Expert Sources Research Articles

PERANCANGAN PICTURE STORYBOOK BERBASIS AUGMENTED REALITY (AR) TENTANG EDUKASI SIGAP BENCANA ALAM UNTUK ANAK USIA 9-12 TAHUN

Indonesia is a country that is prone to natural disasters because it is located on a tectonic plate fault in a row of active volcanoes in many areas, making Indonesia at risk of natural disasters such as volcanoes, earthquakes, and further disasters such as floods. Mini-type disasters certainly have an impact on society, especially children. Therefore education is needed regarding alertness to natural disasters. Using qualitative and quantitative research methodologies, namely data collection through questionnaires to 150 respondents, interviews with expert sources, as well as literature studies, existing studies, and comparative studies. The design of this augmented reality-based picture story book uses a style adapted to children, starting with the formulation of keyword concepts, verbal concepts, to visual concepts including titles, synopsis, language style, image styles, colors, typography, character designs, cover designs, to the contents of the page that produced a picturebook with augmented reality entitled “Zalfa the Nature Explorer”. This design has the aim of educating children aged 9-12 years with creative and innovative methods, through this design it is hoped that children will be more aware and alert when facing natural disasters so that they can reduce victims of natural disasters that occurred in Indonesia.
 Keywords: picture storybook, augmented reality, alert for natural disasters, education, children

CORRUPTION IN LAW ENFORCEMENT AGENCIES IN BOSNIA AND HERZEGOVINA, THE CAUSES AND CONSEQUENCES

Corruption is a devastating phenomenon that negatively affects the work of democratic institutions at all levels, questions the rule of law, jeopardizes economic growth and prosperity, and deepens inequality and poverty. Corruption is so widespread that even the sector that should be the bearer of activities in the fight against corruption - the police, have not remained immune, which is also the case in Bosnia and Herzegovina. Given the complexity of the corruption, the aims of the research are multifaceted: to determine the causes, consequences and the perception of active police officers employed in SIPA, Republika Srpska MoI, and the Sarajevo Canton MoI of corruption committed by fellow police officers, and what type of corruption is involved in most cases; to discover the factors that prevent BiH police officers from reporting acts of corruption to competent institutions and to determine the number of reported and prosecuted criminal acts of corruption committed by police officers in the mentioned law enforcement agencies in the last five years. The method used to achieve the stated goals is both qualitative and quantitative. Qualitative method includes desk, archival, and content analysis of relevant scholarly and expert sources as well as the analysis of the reports by the Prosecutor’s Offices of Bosnia and Herzegovina, Republika Srpska and Sarajevo Canton with regards to the number of reported and prosecuted cases of corruption committed by police officers. Primary data was collected through semi-structured questionnaire, composed of relevant questions related to the presence of corruption in law enforcement agencies. The 300 respondents include police officers in all ranks employed in the mentioned law enforcement agencies. The conducted research has proven the presence of corruption, its poor reporting and prosecution, established its causes and consequences and proposed the methods of eradication.

Shooting the Messenger: How Expert Statements on Stigmatized Populations Negatively Impact Perceived Credibility

Policies regulating individuals convicted of sexual offenses (ICSOs) are widely supported, despite little empirical evidence that they promote public safety. While research suggests this support is unresponsive to counterevidence, the mechanisms underlying these findings remain unclear. Here we consider whether assessments of an expert’s credibility are impacted by advocating for non-punitive approaches to ICSOs (vs. individuals convicted of drunk driving [ICDDs]), and if these effects carry over to subsequent, unrelated, claims by that expert. Based on a factorial survey experiment with a web-based opt-in panel of US adults, we use structural equation modeling to estimate associations between offense population and the expert source of a claim, perceptions of the expert’s credibility, and subsequent belief. We find that advocating rehabilitation for ICSOs reduces an expert’s credibility compared to advocating similar claims for ICDDs. Respondents subsequently express less belief in that expert’s claim, and this effect carries over to subsequent, unrelated claims.

