Joint Impact Research Articles

CONTRIBUIÇÕES DA FISIOTERAPIA AQUÁTICA: REABILITAÇÃO EM PACIENTES COM LESÃO MEDULAR ESPINHAL TRAUMÁTICA

Aquatic Physical Therapy (APT) has been reported as applicable in various specialties within the physiotherapy field, culminating in rehabilitation procedures, especially after Spinal Cord Injury (SCI), with beneficial results for individuals with this condition. It tends to be more effective in restoring some or all movement, initially with plegia, presenting a decrease and even absence of strength and balance post-trauma in the vertebral column region, leading to spinal cord injury. The aquatic environment provides the patient with a bombardment of sensory-motor stimuli, further activating neuroplasticity in rehabilitation, as well as reducing pain, providing relaxation of all muscles, and increasing blood supply to the muscles. In addition to being a therapy in a safe environment, an important factor is the reduction of joint impact and improvement in venous return, making it possible to recover movements. Objective: To understand the contributions of aquatic physiotherapy in functional rehabilitation in (SCI). Methodology: Based on bibliographic research, using the electronic databases Bireme, PubMed, and Scielo, with articles published from 2000 onwards. Conclusion: Aquatic physiotherapy and its benefits in health recovery, achieved through the physical properties of water, have been studied since the time of Hippocrates, which, combined with physiotherapy treatment protocols, promote better functional rehabilitation for patients with (SCI).

Improve the Sustainability of Supply Chain: the Role of Carbon Abatement and Blockchain Technology

This paper constructs a sustainable supply chain consisting of a manufacturer and a retail platform. This paper explores the manufacturer’s decision of whether to develop green technology to reduce carbon emission and the platform’s option of whether to adopt blockchain technology to disclose information. According to the selling format in the supply chain (i.e., reselling or agency selling format), this study divides the research into two scenarios: Scenarios R and A. Through analyses, the paper first finds that two parameters play decisive roles in the manufacturer’s and the platform’s decisions: the consumer’s acceptance of product and the consumer’s environmental sensitivity. As the consumer’s acceptance of product increases, the supply chain members’ mode preferences change from Mode RT (Mode AT) to Mode RB (Mode AB). And the increase of the consumer’s environmental sensitivity leads the supply chain members less likely to take actions (reducing carbon emission or disclosing information). Specifically, this paper discovers that the manufacturer’s and the platform’s mode preferences are always analogous with each other. Next, this paper finds that the two decisive parameters’ (i.e., the consumer’s acceptance of product and the consumer’s environmental sensitivity) joint impact on the platform’s optimal decision is more drastic than on the manufacturer’s. Finally, the selling format in the supply chain interacts with the consumer’s acceptance of product exerting influence on the supply chain members’ optimal decisions.

Predicting Physics Students’ Academic Performance: The Impact of Attitude, Self-Efficacy, and Personality Traits

The study examined the predictive impact of attitude, self-efficacy, and personality traits on the academic performance of high school students in physics. A multistage random sampling technique was used to select 210 research subjects between the ages of 16 and 22 (SD=1.80) from three high schools in the Berekum East Municipality of Ghana. Three standardised questionnaires as primary data sources, namely: Attitude Toward Physics Learning (ATPL), Physics Learning Self-Efficacy (PLSE), and Students’ Personality Trait Inventory (SPTI), and additionally, Students’ Physics Mock Examinations scores as a secondary data source, were used for data collection and analysis through multiple regression. Data collected from respondents were compiled, sorted, edited and coded into the Statistical Package for the Social Sciences (SPSS) version 23. The results revealed a joint impact of 21.100% of the variance in attitude, self-efficacy, and personality traits in predicting the academic performance of students in physics. Furthermore, the multiple regression analysis revealed that student attitudes, self-efficacy, and personality traits significantly impact student academic performance in physics. The analysis further revealed that students’ personality traits best explained students’ academic performance in Physics (β = 0.232, t = 3.423; p < 0.050), followed by self-efficacy (β = 0.192, t = 2.738; p < 0.050), and attitude (β = 0.121, t = 2.011; p < 0.05). Based on the results obtained, the study recommended that physics students in the Berekum East Municipality’s attitudes, self-efficacy, and personality traits should be given greater attention by physics teachers, and other stakeholders because of their positive impact on students’ academic performance in physics.

