High Level Research Articles

Exploring construal level matching effects: focusing on descriptive norms and temporal framing in environmental cause-related communication contexts

PurposeTo enhance the effectiveness of environmental cause-related marketing (CRM) message design, this study identifies two key factors: descriptive social norms (provincial vs general) and temporal framing (near-future vs distant-future). Drawing upon construal level theory, it examined the synergy between the type of social norms and suitable temporal framing, matched at similar construal levels, to optimize CRM’s impact by positively influencing consumer purchase intentions and engagement in environmentally sustainable behaviors.Design/methodology/approachA full factorial 2 × 2 online experiment was conducted.FindingsThe findings showed that aligning message elements at a low level of construal significantly increases message persuasiveness, enhancing purchase intentions and pro-environmental behaviors. Conversely, matching elements at high levels of construal does not necessarily lead to synergistic effects. Notably, misaligned message elements – where one operates at a higher construal level and the other at a lower level – can generate cognitive resistance, potentially leading to adverse backlash effects. Messages that paired provincial norms with distant future framing were deemed least persuasive, resulting in diminished purchase intentions and pro-environmental behaviors.Originality/valueThis study refines approaches in environmental CRM by illustrating that descriptive social norms alone do not achieve desired impacts. It emphasizes aligning message elements at a low construal level to boost effectiveness and synergistic outcomes. The research also highlights a need to critically reassess matching effects at higher construal levels, thus enriching environmental CRM message strategies.

Association of serum klotho with cognitive function among individuals with nonalcoholic fatty liver disease

IntroductionThis study investigated the potential link between serum klotho levels and cognitive function in patients with non-alcoholic fatty liver disease (NAFLD).Materials and MethodsUtilizing NHANES data from 2011 to 2014, the research included 356 eligible participants. NAFLD was identified with the United States Fatty Liver Index (US-FLI), and cognition was measured by various tests including the Animal Fluency Test (AFT), Digit Symbol Substitution Test (DSST), Immediate Recall Test (IRT), and Delayed Recall Test (DRT). Weighted logistic regression and restricted cubic splines were employed to analyze the relationship between klotho levels and cognitive scores.ResultsA significant nonlinear association was observed between klotho levels and the performance in DSST and Delayed Recall Test (DRT). After controlling for confounding factors, the study found a positive association between higher serum klotho levels and improved cognitive performance in both AFT and DSST. However, there was no significant relationship between klotho levels and the IRT or DRT, regardless of whether the natural logarithm or quartile was considered.DiscussionThe findings suggest that a higher serum klotho level may be positively correlated with better cognitive performance in NAFLD patients.

Telehealth utilization among patients with chronic disease: Insights from the 2022 Health Information National Trends Survey.

Telehealth has been effectively used for managing chronic disease conditions; however, utilization patterns vary across populations. This study aims to examine the prevalence of telehealth utilization, the associated factors of telehealth modality (e.g., audio, video) among patients with chronic diseases, and the role of health literacy. Participants with at least one diagnosed chronic disease from the 2022 Health Information National Trends Survey (HINTS 6) data (n=3686) were analyzed. Differences in participant characteristics between telehealth users and non-users were compared using χ² statistics. Multinomial logistic regression models were employed to investigate factors associated with telehealth modality. About 52% of participants reported using telehealth in the past 12 months, with 34.7% using audio-only modality. Telehealth use was highest among participants with depression (61.6%) and lowest among those with high blood pressure (47.6%). Participants over 75 years old (OR, 3.11 [95% CI, 1.99-4.85]; P < 0.001) were more likely to use audio-only modality compared to the youngest group (18-34 years). Respondents with a higher educational level (bachelor's degree: OR, 0.77 [95% CI, 0.59-1.00], P = 0.049; post-baccalaureate degree: OR, 0.60 [95% CI, 0.43-0.82]; P < 0.001) and higher health literacy (OR, 0.81 [95% CI, 0.66-0.99]; P =0.04) were more likely to use audio-video modality compared to their counterparts. Telehealth use varied across demographics and chronic diseases, revealing significant disparities. Elderly individuals, those with lower socioeconomic status, and those with lower health literacy tended to use the audio-only modality. Providing support for digital platforms and health literacy can empower patients with chronic diseases to effectively use telehealth for self-management.