Externalising policy advice within subnational governments

The concept of policy advisory systems (PAS) has been applied almost exclusively at national level. This article demonstrates that it can also be employed to analyse the development and dynamics of policy advice in a subnational government. Our empirical study of the externalisation of policy advice by the Welsh Government shows that it has been shaped by distinctive historical, institutional and political factors, and its impacts are different to those reported by studies of out-sourcing national policy advice. In our case study, external policy advice was seen as complementing rather than competing with the civil service. Instead of deinstitutionalising policy advice – that is, dislocating it from the usual sites where knowledge for policy is produced – new formal routes have been established for external sources of expertise to influence policy decisions. Contrary to the findings of some previous studies, externalising policy advice has not been a centralising force. Nor has it fundamentally challenged existing assumptions and values or increased politicisation of the policy process. These findings demonstrate that the PAS concept is useful across a range of settings, not just at national level. We show that applying it to a broader range of contexts, including subnational polities, can challenge, strengthen and expand existing theories of policy advice and policymaking.

ВЗАИМОДЕЙСТВИЕ МЕЖДУНАРОДНЫХ СТРОИТЕЛЬНЫХ КОНТРАКТОВ И ДОГОВОРОВ ОБ ИНВЕСТИЦИЯХ: ВОЗМОЖНОСТИ ДЛЯ ГАРМОНИЗАЦИИ КОММЕРЧЕСКИХ И ОБЩЕСТВЕННЫХ ИНТЕРЕСОВ

The article analyzes the interaction of the provisions of international construction contracts and bilateral investment treaties. The aim of the study is to identify opportunities for harmonizing commercial and public interests through model contractual clauses. The results can serve as a reference point for reforming norms and practices in the field of cross-border infrastructure. Opportunities for integrating commercial and government priorities in the areas of stabilization, arbitration, insurance, and information disclosure are being explored. Innovative provisions of standard contracts are proposed, designed to harmonize the interests of investors, the state, and society. The texts of model international construction contracts, bilateral investment treaties, multilateral conventions, scientific publications on private international investment and construction law, etc. were used as materials. The article used such methods as comparative legal analysis of provisions of contracts and agreements, system analysis of interrelationships between commercial and public-law norms, content analysis of scientific publications and expert sources, and analysis of the arbitration practice of resolving disputes from contracts and agreements. The integrated approach allowed for a comprehensive review of the interaction of international commercial contracts and investment agreements and the development of recommendations for their harmonization in the interests of all parties.

Very few scientific publications and newspaper articles focus on catastrophic events and their effects on urban wildlife

The COVID-19 pandemic upended daily life and disrupted human activity in urban centers all over the world. Stay-at-home orders emptied urban spaces, removing or decreasing stressors on urban wildlife associated with human presence. Anecdotal observations of unusual urban wildlife behavior spread virally across social media, but some of these reports were proven false or fabricated. Here we examined both scientific publications and local newspapers to understand how extensively urban catastrophes are covered with respect to their effects on wildlife. We read all article titles from January 1980–June 2023 in 100 high impact journals in biology to determine if prior research exists that could inform our understanding of this phenomenon. Additionally, we used a keyword search to find scientific journal articles about wildlife responses during events in which large-scale evacuations of urban environments occurred. We found 37 scientific articles on this topic, with 13 of those published in the highest impact biology journals. The majority of publications identified (70%) were about wildlife responses to the COVID-19 public health response. Finally, we searched local newspapers in areas where hurricanes struck urban centers. We found 25 newspaper articles reporting on wildlife in relation to urban natural disasters. These were typically anecdotes, but nearly always consulted a credible, expert source. Ultimately, more research focused on urban areas before and after catastrophic or sudden changes will allow biologists to develop a baseline expectation for urban wildlife behavior in the absence of humans.

Big oil and the energy transition: Evidence from M&A

International Oil Companies (IOCs) represent a significant source of capital and expertise that could be deployed to contribute to the investment required to achieve the energy transition to a low carbon future. This paper sheds light on the current motivations for mergers and acquisitions (M&A) by the various energy sectors and focusses on policies and commercial contexts that would favour IOCs incorporating renewables into their core business. An empirical analysis of a twenty-year history of M&A in the energy sector, covering over 10,000 transactions, is complemented by an economic model that differentiates between investment for innovation and investment for scale and transaction benefit. The analysis confirms that in the case of renewables, IOCs are currently at the exploratory stage of business development and appear to be valuing innovation based on renewables on subset of their business. The analysis concludes that IOCs favour core investment in functioning competitive energy markets rather than in rate-of-return regulated assets, and that for IOCs in particular policies and market rules directed towards that end would favour both near- and long-term investment by them into low carbon energy.

