From dispensing to caring: Enhancing patient-provider relationships through parallel chart writing in a pharmacist-managed clinic.

Central Asian vegetation is more sensitive to soil moisture drought than to heat and meteorological drought.

How the integration of technology and finance empowers the collaborative development of digitalization and greenization of Chinese cities

Managing shade trees, balancing trade-offs: Effects of shade-tree density on economic performance of Brazilian cocoa agroforests

The debate about whether health visiting, a specialist community public health nursing role, is at the level of advanced practice nurse has gone on for more than a decade. There is little empirical evidence that the role matches the traditional role of an advanced practice nurse, although many of the attributes of advanced practice nursing such as prescribing rights, managing complex cases, caseloads with undifferentiated need and advanced assessment and decision-making are certainly present. The current study aimed to develop, refine and test the Health Visiting Advanced Practice Scale to assess the scope of advanced practice of UK health visitors. A cross-sectional and methodological scale validation design, following classical test theory. The design consisted of three phases; the first involved scale development including item generation, phase two assessed the content validity index, and the third phase involved a cross-sectional survey to establish construct validity, content validity, and internal consistency reliability, and conduct exploratory and confirmatory factor analysis. The initial 44-item scale underwent iterative exploratory and confirmatory factor analyses, leading to a refined 5-factor structure with 29 items covering domains such as family-centred care, leadership, prescribing, diagnostic reasoning, and professional practice. This final version demonstrated strong reliability and construct validity in the EFA but mixed fit indices in the CFA, supporting both internal consistency and validity of the scale. The final scale offers a rigorously validated tool for assessing advanced practice among UK health visitors, capturing core domains such as family-centred care, leadership, prescribing, and diagnostic reasoning. By bridging theoretical frameworks with real-world practice, it fills a critical gap in evaluating and supporting the professional scope of this public health nursing specialty. These findings provide valid and reliable insights for measuring and improving health visitors' advanced practice and developing future professional policies. No patient or public contribution. STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines for cross-sectional studies.

The priming Effect and its impact on sport performance and difficulty judgment: Evidence from Olympic Bouldering.

The massage gun is widely used to alleviate delayed-onset muscle soreness (DOMS); however, empirical evidence regarding its physiological effects remains limited. This study aimed to evaluate the acute effects of percussive massage on the quadriceps muscle's cross-sectional area (CSA), strength performance, and pain perception following a fatigue protocol. A randomized clinical trial was conducted including 37 physically active men. Participants performed a fatigue protocol on a 45° leg press, at 70% of their one-repetition maximum (1RM). The volunteers were allocated to an intervention group (G0 n=19, mean±SD; 25.7±4.5years, 83.7±10.6kg, 176.8±6.3cm) and control group (G1 n=18, mean±SD; 27.6±5.0years, 76.8±15.7kg, 174±7.3cm). Assessments were performed at baseline, 24 and 48h, using ultrasound imaging, isometric dynamometer and VAS questionnaire (visual analog pain scale). Regarding the muscle area, significant increases were observed in the control group p<0,05 for the rectus femoris at both measurement points compared with the baseline, which suggests that percussive massage may mitigate exercise-induced edema. While no statistically significant differences were observed between groups or across time points for muscle strength, G0 demonstrated a large effect size (d>2.0) in strength maintenance at 24 and 48h compared to G1. Both groups showed reduction in pain over time, while G0 demonstrated a significant decrease at 48h compared to 24h (53%, p<0.001). Within-group assessments revealed significant reductions in pain perception over time for the intervention group. Regarding muscle strength, despite a large exploratory effect size observed during recovery, no statistically significant between-group superiority over passive rest was established. The findings suggest potential preliminary benefits for symptom relief without acute performance deficits.

