Search Results (1,991)

Background/Objectives: The COVID-19 pandemic caused pronounced disorder in healthcare delivery globally, including ophthalmology. Our study explores how ophthalmologists in Puerto Rico (PR) altered their practices during the pandemic, confronting obstacles such as resource shortages, evolving public health mandates, and unique socio-economic and geographic constraints. The study aims to enhance preparedness for future public health crises. Methods: We conducted descriptive analyses on four online surveys distributed at crucial time points of the pandemic (March 2020, May 2020, August 2020, August 2021) to all practicing ophthalmologists in PR (N ≈ 200), capturing data on closures, patient volume, personal protective equipment (PPE) access, telemedicine use, and financial relief. Results: Survey responses ranged from 41% (n = 81) to 56% (n = 111). By March 2020, 22% (24/111) of respondents closed their offices. By May 2020, 20% (19/93) of respondents maintained a closed office, while 89% (64/72) of open offices reported seeing less than 25% of their usual patient volume. Access to PPE was a challenge, with 59% (65/111) reporting difficulty obtaining N95 masks in March 2020. Telemedicine usage increased initially, peaking in May 2020 and declining in July 2020. By August 2021, all respondents were fully vaccinated and most practices returned to pre-pandemic levels. Overall, 86% (70/81) of respondents found the surveys to be useful for navigating practice changes during the pandemic. Conclusions: PR ophthalmologists showed adaptability during the COVID-19 pandemic to maintain care given limited resources. Guidelines from professional organizations and real time surveys play an important role in future crisis preparedness. Full article

The rapid growth of live e-commerce, a sector valued at over USD 100 billion worldwide, demonstrates its transformative impact on the retail industry, especially in markets like China, where platforms such as Taobao Live and TikTok Shop have markedly altered consumer interaction. This transition is further expedited by Netflix-like entertainment marketing methods, which have demonstrated the capacity to enhance consumer retention by as much as 40%. As organizations adjust to this evolving landscape, it is essential to optimize supply chain strategies to align with these dynamic, consumer-centric environments. This paper examines the complexity of decision-making in live e-commerce supply chains, specifically regarding Netflix-inspired marketing strategies. The primary aim of this study is to design a game-theoretic framework that examines the interactions between producers and online celebrity retailers (OCRs) across different power dynamics. As live commerce integrates digital retail with immersive experiences, businesses must optimize pricing, quality, and marketing strategies in real-time. We present engagement-driven marketing as a strategic variable and incorporate consumer regret and switching costs into the demand function. To illustrate practical trade-offs in strategy, we incorporate a multi-criteria decision-making (MCDM) layer with AHP-TOPSIS, assessing profit, consumer surplus, engagement score, and channel efficiency. The experiment results indicate that Netflix-style marketing markedly increases demand and profit in retailer-led frameworks, whereas centralized tactics enhance overall channel performance. TOPSIS analysis prioritizes high-effort, high-engagement methods, whereas the Stackelberg experiment underscores the influence of power dynamics on profit distribution. This study presents an innovative integrative decision-making methodology for enhancing live-streaming commerce tactics in data-driven and consumer-focused markets. Full article

This study explores the role of solidarity finance in promoting local development and the empowerment of marginalized communities through financial inclusion and access to community credits. It focuses on how solidarity-based financial mechanisms provide accessible credit with fewer barriers, fostering productive activities and economic resilience. This study employed a quantitative and exploratory design, analyzing data from 51 community funds in Ecuador out of a total of 220 through a self-administered online survey, validated by auditing professionals and answered by community representatives. The 25-item questionnaire gathered data on organizational dynamics, financial practices, and perceptions of sustainability. Descriptive analysis was complemented with an analysis of variance to test hypotheses concerning associativity, self-management, and organizational performance. The results show that while associativity, self-management, and organizational management are perceived as institutional strengths, aspects such as autonomy and solidarity received lower evaluations, suggesting critical areas for strategic improvement. Notably, significant differences emerged between self-management–organization and solidarity–organization groups, emphasizing the importance of associativity (collaboration) in enhancing the sustainability of solidarity finance, which proves to be a vital mechanism for community empowerment and local development; however, its long-term sustainability depends on strengthening internal dimensions, particularly autonomy and solidarity, and reinforcing associativity as a core driver of organizational resilience. Full article

This study examines how Environmental, Social, and Governance (ESG) reporting is communicated and perceived on YouTube. A dataset of 553 relevant videos and 5060 user comments was extracted on 2 April 2025 ranging between 2014 and 2025, and sentiment, topic, and stance analyses were applied to both transcripts and comments. The majority of video content strongly endorsed ESG reporting, emphasizing themes such as transparency, regulatory compliance, and financial performance. In contrast, viewer comments revealed diverse stances, including skepticism about methodological inconsistencies, accusations of greenwashing, and concerns over politicization. Notably, statistical analysis showed minimal correlation between video sentiment and audience sentiment, suggesting that user perceptions are shaped by factors beyond the tone of the videos themselves. These findings underscore the need for more rigorous ESG frameworks, enhanced standardization, and proactive stakeholder engagement strategies. The study highlights the value of online platforms for capturing stakeholder feedback in real time, offering practical insights for organizations and policymakers seeking to strengthen ESG disclosure and communication. Full article

