Positive Mean Research Articles

Psychological safety and perceived organizational support in emergency medicine residencies.

The clinical learning environment (CLE) is a key focus of the Accreditation Council of Graduate Medical Education. It impacts knowledge acquisition and professional development. A previous single-center study evaluated the psychological safety and perceived organizational support of the CLE across different specialties. Building on this work, we explored and evaluated psychological safety and perceived organizational support across multiple heterogeneous emergency medicine (EM) residencies to identify trends and factors affecting perceptions of the CLE. Using the Psychological Safety Scale (PSS) and Survey of Perceived Organizational Support (SPOS), residents from seven U.S. EM residencies were surveyed using REDCap software from September through November 2021, with 300 potential respondents. As an adjunct to these surveys, three open-ended questions were included regarding features of their learning environments. A total of 137 out of 300 residents completed the survey. The overall response rate was 45.7%. There was a variable response rate across programs (26.0%-96.7%). Pooled results demonstrate an overall positive perception of CLEs, based on positive mean responses (i.e., "Members of my department are able to bring up problems and tough issue" had a mean of 4.2 on a 5-point Likert scale). Open responses identified teaching, collegiality, and support from program leadership as supportive features of the CLE. Confrontational interdisciplinary communication, a sense of being devalued, and off-service rotations were identified as threats or areas for improvement to the CLE. PSS and SPOS scores were generally positive in this multi-institution study, consistent with the prior single-institution study indicating that EM is often considered psychologically safe and supportive. EM training programs can consider using the PSS/SPOS to audit their own programs to identify areas for improvement and foster supportive features already in place.

Forms of Peer Victimization and School Adjustment Among Japanese Adolescents: A Multilevel Analysis.

The psychosocial correlates and consequences of peer victimization are well documented. However, there is limited knowledge about whether different forms of peer victimization (relational and physical) are predictive of school-based social and motivational factors among adolescents from non-Western cultures. The present study examined the relationship between individual and school-level forms of peer victimization and school adjustment among Japanese adolescents, and the mediating role that these factors may play. The Japanese sample (N = 6109 from 185 schools, Mage = 15.78, SD = 0.29, 51% girls and 49% boys) was drawn from a large international dataset, the Organization for Economic Cooperation and Development (OECD) Programme for International Student Assessment (PISA) 2018. Results showed that school-level relational victimization was associated with individual-level relational victimization, and school-level physical victimization was associated with individual-level physical victimization, after controlling for age, gender, and socioeconomic status. Individual-level relational victimization was also uniquely associated with indices of school adjustment (negative affect, positive affect, and fear of failure) over and above physical victimization. While controlling for relational victimization, individual-level physical victimization was associated with indices of school adjustment (positive affect and meaning in life). In further findings, school-level relational and physical victimization were indirectly, but not directly, related to some of students' school adjustment through individual-level relational and physical victimization. These parallel and differential associations suggest the importance of considering the role of relational and physical victimization in school adjustment among Japanese adolescents.

The image of dog in Kazakh traditions and folk beliefs

The dog, one of the first domesticated animals, played an important role in all epochs of history and found its place in every culture. Among the Kazakhs, the dog was considered one of the seven treasures, such as a faithful friend of man, a keeper of the house, a guard of four types of domestic animals, a shepherd and a hunter. In addition, the dog has become a part of social and cultural life and takes an important place in the traditions, beliefs, art and vocabulary of the Kazakh people. This study aims to define the origins of positive and negative attitudes towards dogs in Kazakh society and to identify their basic expressions in traditions and folk beliefs. In this article Kazakh traditions and folk beliefs are carefully considered, as well as a number of crafts in which superstitions and customs are associated with the concept of a dog.The results of this study show that in Kazakh culture a dog is not only a pet, but also a cultural symbol and mythological figure. Therefore, dogs have both positive and negative meanings in the collective consciousness of Kazakh society, as well as practical, ritual and mythological significance.

When to switch from pasture to compost barn? An economic analy-sis of four scenarios in Minas Gerais, Brazil

In Brazil, producers are migrating from pasture production systems to compost barns in search of greater profitability. These decisions are taken without an analysis of the cost, economic feasibility, and risks involved in this change. Our study investigates the economic feasibility and risk of implementing the compost barn system and compares it to pasture production in the state of Minas Gerais’ southern region. Four scenarios were developed using data from literature and a panel of experts. They inform the production margin, the evaluated production system, investment data, revenue data and cost data. The scenarios were evaluated using a Monte Carlo simulation model. All scenarios had negative minimum values for NPV and IRR, indicating the probability of not being economically viable and demonstrating the risks involved in the dairy activity. However, scenarios 2 (Pasture, from 501 to 1,000 liters/day) and 4 (Compost Barn, from 1,000 to 2,000 liters/day) had positive means for NPV, with the highest probability of occurring values greater than zero. The analysis of the IRR result reinforces the better performance presented by scenarios 2 and 4, with greater probabilities of positive return and, consequently, lower risk. Scenarios 1 (Pasture, up to 500 liters/day) and 3 (Compost Barn, from 501 to 1,000 liters/day) can be discarded by the producer as an investment alternative.

