Search Results (543)

The impact of cultural identity on music performance anxiety (MPA) is under-researched. This retrospective case study explores the treatment of a professional musician in her 30s who presented with MPA associated with performing music related to her estranged father’s cultural background. The case formulation identified attachment ruptures and negative cognitions associated with her mixed cultural heritage that contributed to an experience of imposterism—referred to in lay literature as ‘racial imposter syndrome’ (RIS). It was hypothesized that RIS served to perpetuate her MPA. An attachment-based approach and Acceptance and Commitment Therapy framework was adopted, drawing on evidence-based treatment for MPA and mixed heritage individuals. The Depression Anxiety Stress Scale-21 (DASS-21), Outcome Rating Scale (ORS) and Session Rating Scale (SRS) were used as outcome measures. These measures fluctuated throughout the therapy. While improvements were observed in depression scores midway through treatment, elevated stress and depression scores at the conclusion of treatment were understood to reflect situational factors related to financial and housing precarity. Nonetheless, at the conclusion of treatment, the client showed improvement in managing MPA, evidenced by her progress in recording an album and reengagement with public performances. This case study adds to the limited research on treating MPA in racially minoritized and mixed-race individuals, Further research is required across larger and more diverse samples to better understand the relationship between MPA and RIS and to develop effective interventions. Full article

Managing finances in a supply chain today is not as straightforward as it once was. The world is constantly shifting—markets fluctuate, risks emerge unexpectedly—and companies are continually trying to stay one step ahead. In all this, financial resilience has become more than just a strategy. It is a survival skill. In our research, we examined how newer technologies (such as blockchain and the Internet of Things) can make a difference. The idea was not to reinvent the wheel but to see if these tools could actually make financing more transparent, reduce some of the friction, and maybe even help companies breathe a little easier when it comes to liquidity. We employed two optimization methods (Non-dominated Sorting Genetic Algorithm II (NSGA-II) and Multi-Objective Particle Swarm Optimization (MOPSO)) to achieve a balanced outcome. The goal was lower financing costs, better liquidity, and stronger resilience. Blockchain did not just record transactions—it seemed to build trust. Meanwhile, the Internet of Things (IoT) provided companies with a clearer picture of what is happening in real-time, making financial outcomes a bit less of a guessing game. However, it gives financial managers a better chance at planning and not getting caught off guard when the economy takes a turn. Full article

Mabroom dates (Phoenix dactylifera L.) are recognized as one of the most important crops in Qatar. Fresh fruit dates are susceptible to mould and post-harvest spoilage, resulting in a significant financial loss. Octanoic fatty acid (OFA) has been shown to regulate the growth of mould-causing organisms such as fungi and bacteria. It is known to have antibacterial properties. The objective of the current study was to evaluate the in vitro effect of OFA on the post-harvest pathogens of Mabroom fruits. Fresh, apparently healthy, and fully ripe Mabroom dates were obtained from the National Agriculture and Food Corporation (NAFCO). The chosen fruits were packed in sterile, well-ventilated plastic boxes and transported to the lab under controlled conditions. The fruits were distributed into five groups (G1 to G5). The groups G1, G2, and G3 received 1%, 2%, and 3.5% OFA, respectively, while G4 was left untreated and G5 was washed only with tap water as a positive control treatment. Each group contained 200 g of fresh and healthy semi-soft dates. The samples were then dried and incubated in a humidity chamber at 25 °C ± 2 for seven days. The signs and symptoms of decay were monitored and recorded. The presence of pathogens was confirmed via phenotypic and microscopic-based methods. The results showed a significant difference (p ≤ 0.05) among the groups. OFA at 3.5% had the strongest inhibitory action against post-harvest pathogens, followed by OFA2%. However, there were no differences (p ≤ 0.05) between OFA1% and the control groups. Aspergillus spp., Penicillium spp., Rhizopus spp., and Botrytis spp. were most abundant in the control group, followed by OFA2% and OFA1%, respectively. In conclusion, octanoic fatty acid at 3.5% may improve the quality of date fruits through its high antimicrobial activity, reduce the effect of post-harvest decay, minimize the loss of date fruits during storage, and improve the sustainability of date fruits. Further experiments are necessary to confirm the effectiveness of OFA as a green solution for sustainable date fruit production. Full article