Managerial approaches, frameworks, and practices for business model application in public services management in the VUCA environment

Abstract Significant gaps in public services management were highlighted when service-dominant logic emerged in services science, resulting in fundamental changes in attitudes. The business model application in public services was initiated by offering public service logic. However, this concept requires justification of its interfaces with management approaches, frameworks, and practices. The VUCA (Volatility, Uncertainty, Complexity, and Ambiguity) environment has changed the existing managerial approach in organisational performance and services management. This paper aims to highlight the key aspects and justify the application of services management approaches, frameworks, and practices (Agile practices, customer experience management frameworks, and the design thinking approach) that coincide with the business model approach in public services management (public service logic) in a VUCA environment. In this paper, the Cochrane Guide to Literature Reviews was loosely followed. The focus was on academic publications and such expert sources as webinars for practitioners. Only publications and expert sources in English were included. The Scopus search engine was used for academic sources. Publications covering at least two of the following domains were included: Customer experience, business model, Agile practices, design thinking approach, public services, and VUCA. The expert sources were selected using purposive sampling when communities of practice were identified by authors with expert knowledge, and the main communication channels within each community of practice were sampled. The analysis showed that public services are defined as public goods that the State’s government commits to deliver in line with public values by applying a customer-centric approach. Integrating the design thinking approach and Agile practices help create customer-centric solutions for the customer experience management framework as design thinking helps understand what to do, while Scrum (one of Agile practices) gives the autonomy in deciding how to do it. Each analysed managerial method contributes uniquely to improving public services management in a VUCA environment.

Pojetí psychické odolnosti českými a slovenskými psychology

The concept of human resilience is used in various contexts from every day speech to experts discourse. When used in everyday language, the concept of psychological resilience seems quite clear and understandable. In the professional psychological context, we encounter various problems and ambiguities on a theoretical, terminological and methodological level. When we take a closer look. A more thorough analysis of the concept of psychological resilience currently leads to the assumption that it is a complex, complexly structured multi-conditional phenomenon. The aim of the paper is to explore Czech and Slovak psychologists’ concept of psychological resilience. The paper presents a theoretical definition of the phenomenon of resilience, discussing its relation with health and outlining approaches to researching hardiness. The sample was randomly assembled on the basis of respondents’ willingness to participate. Responses were collected using a questionnaire completed by 348 psychologists from the academic community and other spheres in which psychology is professional practiced. The method – using a questionnaire with a small number of relatively simple questions – primarily provides information on respondents’ immediate reactions to the questions. The analyzed sample was assembled randomly on the basis of willingness to participate; it is not a representative sample. In view of the research topic, no hypotheses were generated; instead, research questions were formulated concerning the definition of psychological hardiness, its relation with health, methods used in diagnosing or researching hardiness, and the opinions of experts from the academic and research community. In view of the nature of the data collected, an analysis of descriptive data was carried out, based on absolute and relative frequencies. When defining psychological hardiness, most of the respondents used the concept of ability in the general sense (either in simple or more complex terms), or they defined hardiness as a psychological characteristic (a personality trait). They assumed a strong and significant connection between hardiness and health. This corresponds with the opinions of numerous present-day researchers. The psychologists from the academic sphere gave more detailed responses. When determining hardiness, respondents use self-devised methods or methods taken from expert sources.

Who to Trust? Christian Belief in Conspiracy Theories

Who to Trust? Christian Belief in Conspiracy Theories

Malaysian SMEs’ Strategic Orientation and Access to Fintech Financing: Moderated by Entrepreneurial Innovativeness

With the advent of Fintech financing, innovativeness plays a significant role in enhancing Small and medium-sized enterprises' (SMEs) access to financing. Three comprehensive constructs, namely, market orientation, learning orientation and technology orientation, are adopted to present a holistic picture of the effect of strategic orientation on Malaysian SMEs’ access to Fintech financing, moderated by entrepreneurial innovativeness. This study adopted a survey research design based on 221 Malaysian SMEs. The results indicate that strategic orientation influence SMEs’ access to Fintech financing. However, the moderating impact of entrepreneurial innovativeness is insignificant in the relationship between strategic orientation and access to Fintech financing. Technological innovation is re-shaping commerce and the economy across all sectors. SMEs need to access external sources of information, knowledge, expertise and technology in order to build their own innovative capability for accessi

