Search Results (32)

This paper aims to outline which predictors are able to forecast being (not) successful in internationalisation after receiving export support and how accurately they can perform this task. Using data on export grant recipients from an Estonian export support programme, 15 theoretically motivated predictors grouped into four domains are used to forecast 24 different proxies of (non-)success with logistic regression and neural networks. The domains focus on firms’ general characteristics, earlier financial and export performance, and export-grant-specific characteristics. The highest areas under the curve exceed the 0.9 threshold, therefore indicating excellent predictive abilities, while more specific (non-)success proxies can be predicted less accurately than general ones. Predictors portraying firm size and export support size emerge as the best in the case of both methods, while in different neural networks, at least one predictor from each of the four domains is among the most important ones. These results lead to multiple practical implications concerning how to select firms into export grant programmes. Full article

This study examines the geographic distribution of Erasmus+ incoming student mobility across European Higher Education Institutions (HEIs) from 2014 to 2020, highlighting significant regional disparities. It addresses the crucial questions of how regional and institutional factors influence student attractiveness and the emerging hotspots of mobility, which are vital for understanding the dynamics of educational internationalisation and regional development. The primary goal of this work is to identify the regional and institutional determinants of Erasmus student mobility and to propose strategies for enhancing the attractiveness of less favoured regions. Employing hotspot analysis and a two-level random intercept model, this research analyses spatial patterns and the influences of regional characteristics and institutional variables on Erasmus mobility rates. The findings reveal that while Spain, Germany, and the UK are leading recipients of Erasmus students, significant mobility hotspots exist primarily in Spain, Portugal, and southern France, with unexpected clusters emerging in Ireland and Sweden, indicating evolving dynamics in student mobility patterns. The conclusions underscore the importance of targeted regional policies to enhance HEI attractiveness and promote balanced internationalisation across Europe, particularly in underserved areas. These findings call for strategic interventions that align with broader regional economic goals, ensuring that the benefits of the Erasmus+ programme are distributed more equitably. Ultimately, this work contributes to the existing body of knowledge by providing empirical insights into the factors shaping Erasmus+ mobility, informing policymakers and educational institutions about the potential for fostering regional development through enhanced internationalisation. Full article

Background: Care-experienced young people face an elevated risk of experiencing disadvantages across manifold domains, including health, housing, education, and employment. There is a dearth of accessible interventions targeted at this population to help them navigate the ‘cliff-edge’ transition to adulthood and improve their life chances. The 8-week I-CAN programme was designed to address the provision gaps and support care-experienced young people’s learning, personal development, and progression. Methods: A mixed methods design was used as part of a pilot evaluation study. The participants were n = 11 care-experienced young adults (three males; eight females); aged 19–30 years, M = 22 (3.17). The data collection methods comprised programme statistics, well-validated, self-reported questionnaires, and a focus group with I-CAN programme recipients. Results: The integrated quantitative and qualitative findings showed tentative support for the effectiveness of the I-CAN programme, with the majority of care-experienced young adults transitioning to a confirmed progression route (training, education, or employment) after completing the programme. The findings cautiously suggest that alongside proposed learning outcomes, the recipients benefited in terms of their personal development (mental wellbeing and positive self-image and empowerment). Some candidate core ‘ingredients’ or factors that had facilitated positive programme outcomes were also identified. Conclusions: Future research should focus on integrating theoretical, outcome, and process issues, and refining the I-CAN theory of change. Full article

Brazil is one of the main agricultural producers in the world, and its agri-food system has been experiencing concentration and intensification. Since the beginning of the 1990s, the Brazilian government has implemented different interventions to support family agriculture, such as the National Programme for Strengthening Family Farming (PRONAF), the Technical Assistance and Rural Extension Programme (ATER), and different seed distribution programs. Despite the social and economic relevance of these programs, there is a lack of quantitative studies investigating their impact on the resilience of family farms, primarily the promotion of commercialization. We aim to fill this gap by applying propensity score matching techniques to household-level data from the 2014 Brazilian National Household Sample Survey. Only this survey has recorded this type of information to date. We compare the commercialization behavior of policy recipients with that of non-recipients, accounting for interaction effects between different policies. Our results show that PRONAF has had a significant positive impact on family farmers’ propensity to engage in commercialization, and the effect increases if they also have access to technical assistance. Technical assistance alone has a positive effect, while seed distribution appears not to make a significant difference. Our results suggest that an appropriate policy mix can increase the resilience of family farms in emerging countries. Full article