Collagen triple helix repeat-containing 1 protein: an emerging biomarker and its influence on the clinical and sonographic disease severity in Egyptian medicated female rheumatoid arthritis patients

BackgroundRheumatoid arthritis (RA) is a chronic inflammatory autoimmune disease of synovial joints, with a multifactorial etiology. Collagen triple helix repeat-containing 1 protein (CTHRC1) is a biomarker produced by fibroblast-like synoviocytes, which was shown to be highly expressed in RA patients. The study aimed to measure serum CTHRC1 level in female RA patients currently on medical treatment and its influence on the clinical and sonographic severity of the disease.ResultsThe patients’ mean age was 43.39 ± 8.55 years and median RA disease duration of 5.5 (0.33–20) years. RA patients showed significantly higher serum CTHRC1 level [89.71 ng/ml (53.95–353.45)] in comparison to controls [87.38 ng/ml (44.47–110.3)] (U = 430, P = 0.014). Furthermore, higher serum CTHRC1 levels were recorded in seropositive versus seronegative patients (U = 76, P = 0.022) and in RA patients with severe disease activity compared to those with lower disease activity (H = 9.79, P = 0.007). Furthermore, serum CTHRC1 levels were lower in RA patients receiving biological therapy compared to those receiving conventional therapy; however, this difference did not reach statistical significance.Significant positive correlations were found between CTHRC1 and disease activity, acute-phase reactants, serological markers, functional assessment, fatigue, and erosions detected by ultrasound, while a significant negative correlation was recorded between CTHRC1 and duration of biologic intake (rs = − 0.45, P = 0.036). Furthermore, on multivariate linear regression analysis, serum CTHRC1 was the only significant predictor for higher disease activity (P = 0.028, B = 0.009, 95% CI 0.001 to 0.017).ConclusionRA patients showed higher CTHRC1 serum levels compared to healthy controls, especially those with seropositivity and highly active disease. Furthermore, it was positively associated with poor patient functional outcome, fatigability, and erosive findings by ultrasound, thus suggesting that serum CTHRC1 can be a good predictor for high RA disease activity and possibly severity. Moreover, biological therapy could influence serum CTHRC1 levels in these patients.

Professional values, ethical climate and job satisfaction of nurses and their selected sociodemographic and occupational characteristics

AimTo explore the relationship of selected socio-demographic and occupational characteristics of nurses and their level of professional values, hospital ethical climate and job satisfaction.MethodsCross-sectional study was conducted among 388 Polish nurses from the spring of 2021 to winter of 2023, in the eastern part of Poland; and followed by Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Four research tools were used to collect data together with questionnaire for socio-demographic and occupational characteristics.ResultsProfessional values such as activism correlate negatively with religious beliefs (Z = −1.789; p = 0.044), this means that nurses who are more involved in professional change activities are likely to be less associated with religious beliefs. A positive correlation was observed between the Ethical Hospital Climate Survey subscale—peer relations and nurses’ education level (H = 5.638; p = 0.048), indicating that a higher education level was associated with better relationships with colleagues at work. A negative relationship was identified between nurses’ external job satisfaction and their marital status (Z = −1.958; p = 0.040), that is, married nurses feel less satisfaction with the external aspects of their jobs than their single colleagues.DiscussionThese findings underscore that medical staff management should take into account both sociodemographic factors [e.g., age, education, place of residence, marital status, religious beliefs, as well as professional factors (working hours, qualification course, etc.)] that affect nurses’ professional values, job satisfaction and the ethical climate of the hospital. These underscore the need to adapt management strategies to the individual needs of employees, which can contribute to improving working conditions in healthcare facilities.Data collection toolThe data collection tool consists of four sections.DemographicsCollected background and demographic information.Nurses’ professional values scale (NPVS-3)Assessed professional values among nurses.Hospital ethical climate survey (HECS)Assessed hospital ethical climate among nurses.Minnesota satisfaction questionnaire-short form (MSQ-SF)Assessed job satisfaction levels among nurses.