South Korea has positioned hydrogen and carbon capture, utilization and storage (CCUS) as key technological pillars of its 2050 carbon neutrality strategy. Despite sustained and ambitious policy intervention, however, empirical evidence on how policy interventions have reshaped public R&D portfolios and early industrial diffusion remains limited. This study examines hydrogen and CCUS in South Korea through a policy−R&D−industrial diffusion framework, focusing on policy sequencing and institutional design. The analysis combines qualitative content analysis with project-level R&D data from the National Science and Technology Information Service (NTIS) and interrupted time series analysis to identify policy-induced structural breaks, while industrial diffusion is assessed using deployment indicators such as hydrogen vehicles, hydrogen refueling stations, and large-scale (>100,000 tons/year) CCUS projects. The results indicate a clear divergence in policy outcomes between the two sectors. Hydrogen policy interventions rapidly shifted public R&D toward utilization and industry-oriented development stages and were accompanied by a sharp increase in public R&D expenditures, thereby accelerating deployment. By contrast, CCUS experienced fragmented R&D adjustments, continued public-sector dominance, and limited large-scale demonstration. These findings highlight that while policy-driven, mission-oriented innovation pathways can mobilize R&D and early markets, their effectiveness depends on timely legal frameworks, the institutional coherence of the policy framework, and market-supporting infrastructure. In the case of CCUS, delayed legal institutionalization has constrained the transition from public R&D accumulation to industrial-scale deployment, highlighting the need for stronger regulatory clarity, market-creation instruments, and supporting data infrastructures. • Green innovation follows a policy-driven, top-down pathway in South Korea. • Study links policy, R&D, and industry using legislative and project-level data. • Hydrogen policy synchronization accelerated market-oriented R&D and deployment. • Delayed CCUS legislation caused policy lags and fragmented R&D trajectories. • Innovation requires timely legal frameworks and supportive market environments.

Although this work deals with well-established methods and a well-known model system, it demonstrates innovative findings. These groundbreaking findings will be of interest to chemists, biologists, and medical professionals alike. This investigation is pure and provides a dataset for gaining an in-depth understanding of the interactions of the MS2 bacteriophage with inorganic and organic ions. The nanoparticle surface can be viewed as an unstructured continuum characterized by a zeta potential that governs interspecies interactions and depends on the ionic composition of the aqueous medium. Interactions with inorganic and organic ions should involve considering the surface as a discontinuum. Recently, empirical evidence has led to a patch-like model of the surface of MS2 with discrete positive and negative values of surface charge density. This work involves concepts of the solvatochromism of malachite green as a polarity-dependent factor, the metachromasia of crystal violet as an association-dependent factor, and the chemical kinetics of alkaline fading of these dyesto investigate interparticle interactions and ion exchange. Such combined techniques provide broadly applicable data for studying bacterial interactions with various charged species or other biological interfaces.

Managers' tax administration experience and firms' direct investment in tax havens: Empirical evidence from China

Introduction: Capital structure remains a central topic in corporate finance, particularly in emerging economies where institutional constraints, governance mechanisms, and managerial behavior influence financing decisions. Understanding capital structure in Colombian SMEs requires integrating multiple theoretical perspectives. Objective: To analyze the theoretical and empirical evidence on capital structure decisions in Colombian SMEs from the perspectives of Trade-Off Theory, Pecking Order Theory, Agency Theory, and Psychological Empowerment. Methodology: A semi-systematic literature review was conducted following the PRISMA 2020 guidelines. Searches were performed in Scopus and Web of Science between March and May 2025. The selection process included identification, screening, eligibility assessment, and inclusion, resulting in 27 studies for analysis. Results: No single theory fully explains financing decisions in Colombian SMEs. Trade-Off and Pecking Order theories explain leverage and financing preferences, Agency Theory highlights ownership structures and information asymmetries, and Psychological Empowerment emphasizes managerial autonomy and behavioral influences. Discussion: Capital structure decisions arise from the interaction of financial, governance, and behavioral factors shaped by firm characteristics and institutional conditions. Conclusions: A multidimensional perspective provides a more comprehensive understanding of capital structure decisions in Colombian SMEs. The study contributes by integrating financial, organizational, and behavioral explanations and identifying avenues for future research.