The integration of mental health (MH) services into tuberculosis (TB) and HIV care remains a significant challenge in South Africa’s Free State province. This study seeks to understand the perspectives of public health programme managers on the barriers to such integration and to identify potential strategies to overcome these challenges. Data were collected between February and October 2021 using qualitative methods including four individual semi-structured interviews and two focus group discussions with a total of 15 managers responsible for the MH, primary healthcare, TB, and HIV programmes. Thematic data analysis was guided by an adapted version of the World Health Organization’s “building blocks” framework encompassing “service delivery”, “workforce”, “health information”, “essential medicines”, “financing”, and “leadership/governance”. Additionally, the analysis underscored the crucial role of “people”, acknowledging their significant contributions as both caregivers and recipients of care. Managers highlighted significant concerns regarding the insufficient integration of MH services, identifying structural barriers such as inadequate MH management structures and staff training, as well as social barriers, notably stigma and a lack of family treatment adherence support. Conversely, they recognised strong management structures, integrated screening, and social interventions, including family involvement, as key facilitators of successful MH integration. The findings emphasise the need for a whole-system approach that addresses all building blocks while prioritising the role of “people” in overcoming challenges with integrating MH services into TB and HIV care. Full article

Background: There is increasing evidence that cardiac screening prior to kidney transplantation does not improve its outcomes. However, risk aversion to perioperative events means that, in practice, testing remains common, limiting the availability of ‘real-world’ data to support any change. Our objective was to assess perioperative and 1-year post-transplant cardiovascular events in a kidney transplant candidate cohort who received minimal cardiovascular screening. Methods: The retrospective cohort study included all adult kidney-only transplant recipients in a single UK region between January 2015 and December 2021. Kidney transplant recipients asymptomatic of cardiac disease, even those with established risk factors, did not receive cardiac stress testing. The perioperative and 1-year post-transplant cardiovascular event incidences were examined. Logistic regression was used to identify variables of statistical significance that predicted cardiovascular or cerebrovascular events. Results: A total of 895 recipients fulfilled the inclusion criteria. Prior to transplantation, 209 (23%) recipients had an established cardiac diagnosis, and 193 (22%) individuals had a diagnosis of diabetes. A total of 18 (2%) patients had a perioperative event, and there was a 5.7% incidence of cardiovascular events 1 year post-transplantation. The cardiovascular mortality rate was 0.0% perioperatively, 0.2% at 3 months post-transplant, and 0.2% at 1 year post-transplant. Conclusions: This study demonstrates comparable rates of cardiovascular events despite reduced screening in asymptomatic recipients. It included higher risk individuals who may, on the basis of screening results, have been excluded from transplantation in other programmes. It provides further evidence that extensive cardiac screening prior to kidney transplantation is unlikely to be offset by reduced rates of cardiovascular events. Full article

The use of augmented reality (AR) is the only meaningful way towards the creation and integration of information into a cultural (and not only) analogue leaflet, flyer and poster, which by their nature have limited informational material. The enrichment of information, which an analogue leaflet has, with additional descriptive information (text), multimedia (image, video, sound), 3-D models, etc., gives the end recipient/user a unique experience of approaching and understanding a music event, for example. The Digi-Orch is a research project that aims to create smart printed communication materials (e.g., posters, concert programme booklets) and an accompanying AR application to provide this enhanced audience experience to classical music lovers. The paper presents the ways in which AR can extend and enrich an analogue leaflet/flyer/poster, the features of and how to use the developed AR application, as well as the components, architecture and functions of the system. It also presents the different versions of the AR application within the project, starting with the laboratory versions, continuing with the pilot versions in real conditions (music events) and reaching the final prototype and the educational version of the AR application. Full article

Background: Kidney disease is a progressive, debilitating condition. Patients experience challenging physical and psychological symptoms and are at increased risk of anxiety, depression, and poor mental wellbeing. Access to specialist psychological or social support is limited, with inadequate provision of psychosocial support available across UK renal units. The COSMIC study (examining the acceptability and feasibility of the Compassionate Mindful Resilience programme for adult patients with chronic kidney disease) aimed to support a new service development project, in partnership with Kidney Care UK, by implementing the Compassionate Mindful Resilience (CMR) programme, developed by MindfulnessUK, and explore its feasibility for patients with stage 4 or 5 kidney disease and kidney transplant recipients. This paper reports on the qualitative exploratory work which examined the experiences of study participants, their adherence to practice, and the acceptability of the intervention. Method: Participants (n = 19) took part in semi-structured interviews, which were transcribed, coded, and thematically analysed. Results: Three themes (and nine subthemes) were reported: experiences of the CMR programme that facilitated subjective benefit, participants’ lived and shared experiences, and the practicalities of CMR programme participation. All participants reported that they found taking part in the CMR programme to be a beneficial experience. Conclusion: The CMR programme was found to be an acceptable intervention for people living with kidney disease and provided tools and techniques that support the mental health and wellbeing of this patient group. Further qualitative exploration into participant experience should be integrated within future trials of this intervention. Full article