Background: Semaglutide and Liraglutide are medications in the Glucagon-like peptide-1 agonists (GLP-1 RAs) class used to manage type 2 diabetes mellitus and obesity in Saudi Arabia. Although the 1.0 mg once weekly dosage of Semaglutide does not have a labeled indication for the management of obesity, many believe that this dosage is more effective than the 3.0 mg once daily Liraglutide dosage for the management of both diabetes and obesity. Objective: To compare the effectiveness of the dosage of 1.0 mg of Semaglutide administered once weekly versus 3.0 mg of Liraglutide administered once daily in controlling HbA1c levels, promoting weight loss, and evaluating their financial implications among obese patients in Saudi Arabia using real-world data. Methods: A retrospective review of Electronic Medical Records (EMRs) from January 2021 to June 2024 was conducted on patients prescribed Semaglutide or Liraglutide for at least 12 months. Exclusion criteria included pre-existing severe conditions (e.g., cardiovascular disease, stroke, or cancer) and missing baseline data. The primary outcomes assessed were changes in HbA1c, weight, and direct medical costs. Results: Two hundred patients (100 patients on the 1.0 mg once weekly dose of Semaglutide and 100 patients on the 3.0 mg once daily dose of Liraglutide) of those randomly selected from the EMRs met the inclusion criteria and were included in the analysis. Of the 200 eligible patients (65.5% female, mean age 48.54 years), weight loss was greater with Semaglutide (−8.09 kg) than Liraglutide (−5.884 kg). HbA1c reduction was also greater with Semaglutide (−1.073%) than Liraglutide (−0.298%). The use of Semaglutide resulted in lower costs of USD −1264.76 (95% CI: −1826.82 to 33.76) and greater reductions in weight of −2.22 KG (95% CI: −7.68 to −2.784), as well as lower costs of USD −1264.76 (95% CI: (−2368.16 to −239.686) and greater reductions in HbA1c of −0.77% (95% CI: −0.923 to −0.0971) in more than 95% of the cost effectiveness bootstrap distributions. Conclusions: Semaglutide 1.0 mg weekly seems to be more effective and cost-saving in managing prediabetes, diabetes, and obesity compared to Liraglutide 3.0 mg daily. Future studies should examine these findings using a more representative sample and a robust study design. Full article

This article presents an empirical evaluation of the technical and economic performance of a building-integrated photovoltaic (PV) system implemented at the Faculty of Architecture and Urbanism of the University of Cuenca, Ecuador. This study explores both stages of deployment, beginning with a 7.7 kWp pilot system and later scaling to a full 75.6 kWp configuration. This hourly monitoring of power exchanges with utility was conducted over several months using high-resolution instrumentation and cloud-based analytics platforms. A detailed comparison between projected energy output, recorded production, and real energy consumption was carried out, revealing how seasonal variability, cloud cover, and academic schedules influence system behavior. The findings also include a comparison between billed and actual electricity prices, as well as an analysis of the system’s payback period under different cost scenarios, including state-subsidized and real-cost frameworks. The results confirm that energy exports are frequent during weekends and that daily generation often exceeds on-site demand on non-working days. Although the university benefits from low electricity tariffs, the system demonstrates financial feasibility when broader public cost structures are considered. This study highlights operational outcomes under real-use conditions and provides insights for scaling distributed generation in institutional settings, with particular relevance for Andean urban contexts with similar solar profiles and tariff structures. Full article

In recent years, numerous regions worldwide have experienced devastating natural disasters, leading to significant structural damage to buildings and loss of human lives. The reconstruction process highlights the need for a reliable method to document and track the maintenance history of buildings. This paper introduces a novel approach for managing and monitoring restoring interventions using a secure and transparent digital framework. We will also present an application aimed at improving building structures with respect to earthquake resistance. The proposed system, referred as the “Building Ledger Dossier”, leverages a Digital Twin approach applied to blockchain to establish an immutable record of all structural interventions. The framework models buildings using OpenSees, while all maintenance, repair activities, and documents are registered as Non-Fungible Tokens on a blockchain network, ensuring timestamping, transparency, and accountability. A Decentralized Autonomous Organization oversees identity management and work validation, enhancing security and efficiency in building restoration efforts. This approach provides a scalable and globally applicable solution for improving both ante-disaster monitoring and post-disaster reconstruction, ensuring a comprehensive, verifiable history of structural interventions and fostering trust among stakeholders. The proposed method is also applicable to other types of processes that require the aforementioned properties for document monitoring, such as the life-cycle management of tax credits and operations in the financial or banking sectors. Full article