The Development of Curriculum Based on Happiness Theory to Improve the Hope of College Students

The research objectives were 1) to study the factors affecting the development of hope of collage freshman students in Guangxi International Business Vocational College. 2) to develop curriculum based on the happiness theory. 3) to compare the hopes of college freshman students before and after learning by curriculum based on the happiness theory. With a carefully selected sample of 35 students from the first-year Thai class at Guangxi International Business Vocational College, researchers conducted a thorough analysis of various factors affecting students' hope. A range of research tools was utilized, including 1) a questionnaire about the factors affecting the development of hope level. 2) interview form about influencing factors of hope level. 3) lesson plans. 4) the Hope Scale. 5) observation form about student behavior. (6) interview form about opinions on teaching. This study was conducted in 3 steps: 1) study the factors affecting the development of hope. 2) develop curriculum based on the happiness theory. 3)experiment and improvement of curriculum model. The results of the study shown that: 1) factors that affect the development of college students' hopes include personal factors and environmental factors. Personal factors are related to goals thinking, pathways thinking and agency thinking, and environmental factors include family, school, and society.2) The curriculum based on happiness theory includes 6 elements: principle, goal, contents, and time, learning process, learning resource, and Evaluation. The learning process in the curriculum includes 4 processes: positive emotion, engagement, relationship, meaning, accomplishment, and present. 3) students' hope is improved after the implementation of the curriculum based on happiness theory. This change was statistically significant, especially at the level of 0.1.

Competent or Sad Blue? Lively or Aggressive Red? Why, How, and When Background Color Shapes the Meanings of Logo Hues

Abstract Why, how, and when can logos with a blue positive space communicate competence versus sadness? Why, how, and when might logos with a red positive space evoke impressions of liveliness versus aggressiveness? As the current research establishes, a black background strengthens the negative meanings associated with the hue of a logo’s positive space and weakens its positive meanings. Conversely, a white background strengthens its positive meanings and weakens its negative meanings. These automatic effects occur because the hue of the positive space interacts with the color of the negative space to determine whether logos communicate positive or negative brand impressions more vividly. These effects are broadly applicable to both well-known and unknown brands, yet they are attenuated for meaningful logos and filled-frame logos. With these novel findings, this article identifies specific factors that can alter the meanings of logo hues, provides a theoretical lens for understanding the interplay of the background color and the hue of the positive space, and offers guidelines for crafting effective logos. This article also reveals which brands can benefit most from conveying negative impressions through their logos: logos with a black (white) background enhance evaluations of brands that possess negatively (positively) valenced personality traits.

BRIEF SUMMARY OF GLOBALIZATION AND ITS IMPACT ON SOCIAL POLICY.

Since the 1990s, the word globalization has established itself in the colloquial dictionary and has gradually become dominant in political, economic and academic discourses. Globalization has taken the world to a new level and in the modern era it has acquired an increasingly large-scale character. The transition from industrial societies to post-industrial tracks gave a push for world development and accelerated the process of globalization and gave a ne w orientation to the world economy. The presented work describes a number of issues related to the positive and negative meaning of globalization and its effects on economic and social policy. There are reviewed the importance of international organizations in the development of social policy and, in general, actual issues and approaches of global social policy. Globalization has been blamed for such processes as unequal distribution of income among countries, reducing the role of the state in regulating the economy, pressure on states to pursue to adopt market-friendly policies that prompte trade investment, as a result, social tension is increasing, the role of the state in the social sphere is weakening, the influence of Western values is strengthening, and national traditions are being neglected. The economic and financial crisis of one powerful country has a negative impact on other countries of the world. Despite the negative aspects, the benefit of globalization to the social welfare of mankind is great. Globalization is considered to be the basis of many successes for states, reducing poverty, increasing economic prosperity, developing better services and increasing awareness of human rights. Even those who are skeptical of the benefits brought by globalization must be convinced that there is no alternative, so avoiding it means isolating the country. In fact, the world is gaining new standards. Keywords: relevance of globalization, advantages and disadvantages of globalization, future of globalization, convergence, decommodification, stratification, elements of globalization, types of welfare state.

