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Search Results (965)

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Keywords = social execution

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25 pages, 1852 KiB  
Article
Child Development Accounts in Jordan: Towards Innovative Social Policies for Economic Development
by Rasha Istaiteyeh
Soc. Sci. 2025, 14(8), 502; https://doi.org/10.3390/socsci14080502 - 20 Aug 2025
Viewed by 214
Abstract
This paper examines a prospect scenario of adopting Child Development Accounts (CDAs) as a social welfare innovation in Jordan. CDAs are considered as an asset-building policy aimed at enhancing financial inclusion and socio-economic well-being. This paper discovers the feasibility of CDAs that have [...] Read more.
This paper examines a prospect scenario of adopting Child Development Accounts (CDAs) as a social welfare innovation in Jordan. CDAs are considered as an asset-building policy aimed at enhancing financial inclusion and socio-economic well-being. This paper discovers the feasibility of CDAs that have proven successful in several countries, as their potential in Middle Eastern countries, particularly in Jordan, remains unexplored. The application of CDAs in the social welfare system aims to support sustainable asset accumulation and improve the living standards of diverse segments in Jordan by integrating CDAs within the efforts made by Jordan to achieve financial inclusion, alleviate poverty, and supplement household income through asset development. There are opportunities to implement the program in Jordan, including expanding the scope of microfinance, public–private partnerships, and targeted programs for women, youth, and refugees. However, several challenges may hinder its application, including limited financial literacy, high unemployment rates, income inequality, regulatory obstacles, and difficulties in implementing social reforms. The paper contributes to the debate on social welfare policies adopted in developing countries by providing solutions based on global practices in CDA execution and has implications and recommendations for decision makers to achieve economic development. Future research in Middle East and North Africa (MENA) countries should target pilot projects and comparative studies to refine CDA strategies. Full article
(This article belongs to the Section Social Policy and Welfare)
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20 pages, 673 KiB  
Article
Why Youth-Led Sexual Violence Prevention Programs Matter: Results from a Participatory Evaluation Project
by Linnea L. Hjelm, Daria Rudykh, Kaitlynn Wang, Amelia Dyer, Crystal Ni, Summer Herrmann and Olivia Headley
Youth 2025, 5(3), 87; https://doi.org/10.3390/youth5030087 - 19 Aug 2025
Viewed by 158
Abstract
Sexual violence among adolescents remains a persistent social and public health issue. Prevention approaches tend to be designed and executed by adults, with young people serving limited roles. Getting young people involved in the field of prevention can be a lofty goal for [...] Read more.
Sexual violence among adolescents remains a persistent social and public health issue. Prevention approaches tend to be designed and executed by adults, with young people serving limited roles. Getting young people involved in the field of prevention can be a lofty goal for community-based organizations, who often work with limited time, capacity, funds, and resources to build impactful youth programs. Young people have grown up observing injustices in their communities and have clear, actionable ideas for addressing sexual violence and advancing social change. Unfortunately, little has explained how and why centering youth voices and leadership matters in sexual violence prevention efforts and how it can be done. In this paper, a collection of youth leaders use interview data from a participatory evaluation of a groundbreaking youth-centered prevention program to introduce the Youth-Led Program to Prevention Model. Using members’ testimonies and co-constructed analysis, and inspired by ripple effect and ecological models, the Youth-Led Program to Prevention Model showcases how youth-centered activism and education can advance the goals of sexual violence prevention and impact young people, communities, and systems. Written by youth leaders themselves and based on their lived experiences in the evaluated program, this paper accompanies the Youth-Led Program to Prevention Model with actionable strategies for practitioners who wish to celebrate young people’s contributions and visions for change. Full article
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22 pages, 6700 KiB  
Article
Promoting Sustainable Research Competence Through a Problem-Solving Method and a STEM Educational Kit: A Case Study with Nursing Students at a Newly Established Public University in Peru
by Ronald Paucar-Curasma, Richard Yuri Mercado Rivas and Pedro José García Mendoza
Sustainability 2025, 17(16), 7381; https://doi.org/10.3390/su17167381 - 15 Aug 2025
Viewed by 367
Abstract
This study aims to explore the effectiveness of a problem-solving method, grounded in Pólya’s methodological proposal and complemented by a STEM electronic educational kit, in strengthening the research competences of newly admitted nursing students at a public university in Peru. The research followed [...] Read more.