Biomarkers to Differentiate Acute Chest Syndrome From Vaso-Occlusive Crisis in Children With Sickle Cell Disease.

Acute Chest Syndrome (ACS) is the leading cause of death in children with sickle cell disease (SCD) in the US-about half of the children who develop ACS present initially with pain. Here, we studied biomarkers to differentiate ACS from vaso-occlusive crises (VOC) in children with SCD who presented with pain to the emergency department (ED). We conducted a prospective cohort study of consecutive patients who presented to the ED with pain and were discharged with ACS or VOC between March, 2017 and February, 2020. We identified 7 patients with ACS and 19 patients with VOC. The two groups were comparable in age and sex. All patients with ACS had asthma versus 42% of the VOC group. The ACS group had lower weight and BMI z-scores. Patients with ACS compared to VOC had significantly higher respiratory rates, lower O2 saturation, and longer hospital stays. They also had higher white blood cell count, glucose level (> 99 mg/dL), anion gap (> 9 mEq/L), sPLA2 (> 7 pg/mL), IFN-γ (> 17.8 pg/mL), IL-10 (1.54 pg/mL), and IL-12 (> 0.5 pg/mL) levels. We identified biomarkers associated with ACS development in children with SCD presenting with pain that allow for earlier ACS interventions to reduce mortality and morbidity.

Stress mindset and nurses' sleep quality: mediating effects of stress overload and anxiety.

Previous studies have shown that overall sleep quality among Chinese nurses is relatively low, with a sleep disorder prevalence rate of approximately 66.4%. Against the backdrop of healthcare reforms, China has been striving to improve the mental health and sleep quality of nurses. Stress mindset can influence how individuals respond to stress, but there is limited research on how stress mindset affects nurses' sleep quality. This study aims to explore the impact of stress mindset on sleep quality among nurses, as well as the mediating roles of stress overload and anxiety in this relationship. The study was conducted online using a questionnaire from February 18 to February 22, 2024. It utilized the Stress Mindset Measure (SMM), the Stress Overload Scale-Short (SOS-S), the Generalized Anxiety Disorder 7-item scale (GAD-7), and the Pittsburgh Sleep Quality Index (PSQI) to survey 441 nurses in three regions of China: Chongqing, Hunan, and Shandong (M = 34.39, SD = 7.82, 95.7% female). A chain mediation model was employed to examine the mediating roles of stress overload and anxiety in the relationship between stress mindset and sleep quality. The participants' average sleep quality score was 7.18 ± 3.47. Nurses' stress mindset was significantly negatively correlated with both stress overload and anxiety, and significantly positively correlated with sleep quality. Stress overload was significantly positively correlated with anxiety and significantly negatively correlated with sleep quality. Anxiety was also significantly negatively correlated with sleep quality. The direct effect of nurses' stress mindset on sleep quality was significant (effect size = -0.10, 95% CI: -0.19 to -0.01), as were the indirect effects through stress overload (effect size = -0.05, 95% CI: -0.11 to -0.01) and anxiety (effect size = -0.09, 95% CI: -0.13 to -0.05), along with their chain mediation effect (effect size = -0.10, 95% CI: -0.14 to -0.06). Our study demonstrates that a higher level of nurses' stress mindset is associated with better sleep quality, with stress overload and anxiety mediating this relationship. A positive stress mindset helps nurses cope more effectively with professional challenges and reduces anxiety, leading to improved sleep quality. Healthcare institutions should therefore prioritize fostering positive stress mindsets in nurses, encouraging regular psychological training and workshops to support the development of effective coping strategies.