The aim of this study was to assess the organisational process of vaccination within the National Vaccination Programme against COVID-19 (NVP) in the professional group of teachers in Pomeranian Province, Poland. The main goal of the survey was to assess the quality of planning and executing of the NVP and to find a correlation between social and employment placements with the level of perception of chosen quality indicators of the NVP. The presented cross-sectional survey was conducted among 4622 teachers from all levels of education in public and non-public institutions who received the SARS-CoV-2 virus vaccination campaign with the vaccine from AstraZeneca as part of the NVP. The survey was conducted using an original, self-designed questionnaire prepared for this study and distributed to teachers in the form of an online survey via email. Bayesian logistic and linear regression were used to estimate the relationship between predictors and dependent variables. Age was the main factor associated with the performance assessment of the vaccination centre (log[BF] = 0.86–16.88), while gender was the main factor associated with the assessment of NVP (log[BF] = 3.15–10,6). The evaluation of the vaccination registration process (log[BF] = −7.01–50.26) and the evaluation of the information received on the management of post-vaccination reactions (log[BF] = −2.22–65.26) were significant parts of the NVP. It is crucial to tailor information messages to the age and gender of the recipients and to ensure the quality of the information provided by medical personnel, in particular the possible occurrence of vaccination reactions and how to deal with them. Full article

Scientific evidence demonstrates the positive impact that physical exercise has on the quality of life (QOL) of patients with chronic kidney disease (CKD). However, no study has proposed a model investigating the effect physical exercise has on the QOL of end-stage renal disease (ESRD) patients, considering the most frequent associated diseases (diabetes/hypertension). The objectives were (1) to explore the relationship between physical exercise and the QOL of adults with ESRD, and (2) to examine the moderating and/or mediating role of relevant patient variables. This non-interventional study utilized an ex post facto retrospective data analysis design with a sample of 310 patients with ESRD through two validated questionnaires. The dependent variables were the QOL scale (KDQOL-SF), and the physical function dimension (EFFISICA). The independent variables were the regular practice of intense physical activity (DEPINTE) and the daily time (in hours) the patient is in a sedentary attitude (TiParado). The moderating variables were the clinical situation and associated diseases. The mediator variable used was the body mass index. Bivariate and multiple regression analyses were conducted. Findings suggest implementing intense physical activity in transplant recipients and programmes to avoid sedentary lifestyles in dialysis patients have a positive effect in the QOL of ESRD patients. Full article

The dropout rate is one of the determinants of immunization coverage and program performance, program continuity, and follow-up. The dropout rate refers to the proportion of vaccine recipients who did not finish their vaccination schedules, and it is determined by comparing the number of infants who started the schedule to the number who completed it. It is the rate difference between the first and final dosage or the rate difference between the first vaccination and the last vaccine dropout; thus, it denotes that the first recommended dose of vaccine was received, but that the subsequently recommended dose was missed. In India, immunization coverage has shown significant improvements over the last two decades, but full immunization coverage has remained stagnant at 76.5%, of which 19.9% are partially immunized, and 3.6% are children who have been left out. In India, the Universal Immunization Programme (UIP) is challenged with cases related to dropout in immunization. Although immunization coverage in India is improving, the program is challenged by vaccination dropouts. This study provides an analysis of the determinants of vaccination dropout in India using data from two rounds of the National Family Health Survey. The finding shows that the mother’s age, education, family wealth, antenatal care visit, and place of delivery were some of the variables that significantly contributed to reducing the dropout rate of immunization among children. The findings of this paper show that the dropout rate has reduced over a certain period of time. The overall improvement in the rates of dropout and increase in full immunization coverage could be attributed to various policy measures taken in the last decade in India, which brought structural changes with a positive impact on full immunization coverage and its components. Full article

Preliminary data have shown that it is possible to attempt in vitro fertilization (IVF) treatment in fresh cycles without the use of a gonadotropin-releasing hormone (GnRH) antagonist or any other medication to prevent the luteinizing hormone (LH) surge during ovarian stimulation. To date, there is no information on this topic in the context of a prospective controlled trial. However, as prevention of the LH surge is an established procedure in fresh cycles, the question is whether such a study can be performed in frozen cycles. We aim to perform a pilot study in order to compare the efficacy of a protocol using FSH alone with that of a protocol using follicle-stimulating hormone (FSH) plus a GnRH antagonist for controlled ovarian hyperstimulation (COH) in cycles of elective freezing in the context of a donor/recipient program. This is a seven-center, two-arm prospective pilot cohort study conducted at the respective Assisted Reproductive Units in Greece. The hypothesis to be tested is that an ovarian stimulation protocol that includes FSH alone without any LH surge prevention regimens is not inferior to a protocol including FSH plus a GnRH antagonist in terms of the clinical outcome in a donor/recipient model. The results of the present study are expected to show whether the addition of the GnRH antagonist is necessary in terms of the frequency of LH secretory peaks and progesterone elevations >1 ng/mL during the administration of the GnRH antagonist according to the adopted frequency of blood sampling in all Units. Full article