Pengaruh Beban Kerja, dan Kepribadian Terhadap Kepatuhan Kerja di PT. Pindo Deli Pulp and Paper Mills 1

The purpose of this study was to identify the partial and joint impact of workload and personality on the level of work compliance at PT Pindo Deli Pulp and Paper Mills 1. The analysis method used is multiple linear regression using spss26 calculations. This population is employees of PT Pindo Deli Pulp and Paper Mills 1 with a total of 350 people using the slovin formula with a level of 5%, namely 187 respondents, This sampling applies to test validity, reliability, correlation, and hypotheses with the t test (partial) and F test (simultaneous). The results showed that there was a partial impact of workload on work compliance with a value of 2.086 quite high category,, 2) personality on work compliance with a value of 2.510 kstegori quite high 3). Together, work discipline and work environment also affect the level of work compliance, with a calculated F value of 21.581, which is significant (exceeding the critical value of 3.04). The combined effect of workload and personality on work compliance at PT Pindo Deli Pulp and Paper Mills 1 reached 19.0%.

The Impact of Climate Change and Urbanization on Compound Flood Risks in Coastal Areas: A Comprehensive Review of Methods

Many cities worldwide are increasingly threatened by compound floods resulting from the interaction of multiple flood drivers. Simultaneously, rapid urbanization in coastal areas, which increases the proportion of impervious surfaces, has made the mechanisms and simulation methods of compound flood disasters more complex. This study employs a comprehensive literature review to analyze 64 articles on compound flood risk under climate change from the Web of Science Core Collection from 2014 to 2024. The review identifies methods for quantifying the impact of climate change factors such as sea level rise, storm surges, and extreme rainfall, as well as urbanization factors like land subsidence, impervious surfaces, and drainage systems on compound floods. Four commonly used quantitative methods for studying compound floods are discussed: statistical models, numerical models, machine learning models, and coupled models. Due to the complex structure and high computational demand of three-dimensional joint probability statistical models, along with the increasing number of flood drivers complicating the grid interfaces and frameworks for coupling different numerical models, most current research focuses on the superposition of two disaster-causing factors. The joint impact of three or more climate change-driving factors on compound flood disasters is emerging as a significant future research trend. Furthermore, urbanization factors are often overlooked in compound flood studies and should be considered when establishing models. Future research should focus on exploring coupled numerical models, statistical models, and machine learning models to better simulate, predict, and understand the mechanisms, evolution processes, and disaster ranges of compound floods under climate change.

Community prevention and standardized clinical treatment jointly improve cancer outcome: Real-world evidence from an esophageal cancer patient cohort study

Extensive efforts have been put into reducing the heavy burden of esophageal squamous cell carcinoma (ESCC) in China. However, the joint impact of prevention and treatment on the long-term overall survival (OS) of ESCC patients remains largely unknown. We consecutively recruited 13,255 ESCC patients from two Chinese centers: the Northern center, located in a high-risk area with abundant screening programs; and the Southern center, situated in a non-high-risk area with improved clinical practices. Inter-center comparison, longitudinal intra-center comparison, and a simulation analysis were conducted to investigate the influence of tumor downstaging and high-quality clinical treatment on OS. During a follow-up period of 12.52 years, the Northern center exhibited higher median survival than the Southern center (6.22 vs. 3.15 years; HRadjusted = 0.73, 95% CI: 0.69–0.77). Mediation analysis demonstrated that its OS advantage was largely (77.7%) attributed to earlier TNM stage (stage 0–II: 51.3% vs. 24.6%). In temporal analyses, patient survival in the Southern center gradually improved (median survival during 2015–2018 vs. 2009–2014: 3.58 vs. 2.93 years; HRadjusted = 0.86, 95% CI: 0.79–0.94), coinciding with the progress of treatment-related indices (completeness of TNM staging in discharge diagnosis [from 53.7% to 99.6%], adoption of minimally invasive esophagectomy [from 0.0% to 51.1%] and right thoracic esophagectomy [from 12.4% to 86.4%], etc.). Simulation analysis further demonstrated that integrating both downstaging and high-quality treatment would lead to the best survival. Tumor downstaging and high-quality clinical treatment have a joint impact on ESCC patient survival. Establishing a comprehensive strategy that integrates cancer prevention with optimal clinical treatment is crucial for alleviating the ESCC burden.