Unraveling the Impact of Aspergillus sojae—A Food-Grade Fungus—On Phytoalexins, Phenolic Acids, and the Antioxidant and Antidiabetic Activity of Different Legumes

Legumes are a rich source of polyphenolic compounds known for their ability to promote health. Under stress conditions, legumes have been shown to produce higher levels of secondary metabolites, as a defensive mechanism. Hence, the present study aimed to induce legume seeds (e.g., soybean, chickpea, green pea, and red kidney bean) by inoculating them with Aspergillus sojae (A. sojae) and to evaluate the extracts for phytoalexins, phenolics, and antioxidant, antiobesity, and antidiabetic potentials. The UPLC-DAD findings of A. sojae-induced legumes showed medicarpin and maackiain in chickpea, pisatin in green pea, glyceollin I-III in soybean, and kievitone and phaseollin in red kidney bean. All induced legumes exhibited a higher total polyphenol content compared to the non-induced ones. Among induced legumes, soybean exhibited a higher (4.85 mg GAE/g) polyphenol content. The UPLC-ESI-QTOF-MS/MS findings established that legumes contained substantial levels of protocatechuic acid, vanillic acid, ferulic acid, chlorogenic acid, coumaric acid, 4-hydroxybenzoic acid, and caffeic acid. The results of antioxidant assays revealed a significantly higher level of activity in induced red kidney bean and soybean, whereas the level of activity in non-induced legumes was markedly lower. Moreover, induced red kidney bean effectively inhibited α-glucosidase (87.2%) and α-amylase (63.90%) at 5 mg/mL. Additionally, the maximum lipase inhibitory effects were displayed by induced soybean (72.54%) at 20 mg/mL.

Male and Female Perceptions of Supervision During Strength Training

A cross-sectional survey was distributed to 1322 members of a 1-on-1 personalized strength training studio. A total of 366 respondents (n = 134 male and n = 232 female), all aged over 20 years, reported considerable training experience, with 55% of the males and 42% of the females reporting 5+ years of experience. The data were analyzed and reported descriptively with differences &gt;5% identified based on the use of a 5-point Likert scale, the sample size, and the nature of the observations. Disparities between the males and females were identified; the males reported higher perceptions of managing effort, technique, and programming without supervision compared to the females. Safety was noted as being more important to the females compared to the males. Qualitatively, additional themes were raised including an analogy of the personal relationship between the trainer and trainee being similar to that between medical professionals and patients. This was validated where the participants discussed their adaptations from supervised strength training for maintaining quality of life in aging and recovering from medical conditions and injury. The data are discussed in the context of a previous body of literature suggesting males falsely report higher levels of confidence in tasks compared to females, particularly in relation to effort, role models, and verbal encouragement. We posit that the greater confidence expressed by males at least partially explains the greater engagement in strength training practices by males compared to females, as well as explaining the higher level of participation in supervised strength training by females compared to males. This research proves beneficial for strength training practitioners in enhancing their understanding and expectations of clients, as well as hopefully proving insightful in engaging more people in strength training.

Specialized Bacteroidetes dominate the Arctic Ocean during marine spring blooms

A metagenomic time series from Arctic seawater was obtained from Dease Strait, to analyse the changes in bacterioplankton caused by the summer phytoplankton bloom. Bacterial clades specialized in the metabolism of polysaccharides, such as Bacteroidetes, became dominant along the bloom. These specialized taxa quickly displaced the microbial clades that dominate nutrient-poor waters during early spring, such as Archaea, Alpha-and Gammaproteobacteria. At the functional level, phyla Bacteroidetes, Planctomycetes, and Verrucomicrobia showed higher contents of polysaccharide-degradation functions. The Bacteroidetes community shifted toward species with higher polysaccharide-degrading capabilities, targeting algal polysaccharides in summer. Regarding transporters, Bacteroidetes dominated SusC-TonB transporters and had an exclusive family of glycoside-binding proteins (SusD). These proteins were used to identify polysaccharide-utilization loci that clustered transporters and polysaccharide-active enzymes, showing a higher level of specialization toward polysaccharide use. Altogether, these genomic features point to the genetic adaptations that promote the dominance of Bacteroidetes during phytoplankton blooms.