Background: Both lung transplant recipients and candidates are characterised by reduced training capacity and low average quality of life (QoL). This review investigates the impact of training on exercise ability and QoL in patients before and after lung transplant. Methods: Searches were conducted from the beginning to 7 March 2022 using the terms “exercise,” “rehabilitation,” “lung transplant,” “exercise ability,” “survival,” “quality of life” and “telerehabilitation” in six databases, including Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, CINAHL, Nursing and Allied Health, and Scopus. The inclusion criteria were studies evaluating the effects of an exercise training programme concurrent with lung transplantation as well as patients and candidates (>18 years old) through any lung diseases. The term “lung transplant rehabilitation” was used to refer to all carefully thought-out physical activities with the ultimate or intermediate objective of improving or maintaining physical health. Results: Out of 1422 articles, 10 clinical- and 3 telerehabilitation studies, candidates (n = 420) and recipients (n = 116) were related to the criteria and included in this review. The main outcome significantly improved in all studies. The 6-min walk distance, maximum exercise capacity, peak oxygen uptake, or endurance for constant load rate cycling improved measuring physical activity [aerobic exercises, breathing training, and aerobic and inspiratory muscle training sessions (IMT)]. Overall scores for dyspnoea improved after exercise training. Furthermore, health-related quality of life (HRQOL) also improved after aerobic exercise training, which was performed unsupervised or accompanied by breathing sessions. Aerobic training alone rather than combined with inspiratory muscle- (IMT) or breathing training enhanced exercise capacity. Conclusion: In conclusion, rehabilitation programmes seem to be beneficial to patients both preceding and following lung transplantation. More studies are required to determine the best training settings in terms of time scale, frequency, and work intensity in terms of improving exercise ability, dyspnoea, and HRQOL. Full article

This study aims to answer the following research questions: (a) to what extent do EU rural development supports for investments address territorial differences of rural areas, especially concerning the differences between rich and intensive areas, on one hand, and marginal and peripheral rural areas on the other hand; (b) how does present governance and the delivery system of measures supporting rural investments contribute to the financial support of marginal and peripheral rural areas? To respond to these questions, the research examined 747 calls for tender in all Italian regions related to 16 types of investment measures and a global amount of EUR 67 billion Euros and 49,410 representative projects approved in 17 Italian regions during the period 2014–2020. Delivery mechanisms included the rules that have been set up to define recipient eligibility and selection criteria of the rural development programmes. The distributive effects of RDP investment support measures appear evidently uneven, especially in agricultural and agro-industrial competitiveness measures, which are mainly allocated in already dynamic and strongly competitive areas. Delivery mechanisms boost disparities when funds are allocated through the “open competition” approach. Instead, the modulation of territorial criteria in the implementation phase can provide effective results in terms of reducing disparities in fund allocation and outreaching the most lagging areas. There are two main novelties of this research: (a) the analysis of territorial criteria in the calls for tenders for investment support, and (b) the effects of these criteria on expenditure distribution at the municipal level (LAU2 in the EU nomenclature). This study has been carried out outside the formal methodological approaches promoted by the European Commission for RDP evaluation and might be considered a complementary approach to evaluation reporting activity. This study might provide two significant contributions to the debate on rural areas. First, a “combined” approach to the definition of rurality (mixing “structural” and “locational” approaches) might provide a better analytical framework in line with the evolution of the literature on rurality. Second, the delivery systems that put more emphasis on territorial targets, as they were presented in this study, might be an essential component of a place-based policy. Full article

Methods: An educational project called Cooking and Educational Workshops “Colourful means healthy” was conducted at the Department of Dietetics of the Faculty of Public Health in Bytom of the Medical University of Silesia in Katowice, Poland, between 1 July 2017 and 30 June 2019. The participants/recipients of the project were second-grade primary schoolchildren (317 pupils aged 7–9 years). Objective: The aim of this article is to assess the change in knowledge of the principles of healthy eating among children aged 7–9 years following the nutritional education we carried out as part of the “Colourful means healthy” project. As part of project evaluation, the participating children were asked to rate selected food products in terms of their influence on human health (healthy vs. unhealthy). Results: There was a statistically significant difference between the percentage of correct answers provided by the pupils before and after nutrition education. Thus, one may conclude that conducting an educational programme caused the participants’ nutrition knowledge to increase. Conclusion: The present study demonstrated the potential of nutrition education in the form of cooking and educational workshops in terms of increasing nutrition knowledge. As such, workshops like these can be a useful measure for improving eating habits and eliminating dietary errors in the study population. However, future research is needed in order to verify whether such cooking and educational workshops can produce beneficial and lasting changes in dietary habits over the long term. Full article