged group of women professionals to grow in their careers in a masculine, conservative society through knowledge exchange.Design/methodology/approachBy utilizing qualitative study design, the authors collected data from 31 women employed in Pakistani universities, through unstructured questionnaires. The responses were analyzed through Nvivo.FindingsThe generated themes suggested that women in Pakistan are aware of SM's potential for knowledge exchange among fellow professionals. They use it to aid them in communication, collaboration and networking. Additionally, they utilize it to share knowledge and build networks that are vital for career progression and success.Research limitations/implicationsThe paper concludes with the implications for practitioners that would aid them in boosting career prospects for women academicians through SM usage in a developing country Pakistan;where women's career outlooks are not as promising as for men;or as bright as for women working in the developed economies.Originality/valueThis a unique attempt to explore knowledge exchange dimensions with the help of SM in the context of working women by the deploying the phenomenological approach.
ABSTRACT
Introduction: The aim of this research is to analyze how COVID-19 was studied by the academic discipline of journalism, regarding its impact, methodology, thematic and source, and their repercussions on sites. Methodology: A universe of 124 articles is obtained through algorithmic grouping by InCites (journalism micro topic, Spanish affiliation, and COVID-19 keyword). A bibliometric analysis is performed, accompanied by a qualitative content analysis to generate common codes in methodology, themes, and use of sources. Quantitative analysis of co-occurrence and descriptive correlations between the three variables studied and their citations are carried out. Results: Articles on COVID-19 received five times more citations than the rest. The majority of cites (86%) are concentrated in the first-published articles. Classic methodologies were mostly used (49% content analysis, 16% surveys). Bibliographic review (13 cites/article) and advanced automated analysis techniques (10.75 cites/article) are the ones that receive the most citations. The main theme is disinformation (26%, 11,07 cites/article) and the most common source is the press (27%, 6,15 cites/article), although social networks (22%, 9.12 cites/article) and fact-checkers (10%, 8.50 cites/article) generated a greater impact. Discussion and Conclusions: The articles that were published during the first months generated the highest volume of citations. In journalism research, a recurrent use of classic strategies (content analysis, press) was found, although the slightly more novel approaches (advanced automated analysis techniques) are the ones that produced the most citations. Misinformation becomes one of the key issues in journalism studies. Unusual methodologies and themes receive practically no citations.Alternate :Introduction: Se analiza el impacto y el modo en el que la disciplina académica del periodismo investigó sobre el COVID-19 y su repercusión metodológica, temática y de fuentes. Metodología: Se obtiene un universo de 124 artículos mediante agrupación algorítmica por InCites (micro tópico periodismo, afiliación española y palabra clave COVID-19). Se procede a un análisis bibliométrico, acompañado por un análisis de contenido cualitativo para generar códigos comunes en metodología, temática y uso de fuentes. Se realizan análisis cuantitativos de co-ocurrencia y correlaciones descriptivas entre las tres variables estudiadas y sus citas. Resultados: Los artículos sobre COVID-19 recibieron cinco veces más citas que el resto, y la mayoría (86%) se concentran en los primeros artículos. Se emplearon mayormente metodologías clásicas (49% análisis de contenido, 16% encuestas). La revisión bibliográfica (13 citas/ artículo) y las técnicas avanzadas de análisis automático (10,75 citas/artículo) son las que reciben más citas. La temática principal es la desinformación (26%, 11,07 citas/artículo) y la fuente más común la prensa (27%, 6,15 citas/artículo), si bien generan más impacto las redes sociales (22%, 9,12 citas/ artículo) y los fact-checkers (10%, 8,50 citas/artículo). Discusión y Conclusiones: Los artículos que primero se publicaron generaron más citas. Se identificó un uso recurrente de estrategias clásicas (análisis de contenido, prensa) si bien son las aproximaciones ligeramente más novedosas (técnicas avanzadas de análisis automático) las que producen más citas. La desinformación deviene uno de los temas claves. Las metodologías y temáticas poco comunes no reciben prácticamente citaciones.