Context Of Management Research Articles

Does the Presence of Matted Nodes in Colon Adenocarcinoma Influence 5-Year Overall Survival?

Background and Objectives: Colon cancer (CC) is prevalent globally, constituting 11.9% of cases in Mexico. Lymph node metastases are established prognostic indicators, with extracapsular lymph node extension (ENE) playing a crucial role in modifying prognosis. While ENE is associated with adverse factors, certain aspects, like matted nodes (lymph node conglomerates), are underexplored. Matted nodes, clusters of lymph nodes infiltrated by cancer cells, are recognized as an independent prognostic factor in other cancers. This study investigates the prognostic implications of matted nodes in CC. Materials and Methods: From a retrospective analysis of 502 CC consecutive cases treated with colectomy (2005-2018), we identified 255 (50.8%) cases with lymph node metastasis (our study group), which were categorized into two groups: (1) lymph node metastasis alone (n = 208), and (2) lymph node metastasis with matted nodes (n = 47). A comparative survival analysis was performed. Results: Of the 255 patients, 38% had lymph node metastasis. Patients with matted nodes (18.4%) showed an association with higher pN stage and lymphovascular invasion. The 5-year survival rate for patients with matted nodes was 47.7%, compared to 60% without (p = 0.096); however, this association demonstrated only a statistical tendency. Multivariate analysis identified clinical stage and adjuvant chemotherapy use as independent factors contributing to survival. Conclusions: This study underscores matted nodes as potential prognostic indicators in CC, emphasizing their association with higher pN stage and reduced survival. Although the patients with matted nodes showed lower survival, this figure did not search statistical significance, but a tendency was detected, which necessitates precise further research, which is essential for validating these findings and integrating matted nodes into the broader context of colorectal cancer management.

The Mediating Role of Talent Management in Succession Planning and Private Organization Sustainability: A Conceptual Article

In the contemporary landscape of business, talent management has emerged as a strategic imperative for organisations aiming to enhance their performance and ensure long-term sustainability. The recognition of talent management's significance lies in its ability to attract, retain, and nurture key talents within an organisation. This process is particularly crucial for private enterprises, where human capital plays a pivotal role in driving innovation, productivity, and competitive advantage. Talent management operates within the broader framework of succession planning, which itself is a critical component of effective human resource planning. Succession planning involves identifying and developing internal talent to fill key leadership positions as they become vacant. This proactive approach not only mitigates the risks associated with leadership transitions but also ensures continuity and stability within the organization. This study delves into the intricate relationship between talent management and succession planning, specifically focusing on their impact on organizational sustainability. By conducting a comprehensive review of existing literature, the study aims to uncover insights into how talent management practices contribute to shaping effective succession planning strategies. Key areas of investigation include planning practices, training and development initiatives, performance appraisal systems, talent retention strategies, and overall talent management policies. Through the proposed conceptual model, the study seeks to elucidate the dynamics that connect succession planning and organizational sustainability within the context of talent management. By integrating these elements, organizations can better align their talent strategies with long-term sustainability goals, thereby enhancing their resilience and competitive positioning in the Nigerian business landscape.

State-of-the-Art Review: Evaluation and Management of Delusional Infestation.

Delusional infestation is a condition encountered frequently by healthcare professionals across a variety of specialties in which patients have a fixed, false belief that they are infested with living creatures, such as bugs, parasites, worms, or mites, or nonliving objects, such as fibers. Delusional infestation can be debilitating for patients, who not only present with intense psychological distress and physical discomfort but are also at risk of developing numerous dermatological and psychiatric complications. This condition poses unique diagnostic challenges, as these symptoms can occur secondary to many metabolic or infectious causes, as well as unique treatment challenges, with patients frequently refusing psychiatric care and consequently seeking evaluation by other healthcare professionals. In this review, we aim to use existing literature to provide clinicians in infectious diseases or other specialties with sufficient clinical context and treatment guidance for the appropriate management of delusional infestation.