Hubungan antara Gratitude dengan Subjective Well-being Guru Honorer Sekolah Luar Biasa (SLB) di Kecamatan Koto Tangah Kota Padang

This study aims to explore the connection between gratitude and subjective well-being among honorary special school teachers in Koto Tangah District, Padang City. Special education plays a crucial role in supporting the development of children with special needs, where special school teachers significantly contribute to their educational progress. Many challenges faced by honorary teachers, including an income that does not align with their workload, often lead to stress and fatigue, affecting their subjective well-being. Gratitude is one factor that may positively influence subjective well-being. The study employs a quantitative approach with a correlational design, using a sample of 50 honorary teachers selected through purposive sampling. Data were collected using a Likert scale and analyzed with the Pearson product-moment correlation test. The findings indicate that: a) the average level of gratitude among honorary special school teachers falls within the low category (42%), followed by moderate (40%) and high categories (18%); b) the average level of subjective well-being among honorary special school teachers is also low (62%), followed by moderate (34%) and high (4%); and c) the correlation analysis shows a Pearson coefficient of 0.740 with a significance level of 0.000 &lt; 0.05, demonstrating a positive and significant relationship between gratitude and subjective well-being. The results suggest that a higher level of gratitude correlates with higher subjective well-being among teachers.

Diagnostic performance of high and ultra-high-resolution photon counting CT for detection of coronary artery disease in patients evaluated for transcatheter aortic valve implantation.

We assessed the diagnostic performance of both ultra-high-resolution (UHR) and high-resolution (HR) modes of photon-counting detector (PCD)-CT within the confines of standard pre-TAVI CT scans, as well as the performance of UHR mode adjusted specifically for coronary imaging, using quantitative coronary angiography (QCA) as the reference. We included 60 patients undergoing pre-TAVI planning CT scans. Patients were divided into 3 groups: 20 scanned in HR mode, 20 in UHR mode, and 20 in adjusted UHR mode, on a dual-source PCD-CT. The adjusted UHR mode employed a lower tube voltage (90kV vs. 120kV) and a higher image quality level (65 vs. 34) to enhance coronary artery visualization. Patients underwent invasive coronary angiography as part of clinical routine. CCTA and QCA were reviewed to assess CAD presence defined as stenosis ≥ 50% in proximal and middle coronary segments. We included 60 patients (mean age 79 ± 7 years; 39(65%) men). Mean heart rate during scanning was 72 ± 13bpm. Median coronary calcium score was 973[379-2007]. QCA identified significant CAD in 24 patients (40%): 9 patients scanned with HR mode, 10 patients with the UHR mode, and 5 patients with the UHR adjusted mode. Per-patient area under the curves were 0.57 for HR, 0.80 for UHR, and 0.80 for adjusted UHR, with no significant differences between the scan modes, and per-vessel the area under the curves were 0.73 for HR, 0.69 for UHR, and 0.87 for adjusted UHR, with significant differences between UHR and adjusted UHR (p = 0.04). UHR and adjusted UHR modes of dual source PCD-CT show potential for improved sensitivity and negative predictive value for detecting CAD in patients undergoing pre-TAVI scans, however, no statistically significant difference from HR mode was observed.

The optimal treatment duration for inspiratory muscle strengthening exercises in stroke patients: a double-blinded randomized controlled trial.

Little is known about the ideal duration of inspiratory muscle training in stroke patients. The aim of this study was to assess the effects of short-term and long-term inspiratory muscle strengthening exercises in stroke patients. This study was a prospective, double-blind, randomized controlled trial involving 50 stroke patients. Based on baseline maximum inspiratory pressure (MIP) values, participants were divided into two strata: those with severely weak inspiratory muscle (stratum A) and those with moderately weak inspiratory muscle (stratum B). Within each stratum, individuals were randomly assigned to either the 4-week exercise group, the 8-week exercise group, or the sham group. The exercise groups underwent inspiratory muscle strengthening exercises. The MIP, 6-minute walk test (6MWT), and the Nottingham Extended Activities of Daily Living (NEADL) Index were assessed at baseline, 8, 12, and 24 weeks. Subjects in Stratum A exhibited notably greater improvement after 8 weeks of training compared to those in Stratum B. Furthermore, both Stratums displayed significantly greater improvement following 8 weeks of training compared to sham training. In Stratum B cases, a significantly higher level of improvement was noted with the 4-week training in comparison to the sham training. A significant increase in NEADL index and 6MWT score was observed during the 24-week follow-up period. For individuals with moderately weak inspiratory muscle strength, a 4-week exercise program proves sufficient in enhancing inspiratory muscle strength, walking capacity, and daily life activities. However, individuals with severely weak inspiratory muscle strength benefit more from an 8-week treatment.