The current proceedings summarize the presentations delivered during the third International Electronic Conference on Microbiology (ECM 2025), which was held online from 1 to 3 April 2025, via the SciForum platform. This virtual event brought together researchers from around the world to share recent advances in microbiological sciences. The ECM 2025 highlighted recent developments across a broad spectrum of microbiological research, including antimicrobial resistance, gut microbiota, infectious diseases, and environmental microbiomes. Participants shared their work through online presentations and abstracts, with selected submissions invited for full publication. The event fostered global collaboration, promoted open-access science, and showcased innovative tools for studying and managing microbial systems in health, agriculture, and industry. The multidisciplinary program was organized into several thematic sessions: S1. Gut Microbiota and Health Disease. S2. Foodborne Pathogens and Food Safety. S3. Antimicrobial Agents and Resistance. S4. Emerging Infectious Diseases. S5. Microbiome and Soil Science. S6. Microbial Characterization and Bioprocess. S7. Microbe–Plant Interactions. This conference report presents summaries of the contributions made by participating authors over the three-day event. Full article

Early childhood forest and nature education plays a vital role in shaping values and promoting sustainability throughout life. Conceptualized in Denmark, forest and nature childcare groups have been established in Austria for over 20 years, contributing to mental well-being and supporting both Education for Sustainable Development (ESD) and Early Childhood Education and Care (ECEC). With increasing demand for childcare and a growing disconnect from nature—factors linked to physical and mental health challenges—there is a pressing need to expand these groups and integrate them into formal legal frameworks. This study examines the organization, staffing, infrastructure, risk prevention, and hygiene of 79 Austrian forest and nature kindergarten groups, identifying key areas of improvement to ensure safe access for all children, including those in public childcare. A semi-standardized online survey of 72 groups was analyzed using descriptive and statistical methods, including a Spearman correlation, Kruskal–Wallis test, Chi-square test, and ANOVA. Results revealed three main infrastructure types—house, container/trailer, and tipi—with houses offering the most comprehensive facilities. The ANOVA indicated significant effects of sponsorship type (p < 0.01), caregiver numbers (p < 0.001), and their interaction (p < 0.05) on half-day care costs. Currently, legal frameworks exist only in Tyrol and Salzburg. Broader access requires standardized infrastructure and risk assessment guidelines, collaboratively developed with stakeholders, to ensure safety and inclusivity in Austrian forest and nature childcare groups. Full article

The impacts of the climate crisis compel congregations to reimagine their mission and identity in various ways. Working with data taken from U.S. clergy participating in an online program for education and support on climate and environmental issues, as well as selected congregational leaders from their congregations, this article examines the ways that ministers and their congregations in primarily North American mainline Protestant contexts frame the climate crisis and how those understandings both create tension and open space for new conversations about their Christian and congregational vocation. It also describes how these ministers and congregations engage with environmental issues through means beyond technological solutions and consumption choices, such as collaborating with other community organizations, hosting rituals for grieving or meaning-making, and inviting transformative encounters with the more-than-human world. Finally, it will suggest possible strategies for leaders and their congregations to frame and creatively engage with the environment through various methods. Full article

An analysis of Albanian Muslims in Italy provides a compelling case study of communities perceived as marginal. Studies of Muslims in Italy tend to focus on the majority and chronologically older groups within the country’s Islamic landscape, particularly those from Asia and Africa. In addition to providing a better understanding of Islam in Italy, a study of the identity and community-building issues of the Albanian community of origin offers many insights into that community’s complexity. Albanians in Italy have a very specific historical and religious heritage; so, analyzing their roots and community-building processes helps us to better understand the development of Islam on the margins of large national organizations and majority groups. This article presents the results of the first national study of Albanian Muslims in Italy. Online interviews and field observations were conducted in 2024 within the Union of Muslim Albanians in Italy (Unione degli Albanesi Musulmani in Italia—UAMI), using the ethnographic method. The Association has fewer members compared with national level organizations. It was founded in 2009 to address specific issues related to the management of Muslim Albanian religious identity. The Association has sought to address the fragmentation of religion and Albanian nationalism, a consequence of a long period of state atheism, and to counter the literalist and radical tendencies in the interpretation of religion that have emerged in Albania since the collapse of the communist regime. In addition to these challenges, the Association has also tackled issues related to the Islamic religion in its local and global dimensions. The analysis of these challenges and the ways to deal with them offers a new framework in the Italian Islamic panorama, despite its marginality. The results of this research point to the emergence of new forms of rooting and belonging characterized by spirituality over orthopraxis. These forms adopt a religious approach open to diversity and pluralism. Full article