The Wisdom of the Collective: An Integrated Multi-Level Framework of Shared Leadership in Engineering Management Project Teams

Shared leadership is positioned as a promising field of research. In recent years scholarly interest in shared leadership has grown exponentially. However, studies on shared leadership are limited and underdeveloped in the engineering management context. To advance a holistic understanding of shared leadership in engineering management project teams, this study conducted a systematic, integrated review of 256 articles on shared leadership spanning 25 years (1998–2022). By doing so, we present a synthesis of the definitions of shared leadership; an evaluation of its measurement techniques; and an examination of the research designs (e.g. article types, research strategies, research disciplines and sample types) utilized in shared leadership studies. Moreover, we map shared leadership studies onto a multi-level framework that integrates individual-level, team-level, project-level and organizational-level analyses in terms of its antecedents, consequences, mediating mechanisms and boundary conditions. This framework offers a roadmap for future studies to help researchers systematically target opportunities within the field of engineering management. Also, it brings important managerial implications for engineering management project managers and practitioners who seek to implement good practices in organizations.

Paramedics Providing Palliative Care at Home: A Retrospective Cohort Study Comparing Symptom Management of Breathlessness and Pain in Cancer Versus Non-Cancer Conditions.

Background Palliative care aims to alleviate pain and distressing symptoms, affirm life, and offer support to patients and their caregivers. For many, the expressed preference is to die at home. As a result, there is growing recognition that paramedics can play an integral role at the end of life for symptom relief. Paramedic comfort with symptom management in the palliative care context is suspected, based on past work, to be higher for cancer as opposed to non-cancer life advanced disease. The objective of this study was to explore the paramedic management of patients with cancer and non-cancer advanced disease, using pain and breathlessness as key symptoms. Methods A retrospective cohort study was conducted. Paramedic electronic patient care records were queried for calls with palliative goals of care between July 1, 2015, and June 30, 2016, in Nova Scotia, Canada, which was the first year of the Paramedics Providing Palliative Care program. A manual chart review of a subgroup of 100 consecutive charts was completed to gain deeper insight. A descriptive analysis was conducted to understand practice variation within this population. Results The electronic query returned 1909 calls with a palliative approach. A total of 765 (40.1%) had cancer. The most common non-cancer disease category was respiratory. The top chief complaint was respiratory distress in both cancer and non-cancer populations. Medication was administered more often for pain (80%) compared to breathlessness (46.5%). Paramedics were more likely to call Medical Oversight Physicians for pain control advice. Post-treatment pain scores were documented infrequently. In the chart review, symptom management using the patient's own medications occurred in 17% of cases while an additional 5% of cases involved a combination of the patient's medications and paramedic service formulary. Conclusion The non-cancer population was less likely to have a non-transport outcome. Opportunities for improvement of symptom management were noted for pain and particularly so for breathlessness. Increased comfort with a palliative approach in the non-cancer disease cohort as well as with this key symptom will be a key to the success of the program.

Greatest Good for the Greatest Number – the Role of Managers’ Ethical Meaning-Making and Subjective Wellbeing Complexity

AbstractDespite the appeal of ‘the greatest good for the greatest number’ as an ethical ideal for businesses to pursue, applying this utilitarian principle in practice proves challenging. This is not least due to fundamental disagreements as to what constitutes the ‘greatest good.’ For example, the concept of ‘wellbeing’ now commonly proposed as a way of apprehending the greatest good is itself subject to widely varying interpretations. Drawing on an in-depth qualitative study of 64 managers in different sectors and country contexts, we explore this variation through the lens of constructivist ethics, asking how and why managers systematically differ in their ethical meaning-making around wellbeing. Our theorizing advances constructivist ethics by relating these differences to developmental stages identified in constructivist psychology, finding that systematic variations in ethical meaning-making are shaped by differences in actors’ capacities to process complexity. Our analysis reveals that managers’ ethical meaning-making about wellbeing is subjective, socially constructed, dynamic, and evolutionary, progressing in stages that we differentiate with a novel concept of ‘subjective wellbeing complexity.’ We contribute to practice by discussing how managers’ ability to work with more complex conceptions of wellbeing can be purposefully enhanced through stage-by-stage capacity-building in the form of ‘vertical development.’