When bargaining is and is not possible: the politics of bureaucratic expertise in the context of democratic backsliding

Abstract In looking at the complex relationship between expertise and power in policymaking, what is amiss are studies on how the expertise exchange bargain between politicians and bureaucracy works in practice, especially in antidemocratic contexts. To deal with this limitation, we use Christensen’s (Christensen, J. (2022). When bureaucratic expertise comes under attack. Public Administration) expertise bargain change model for examining the authority transaction between politicians and bureaucrats. Upon external shocks, such as democratic backsliding with the sidelining of policy advice, the extant expertise bargain is challenged. We explore how the bureaucracy acted toward the government’s adversarial (and even antagonistic) stance and how that relationship toward the expertise bargain changed in two policy areas in Brazil (health and environment) during Bolsonaro’s administration (2019–2022). Notably, this article relies mainly on qualitative data from in-depth interviews with bureaucrats who provided expertise to the government on these policy areas during the Bolsonaro administration’s transition. Ancillary documentary sources were examined to detail the strategies of attack from government toward bureaucratic expertise and ancillary documentary sources of quantitative data from a survey with bureaucrats fielded during the Bolsonaro administration’s first year. Results show three factors that condition bureaucratic expertise’s resilience: the nature of the attack (local or extensive), the knowledge base’s and epistemic community’s level of cohesion, and the advice system’s degree of institutionalization. This case study sheds light on how different policy advice arrangements respond and function under antidemocratic contexts, allowing the application and enrichment of policy expertise literature outside regular democratic politics.

The invisible frontline of the COVID-19 pandemic: Examining sourcing and the underrepresentation of female expertise in pandemic news coverage.

Several studies have shown that female experts are seldom quoted within news media coverage about health and science issues. Yet, during the COVID-19 pandemic, and subsequent race for a vaccine, female health and science workers (broadly defined) were at the forefront of the discovery, testing, and implementation of several vaccinations. This study examines the extent to which female experts were represented in news coverage about the vaccine over a 2-year period in The New York Times (n = 1978). Of the expert sources quoted (3,555), the majority were male (n = 2417) as compared to female (n = 1138). This pattern held when looking specifically at researchers and medical experts. When both a male and female source were quoted, however, females were quoted first, suggesting that females were given the role of being a primary rather than supporting expert. Implications and future directions are discussed.

“I thought it was for guys that did needles”: Medication perceptions and lay expertise among medical research participants

IntroductionAlthough randomized controlled trials (RCTs) examine “objective” indicators of safety and efficacy of investigational drugs, participants may not perceive study medications as neutral entities. Some medications are imbued with social and cultural meaning, such as stigmatized medications for opioid use disorders. Such perceptions surrounding substance use treatments can extend to the research context and shape RCT participants' experiences with and adherence to study medications. MethodsConsidering these complexities in substance use research, we conducted a nested qualitative study within a multi-site, pragmatic RCT in Canada testing two treatments (methadone versus buprenorphine/naloxone) for opioid use disorder. Between 2017 and 2020, we conducted 115 interviews with 75 RCT participants across five trial sites in British Columbia, Alberta, Ontario, and Quebec. ResultsUsing an abductive coding approach, we characterized participants by their previous experience with medication for opioid use disorder and by their exposure to drug culture and drug scenes. Across these experience types, we identified systematic differences around participants' perceptions of the study medications, sources of information and expertise, and medication stigma. ConclusionOur findings illustrate the critical importance of social context in shaping medication beliefs and study experiences among people who use drugs, with implications for the conduct of future RCTs in substance use.

Managerial power bases and its relationship to influence tactics and conflict management styles: Bedside nurses' perspective.

Having robust power sources and employing effective influence tactics are essential leadership skills for nurse managers in managing human resources, providing quality care, and managing workplace conflict among nurses. The present study aimed to investigate how bedside nurses perceived their nurse managers' power bases, influence tactics, and conflict management styles. Furthermore, the study investigated the relationship among power bases, influence tactics, and conflict management styles. A descriptive correlational study was conducted at the inpatient care unit of a Saudi hospital. A convenient sample of n = 230 nurses completed the Power Base scale, Influence Behavior Questionnaire (IBQ-R), and Rahim Organizational Conflict Inventory-II (ROCI-II). Nurses believed their managers were most likely to use referent, legitimate, and expert sources to exercise their power; appreciation and consultation tactics to influence others; and an integrative style to manage conflict. Significant positive correlations were found between the perceived overall power bases and each of the influence behaviors and conflict management styles (r = .466, r = .383, p < .05, respectively). The values of the regression coefficient of power bases significantly contribute to the prediction of 67.8% and 42.2% of the explained variance of influence behaviors and conflict management styles, respectively. In addition, influence behaviors can play a mediating role in this prediction. Nurse managers should be able to demonstrate the benefit of controlling a wide range of power bases and know how to use influence behaviors and conflict management styles skillfully in each situation to achieve desired goals.