Effect of joint angle positioning on shearwave speed and variability with ultrasound shearwave elastography in asymptomatic Achilles and patellar tendons

This study investigated the impact of joint positioning on ultrasound shear wave elastography measurements in the Achilles and patellar tendons. Twenty-eight healthy adults underwent SWE assessment of shear wave speed (SWS) and coefficient of variation in SWS (CV-SWS) at three ankle positions (neutral, 10° plantar flexion, and 20° dorsiflexion) and two knee positions (90° flexion and full extension), at two academic sites. Participant positioning for ankle testing differed between sites (prone vs long-sitting)—while knee testing used consistent positioning. At the ankle, both joint and participant positioning significantly affected SWS. In the prone position, SWS was lower in neutral compared to dorsiflexed position (3.07 ± 1.13 m/s vs. 3.95 ± 1.03 m/s, p = 0.013). In long-sitting, SWS was lower in neutral compared to plantarflexed position (2.85 ± 0.53 m/s vs. 4.86 ± 1.92 m/s, p = 0.016); and SWS was higher in the plantarflexed position when participants were in long-sitting compared to prone (4.86 ± 1.92 m/s vs. 3.25 ± 1.13 m/s, p = 0.016). Participant positioning affected CV-SWS, with higher variability observed in prone compared to long-sitting in plantarflexed (29.3 ± 15.5 % vs 12.4 ± 9.12 %, p = 0.005) and neutral ankle angles (p = 0.03)At the knee, joint position significantly influenced SWS, with higher values in flexed versus extended positions (6.48 ± 3.1 m/s vs. 4.60 ± 2.3 m/s, p = 0.007). Extending the knee reduced CV-SWS compared to flexed position (14.5 ± 11.2 vs 19.2 ± 13.4, p = 0.044). In conclusion, joint position significantly affected SWS measurements in both the Achilles and patellar tendons, while participant positioning influenced measurement variability. Thus, standardizing joint and participant positioning is important to enhance the reliability of SWE assessments of tendon elasticity.

Insurance market development and economic growth in Africa: Contingencies and thresholds of structural transformation

Despite insurance contributions to economic growth, the intervening role of structural transformation on the insurance-growth nexus remains scarce, leaving a gap in the literature. Motivated by the 2030 Sustainable Development Agenda, which envisages higher structural transformation, financial development and economic progress, this study examines the threshold effects and the joint impact of insurance and structural transformation on economic growth in Africa. The study employed the generalised method of moments and dynamic panel threshold estimations on 38 countries covering 2008 to 2020. The following findings emerge: First, insurance and structural transformation promote economic growth. Second, the results indicate that structural transformation enhances the impact of insurance on economic growth. This suggests that structural transformation matters in driving insurance market development, ultimately promoting economic growth. Third, the empirical evidence further reveals nonlinearities in the relationship and presents that a high level of insurance penetration stimulates growth and vice versa. More so, the synergistic effect of insurance and structural transformation on economic growth is more substantial at higher threshold levels. This implies that though insurance spurs economic growth, its impact is more effective through the intervening role of a strong structural transformation. Therefore, this study calls for government intervention and policies to improve structural transformations and form insurance synergies to promote growth.

What I Like! The Joint Impact of Attitude, Perceived Quality, and Experience on Brand Loyalty: Semi-Parametric Additive Mixed Modeling

Abstract Several psychological brand performance indicators that predict a brand’s intermediate market share have been identified. So far, rating studies have exclusively investigated brand effects in terms of linear relationships, and their specific and possibly nonlinear interactions have yet to be examined in comparison. Hence, we investigated the relative importance of three well-established psychological performance indicators, attitude toward the brand, perceived quality, and brand experience, in predicting brand loyalty. A sample of 1,077 participants completed an online survey and rated subsets of 105 international brands from various product and service industries. Relations between attitude, perceived quality, and experience in predicting loyalty toward a brand were analyzed using semi-parametric additive mixed regression models. We replicated that all three predictors significantly impacted brand loyalty and revealed a pronounced nonlinear relationship between attitude and loyalty. The inclusion of nonlinear interactions between predictors improved model fit. In particular, the nonlinear interaction between perceived quality and attitude substantially impacted brand loyalty. In addition, these effects differ by type of industry, specifically fast-moving consumer goods, automotive, fashion, electronics, and finance/insurance. These findings draw attention to nonlinear patterns between specific psychological features of brands. Future research should address nonlinear effects and the specific interactions of other essential predictors of brand equity.