This study aims to explore the effectiveness of a problem-solving method, grounded in Pólya’s methodological proposal and complemented by a STEM electronic educational kit, in strengthening the research competences of newly admitted nursing students at a public university in Peru. The research followed a quantitative approach using a quasi-experimental design with pre- and post-test measurements applied to a group of students who addressed real community health issues in their local context. The intervention was structured into four phases: understanding the problem, planning activities, execution, and reviewing the solution. The results showed significant improvements across all phases, particularly in problem analysis, autonomous planning, technological application, and critical thinking. The Wilcoxon test yielded p-values < 0.05 in all evaluated dimensions, allowing the rejection of the null hypothesis and confirming the effectiveness of the intervention. It is concluded that the problem-solving method, when integrated with relevant technological tools, is an effective strategy to promote formative research in vulnerable educational contexts. Moreover, it aligns with the Sustainable Development Goals—specifically SDG 4 (Quality Education) and SDG 10 (Reduced Inequalities)—by fostering inclusive, equitable, and contextually relevant education through socially and technologically meaningful innovation. Full article
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25 pages, 1518 KiB  
Article
Command Redefined: Neural-Adaptive Leadership in the Age of Autonomous Intelligence
by Raul Ionuț Riti, Claudiu Ioan Abrudan, Laura Bacali and Nicolae Bâlc
AI 2025, 6(8), 176; https://doi.org/10.3390/ai6080176 - 1 Aug 2025
Viewed by 470
Abstract
Artificial intelligence has taken a seat at the executive table and is threatening the fact that human beings are the only ones who should be in a position of power. This article gives conjectures on the future of leadership in which managers will [...] Read more.
Artificial intelligence has taken a seat at the executive table and is threatening the fact that human beings are the only ones who should be in a position of power. This article gives conjectures on the future of leadership in which managers will collaborate with learning algorithms in the Neural Adaptive Artificial Intelligence Leadership Model, which is informed by the transformational literature on leadership and socio-technical systems, as well as the literature on algorithmic governance. We assessed the model with thirty in-depth interviews, system-level traces of behavior, and a verified survey, and we explored six hypotheses that relate to algorithmic delegation and ethical oversight, as well as human judgment versus machine insight in terms of agility and performance. We discovered that decisions are made quicker, change is more effective, and interaction is more vivid where agile practices and good digital understanding exist, and statistical tests propose that human flexibility and definite governance augment those benefits as well. It is single-industry research that contains self-reported measures, which causes research to be limited to other industries that contain more objective measures. Practitioners are provided with a practical playbook on how to make algorithmic jobs meaningful, introduce moral fail-safes, and build learning feedback to ensure people and machines are kept in line. Socially, the practice is capable of minimizing bias and establishing inclusion by visualizing accountability in the code and practice. Filling the gap between the theory of leadership and the reality of algorithms, the study provides a model of intelligent systems leading in organizations that can be reproduced. Full article
(This article belongs to the Section AI Systems: Theory and Applications)
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30 pages, 1737 KiB  
Review
Current Perspectives on Rehabilitation Following Return of Spontaneous Circulation After Sudden Cardiac Arrest: A Narrative Review
by Kamil Salwa, Karol Kaziród-Wolski, Dorota Rębak and Janusz Sielski
Healthcare 2025, 13(15), 1865; https://doi.org/10.3390/healthcare13151865 - 30 Jul 2025
Viewed by 742
Abstract
Background/Objectives: Sudden cardiac arrest (SCA) is a major global health concern with high mortality despite advances in resuscitation techniques. Achieving return of spontaneous circulation (ROSC) represents merely the initial step in the extensive rehabilitation journey. This review highlights the critical role of structured, [...] Read more.