The United Nations Sustainable Development Goals emphasize the need to assist developing countries in achieving long-term debt sustainability. Global corporate debt has repeatedly reached record levels, and the associated financial costs pose a significant threat to sustainable development. This study uses panel data from Chinese listed companies for regression analysis. The findings show that ESG reduces the interest-bearing debt ratio, the equity pledge of controlling shareholders, and the deviation from the target debt ratio, all of which contribute to improved debt management. Climate risk further strengthens the impact of ESG on debt management. Additionally, green credit policies help reduce the interest-bearing debt ratio in high-pollution industries through ESG practices. Full article

The export expansion of wood forest products (WFPs) generates substantial socio-economic benefits. Unfortunately, the WFP manufacturing industry frequently experiences challenges in accessing finance and high financing costs. Since profit scramble between financial sector and real economy sectors has become a critical global concern, it is worth investigating how banking sector profits (BSPs) impact WFPs’ export margins, and whether a “financial concession” policy can mitigate or amplify this effect. Drawing on over four million trade records from China’s Customs Database and the United Nations Trade and Business Database, this study quantifies the WFPs’ export margins of 31 provinces in Mainland China to 184 countries during 2007–2022. Then it assesses the effects of regional BSP on the WFPs’ export margins. The results indicate that the extensive, intensive, and quantity margins of WFPs’ export exhibit an overall upward trend with fluctuations, while the price margin has shown steady growth since 2016. Regional BSP has significant negative effects on the extensive, intensive, and quantity margins. The observed upward trend of WFPs’ export margins implies that low BSP may facilitate export growth of WFPs. Further heterogeneity analysis indicates that the BSPs’ negative impact is more pronounced for labor-intensive WFPs’ exports. China’s “financial concession” policy effectively mitigates the BSPs’ adverse effects. Moderation effect analysis demonstrates that a larger number of bank institution outlets, a higher share of rural bank institution outlets, and the development of digital finance significantly reduce the BSPs’ negative effects. Full article

The growing global demand for sustainable energy solutions has spurred interest in hybrid renewable energy systems, particularly those combining photovoltaic (PV) solar and wind power. This study records the technical and financial feasibility of establishing hybrid solar photovoltaic and wind power stations in Iraq, Al-Rutbah and Al-Nasiriya, with a total power of 60 MW for each, focusing on optimizing energy output and cost-efficiency. The analysis evaluates key technical factors, such as resource availability, system design, and integration challenges, alongside financial considerations, including capital costs, operational expenses, and return on investment (ROI). Using the RETScreen program, the research explores potential locations and configurations for maximizing energy production and minimizing costs, and the evaluation is performed through the calculation Internal Rate of Return (IRR) on equity (%), the Simple Payback (year), the Net Present Value (NPV), and the Annual Life Cycle Savings (ALCSs). The results show that both PV and wind technologies demonstrate significant energy export potential, with PV plants exporting slightly more electricity than their wind counterparts. Al Nasiriya Wind had the highest output, indicating favorable wind conditions or better system performance at that site. The results show that the analysis of the proposed hybrid system has a standardizing effect on emissions, reducing variability and environmental impact regardless of location. The results demonstrate that solar PV is significantly more financially favorable in terms of capital recovery time at both sites, and that financial incentives, especially grants, are essential to improve project attractiveness, particularly for wind power. The analysis underscores the superior financial viability of solar PV projects in both regions. It highlights the critical role of financial support, particularly capital grants, in turning renewable energy investments into economically attractive opportunities. Full article