Shaping ideologies at the micro level: Stylization in EMI

Purpose: Research on bi/multilingual oral interactions in English-medium instruction (EMI) is often concerned with how languages the teacher and/or students speak can be used for pedagogical scaffolding processes. In contrast, this paper aims to investigate how stylization of languages, including those that teacher and students only speak minimally, can likewise be harnessed for important pedagogical and interpersonal purposes. Methodology: I conduct an interactional sociolinguistic analysis of transcripts from an EMI teaching simulation in a Master’s in Education course at a university in Hong Kong. Data and analysis: As a cross-border teacher from Cantonese-speaking Guangdong and a local teacher of Indian heritage engaged in these language stylization processes, they show that teachers can effectively use bi/multilingual stylization in EMI with attention to student uptake and response. Findings/Conclusions: While pedagogical scaffolding is important in EMI, these processes can put more and less societally dominant languages in a diglossic, unequal relationship. In contrast, stylization can reconfigure classroom language norms and hierarchies, attach positive meanings to unratified codes, and allow teachers to share linguistic authority with students. Originality: Little research to date has studied stylization as a pedagogical resource in EMI, focusing instead on the use of languages teachers/students already know for scaffolding. Significance/Implications: Teacher professional development should address the topic of how to use language stylization in EMI, especially since these interactional strategies do not require teachers to dramatically reconfigure curriculum or instruction, yet have pedagogical and interpersonal benefits. Limitations: Future research should aim to study stylization in EMI in an authentic classroom setting.

Exploring yarigai: The meaning of working as a physician in teaching medical professionalism

Introduction The shift in medical professionalism now considers the well-being of physicians, given the prevalence of burnout and the importance of work-life balance. To reconsider the question ‘Why do doctors work for the patient?’ and explore the meaning of working as a physician, this study adopts the concept of ‘yarigai,’ which represents fulfillment and motivation in meaningful work. The authors’ research questions are: How do doctors recount experiences of yarigai in caring for patients? What kind of values are embodied in their stories about yarigai? Method They adopted narrative inquiry as the methodology for this study. They interviewed 15 doctors who were recognized by their colleagues for their commitment to patient-centered care or had demonstrated yarigai in caring for patients. The semi-structured interviews were conducted face-to-face with each participant by the Japanese researchers, yielding 51 cases of patient-doctor interactions. After grouping the interview data, they translated the cases into English and identified four representative cases to present based on the set criteria. Results From the 51 case studies, they constructed four representative narratives about the yarigai as a physician. Each of them spoke of (1) finding positive meaning in difficult situations, (2) receiving gifts embodying ikigai, (3) witnessing strength in a seemingly powerless human being, and (4) cultivating relationships that transcend temporal boundaries, as being rewarding in working as a physician. The main results of the study, which are the narratives, are described in the main body of the paper. Conclusion The stories on yarigai gave intrinsic meanings to their occupational lives, which can be informative for students, residents, and young physicians when contemplating the meaning of their work as doctors. Rather than demanding selfless dedication from physicians towards patients, they believe it more important to foster yarigai, derived from the contribution to the well-being of others through patient care.

Evidence of brain metabolism redistribution from neocortex to primitive brain structures in early acute COVID-19 respiratory syndrome

BackgroundNeuropsychiatric sequelae of COVID-19 have been widely documented in patients with severe neurological symptoms during the chronic or subacute phase of the disease. However, it remains unclear whether subclinical changes in brain metabolism can occur early in the acute phase of the disease. The aim of this study was to identify and quantify changes in brain metabolism in patients hospitalized for acute respiratory syndrome due to COVID-19 with no or mild neurological symptoms.ResultsTwenty-three non-intubated patients (13 women; mean age 55.5 ± 12.1 years) hospitalized with positive nasopharyngeal swab test (RT-PCR) for COVID-19, requiring supplemental oxygen and no or mild neurological symptoms were studied. Serum C-reactive protein measured at admission ranged from 6.43 to 189.0 mg/L (mean: 96.9 ± 54.2 mg/L). The mean supplemental oxygen demand was 2.9 ± 1.4 L/min. [18F]FDG PET/CT images were acquired with a median of 12 (4–20) days of symptoms. After visual interpretation of the images, semiquantitative analysis of [18F]FDG uptake in multiple brain regions was evaluated using dedicated software and the standard deviation (SD) of brain uptake in each region was automatically calculated in comparison with reference values of a normal database. Evolutionarily ancient structures showed positive SD mean values of [18F]FDG uptake. Lenticular nuclei were bilaterally hypermetabolic (> 2 SD) in 21/23 (91.3%) patients, and thalamus in 16/23 (69.6%), bilaterally in 11/23 (47.8%). About half of patients showed hypermetabolism in brainstems, 40% in hippocampi, and 30% in cerebellums. In contrast, neocortical regions (frontal, parietal, temporal and occipital lobes) presented negative SD mean values of [18F]FDG uptake and hypometabolism (< 2 SD) was observed in up to a third of patients. Associations were found between hypoxia, inflammation, coagulation markers, and [18F]FDG uptake in various brain structures.ConclusionsBrain metabolism is clearly affected during the acute phase of COVID-19 respiratory syndrome in neurologically asymptomatic or oligosymptomatic patients. The most frequent finding is marked hypermetabolism in evolutionary ancient structures such as lenticular nucleus and thalami. Neocortical metabolism was reduced in up to one third of patients, suggesting a redistribution of brain metabolism from the neocortex to evolutionary ancient brain structures in these patients.