Background/Objectives: Sudden cardiac arrest (SCA) is a major global health concern with high mortality despite advances in resuscitation techniques. Achieving return of spontaneous circulation (ROSC) represents merely the initial step in the extensive rehabilitation journey. This review highlights the critical role of structured, multidisciplinary rehabilitation following ROSC, emphasizing the necessity of integrated physiotherapy, neurocognitive therapy, and psychosocial support to enhance quality of life and societal reintegration in survivors. Methods: This narrative review analyzed peer-reviewed literature from 2020–2025, sourced from databases such as PubMed, Scopus, Web of Science, and Google Scholar. Emphasis was on clinical trials, expert guidelines (e.g., European Resuscitation Council 2021, American Heart Association 2020), and high-impact journals, with systematic thematic analysis across rehabilitation phases. Results: The review confirms rehabilitation as essential in addressing Intensive Care Unit–acquired weakness, cognitive impairment, and post-intensive care syndrome. Early rehabilitation (0–7 days post-ROSC), focusing on parameter-guided mobilization and cognitive stimulation, significantly improves functional outcomes. Structured interdisciplinary interventions encompassing cardiopulmonary, neuromuscular, and cognitive domains effectively mitigate long-term disability, facilitating return to daily activities and employment. However, access disparities and insufficient randomized controlled trials limit evidence-based standardization. Discussion: Optimal recovery after SCA necessitates early and continuous interdisciplinary engagement, tailored to individual physiological and cognitive profiles. Persistent cognitive fatigue, executive dysfunction, and emotional instability remain significant barriers, underscoring the need for holistic and sustained rehabilitative approaches. Conclusions: Comprehensive, individualized rehabilitation following cardiac arrest is not supplementary but fundamental to meaningful recovery. Emphasizing early mobilization, neurocognitive therapy, family involvement, and structured social reintegration pathways is crucial. Addressing healthcare disparities and investing in rigorous randomized trials are imperative to achieving standardized, equitable, and outcome-oriented rehabilitation services globally. Full article
(This article belongs to the Section Critical Care)
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18 pages, 385 KiB  
Article
The Impact of the CEO’s Green Experience on Corporate ESG Performance: Based on the Upper Echelons Theory Perspective
by Jinke Li, Yanpeng Zhu and Tianfang Ma
Sustainability 2025, 17(15), 6859; https://doi.org/10.3390/su17156859 - 28 Jul 2025
Viewed by 595
Abstract
In the context of pursuing the goal of strategic imperatives of sustainable development, the ESG performance of enterprises has become a key yardstick for measuring their comprehensive environmental contribution and economic efficiency. Enhancing ESG performance has far-reaching significance in promoting green and sustainable [...] Read more.
In the context of pursuing the goal of strategic imperatives of sustainable development, the ESG performance of enterprises has become a key yardstick for measuring their comprehensive environmental contribution and economic efficiency. Enhancing ESG performance has far-reaching significance in promoting green and sustainable development of enterprises and society. Drawing on the upper echelons theory, this paper investigates the impact of the chief executive officer’s (CEO’s) green experience on corporate environmental, social, and governance (ESG) performance, utilizing a sample of publicly listed Chinese companies from 2011 to 2023. The study demonstrates that CEOs with green experience significantly enhance corporate ESG performance, a conclusion that remains consistent following a series of rigorous robustness checks. Mechanistic analysis reveals that CEOs’ green experience primarily facilitates corporate ESG performance enhancement through green innovation initiatives. Furthermore, CEO discretion amplifies the positive influence of green experience on ESG performance. Heterogeneity analysis demonstrates that the influence of the CEOs’ green experience on ESG performance is more pronounced in high-tech enterprises, in markets characterized by lower levels of competition, and in firms situated in regions exhibiting higher degrees of social trust. These findings impart both theoretical and practical implications for enhancing corporate ESG performance and offer novel strategic perspective to advance environmental stewardship, social responsibility, and corporate governance frameworks. Full article
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23 pages, 3847 KiB  
Article
Optimizing Sentiment Analysis in Multilingual Balanced Datasets: A New Comparative Approach to Enhancing Feature Extraction Performance with ML and DL Classifiers
by Hamza Jakha, Souad El Houssaini, Mohammed-Alamine El Houssaini, Souad Ajjaj and Abdelali Hadir
Appl. Syst. Innov. 2025, 8(4), 104; https://doi.org/10.3390/asi8040104 - 28 Jul 2025
Viewed by 595
Abstract
Social network platforms have a big impact on the development of companies by influencing clients’ behaviors and sentiments, which directly affect corporate reputations. Analyzing this feedback has become an essential component of business intelligence, supporting the improvement of long-term marketing strategies on a [...] Read more.