Can Company Size and Region Shape the Sustainability Landscape?

This research investigates the status of green innovation within the supply chain context, emphasizing the roles of organizational support, competitive pressure, and relative advantage. A total of 286 valid samples collected from employees within the supply chain of the manufacturing industry in China were analyzed. Findings reveal significant impacts of organizational support, competitive pressure, and relative advantage on green supply chain innovation adoption, with nuances observed based on organizational characteristics and regional differences. Competitive pressure is a key driver for small organizations to adopt green supply chain innovations, whereas the relative advantage significantly influences larger organizations' adoption intentions. Organizations in different regions exhibit different adoption intentions of green supply chain innovations. Practical implications for managers in different contexts are discussed, emphasizing the importance of tailored strategies to leverage strengths and mitigate challenges in fostering sustainable and innovative supply chains.

Understanding Purposeful Leadership in Entrepreneurial Contexts: A Bibliometric Analysis

Leadership styles have evolved significantly in response to dynamic business environments and global challenges. Purposeful leadership, in particular, has gained attention for its potential to address these challenges by fostering innovation and ethical decision-making. The aim of this research is to identify and visualize publications on “Purposeful Leadership” within business organizations. This study uses the Dimensions database to collect relevant publications, which are then analyzed and visualized using VOSviewer. The bibliometric analysis includes various visualizations such as country-coupled, organization-coupled, source (journal)-coupled, authors-coupled, document-coupled, and keyword co-occurrence, focusing on articles published from 2014 to 2023. The results show that the USA ranks highest in terms of country-coupled bibliographic terms, with Maharishi International University (USA) leading in organization-coupled terms. The journal with the most citations is identified, while the most frequently cited documents and prolific authors are highlighted. The keyword “leadership” is the most frequently used, while “purposeful leadership” is still emerging, indicating substantial opportunities for future research. The growing interest in purposeful leadership, particularly in the USA, highlights the need for further exploration of this concept, especially in relation to other variables in management and business contexts. The findings emphasize the importance of developing integrative techniques to mobilize collective energy to address significant global challenges like climate change and social injustice. Purposeful leadership offers a solution to these needs, focusing on the role of leaders in articulating and addressing major problems in a focused and inclusive manner. This study underscores the necessity for more comprehensive research to fully understand the impact and potential applications of purposeful leadership in various organizational settings, paving the way for enhanced organizational performance and sustainability.

Pathogen Surveillance in Swallows (family Hirundinidae): Investigation into Role as Avian Influenza Vector in Eastern Canada Agricultural Landscapes.

First detected in Atlantic Canada in December 2021, highly pathogenic avian influenza virus (HPAIV) subtype H5N1 clade 2.3.4.4b, A/Goose/Guangdong/1/96 lineage, has caused massive mortality in wild birds and domestic poultry in North America. Swallows (Hirundinidae), abundant in North American agricultural ecosystems, have been proposed as possible (bridge) species for HPAIV transmission between wild and domestic birds. We aimed to seek evidence of the potential role of swallows in bridging AIV infection between wild bird reservoirs and poultry flocks in eastern Canada. During a wide-scale outbreak of HPAIV in wild birds and poultry farms across eastern Canada, 200 samples were collected from swallow breeding sites in the Canadian provinces of New Brunswick, Nova Scotia, Ontario, and Quebec, June-August 2022. Samples came from Barn Swallow (Hirundo rustica; n=142), Tree Swallow (Tachycineta bicolor; n=56), and Cliff Swallow (Petrochelidon pyrrhonota; n=2) nests. All samples tested negative for AIV, suggesting that HPAIV and low pathogenic AIV (LPAIV) strains were probably not circulating widely in swallows during the 2022 breeding season in eastern Canada; thus swallows may present a low risk of transmitting AIV. Within a management context, these findings suggest that removing nests of Barn Swallows, a species at risk in Canada, from the exterior of biosecure domestic poultry facilities may not significantly reduce risks of HPAI transmission to poultry.