The alignment between actual motor competence (AMC) and perceived motor competence (PMC) is theorized to influence children's physical activity (PA) and body mass index (BMI), yet empirical evidence using person-centered approaches remains limited. This study identified distinct motor competence profiles in Chinese children and examined their differential associations with PA and BMI. In a sample of 540 children aged 6-10years from Jinhua City, AMC, PMC, and moderate-to-vigorous PA (MVPA) were assessed using the Test of Gross Motor Development-3rd Edition, Pictorial Scale of Perceived Movement Skill Competence, and 7-day accelerometer monitoring. Latent profile analysis revealed three distinct profiles: High Competence (aligned high AMC and PMC, 37.6%), Overestimation (low AMC but high PMC, 43.0%), and Devaluation (high AMC but low PMC, 19.4%). Profile membership showed significant associations with age and sex, with older children and males more frequently classified in the Devaluation profile. Both discrepant profiles demonstrated substantially lower PA levels, engaging in over 10 fewer minutes of daily MVPA than the High Competence group(Devaluation: - 10.65min/day, p < 0.001; Overestimation: - 10.28min/day, p = 0.002). Notably, BMI z-scores diverged between discrepant profiles: the Devaluation profile showed higher BMI z-scores while the Overestimation profile showed lower BMI z-scores compared to the High Competence reference. These findings highlight that the congruence between AMC and PMC, rather than either factor in isolation, is significantly associated with children's PA and BMI and may represent an important target for health intervention.

Risk spillovers and portfolio diversification: Empirical evidence from emerging and traditional assets

Mining-induced coupled responses of phreatic groundwater and vadose-zone soil moisture in ecologically fragile mining areas.

The rhythms of trance: Cultural phenomenology and neural mechanisms of music-induced non-ordinary states of consciousness.

Assisted infant toilet training: A pathway to planetary health?

Political campaigns widely use fear speech to appraise historically salient identity-based differences and mobilize voters. Despite ample literature to support fear speech's effectiveness in mobilizing collective violence, empirical evidence exploring its nuances and mechanisms in electoral contexts is limited. The current study examines online fear speech used by competing political candidates in the pre-electoral period during the 2021 State Assembly Elections in West Bengal, India. Using qualitative content analysis, we coded 391 publicly available Facebook posts on the group and personal accounts of the candidates, during the 3 weeks leading up to the elections. The analysis focused on the types and intensity of fear speech, its use across constituencies and party candidates, and how existing communal and partisan threats were appraised using fear speech. Findings highlight the strategic use of violent vs. non-violent fear speech representing the socio-political history of the context and the cultural values represented by each party, and the affordances of social media as a platform for political and electoral campaigning and collective mobilization.

Advancing risk gene discovery across the allele frequency spectrum.

Current status and determinants of artificial intelligence-related anxiety among healthcare professionals: A cross-sectional survey study.

While evidence indicates a connection between bullying involvement (perpetration and victimization) and peer relationships, the direction of this relationship remains debated. It is unclear whether peer relationships are a consequence or a precursor to bullying, and whether such association varies by gender. To address these gaps and capture fluctuations in daily school life, the present study employed a weekly diary method to examine the bidirectional relationships between bullying perpetration/victimization and peer relationships, as well as potential gender differences. A total of 452 adolescents (285 boys, Mage = 12.90, SDage = 0.48) completed the 7-week diary survey. Multilevel modelling revealed that weekly bullying/victimization significantly predicted subsequent decreases in peer relationships, while peer relationships did not predict later bullying or victimization, indicating a unidirectional pathway. Gender analyses showed that gender did not moderate these links but did differentiate bullying patterns: stratified analyses further revealed the unidirectional pathway only in boys, where verbal and relational perpetration/victimization predicted later declines in peer relationships. These findings not only theoretically expand our understanding of the dynamic interplay between bullying and peer relationships, unveiling unique cultural and social mechanisms of psychological bullying among boys, but also provide empirical evidence for developing targeted anti-bullying interventions for adolescent boys.