Social network platforms have a big impact on the development of companies by influencing clients’ behaviors and sentiments, which directly affect corporate reputations. Analyzing this feedback has become an essential component of business intelligence, supporting the improvement of long-term marketing strategies on a larger scale. The implementation of powerful sentiment analysis models requires a comprehensive and in-depth examination of each stage of the process. In this study, we present a new comparative approach for several feature extraction techniques, including TF-IDF, Word2Vec, FastText, and BERT embeddings. These methods are applied to three multilingual datasets collected from hotel review platforms in the tourism sector in English, French, and Arabic languages. Those datasets were preprocessed through cleaning, normalization, labeling, and balancing before being trained on various machine learning and deep learning algorithms. The effectiveness of each feature extraction method was evaluated using metrics such as accuracy, F1-score, precision, recall, ROC AUC curve, and a new metric that measures the execution time for generating word representations. Our extensive experiments demonstrate significant and excellent results, achieving accuracy rates of approximately 99% for the English dataset, 94% for the Arabic dataset, and 89% for the French dataset. These findings confirm the important impact of vectorization techniques on the performance of sentiment analysis models. They also highlight the important relationship between balanced datasets, effective feature extraction methods, and the choice of classification algorithms. So, this study aims to simplify the selection of feature extraction methods and appropriate classifiers for each language, thereby contributing to advancements in sentiment analysis. Full article
(This article belongs to the Topic Social Sciences and Intelligence Management, 2nd Volume)
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15 pages, 447 KiB  
Article
Effects of a 12-Week Exercise Intervention on Primitive Reflex Retention and Social Development in Children with ASD and ADHD
by Norikazu Hirose, Yuki Tashiro and Tomoya Takasaki
Children 2025, 12(8), 987; https://doi.org/10.3390/children12080987 - 28 Jul 2025
Viewed by 1599
Abstract
Objective: Retained primitive reflexes are associated with delayed motor and behavioral development in children with autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD). This study examined the effects of a 12-week structured exercise intervention on reflex integration, motor coordination, and socio-behavioral outcomes in [...] Read more.
Objective: Retained primitive reflexes are associated with delayed motor and behavioral development in children with autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD). This study examined the effects of a 12-week structured exercise intervention on reflex integration, motor coordination, and socio-behavioral outcomes in these populations. Method: Fifteen children with ASD (13 boys, 2 girls) and twelve with ADHD (8 boys, 4 girls), aged 6–12 years, participated in rhythmic, balance, and coordination-based exercises. Primitive reflexes, including the asymmetrical tonic neck reflex (ATNR), were assessed using standardized protocols, and fine motor coordination was evaluated using the Finger and Thumb Opposition Test (FOT). Behavioral outcomes were measured using the Social Responsiveness Scale-2 (SRS-2) for the ASD group and the Conners 3 for the ADHD group. Results: The ASD group showed significant reductions in left-standing ATNR retention scores (p = 0.012) and improvements in right-hand FOT scores (p = 0.023). In the ADHD group, significant improvements were also observed in right-hand FOT scores (p = 0.007). Furthermore, Conners 3 Total and Global Index scores significantly decreased in the ADHD group (p = 0.016 and 0.020, respectively). Reflex retention patterns appeared broader and more bilateral in ASD than in ADHD, suggesting distinct motor developmental profiles. Conclusions: Short-term rhythmic, balance, and whole-body coordination exercise interventions may support behavioral and motor development in children with ASD and ADHD. Tailored programs emphasizing reflex integration hold promise for clinical and educational applications. Full article
(This article belongs to the Special Issue Effects of Exercise Interventions on Children)
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10 pages, 380 KiB  
Article
High Social Motivation Can Promote Time-Based Prospective Memory Performance
by Yadong Zhou, Mingyuan Wang, Yu Tian and Yunfei Guo
Behav. Sci. 2025, 15(8), 1015; https://doi.org/10.3390/bs15081015 - 26 Jul 2025
Viewed by 269
Abstract
Prospective memory, the ability to remember to execute a preplanned activity, is important in social interactions, insofar as such interactions frequently involve preplanned activities. The importance of prospective memory varies across different social contexts and individuals generally make greater efforts to ensure the [...] Read more.