Identifying Trusted Sources of Lyme Disease Prevention Information Among Internet Users Connected to Academic Public Health Resources: Internet-Based Survey Study.

Misinformation about Lyme disease and other tick-transmitted pathogens circulates frequently on the internet and can compete with, or even overshadow, science-based guidance on tick-borne disease (TBD) prevention. We surveyed internet users connected to academic tick-related resources to identify trusted sources of Lyme disease prevention information, explore confidence in tick bite prevention information, and examine associations of these responses with answers to commonly disputed issues. The survey was conducted through social media and website pages for Western Connecticut State University Tickborne Disease Prevention Laboratory and the University of Rhode Island TickEncounter Resource Center. Respondents (N=1190) were predominantly female (903/1190, 76.3%), middle-aged (574/1182, 48.6%), and resided in New England states (663/1190, 55.7%). In total 984 of 1186 (83%) respondents identified conventional experts (eg, the Centers for Disease Control [CDC] or other government health agencies, physicians who follow Infectious Diseases Society of America guidelines for Lyme disease treatment guidelines, and academics) as trustworthy TBD prevention resources. However, nearly one-fourth of respondents would first consult personal contacts and web-based communities regarding prevention information before consulting conventional expert sources. The opinions of public health experts and physicians were rated among the top motivators underlying personal prevention decisions; yet, more than 50% of participants revealed distrustful attitudes toward, or were uncertain about, CDC-supported statements related to time to transmission of Lyme disease (708/1190, 59.5%), the safety of diethyltoluamide-based repellents for children (604/1183, 51.1%), and recommended use of antibiotic prophylaxis (773/1181, 65.4%). Multimodal regression models revealed that participants from high-Lyme-disease-incidence states were more likely to first seek TBD prevention information from personal networks and nontraditional sources before approaching conventional sources of TBD prevention information. We found that those reporting high rates of social media usage were more than twice as likely to first seek traditional expert sources of prevention information but were overall more likely to reject CDC-promoted Lyme disease information, in particular the established time to transmission of Lyme disease bacteria. Models also predicted that those participants who disagreed with the conventional scientific view on the antibiotic prophylaxis prevention statement were less likely to be confident in their ability to protect themselves from a tick bite. Overall, uncertainty in one's ability to protect oneself against tick bites was strongly associated with uncertainty about beliefs in CDC-promoted TBD prevention information. Self-reported trust in experts and frequency of social media use suggest that these platforms may provide opportunities to engage directly with the public about TBD prevention practices. Using strategies to improve public trust and provide information where the public engages on social media may improve prevention communication and adoption of best practices.

The doctor knows or the evidence shows: An online survey experiment testing the effects of source trust, pro-vaccine evidence, and dual-processing in expert messages recommending child COVID-19 vaccination to parents.

Increasing child vaccination rates is a critical step toward mitigating the spread of COVID-19. Both distrust in expert sources and concern about the safety and efficacy of vaccines may contribute to parent vaccine hesitancy. The present study is the first to test the effectiveness of building trust and providing evidence supporting child COVID-19 vaccines in recommendation messages for parents. Based on dual-processing theories, emphasis on source trustworthiness and pro-vaccine evidence may each be particularly effective when the other is not present. It was hypothesized that these two approaches would have main and interaction effects on perceived message effectiveness and pro-vaccine beliefs. A between-subjects 2 (trust-building appeal vs. no trust-building appeal) X 2 (pro-vaccine evidence vs. no pro-vaccine evidence) online survey experiment was conducted in December 2021 and January 2022 with United States parents/guardians of children <18 years old (n = 401). As hypothesized, trust and pro-vaccine evidence each had significant simple main effects on both outcomes. Analysis of variance showed a significant negative interaction effect of trust and pro-vaccine evidence on perceived message effectiveness [F(3, 394) = 6.47; η2 = 0.02, p = 0.002; 95% CI (0.01, 0.11)], supporting the dual-processing hypothesis. The interaction effect on pro-vaccine beliefs was also negative but not significant [F(3, 394) = 2.69; η2 = 0.01; p = 0.102; 95% CI (0.00, 0.03)]. Either highlighting evidence supporting vaccines or building trust in expert sources can influence parent vaccine support. Messages which include strong evidence supporting recommended behaviors may influence recommendation acceptance even among those with lower trust in expert sources and establishing trust may reduce the need to describe available evidence.