The assessment of company performance requires a holistic approach, encompassing both financial and non-financial metrics. Accordingly, we develop a comprehensive airline performance evaluation model utilizing the Balanced Scorecard (BSC)-based multi-criteria decision-making (MCDM) framework. Based on contingency theory, we use 30 Key Performance Indicators (KPIs) derived from the literature and develop a novel performance model by combining the BSC framework with the Method based on the Removal Effects of Criteria (MEREC) for KPI weighting and the Combined Compromise Solution (CoCoSo) for ranking. The focus on Turkish Airlines, serving as a comparative benchmark, over the period 2020–2023 reveals that while financial KPIs hold the greatest weight, non-financial KPIs have the most significant impact on performance. The lowest performance is recorded in 2020, most probably attributable to the COVID-19 pandemic, followed by a remarkable recovery in 2021. We offer a methodological contribution for managers, decision-makers, and scholars—an objective, data-driven tool to assess airline performance. Furthermore, we furnish policymakers with tangible data for more effective industrial incentives and convenient regulatory strategies. In contrast to most of the literature emphasizing financial indicators and subjective weighting approaches that might yield biased rankings, we suggest a novel integrated performance evaluation model tailored for the airline industry. Full article

Knowledge extraction and sharing is one of the biggest challenges organizations face to ensure successful and long-lasting knowledge repositories. The North Carolina Department of Transportation (NCDOT) commissioned a web-based knowledge management program called Communicate Lessons, Exchange Advice, Record (CLEAR) for end-users to promote employee-generated innovation and to institutionalize organizational knowledge. Reusing knowledge from an improperly managed database is problematic and potentially causes substantial financial loss and reduced productivity for an organization. Poorly managed databases can hinder effective knowledge dissemination across the organization. Data-driven dashboards offer a promising solution by facilitating evidence-driven decision-making through increased information access to disseminate, understand and interpret datasets. This paper describes an effort to create data visualizations in Tableau for CLEAR’s gatekeeper to monitor content within the knowledge repository. Through the three web-based strategic dashboards relating to lessons learned and best practices, innovation culture index, and website analytics, the information displays will aid in disseminating useful information to facilitate decision-making and execute appropriate time-critical interventions. Particular emphasis is placed on utility-related issues, as data from the NCDOT indicate that approximately 90% of projects involving utility claims experienced one or two such incidents. These claims contributed to an average increase in project costs of approximately 2.4% and schedule delays averaging 70 days. The data dashboards provide key insights into all 14 NCDOT divisions, supporting the gatekeeper in effectively managing the CLEAR program, especially relating to project performance, cost savings, and schedule improvements. The chronological analysis of the CLEAR program trends demonstrates sustained progress, validating the effectiveness of the dashboard framework. Ultimately, these data dashboards will promote organizational innovation in the long run by encouraging end-user participation in the CLEAR program. Full article

Background: Despite clinical utility in managing hereditary cancers, genetic testing (GT) remains underutilized. While barriers include knowledge gaps and cost, clinician recommendation is a major driver of GT uptake, with rates varying by cancer type and family cancer history documentation. Methods: Adult participants (≥18 years) were recruited through multiple sources to complete a cancer family history survey for a larger intervention trial. Participants with personal or family history indicating increased hereditary cancer risk who had not undergone GT (N = 3001) were invited to complete a baseline survey. Multivariable logistic regression was used to analyze associations between demographics and cancer history by receipt of a clinician recommendation for GT. Results: Among 784 respondents, most were White (84.6%), female (58.4%), and over age 51 (75.3%), with 58.2% reporting a diagnosis of cancer. Only 14.0% reported receiving a clinician recommendation for GT, with lower recommendation rates among younger adults (20.1%), those reporting no financial stress (10.7%), and those with higher education (12.0%). Multivariate analysis showed participants who did not report financial stress (p = 0.049) were less likely to receive a recommendation. Discussion: These findings highlight disparities in GT recommendation by clinicians. Increased clinician education about indications for GT, the implementation of electronic medical record tools to facilitate the identification of patients with guideline-concordant personal and/or biological-relative cancer history, and patient-facing interventions could standardize the dissemination of recommendations for GT. Conclusions: Future efforts that focus on increasing clinician education and electronic decision support should identify individuals with personal and/or biological-relative cancer history meeting criteria for GT. Full article