Prospective memory, the ability to remember to execute a preplanned activity, is important in social interactions, insofar as such interactions frequently involve preplanned activities. The importance of prospective memory varies across different social contexts and individuals generally make greater efforts to ensure the completion of prospective memory tasks under high social motivation conditions compared to low social motivation conditions. We aimed to investigate the effects of various levels of social motivation on prospective memory. A single-factor between-subjects experimental design was implemented to explore the influence of social motivation intensity on time-based prospective memory and its processing mechanism. We found that only the high social motivation group demonstrated superior prospective memory performance compared to the control group. The high social motivation group also had slower response speeds in response to the ongoing tasks than both the control group and the low social motivation group, but the number of strategies used was not different among the three groups. Moreover, in comparison with the control group, the high social motivation group monitored time more frequently. The results suggest that only high-intensity social motivation can promote time-based prospective memory performance, and increased attention consumption is necessary for the occurrence of this effect. Full article
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11 pages, 226 KiB  
Opinion
Sexuality and Stroke: The Importance of Considering Cognitive and Perceptual Impairments in Post-Stroke Sexual Functioning
by Daniel Geller and Samantha Wong
Brain Sci. 2025, 15(8), 797; https://doi.org/10.3390/brainsci15080797 - 26 Jul 2025
Viewed by 527
Abstract
Sexuality and intimacy are essential aspects of the human experience for all people, contributing significantly to physical and emotional connections, well-being, and quality of life. Despite their importance, these topics are frequently overlooked in stroke rehabilitation, especially for those with cognitive and perceptual [...] Read more.
Sexuality and intimacy are essential aspects of the human experience for all people, contributing significantly to physical and emotional connections, well-being, and quality of life. Despite their importance, these topics are frequently overlooked in stroke rehabilitation, especially for those with cognitive and perceptual impairments. Existing research on post-stroke sexual rehabilitation tends to focus on sexual dysfunction and the secondary physical and psychological stroke symptoms, with little attention to cognitive and perceptual impairments. Cognitive deficits, such as decreased memory, generalized attention, and executive function not only can hinder sexual participation but also raise the complex issue of capacity to consent. This paper argues that it is imperative for researchers and healthcare practitioners to address cognitive and perceptual challenges, understand consent laws in their respective regions, and consider the influence of culture and social norms in order to support the sexual rights and well-being of all stroke survivors. Furthermore, this article provides some practical recommendations, from an occupational therapy perspective, that healthcare practitioners can provide to clients and their partners. Full article
27 pages, 441 KiB  
Article
A Penny Saved Is a Penny Earned: How Executive Cognitive Flexibility Drives Performance Through Strategic Resource Reallocation
by Xiaochuan Guo, La Tao, You Chen and Xue Lei
Sustainability 2025, 17(15), 6698; https://doi.org/10.3390/su17156698 - 23 Jul 2025
Viewed by 435
Abstract
In an era where sustainable development is increasingly a core strategic issue for businesses, how top management, as the architects of corporate strategy, can achieve a synergy of economic, social, and environmental benefits through internal management mechanisms to promote corporate sustainability is a [...] Read more.