Experimental and Numerical Investigation of Cold Joint Effects on Intermediate Concrete Moment Frame Under Cyclic Loading

This study investigates the seismic behavior of reinforced concrete flexural frames with a focus on the impact of cold joints (CJs). Three one-bay concrete frames, scaled to 2:3 according to ACI 318-19(22), were tested under axial and cyclic loading. The frames included a control frame without CJs, a frame with CJs, and a frame with CJs reinforced with fiber-reinforced polymer (FRP) sheets. Initially, the difference between the frame without CJs and the frame with CJs was examined, revealing a 10% reduction in cumulative energy dissipation, a 24% reduction in ductility, and an 18% reduction in lateral load capacity for the frame with CJs. Additionally, the stiffness in frames with CJs has decreased. Subsequently, the frame with CJs was reinforced with FRP sheets, leading to a 33% increase in cumulative energy dissipation and a 54% increase in lateral load capacity. However, the FRP sheets, while increasing load capacity, introduced brittleness, which reduced ductility. Crack patterns varied, with the frame without CJs showing vertical cracks near connections at 3% drifts, and the frame with CJs exhibiting tension and compression vertical cracks at 1% drifts. After validating the numerical models, two structural designs have been proposed to mitigate the negative effects of CJs in reinforced concrete structures. These designs are intended to improve seismic performance and enhance the structure's resistance to cyclic loads.

Enlisting toddler cooperation through structure and autonomy support: The amplifying role of suboptimal relationship mutuality.

Regular repair of normative mother-toddler conflict is required for relational health; yet, we still need improved delineation of regulation strategies that can promote child cooperation. Contemporary conceptualizations of positive parenting propose that structure and autonomy support each facilitate children's optimal engagement; however, toddler studies rarely address their joint impact and conditional moderation. This observational study examined both dimensions in predicting cooperation among 106 U.S. 30-month-olds and their primarily European-American mothers during a demanding request situation. We also assessed mutuality, an indicator of mother-child relationship quality, from two situations with minimized power differentials to explore whether it moderated associations. Regression analyses confirmed the unique and additive impact of both maternal behavioral dimensions in predicting toddler cooperation and also an interaction effect such that the positive association between maternal autonomy support and toddlers' level of cooperation was accentuated depending on the dyads' mutuality. Results suggest that maternal structure and autonomy support may serve as effective approaches for enlisting or maintaining child cooperation during hierarchical negotiations, and that suboptimal relationship mutuality magnifies toddlers' responses to maternal levels of autonomy support. Findings are likely relevant to parenting programs that advance mother-child relational health during the transition from infancy to early childhood.

Psychological hardiness, social support, and emotional labor among nurses in Iran during the COVID-19 pandemic: A cross-sectional survey study

BackgroundOur study of nurses in Tehran was conducted in June of 2020, when the lockdown from the pandemic had been implemented. Nurses had been faced with how to effectively manage their own emotion responses during patientcare. ObjectivesOur study aims to evaluate how psychological and social resources were jointly related to the use of emotional labor through surface acting and deep acting among nurses at public hospitals. DesignThe study design was a single-wave, cross-sectional self-report questionnaire survey containing validated measures where the nurses reported on their work experiences during the pandemic. SettingsThe participants came from five out of 50 public hospitals within Tehran. ParticipantsOf the 250 nurses chosen by using multi-stage randomly sampling, 224 were retained after listwise deletion of missing data and outliers. MethodThrough a survey questionnaire, participants responded to scale measures of psychological hardiness, social support, and emotional labor to investigate the joint impact of hardiness and social support on emotional labor. Their responses provided information on the (1) validity and reliability of all variables, and (2) the hypothesized structural relations, using SPSS-AMOS 22 software. ResultsChallenge and control were related to social support; coworker sympathy and supervisory support were related to surface acting; coworker sympathy was related to deep acting. Under strong support, high hardiness was most negatively related to surface acting and positively related to deep acting. ConclusionThrough coworker and supervisory support, hardiness became an effective means for nurses to regulate their own emotions during interactions to enhance patientcare.