A systematic study of interactions between sustainable development goals (SDGs) in Hainan Island

The 2030 Agenda for Sustainable Development issued by the United Nations is an important foundation for countries to achieve common economic, social and environmental development. Important progress has been made in the evaluation of the Sustainable Development Goals (SDGs) in Hainan Island; nevertheless, there is still a lack of understanding around the trade-offs and synergies between the SDGs. Studying the trade-offs and synergies between Hainan Island’s sustainable development goals is of great significance for the coordinated development of these goals and the promotion of the construction of free trade ports. Therefore, based on the United Nations Sustainable Development Assessment System and the existing SDG indicator system on Hainan Island, this paper identifies and quantifies the trade-offs and synergies within and between SDGs and targets on the county scale. Based on the different impacts of different spatial, dimensional and geographical directions, the results show the following: (1) Hainan Province made good progress on multiple SDGs between 2010 and 2021. (2) The most significant synergies between SDGs exist between SDG1 (No Poverty) and SDG10 (Reduce Inequalities), while the most significant trade-offs exist between SDG2 (Zero Hunger) and SDG4 (Quality Education). (3) Obvious spatial characteristics in trade-offs and synergies exist, with the highest level of synergy being in the Haikou and Sanya Economic Circles and their surrounding areas, and in the central region of Hainan Island which has a higher level of trade-offs. (4) The synergistic effect between the SDG targets and indicators in Hainan is much greater than the trade-off effect: the four aspects of people’s livelihood improvement, economic development, resource utilization and environmental quality all show synergistic effects in different regions.

Associations between sociodemographic and clinical characteristics and adherence to self-management behaviours among community-dwelling older adults with mild cognitive impairment.

Self-management is vital for individuals with mild cognitive impairment (MCI) to enhance cognitive health and mitigate the risk of dementia. However, maintaining consistent engagement in self-management strategies can be challenging for older adults with MCI. This study aimed to explore the associations between sociodemographic and clinical characteristics and adherence to self-management behaviours among community-dwelling older adults with MCI. A cross-sectional study involving 467 community-dwelling older adults with MCI was conducted from July to November 2022 across Nanjing, Xuzhou, and Lianyungang in Jiangsu Province, China. Data on sociodemographic and clinical characteristics, as well as self-management behaviours for MCI, were collected. Multiple linear and binary logistic regressions were employed to identify factors influencing self-management behaviours. Among the four recommended self-management behaviours for MCI, participants adopted an average of 1.37 ± 1.202 behaviours. Physical exercise (n = 239; 51.2%) was the most prevalent behaviour, followed by modifiable risk factors management (n = 156; 33.4%), cognitive training (n = 144; 30.8%), and cognitive function monitoring (n = 103; 22.1%). Higher education level (B = 0.286, P < 0.001), urban employee medical insurance (B = 0.621, P < 0.001), and non-smoking status (B = 0.389, P = 0.002) positively correlated with aggregate MCI self-management behaviours, while older age (B = -0.295, P < 0.001) had a negative association. Marital status, monthly income, employment status, gender, residence, and family history of cognitive disorders were also found to be associated with specific self-management behaviours for MCI. Enhancing adherence to self-management among community-dwelling older adults with MCI is critical. Sociodemographic and clinical factors should be considered to pinpoint at-risk populations and accordingly tailor support strategies.