Understanding how sectoral CO₂ emissions shape sustainable development outcomes is essential for designing effective energy and economic strategies within the European Union (EU). This study presents a multidimensional analysis of CO₂ emissions, the contributions of individual sectors, and their connections to the Sustainable Development Goals (SDGs). Using Bayesian network analysis, the research identifies significant interdependencies between emission reductions and progress in sustainable development, highlighting the complex relationship between energy transition, economic growth, and social justice. The findings show that total CO₂ emissions in the EU have decreased since 1990; however, the rate of reduction varies across sectors and member states. The most substantial decreases have been recorded in the energy sector, while industrial processes and agriculture show slower progress. Economic crises, such as the 2008 financial collapse and the COVID-19 pandemic, have led to temporary declines in emissions; however, lasting achievements in sustainability require structural transformations rather than short-term disruptions. The Bayesian model reveals strong connections between emission reductions and progress on clean energy (SDG 7), responsible consumption (SDG 12), and climate action (SDG 13), while also indicating indirect impacts on economic growth (SDG 8) and social equity. This highlights the importance of integrated policymaking to maximise the benefits of sustainable development. This study provides a data-driven foundation for enhancing EU climate strategies, ensuring that emission reductions support environmental goals, economic resilience, and social well-being. Full article

E-Waste management in Nigeria remains predominantly informal, with unlicensed collectors focusing on extracting valuable materials, primarily for export. Despite policy interventions, including the revised 2022 E-Waste framework and the Global Environment Facility (GEF) project, which introduced collection centers in Lagos and bolstered Extended Producer Responsibility (EPR), progress has been uneven. This comparative longitudinal study examined informal E-Waste processing practices over a six-year period (2017–2023) to evaluate the impact of these initiatives. Using a mixed-methods approach, including content analysis and field interviews with informal collectors, government officials, and NGOs, our findings reveal that profit is the primary motivator for informal collectors, while E-Waste fractions that are not considered profitable are often discarded in environmentally harmful ways. The findings indicate persistent noncompliance with regulations and stagnant or declining income levels for informal collectors. The revised 2022 regulation resulted in a significant increase in registrations, with EPRON recording its highest number of producers, with 39 in total, including 25.6% renewals and 74.4% new registrations. Although the revised framework and EPR efforts have achieved limited success, critical gaps in implementation and outreach remain, with minimal improvements in collectors’ awareness of health and environmental risks. This study underscores the need for targeted training and financial incentives to redirect E-Waste flows toward formal channels, thereby more effectively safeguarding the environment and wellbeing. Full article

The private healthcare sector in Romania, led by prominent players such as Medlife, Regina Maria, Medicover and Sanador, has become a cornerstone of the country’s healthcare system. However, achieving sustainability in this sector remains a challenge. This study evaluates sustainability practices in Romania’s private medical sector using the Triple Bottom Line (TBL) framework, comparing them to those of the EU, USA and Japan. Using statistical methods and benchmarking, we identify correlations between healthcare expenditures, financing schemes and sustainability metrics. A bibliographic review highlights global trends in sustainable healthcare management, including environmental, social and economic strategies and provides insights into the cost-effectiveness of green initiatives. Special focus is given to the role of technology in driving sustainability through innovations in telemedicine, digital health records and operational optimization. Using statistical methods (Pearson and Spearman correlation coefficients), we have performed an analysis of health expenditure data for EU countries, the USA and Japan. The dataset was extracted from the Organisation for Economic Co-operation and Development (OECD) data portal and included various health expenditure indicators, financing schemes and administrative data for all EU countries, the USA and Japan for the period 2018–2023. We have performed a structured analysis that explores correlations between these indicators, with a focus on financial schemes, expenditures and management sustainability. The analysis shows strong correlations between healthcare expenditures, financing schemes and administrative costs. Countries with efficient governance, balanced financing and proactive population health strategies (e.g., Japan and Nordic countries) demonstrate better management sustainability. However, countries like the USA and Eastern EU nations face challenges due to high administrative costs and inefficient financing models, respectively. Addressing these issues is critical to sustaining healthcare systems in the long term. The findings reveal that while Romanian providers excel in patient satisfaction and technological innovation, they lag behind their European counterparts in environmental sustainability and equitable access. Recommendations are proposed to address these gaps, drawing on successful strategies implemented in other European healthcare systems. This study fills a gap in the literature by providing a structured analysis of sustainability practices in Romania’s private healthcare sector, contextualized within a global comparative framework. Full article