Assessing the impact of social determinants of health on diabetes severity and management.

Adverse Social Determinants of Health (SDoH) are considered major obstacles to effective management of type-2 diabetes. This study aims to quantify the impact of SDoH factors on diabetes management outcomes. We quantified the joint impact of multiple SDoH by applying a self-control case series method-which accounts for confounding by using individuals as their own control-to electronic health record data from an academic health system in Maryland. We found a consistent increase in HbA1c levels associated with SDoH across alternative study designs. The estimated total contributions of SDoH ranged 0.014-0.065 across the alternative designs. Transportation issues demonstrated particularly significant contributions, with estimates of 0.077-0.144. When assuming SDoH's risk window to be ±45 days, for example, the total contribution was estimated to be 0.065 (95% CI [0.010, 0.120]) increase in HbA1c and the transportation issues' contribution 0.134 (95% CI [0.020, 0.249]). Our result suggests that reducing transportation barriers may be an effective SDoH intervention strategy for diabetes management; however, the clinical impact of such interventions warrants further investigation.

Joint Impact of Advection and Diffusion on the Predator–Prey Coexistence in an Open Flow

Joint Impact of Advection and Diffusion on the Predator–Prey Coexistence in an Open Flow

Gender Stereotyping and Social Norms: Exploring Theoretical Perspectives and Educational Implications

This review is a theoretical paper which examined gender stereotyping and social norms. The review was supported by feminist theory, critical theory and social psychology theory. The review utilizes a comprehensive strategy to investigate the theoretical lenses and consequences of gender stereotyping and social norms. The approach comprised of a few key stages. A survey incorporating gender stereotyping, social norms, feminist theory, critical theory and social psychology to assemble an all encompassing comprehension of the review was done. The review of gender stereotyping and social norms through critical assessment of key idea and viewpoints from feminist theory, critical theory and social psychology. The structure for revealing perplexing social peculiarities is given by the integration of feminist theory, critical theory and social psychology theory. This enlightened the basic component of inequality and injustice by considering the joint impact of gender, power and social setting. The review revealed the pervasive nature of gender stereotyping and social norms, their effect on causing inequality and injustice and the significance of promoting gender equality and social equity. In this way, the significance of interdisciplinary collaborative effort and combined actions in addressing the issue of gender stereotyping and social norms within educational setting and more extensive cultural setting. It emphasized the need for holistic approaches that will consider the broad intersection of power, ideology, and social issue in order to create gender equality and social justice both in the social and educational domain.

DISSECTING THE GENETIC BASIS OF SCHIZOPHRENIA USING FUNCTIONAL GENOMICS AND PLURIPOTENT STEM CELL MODELS

Schizophrenia (SCZ) is a highly heritable mental disorder with thousands of associated genetic variants located mostly in the noncoding space of the genome. Translating these associations into insights into the underlying pathomechanisms has been challenging because the causal variants, their mechanisms of action, their target genes and their joint impact remain largely unknown. In this talk, I will discuss our efforts to address these challenges from three complementary angles. To understand the function of individual genetic variants, I will present our work on massively parallel genetic variant screening and functional annotation in induced pluripotent stem cell (iPSC) derived neuronal cell types. In addition, I will share our recent results on leveraging large cohorts of iPSC derived neurons from deeply phenotyped patients as in vitro models of polygenicity. In this context, we sought to translate the effects of highly heterogenous polygenic risk across individuals into common molecular mechanisms underlying the etiology in SCZ, identifying several molecular, cellular and circuit level endophenotypes as points of convergence. Lastly, I will discuss our newly developed strategies to link these molecular and cellular alterations to patient level intermediate phenotypes such as aberrant EEG patterns and cognitive impairment.