Enhancing Li+ Transportation at Graphite‐Low Concentration Electrolyte Interface Via Interphase Modulation of LiNO3 and Vinylene Carbonate

ABSTRACTThe solvent‐rich solvent sheath in low‐concentration electrolytes (LCEs) not only results in high desolvation energy of Li+, but also forms organic‐rich solid electrolyte interface film (SEI) with poor Li+ conductivity, which hinders Li+ transport at the electrode‐electrolyte interface and greatly limits the application of LCEs. Here, the electrochemical performance of the LCEs is enhanced by dual interfacial modification with LiNO3 and vinylene carbonate (VC) additives. Results show that LiNO3 is preferentially reduced at about 1.65 V to form an inorganic‐rich but incomplete SEI inner layer. The formation of Li3N and LiNxOy inorganic components helps to achieve rapid Li+ transport in the SEI film, and the bare electrode surface caused by the incomplete SEI inner layer provides a place for the subsequent decomposition of VC. Then, at a lower potential of about 0.73 V, VC is reduced to generate the poly(VC)‐rich SEI outer layer, which provides lithium‐philic sites and greatly weakens the interaction between Li+ and ethylene carbonate (EC). The interaction modulates the Li+ solvation structure at the interface and reduces the desolvation energy of Li+. This ingenious design of the bilayer SEI film greatly enhances Li+ transport and inhibits the decomposition of traditional carbonate solvents and the swelling of graphite. As a result, the electrochemical performance of the battery using 0.5 M LiPF6 EC/diethyl carbonate (DEC) + 0.012 M LiNO3 + 0.5 vt% VC is improved to a higher level than the one using 1.0 M LiPF6 EC/DEC electrolyte. This research expands the design strategy and promising applications of LCEs by constructing a favorable SEI to enhance Li+ transport at the electrode‐electrolyte interface.

Pengaruh Thin Capitalization, Sales Growth, dan Transfer Pricing Terhadap Tax Avoidance

The research objective is to examine the influence of Thin Capitalization, Sales Growth, and Transfer Pricing on tax avoidance in property and real estate sector companies in 2019-2022. This research applies a quantitative research approach that utilizes secondary data obtained from financial reports and ongoing business reports. The research sample consisted of 89, the sample was selected using a purposive sampling technique, data was collected from 17 sample companies during the 4 year research period. Data analysis uses multiple regression analysis techniques to analyze the relationship between thin capitalization, sales growth, transfer pricing and tax avoidance. The research findings show that these factors have a considerable negative impact on tax avoidance. Therefore, if corporations apply a higher level of responsibility for thin capitalization, sales growth and transfer pricing in tax avoidance practices, this will effectively prevent potential tax avoidance from occurring.

Psychometric Properties of the Anxiety Measure: Stress and Anxiety to Viral Epidemics-6 (SAVE-6) for Spanish Medical Students

Backgroud and Objective: The aim of this study was to evaluate the psychometric properties of SAVE-6 in the medical student population and assess its gender invariance. Subjects and Methods: The sample consisted of 320 medical students aged 18–23 years (153 men and 167 women) who completed an anonymous online questionnaire. Data collection took place in June 2024. To assess the scale structure, a descriptive analysis of the items was carried out, followed by a confirmatory factor analysis (CFA). To analyze whether there were differences in the invariance of the measure by gender, a multigroup CFA was performed. Results: SAVE-6 showed high internal consistency, α = 0.89 and ω = 0.92, a minimum score of 12, a maximum score of 22, an unifactorial structure, and adequate convergent validity. Specifically, the following were found: the positive and significant relationship with HADS was 0.98 for the full scale, 0.76 for depression, and 0.91 for anxiety, and there was a negative and significant convergent validity with resilience (−0.82) and resilience to suicide attempts (−0.88). Regarding the gender invariance, relevant data is that the factor loadings between each item and the SAVE-6 factor were not the same, so women present a higher level of anxiety than men (Δχ 2 (6) = 42.53). Discussion: The results showed good internal reliability of SAVE-6 and good suitability. Data also revealed that they were not equal in relation to gender. Specifically, the scalar invariance revealed significant differences by items between men and women in anxiety. Conclusions: This scale can be applied to medical students as a reliable and valid instrument to assess the anxiety response to disease contagion in future health professionals.