Using applied social science disciplines to implement creative outdoor cat management solutions and avoid the trap of one-size-fits-all policies.

In the United States, policy conflicts have prevented successful population-level management of outdoor cats for decades. Wildlife conservation professionals have sought widespread use of humane dispatch (i.e., lethal culling applied humanely), whereas cat welfare professionals have promoted trap-neuter-return (TNR) (cats are trapped, neutered, and returned to the outdoors). These conflicts represent a policy panacea trap, which we argue drives many conservation conflicts. In these situations, the focus on defending a one-size-fits-all policy fails to account for the value differences that shape the different understandings of the problem and desired outcomes associated with each policy, as well as complexities in the social-ecological system. Over the past 5years, a group of wildlife conservation and cat welfare professionals codeveloped a set of products that have started to be used to help organizations break out of the policy panacea trap. We used a case study to illustrate how efforts grounded in applied social science disciplines, such as science communication, social-ecological systems, and conservation marketing, can help identify a more robust set of policy options tailored to local management and cultural contexts for successful implementation. Shifting the focus to embrace a shared understanding of the broader system helped us identify areas for collaboration, broaden the policy toolbox, and allow space for policy tools originally framed as opposing panaceas. This work helped prepare all parties to have difficult but productive discussions and address shared policy needs. We suggest that many value-based conservation conflicts would benefit from similar efforts that use applied social science to transform how conflict is addressed, moving beyond policy panaceas that end in stalemate to develop shared understandings of context-specific policies, and to identify opportunities for creative cooperation that yield real conservation progress.

Organizational and managerial context of project-based learning development in higher school

The article is devoted to the study of the organizational and managerial context of the development of project-based learning in Russian universities. The sample of the study is represented by twelve universities of different types (federal, research, reference) Volga, Ural, Siberian and Southern Federal districts. Based on the traditional analysis of official documents posted on the official websites of universities, an assessment of key aspects of university policies in the implementation of project-based student education was carried out, reflecting the development of the organizational infrastructure of the analyzed practice and forming an environment of social interaction between students, teachers, curators, employers and representatives of educational management. The development of assessment tools was based on the methodology of systemic, organizational and managerial, process, situational and temporal approaches. The purpose of the study is to analyze the organizational and managerial context of project–based education in Russian universities. It is established that the institutional practices of implementing project-based learning in the universities under study have different resource capabilities and are implemented along different trajectories that have their own logic. The study recorded that in the information space, and accordingly in the organizational and managerial environment, diversity is represented in determining the goals and effectiveness of project training. The demarcation lines in the existing organizational and managerial models are strategic forks that ensure: the mass or selectivity of project-based education in universities; orientation towards educational and/or product results; integration of project-based learning into the educational process or the implementation of students' project activities beyond their educational activities. The dependence between the organizational design of project training and its resource provision – regulatory, personnel, and information support is revealed. The scale and intensity of managerial innovations associated with the transition of the educational process to project-based learning formats are more typical for universities included in the “Priority-2030” university development program. They determine not only serious institutional and organizational changes, but also the transformation of social interaction practices in higher education.