In an era where sustainable development is increasingly a core strategic issue for businesses, how top management, as the architects of corporate strategy, can achieve a synergy of economic, social, and environmental benefits through internal management mechanisms to promote corporate sustainability is a central focus for both academia and practice. This study aims to explore how Executive Cognitive Flexibility (CF) influences Firm Performance and to uncover the mediating effects of Non-market Strategy. We use panel data from Chinese A-share listed companies between 2016 and 2022 to examine and empirically analyze this mechanism. Our findings indicate that CF has a positive impact on Firm Performance. This relationship is realized through the pathway of Non-market Strategy, specifically manifesting as a reduction in Corporate Social Responsibility (CSR) and an increase in Corporate Political Activity (CPA). Further analysis reveals that the impact of executive cognitive flexibility on firm performance is differentially influenced by internal and external environmental contexts. The findings of this study provide important practical insights and policy recommendations for companies on cultivating executive cognitive flexibility, optimizing non-market strategies, and enhancing firm performance in various internal and external environments. Full article
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30 pages, 9042 KiB  
Article
Innovative Geoproduct Development for Sustainable Tourism: The Case of the Safi Geopark Project (Marrakesh–Safi Region, Morocco)
by Mustapha El Hamidy, Ezzoura Errami, Carlos Neto de Carvalho and Joana Rodrigues
Sustainability 2025, 17(14), 6478; https://doi.org/10.3390/su17146478 - 15 Jul 2025
Viewed by 949
Abstract
With the growing impact of environmental challenges, the need for well-planned and effectively executed actions to support progress and sustainable social development has become increasingly evident. Geoparks play a vital role in this endeavor by fostering the development of products that celebrate local [...] Read more.
With the growing impact of environmental challenges, the need for well-planned and effectively executed actions to support progress and sustainable social development has become increasingly evident. Geoparks play a vital role in this endeavor by fostering the development of products that celebrate local heritage and promote its conservation, utilizing the natural and cultural resources unique to each region in sustainable ways. Geoproducts, in particular, aim to enrich cultural identity and elevate the value of the landscape and geodiversity by integrating communities into innovative approaches and technologies, engaging them in commercialization, and ensuring sustainability alongside social inclusion. Within the framework of the Safi Geopark Project, this article delves into the concept of geoproducts, their definitions, and their potential to bolster local identity and social and economic development. Leveraging the abundant geological and cultural resources of Safi province, the study presents both tangible and intangible geoproducts that merge traditional craftsmanship with modern sustainability practices. Notable examples include ammonite-inspired ceramics, educational materials, and eco-friendly cosmetics, each carefully designed to reflect and celebrate the region’s geoheritage. This article underscores the crucial role of community involvement in the creation of geoproducts, highlighting their impact on conservation, education, and the promotion of sustainable tourism. By proposing actionable strategies, this study not only broadens the understanding of geoproducts within geoparks but also reinforces their importance as instruments for regional development, heritage conservation, and sustainable economic growth. Full article
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18 pages, 501 KiB  
Review
Cognitive Effects of Cannabis Use: A Comprehensive Review Across Domains
by Andréia Pucinelli de Souza Queiroz, Maria Olivia Pozzolo Pedro, Marcela Waisman Campos, Julio Torales, Antonio Ventriglio and João Mauricio Castaldelli-Maia
Neurol. Int. 2025, 17(7), 107; https://doi.org/10.3390/neurolint17070107 - 15 Jul 2025
Viewed by 2440
Abstract
Cannabis is the most widely consumed illicit substance worldwide, with rising use particularly among adolescents and young adults. Accumulating evidence indicates that chronic cannabis use may negatively impact several domains of cognition, yet findings across studies remain varied and fragmented. This comprehensive review [...] Read more.
Cannabis is the most widely consumed illicit substance worldwide, with rising use particularly among adolescents and young adults. Accumulating evidence indicates that chronic cannabis use may negatively impact several domains of cognition, yet findings across studies remain varied and fragmented. This comprehensive review synthesizes current knowledge on the long-term cognitive consequences of cannabis use, focusing on attention, executive functioning, learning, memory, language, motor coordination, and social cognition. Consistent impairments have been observed in domains such as attention, executive function, memory, and learning; however, most evidence derives from studies of acute or residual effects. Evidence of long-lasting deficits after extended abstinence remains more limited and methodologically heterogeneous. Acute motor coordination deficits are well established, but persistent impairments in this domain lack conclusive evidence. Effects on language remain inconclusive, and findings regarding social cognition, though limited, suggest potential deficits in emotion recognition and mental state inference. Early onset and high-frequency use are critical risk factors for more severe and enduring cognitive effects. Some deficits may partially reverse with abstinence, although many persist long after cessation. Overall, cannabis use is associated with widespread and lasting cognitive impairments. These findings underscore the need for targeted prevention strategies, especially among youth, and point to future longitudinal and mechanistic research to better understand the nature, persistence, and potential reversibility of these cognitive effects. Full article
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46 pages, 1152 KiB  
Systematic Review
Key Determinants Influencing Treatment Decision-Making for and Adherence to Active Surveillance for Prostate Cancer: A Systematic Review
by Pani Nasseri, Jorien Veldwijk, Christa Niehot, Esmee F. H. Mulder, Esther W. de Bekker-Grob, Monique J. Roobol and Lionne D. F. Venderbos
J. Pers. Med. 2025, 15(7), 315; https://doi.org/10.3390/jpm15070315 - 15 Jul 2025
Viewed by 982
Abstract
Background/Objectives: Men choosing active surveillance (AS) for low- and intermediate risk prostate cancer (PCa) must weigh its harms and benefits against those of active treatment (AT). To understand factors influencing treatment decision-making (TDM) for and adherence to AS, we performed a systematic [...] Read more.