Digital Transformation, Supply Chain Finance, and Enterprise Innovation

This study uses Chinese A-share listed companies in Shanghai and Shenzhen from 2007 to 2022 as samples to explore the joint impact of digital transformation (DT) and supply chain finance (SCF) on corporate innovation. Results reveal that DT can significantly improve enterprise innovation while promoting the improvement of innovation quantity and quality, with research and development investment acting as a mediating factor. This study's analysis of the impact of SCF reveals that SCF can also promote enterprise innovation by improving synergies and serving as a substitute for DT.

Using a multiphysics coupling-oriented flood modelling approach to assess urban flooding under various regulation scenarios combined with rainstorms and tidal effects

Climate change and rapid urbanisation have intensified urban flooding. Flood models constructed using hydrological and hydrodynamic approaches are crucial tools for simulating and regulating urban flooding processes. Urban flooding arises from the interplay of various physical processes in urban water systems, influenced by heterogeneous urban surfaces, underground structures, and intricate river networks influencing surface flow, which must be considered in flood models. For coastal cities with intricate drainage systems, the disasters of combined rainstorms and tidal flooding can be mitigated through river scheduling and real-time control of hydraulic structures. However, a lack of research on the effectiveness of flood regulations limits the application of flood models. This study proposes a flood modelling approach oriented towards the coupling of multiphysics processes, achieving a comprehensive simulation and regulation of the flood process. A surface flood control model was created by coupling hydrological and hydrodynamic processes using the Storm Water Management Model and the orthogonal storage cell model, enabled by data exchange synchronisation technology. Subsequently, the model’s accuracy was validated using observed rainstorm events, identifying drainage system overflows and land surface inundation. Finally, the developed model was applied to analyse the enhancing effect of tides on rainstorm-induced flooding and the impact of various control scenarios. This study offers theoretical direction for large-scale urban flood modelling and model development, offering significant references for revisiting urban planning and formulating flood prevention strategies under the joint impact of rainstorms and tides.

Evaluating the impact of multiple uncertainty shocks on China's airline stocks volatility: A novel joint quantile perspective

This study proposes a new joint quantile impulse response function (jQIRF) and applies that function to investigate the impact of multiple uncertainty shocks on the volatility of China's airline industry. The jQIRF not only allows one to examine the joint impact of multiple factors on the target variable; the impact of these factors on specific quantiles or states of the target variable can also be examined. The empirical results show that, compared to traditional IRF, the proposed jQIRF successfully reveals the positive impact of multiple uncertainties on the volatility of the airline industry and obtains a narrower confidence interval for IRF. The jQIRF also successfully corrects the overestimation bias caused by simple aggregation in generalized IRF. In addition, empirical results at different quantiles show the existence of a “leverage effect” in the impact of uncertainty on airline volatility. This means that, in more volatile market environments, the positive joint impact of uncertainties is stronger. However, research that has focused on individual airline stocks indicates that the airlines appear to be capable of implementing measures to stabilize stock volatility, thereby mitigating the negative impact of uncertainties on the airline industry. Overall, the proposed jQIRF and empirical conclusions in this paper help to more accurately assess the impact of multiple factors on the airline industry from a joint perspective. This ability is beneficial for both policymakers and investors.

Религия и национализм

The article analyzes the similarities and differences of ethnic and religious identities, their mutual influence and cases of joint impact on society. The author explores the role of these identities in the formation of the nation state. He also examines the ethnic and religious factor in heterogeneous societies, which are characterized by the presence of a significant number of diverse cultural groups united under one government. Russia also belongs to such societies. According to the author, in the current conditions in Russia, ethnic and religious identities cannot be used as a factor in nation building. The Russian form of government is more consistent with the imperial type. States of this type see the meaning and justification of their existence in protecting their constituent peoples, maintaining peace and order among them, and ensuring their development. Therefore, policy in the sphere of managing cultural and religious diversity in Russia cannot be built upon the model inherent in nation states, because the very term “nation” and nation building practices are associated with the division of people into “us” and “them”, unification, and suppression of minorities. Nationalism in Russia has always been and remains a risky project, fraught with the disintegration of the country into several dozen ethno-national states with the prospect of a military clash between them. The research conducted by the author shows that nationalism is most often not associated with religion, acting as secular worldview. In turn, religious traditions do not need national consolidation. The experience of the existence of the church in states and cultures of different types indicates that no ethnic culture or identity of a nation has enduring significance from a religious viewpoint.