Monkeypox, Disinformation, and Fact-Checking: A Review of Ten Iberoamerican Countries in the Context of Public Health Emergency

This paper examines the disinformation and fact-checking activity of ten Ibero-American countries during the outbreak of monkeypox in 2022. Using a mixed-methods approach based on content analysis, the debunkings published by these organizations on their websites between 7 May and 10 September 2022 are studied. The countries with the highest number of debunkings are Spain and Bolivia, with two verification agencies, Maldita and Bolivia Verifica. The outbreak’s onset marked a peak in the spread of hoaxes, particularly following the declaration of the disease as a public health emergency. The identification of disinformants is challenging due to the diverse dissemination channels, although Twitter predominantly serves as the platform of choice. The preferred format for disinformation is image text, and the common theme links monkeypox to a side effect of the SARS-CoV-2 vaccine. Furthermore, the internationalization capacity of scientific hoaxes is demonstrated. Fact-checking agencies conduct adequate and thorough source verification, predominantly relying on official and expert sources. However, they employ limited digital tools that could expedite the verification process. Disinformation regarding monkeypox is closely related to COVID-19 hoaxes, either by resurrecting conspiracy theories or through the dissemination of speeches by well-known anti-vaccine activists who belong to healthcare collectives and were influential during the health pandemic.

Look to the Side: Peer Partnerships in Preservice Literacy Teacher Education

Most often teacher education has attended to the expertise of university instructors and cooperating teachers in preservice teachers’ (PTs) learning in and from practice; rarely has the field addressed leveraging horizontal expertise within this learning-to-teach process. In this multiple case study, we examined what happens when teacher educators incorporate peer partnerships (Assaf &amp; Lopez, 2015; Hoffman et al., 2018), where PTs coach and mentor each other around literacy teaching practices, within literacy field-based courses. Through our cross-case analysis, we found that peer partnerships scaffolded PTs’ learning by expanding their views of teaching practices, provided space to utilize their literacy content knowledge and literacy pedagogical content knowledge, and facilitated PTs’ development of equity-focused teaching stances. By establishing collaborative approaches to literacy instruction through peer partnerships, PTs served as sources of expertise and knowledge, thus disrupting the expert–novice divide in teacher education courses.

A cost-effectiveness analysis of remote monitoring after pacemaker implantation for bradycardia in Japan

BackgroundAlthough remote monitoring (RM) after pacemaker implantation is common, its cost-effectiveness has not been fully investigated. Therefore, we assessed the cost-effectiveness of RM compared with conventional follow-up (CFU) in Japanese patients with pacemakers. MethodsA Markov model was constructed to analyze costs and quality-adjusted life years after pacemaker implantation. The target population was Japanese patients implanted with a dual-chamber pacemaker for bradycardia. Transition probabilities (e.g. atrial fibrillation, stroke, and device trouble) were obtained from literature and expert sources. Additionally, stroke risk was determined according to anticoagulation and CHADS2 scores. We used a 10-year horizon with sensitivity analyses for significant variables. ResultsCompared to CFU, RM was more effective; however, it was also more expensive. When the range of the Japanese willingness-to-pay threshold was considered to be ¥5,000,000, RM was at least cost-neutral relative to the CFU in all elderly patients with pacemakers for bradycardia. The cost-effectiveness of RM relative to CFU could be higher for patients with high CHADS2 scores, especially in patients with a CHADS2 score ≥ 3. Scenario analyses changing the interval between visits to an in-office evaluation in the CFU also demonstrated the same conclusions. In particular, when the interval between office visits was 1 year for the CFU, the RM could be more cost-effective. ConclusionsThis study demonstrated that RM can be a cost-effective option for Japanese patients, especially those with high CHADS2 scores and long-term intervals between office visits.