The effect of the menstrual cycle phases on back squat performance, jumping ability and psychological state in women according to their level of performance -a randomized three-arm crossover study

ObjectiveThe influence of the menstrual cycle on practical power performance such as barbell back squats and jumping performance in women has not yet been fully investigated. In addition, the performance level of athletes has not been considered in previous studies. This study aimed to investigate the influence of different cycle phases on acute back squat performance, jumping ability and psychological state concerning the performance level.Methods24 female strength athletes (age: 25.2 ± 3.3 years; height: 169.5 ± 3.4 cm; body weight: 67.7 ± 7.3 kg) were recruited for the study. Level of performance was classified according to Santos et al. (intermittent (n = 13), advanced (n = 6), highly advanced (n = 5)). Participants were tested for 1RM barbell back squat and jumping performance (countermovement and squat jump) as well as two questionnaires assessing their psychological states in the menses (M), late follicular phase (FP) and mid-luteal phase (LP) in three MC. Saliva estradiol and progesterone concentrations with a menstrual cycle diary were used to confirm a normal MC. A principal components analysis for power performance, well-being, relaxation and alertness was carried out and a linear mixed model was used for statistical evaluation.ResultsNo significant differences were found between the MC phases in performance scores (p > 0.05), readiness (p > 0.05) and alertness (p > 0.05). However, a high correlation between MC phases, performance level and back squat performance was detected. Correlation analyses indicate that a higher performance level results in a higher variation depending on the MC of the squat performance. For well-being, a significantly lower score was detected in M than in FP and LP.ConclusionIn general the performance score of the lower body is not influenced by the MC. If strength performance and jumping ability are considered separately, there are indications that strength capability is influenced at a higher performance level. In addition, individual variance was also observed, so this should also be considered. However, further studies are needed to confirm this assumption due to the small sample sizes of the individual performance levels.Trial registrationGerman registry for clinical studies (DRKS00034816, Date: 08/01/2024).

Investigating the risk factors of cardiomyopathy in pregnant mothers.

Cardiomyopathy during pregnancy significantly impacts maternal health, contributing to high morbidity and mortality. Identifying risk factors for this condition is crucial for enhancing prenatal care and preventing adverse outcomes. This population-based case-control study investigates the risk factors associated with cardiomyopathy in pregnant women. We analyzed data from 5133 pregnant women (1686 cases with cardiomyopathy and 3447 controls without cardiomyopathy) who received care at healthcare facilities affiliated with Mashhad University of Medical Sciences between March 1, 2017, and June 20, 2024. Risk factors were assessed through logistic regression models, which calculated adjusted odds ratios (AORs) with 95 % confidence intervals (CIs) for various demographic, medical, and pregnancy-related variables. Significant risk factors for cardiomyopathy in pregnancy included obesity (AOR = 2.11, 95 % CI: 1.43-2.02), higher education level (AOR = 1.84, 95 % CI: 1.25-1.86), mental health issues (AOR = 2.07, 95 % CI: 1.7-2.5), domestic violence (AOR = 2.02, 95 % CI: 1.08-3.6), twin pregnancy (AOR = 2.6, 95 % CI: 1.57-4.6), and preeclampsia (AOR = 6.9, 95 % CI: 2.78-17.4). Additional risk factors included lack of physical fitness (AOR = 1.5, 95 % CI: 1.13-2.007), history of infectious disease during pregnancy (AOR = 1.4, 95 % CI: 1.11-1.76), anemia (AOR = 1.57, 95 % CI: 1.15-2.09), and hypertension (AOR = 1.55, 95 % CI: 1.18-2.02). Smoking increased risk but was not statistically significant (AOR = 1.29, 95 % CI: 0.69-2.4). Addressing modifiable and non-modifiable risk factors in prenatal care is crucial to reducing cardiomyopathy incidence and improving maternal cardiovascular health.