In the context of eco-friendly e-commerce, understanding the psychological and experiential mechanisms that drive consumers’ online purchasing behavior is essential for promoting sustainable platform development. This study aims to fill a critical gap in the literature by examining how social interaction, entertainment, and sales promotion influence consumers’ purchase intentions through the mediating roles of perceived value and immersive flow experience. Grounded in the Stimulus–Organism–Response (S-O-R) theoretical framework, we developed a structural model and conducted an empirical analysis using survey data collected from 438 online shoppers. Data analysis was conducted using SPSS and AMOS through SEM. The results show that social interaction and sales promotion significantly enhance both perceived value and flow experience, which in turn positively influence consumers’ purchase intentions. However, entertainment exhibits a negative and significant effect on perceived value and does not significantly affect flow experience, indicating that hedonic content may not always translate into perceived usefulness or deep engagement. Moreover, the influence of social interaction on flow experience was also found to be negative and significant, suggesting that not all forms of interaction necessarily lead to immersive experiences. These findings highlight the complex psychological dynamics in digital consumption. This study contributes original insights by integrating psychological engagement mechanisms with the goal of digital sustainability, offering practical implications for online retailers aiming to enhance user engagement and platform longevity through experience-driven strategies. Full article

Although product environmental information serves as an effective tool for promoting green consumption which is a critical lever for advancing broader sustainability goals, its varied impacts across product categories (durable goods vs. fast-moving consumer goods) and the underlying mechanisms remain unexplored. Grounded in the theory of consumption values (TCV), this study investigated the heterogeneous effects and mediating pathways of such information through a comparative analysis of representative products: organic milk (fast-moving consumer goods, FMCGs) and energy-efficient air conditioners (durable goods). The results show the following: (1) epistemic value, which exhibits the strongest association with product environmental information, demonstrates significantly different influence patterns between purchases of green durable goods and green FMCGs across both online and offline channels; (2) in the e-commerce context, green FMCG consumption is mainly driven by product environmental information through the mediating effect of conditional value. For green durable goods, product environmental information influences green consumption through multiple pathways including functional value, conditional value, and epistemic value. This study extends the classic theory of consumption values, and the results suggest that differentiated information strategies of emphasizing conditional value for FMCGs and integrating multi-dimensional values for durables can optimize green consumption promotion. Such strategies hold substantial potential to strengthen the green development of the omnichannel retailing sector, reinforcing its contribution to reaching sustainability objectives. Full article

Cybersecurity threats increasingly originate from human actions within organizations, emphasizing the need to understand behavioral factors behind non-compliance with information security policies (ISPs). Despite the presence of formal security policies, insider threats—whether accidental or intentional—remain a major vulnerability. This study addresses the gap in behavioral cybersecurity research by developing an integrated conceptual model that draws upon Operant Conditioning Theory (OCT), Protection Motivation Theory (PMT), and the Theory of Planned Behavior (TPB) to explore ISP compliance. The research aims to identify key cognitive, motivational, and behavioral factors that shape employees’ intentions and actual compliance with ISPs. The model examines seven independent variables of perceived severity: perceived vulnerability, rewards, punishment, attitude toward the behavior, subjective norms, and perceived behavioral control, with intention serving as a mediating variable and actual ISP compliance as the outcome. A quantitative approach was used, collecting data via an online survey from 302 employees across the public and private sectors. Structural Equation Modeling (SEM) with SmartPLS software (v.4.1.1.2) analyzed the complex relationships among variables, testing the proposed model. The findings reveal that perceived severity, punishment, attitude toward behavior, and perceived behavioral control, significantly and positively, influence employees’ intentions to comply with information security policies. Conversely, perceived vulnerability, rewards, and subjective norms do not show a significant effect on compliance intentions. Moreover, the intention to comply strongly predicts actual compliance behavior, thus confirming its key role as a mediator linking cognitive, motivational, and behavioral factors to real security practices. This study offers an original contribution by uniting three well-established theories into a single explanatory model and provides actionable insights for designing effective, psychologically informed interventions to enhance ISP adherence and reduce insider risks. Full article