Background/Objectives: Men choosing active surveillance (AS) for low- and intermediate risk prostate cancer (PCa) must weigh its harms and benefits against those of active treatment (AT). To understand factors influencing treatment decision-making (TDM) for and adherence to AS, we performed a systematic review. Methods: This systematic review followed the PRISMA guidelines and was registered with PROSPERO (ID CRD42024490427). A comprehensive search strategy from 1990 to 2024 was executed across multiple databases, including Medline and Embase. Studies were included if they examined factors influencing TDM for AS or active monitoring (AM) and adherence to AS/AM. Results: Of the 8316 articles identified, 223 articles were eligible for inclusion. The decision for AS was influenced by different factors, including comprehensive information about treatment options, social support, and wanting to avoid side-effects. Key reasons to choose AT over AS included a lack of information from healthcare professionals about AS and fear of disease progression. Reasons for adhering to the AS protocol included better quality of life and social support. While non-adherence to the AS protocol is prompted by, e.g., biopsy burden and uncertainty, AS discontinuation is generally a results of medical reasons (namely disease upgrading) or from anxiety and family pressure. Conclusions: Numerous factors influence men’s treatment pathway choices. Involving family members in shared decision-making and ensuring that patients have detailed information about AS as a treatment option could help to improve AS uptake. Addressing psychosocial challenges through education and family involvement could improve AS adherence. These insights can help healthcare providers by addressing men’s needs during TDM and AS. Full article
(This article belongs to the Section Personalized Therapy and Drug Delivery)
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18 pages, 715 KiB  
Article
Bridging the Distance: Spatial and Social Factors Influencing Audit Quality and Auditor Independence in Small and Medium-Sized Enterprises
by Jomjai Sampet, Naruanard Sarapaivanich and Jiradacha Wanchuplow
J. Risk Financial Manag. 2025, 18(7), 374; https://doi.org/10.3390/jrfm18070374 - 6 Jul 2025
Viewed by 601
Abstract
Audit quality is crucial, particularly for small and medium-sized enterprises (SMEs), due to their significant economic role. This study examined how spatial distance (physical separation) and social distance (perceived dissimilarity) between auditors and SME clients influence audit quality, focusing on technical quality (the [...] Read more.
Audit quality is crucial, particularly for small and medium-sized enterprises (SMEs), due to their significant economic role. This study examined how spatial distance (physical separation) and social distance (perceived dissimilarity) between auditors and SME clients influence audit quality, focusing on technical quality (the tangible outputs of auditing) and process quality (the manner of service delivery). Using data from 449 SME executives across Thailand, the study investigated the mediating role of auditor independence within these relationships. The results from structural equation modeling revealed that spatial distance has no direct impact on audit quality but a negative effect on perceived auditor independence, which, in turn, diminishes audit quality indirectly. Conversely, social distance negatively impacts both technical and process quality directly and indirectly through auditor independence. The findings suggest that despite technological advancements facilitating remote auditing, maintaining some physical interaction remains vital for preserving client trust. Additionally, aligning auditor–client social similarities significantly enhances audit quality perceptions. This study provides practical implications for audit firms in managing client interactions effectively, particularly within SMEs. Full article
(This article belongs to the Special Issue Entrepreneurship in Emerging Economies)
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