Ungrazed seminatural habitats around farms benefit bird conservation without enhancing foodborne pathogen risks

ContextConservation in working landscapes is critical for halting biodiversity declines and ensuring farming system sustainability. However, concerns that wildlife may carry foodborne pathogens has created pressure on farmers to remove habitat and reduce biodiversity, undermining farmland conservation. Nonetheless, simplified farming landscapes may host bird communities that carry higher foodborne disease risks.ObjectivesWe analyzed the effects of local farming practices and surrounding landscapes on bird communities and food-safety risks across 30 California lettuce farms. Specifically, we sought to determine how farmland diversification affects bird diversity, fecal contamination, and foodborne pathogen incidences, thereby identifying potential tradeoffs between managing farms for bird conservation versus food safety.MethodsWe surveyed birds at 227 point-count locations, quantified fecal contamination along 120 transects, and assayed 601 bird feces for pathogenic E. coli, Campylobacter spp., and Salmonella spp. We then used hierarchical models to quantify effects of farm management and landscape context on bird communities and food-safety risks.ResultsSurrounding ungrazed seminatural areas were associated with higher bird diversity, more species of conservation concern, and fewer flocks that may increase risks from foodborne pathogens. In contrast, on-farm diversification practices and surrounding grazing lands offered weaker bird conservation benefits. Surrounding grazed lands were associated with more potentially pathogenic bird feces in crop fields.ConclusionsOur results suggest that habitat conservation around produce farms could support bird conservation without increasing foodborne pathogens, especially on farms further from grazing lands. Thus, interventions that diversify farming systems offer potential to simultaneously conserve biodiversity and provide safe food for human consumption.

Evaluating the Impact of the COVID-19 Pandemic on the Sustainability of International Trade in Agricultural Products in the Context of Crisis Management: An Assessment of the Agricultural Product Exporting Sectors in Antalya, Türkiye

This study aims to evaluate the impact of the COVID-19 pandemic on the sustainability of international trade in agricultural products through semi-structured, in-depth interviews, focusing on businesses engaged in agricultural product exports in Antalya within the context of crisis management. While Türkiye ranks tenth in the world and first in Europe in terms of agricultural output, Antalya, one of Türkiye’s most economically significant cities, is among the top contributors to Türkiye’s economy in terms of foreign exchange earnings from agricultural product exports. According to the findings of the study, the COVID-19 pandemic has increased the importance placed on the sustainability of agricultural product export activities. Türkiye’s prioritization of agricultural production and export has allowed the agricultural sector to positively differentiate itself from other sectors during the COVID-19 pandemic, turning the crisis into an opportunity. On the other hand, disruptions in global supply chains and increases in logistics and transportation costs due to the pandemic have led to various challenges to the sustainability of sector activities. Moreover, the economic impacts of the COVID-19 pandemic, such as increases in global and national inflation rates and particularly rising fuel and product prices, have resulted in sustainability problems in the agricultural product export sector’s activities today. To ensure the sustainability of activities in the post-pandemic period, effective crisis management strategies and planning are needed. However, according to the study’s results, the issue of crisis management in the agricultural product export sector has not received sufficient attention. To raise awareness about crisis management and ensure productivity, competitive advantage, and sustainability, increasing government support, establishing sectoral cooperation for joint action, and fostering collaboration between the private sector, public sector, and universities could be beneficial.

Patient and public involvement in liver disease management and research: insights into the development of a patient group

Background: Patient and public involvement (PPI) is increasingly recognised as crucial for enhancing healthcare and research relevance. This case study aimed to describe the development of a PPI group within the context of liver disease management and research, highlighting opportunities and challenges encountered. Methods: Patients with liver disease were recruited from a gastroenterology department through an online survey. An initial group discussion meeting was held using a nominal group technique, focusing on establishing the group's purpose, identifying areas of interest for involvement and determining practical organisational aspects. Ongoing collaboration occurred through regular meetings and communication. Results: A total of 18 patients actively participated in the group. Their motivations included utilising lived experiences to support others, gain knowledge about liver disease and raise public awareness. The group contributed to developing patient information, nurse-led consultations and a patient application. Additionally, they identified a need for research on improving healthcare system pathways for liver disease patients. Conclusions: This case study demonstrates a sustainable model for PPI in liver disease. Opportunities included empowering patients as consultants, collaborators and potential patient-led researchers. Challenges included addressing diversity within the group and ensuring adequate resources for PPI activities. This study provides valuable insights for healthcare professionals and researchers seeking to implement PPI in their own settings.