In the current era of a dynamic environment, organizations need to continuously innovate and transform to remain competitive. Digital transformation is an essential driver across organizations, including small and medium-sized enterprises (SMEs), reshaping organizational agility. This research examines the interconnection among knowledge sharing, digital transformation, open innovation, organizational agility, and transformational leadership. A quantitative research design was employed, using an online survey with data collected from 543 participants selected through a stratified random sampling from SMEs in China. Data were analyzed by utilizing partial least squares structural equation modeling. The results include a significant impact of knowledge sharing on digital transformation, digital transformation on open innovation, and open innovation on organizational agility. Additionally, digital transformation and open innovation were found to significantly mediate the relationship between knowledge sharing and open innovation and organizational agility. Moreover, transformational leadership significantly moderated the impact of digital transformation on open innovation. The model explained 67.7% of the variation in organizational agility. The research provides a holistic model for SMEs aiming to leverage information sharing, technological integration, and leadership practice to improve flexible and innovative systems, contributing to theoretical understanding and practical solutions to sustainable resilience. Full article

Participation in horse-related activities frequently involves relocating horses from the home stable to an activity venue, which might require local, regional, or international travel. In these circumstances, horses are exposed to unfamiliar surroundings and experience changes to their daily routines, which could have negative welfare impacts. An online survey was conducted in 2021 to ask experienced horse sector participants about the horse management practices that they perceived worked well and provided for positive horse welfare when undertaken at venues. Qualitative analysis identified four themes: ‘managing venues’, ‘monitoring fitness to participate’, ‘maintaining a healthy equine digestive system’, and ‘using horse behaviors to inform decision-making’. The findings indicate that activity-related individuals selected practices that assisted horses to adapt to venue surroundings, remain calm, and stay healthy. The co-authors propose that experienced participants recognize that practices include both provisions (inputs) and outcomes (the horse’s subjective experiences), resonating with the Five Freedoms and Five Domains models. For horse activity organizations proposing to implement the Five Domains model, the findings indicate that reviewing practices and implementing updates is timely and achievable. The authors propose that continuously updating practices will contribute to safeguarding horses and maintaining the sector’s social license to operate. Full article

The “That Girl” self-optimization trend on TikTok, promoting beauty and productivity, had over 17.4 billion views by August 2024. “That Girl” video clips showcase perfectly organized daily routines, fitness activities, and healthy eating—allegedly to inspire other users to aspire to similar flawlessness. Based on social comparison theory, the “That Girl” archetype serves as an upward comparison target. We expected detrimental effects of viewing “That Girl” content on young women in terms of positive and negative affect and body satisfaction. Expanding other research in this area, possible effects on self-discipline and dieting intentions were explored. Focusing on immediate intraindividual changes, a preregistered two-group online experiment using a pre–post measurement design was conducted. Female participants (N = 76) watched four minutes of either 16 video clips showing “That Girl” content or nature videos (control condition). Mixed ANOVAs provided evidence of a significant adverse influence of watching “That Girl” videos on female recipients regarding all dependent variables with medium or large effect sizes. Post-hoc analyses revealed that these effects were driven by participants who reported upward comparisons to “That Girls”. Based on these results, the positive impact on self-improvement—as proclaimed by contributors of the “That Girl” trend—is critically questioned. Full article

Background: It is estimated that in Italy, there were 364,000 new diagnoses of neoplasms each year and that the overall incidence of blood cancers was 10% of these. Leukemia and lymphomas represented the ninth and eighth places, respectively, among the causes of death from neoplasia. Hematopoietic stem cell transplantation represented an effective treatment option for many of these malignancies, and not only that: benign and congenital diseases could also be treated. Objective: To assess knowledge among the Apulian population regarding stem cell donation and factors that could influence this choice, focusing especially on the knowledge of the residents of Puglia, Italy on how stem cells were harvested and their functions, their reasons for joining the National Registry, and the reasons that hold them back from making such a choice. Study Design: An observational and cross-sectional study was conducted, through snowball sampling methodology, until data saturation. An online survey was conducted, which included several Italian associations. The questionnaire administered contained five main sections, such as sociodemographic data, knowledge of the existence of National Registries and their adherence, the nationwide presence of various associations that promote donation, knowledge with respect to the structure, use and functions of stem cells, sources of procurement, such as bone marrow, peripheral blood and umbilical cord, and related procedures, beliefs, attitudes, values, and opinions of the Italian population regarding the topic, and degree of information and education regarding bone marrow donation. Results: A total of 567 Apulian citizens were enrolled. Of these, 75.3% were female and 96.8% were aged between 18 and 65 years. Most of participants were single (46.9%) and married (47.3%) and had a diploma (44.4%), and less had a degree (35.8%). Significant differences were recorded between gender, singles, and married participants, and participants with a diploma or a degree and the items proposed. Conclusions: A true culture of donation in our region was not clearly spread. Although something has been accomplished in recent years in terms of deceased donor donation, still a great deal needs to be achieved for living donation, which encountered a great deal of resistance. It has been deemed necessary to seek winning solutions to this issue in terms of communication and information campaigns, raising awareness and empowering citizens to express consciously their concerns about organs and tissues and to stand in solidarity with those who suffered. Full article