INTEGRATION OF QUALITY, CUSTOMER SATISFACTION, AND MANAGEMENT IN THE PROVISION OF TOURISM SERVICES

In recent years, the tourism industry has undergone significant changes amidst intense competition and the rapid evolution of customer preferences. In this dynamic context, the quality of tourism services, customer satisfaction, and managerial involvement are crucial aspects for the success of economic entities in this field. The purpose of this study is to investigate the interdependencies among these three aspects and their impact on organizational performance in the provision of tourism services. By integrating empirical data and relevant theory, this article aims to provide a deeper understanding of the dynamic relationships between quality, satisfaction, and management in the specific context of the tourism industry. This article will outline the fundamental theoretical basis, highlighting previous research and relevant theories, detail the methodology used to investigate the relationships between quality, satisfaction, and management in tourism service delivery, present the findings obtained, and finally, draw conclusions and discuss the implications of this study for managerial practice and future research in the field of tourism service provision.

Delivering and Evaluating Climate Services: The North Central U.S. Climate and Drought Webinar Series

Abstract Evaluation of near-term (sub)seasonal climate services’ impact is challenging but necessary for ensuring that society’s needs for actionable information are met. We use a descriptive study of the monthly North Central U.S. Climate and Drought Webinar Series at two time points (2014 and 2021) to examine societal impacts on capacity-building, sensemaking, fact-establishing, communication, decision-making, and social–ecological systems. The North Central U.S. Climate and Drought Webinar Series arose following a 2011 climate disaster and established itself over the next 10 years as a monthly resource for climate and impact information translation and interaction. Survey respondents indicated early benefits related to understanding how to find and use climate information and improved conceptual understanding of climate issues and problems. Many used webinar information to compare with other sources of data or to incorporate into their own communications, uses which can increase overall societal trust in climate information over time. Attendees’ self-reported capacity for using climate information in decision-making and actual use of information in specific decisions or management contexts increased as the webinar series approached the 10-yr mark. Most participants did not note financial or other social–ecological outcomes of their use of the webinars. We conclude by recommending that climate services be evaluated over sufficiently long time periods to capture evolving impacts and that evaluations incorporate impact rubrics that measure subtle yet important societal capacities and decision-making processes related to climate risk management.

A Comprehensive Study on Decision-Making Algorithms in Retail and Project Management using Double Framed Hypersoft Sets

In today's dynamic business environment, effective decision-making plays a crucial role in the success of retail businesses and project management endeavors. This paper presents a comprehensive study of decision-making algorithms, focusing on the utilization of Double Framed Hypersoft Sets (DFHS) in retail and project management contexts. The study explores the theoretical foundations of DFHS and its practical applications in customer segmentation, personalized marketing, project selection, and resource allocation. Various algorithms and methodologies incorporating DFHS are discussed and analyzed, highlighting their advantages, limitations, and real-world implications. Through a series of numerical examples, case studies, and comparative analyses, this study provides valuable insights into the role of DFHS in optimizing decision processes, improving business outcomes, and fostering innovation in retail and project management domains.

Enhancing Human-Computer Interaction in Socially Inclusive Contexts: Flow Heuristics and AI Systems in Compliance with DIN EN ISO 9241 Standards

In the domain of generative Artificial Intelligence (AI), the deployment of user-centered Human-Computer Interaction (HCI) methodologies, compliant with the DIN EN ISO 9241 standard, furnishes a substantive methodological scaffold. These methodologies have demonstrably succeeded in accomplishing specific, contextual objectives across a spectrum of applications, affirming their efficacy and user satisfaction. The investigation leverages a systematic theoretical framework and investigator triangulation to explore the customization of flow heuristics with respect to social permeability, inclusion, and accessibility. This approach facilitates the assimilation of multi-dimensional perspectives, thereby augmenting both accessibility and the user experience within these delineated domains. Within the ambit of enhancing HCI in socially inclusive settings, current heuristic models aimed at simplifying complexity in AI systems manifest notable shortcomings, particularly in relation to social permeability, inclusion, and accessibility. Academic scrutiny not only highlights these deficiencies in the application of DIN EN ISO 9241-210 standards but also uncovers substantial lacunae vis-à-vis the intricate demands of DIN EN ISO 9241-110. These encompass facets such as task appropriateness, self-descriptiveness, expectation conformity, error tolerance, controllability, individualizability, and learning facilitation, whose integrated and considered implementation is indispensable for the efficacious tailoring of interactive systems to meet specific user requirements in inclusive settings. This study significantly bolsters the epistemological base essential for the formulation of a conceptual framework tailored for AI deployment in educational and social management contexts, in alignment with DIN EN ISO 9241 standards. The study aims to articulate a detailed practical guide that outlines the requisite mechanisms, metrics, and characteristics necessary for user-centric adaptations in AI-enhanced systems. The objective is to augment the efficacy of flow induction and elevate user satisfaction within realms characterized by social permeability, inclusion, and accessibility.

Analysis of the Impact Area of the 2022 El Tejado Ravine Mudflow (Quito, Ecuador) from the Sedimentological and the Published Multimedia Documents Approach

Quito (Ecuador) has a history of mudflow events from ravines that pose significant risks to its urban areas. Located close to the Pichincha Volcanic Complex, on 31 January 2022, the northwest and central parts of the city were hit by a mudflow triggered by unusual rainfall in the upper part of the drainage, with 28 fatalities and several properties affected. This research focuses on the affected area from collector overflow to the end, considering sedimentological characteristics and behavior through various urban elements. This study integrates the analysis of videos, images, and sediment deposits to understand the dynamics and impacts of the mudflow using a multidisciplinary approach. The methodology includes verifying multimedia materials using free software alongside the Large-Scale Particle Image Velocimetry (LSPIV) to estimate the kinematic parameters of the mudflow. The affected area, reaching a maximum distance of 3.2 km from the overflow point, was divided into four zones for a detailed analysis, each characterized by its impact level and sediment distribution. Results indicate significant variations in mudflow behavior across different urban areas, influenced by topographical and anthropogenic factors. Multimedia analysis provided insights into the mudflow’s velocity and evolution as it entered urban areas. The study also highlights the role of urban planning and infrastructure in modifying the mudflow’s distribution, particularly in the Northern and Southern Axes of its path, compared with a similar 1975 event, seven times larger than this. It also contributes to understanding urban mudflow events in Quito, offering valuable insights for disaster risk management in similar contexts.

Exploring the Experiences of Family Caregivers in the Management of Stroke Among the Older Adults in Nigeria: A Qualitative Study

AbstractStroke, a significant neurological condition, often results in stroke survivors who are older adults relying on family caregivers, including children and spouses, leading to increased challenges for caregivers. This study investigates the experiences of family caregivers caring for stroke survivors who are older adults, focusing on the context of stroke management. Participants were purposively sampled, and three focus group discussions involving family caregivers (n = 18) of older adults who had experienced strokes were conducted. Conversations were recorded, translated, transcribed, and subjected to thematic analysis utilizing NVivo (version 12 pro) software. Thematic analysis yielded five distinct themes. The first theme illuminated family caregivers’ insights regarding the management of stroke in their members or significant others. The second theme emphasized the support and information received at the medical facility. The third theme showcased the perceived value of the information provided. The fourth theme highlighted unmet needs for both information and training in social support. The final theme illuminated the participants’ preferences for how they would like to receive information and training. This study highlights family caregivers’ experiences, encompassing a range of burdens, stresses, and challenges while caring for stroke survivors who are older adults. Findings emphasize the necessity for formal caregivers to provide adequate information, support, and training to family caregivers, thereby alleviating their burdens and enhancing stroke management in a home environment.