Asymmetric Effects of Economic Policy Uncertainty on Food Security in Nigeria

This study investigates the asymmetric effects of economic policy uncertainty (EPU) on food security in Nigeria, utilizing annual time series data from 1970 to 2021. The study used descriptive statistics, unit root tests, the nonlinear autoregressive distributed lag (NARDL) model and its associated Bounds tests to analyze the data. The analysis reveals that adult population, environmental degradation, exchange rate uncertainty (EXRU), financial deepening, food security (FS), government expenditure in agriculture uncertainty (GEAU), inflation, and interest rate uncertainty (INRU) exhibit positive mean values over the period, with varying degrees of volatility. Cointegration tests indicate a long-term relationship between EPU variables (GEAU, INRU, and EXRU) and food security. The study finds that cumulative positive and negative EPU variables have significant effects on food security in the short run. Specifically, negative GEAU, positive INRU, positive and negative EXRU have significant effects in the short run. In the long run, negative GEAU, positive and negative EXRU have significant effects on food security. Additionally, the research highlights asymmetric effects, showing that the influence of GEAU and EXRU on food security differs in the short- and long-run. The study underscores the importance of increased government expenditure on agriculture, control of exchange rate and interest rate uncertainty, and the reduction in economic policy uncertainty to mitigate risks in the agricultural sector and enhance food security. Recommendations include strategies to stabilize exchange rates to safeguard food supply and overall food security.

Analisis makna konotatif dalam lirik lagu “Dreamers” fifa world cup 2022

This research aims to describe the connotative meaning of the Dreamers song lyrics at the 2022 FIFA World Cup opening ceremony. This study uses descriptive qualitative research methods. The object of this research is the video clip of the Dreamers song on the FIFA YouTube channel with Dreamers song lyrics as the data. The Dreamers song was chosen because it is specifically created to welcome the 2022 World Cup, held every four years. Data was collected using the watch, listen, and note techniques. To interpret the data, researchers used the Miles and Huberman data analysis technique, which consists of the data condensation, data presentation, and conclusion. This research shows that the Dreamers song lyrics have a positive connotative meaning. The positive connotation meanings in the Dreamers song lyrics were found in 12 words consisting of the phrase dreamers, believe, keep, invited, come, gather 'round, respect, نتجمع, نتكاتف و نرفع ,نتعاون ونحققو نتحد و نتجاوز. Keywords: Connotative, dreamers, positive

Masks wearing off: Changing effects of face masks on trustworthiness over time.

During the global COVID-19 pandemic, the wearing of face masks became a common practice, raising questions about how masks affect perceptions of and behaviour towards others. Numerous studies have explored the impact of face masks on perceptions of trustworthiness, but results have been mixed and it remains unclear whether masks influence perceptions via their social meaning or their effects on facial appearance. In this study, Australian participants (N = 363) rated a series of faces which were either masked, unmasked, or occluded by a non-mask object (computer) in terms of perceived trustworthiness in 2020, 2022, or 2023. The apparent trustworthiness of unmasked faces remained stable across years, but masked faces were rated significantly more trustworthy in 2020 compared to 2022 and 2023. Furthermore, ratings of masked faces, but not unmasked faces, were correlated with participants' attitudes towards wearing masks. Faces occluded by a non-mask object were perceived to be less trustworthy than masked faces. Together, results strongly suggest the increase in perceived trustworthiness of masked faces reported in numerous studies conducted during COVID-19 were driven by positive social meanings around mask wearing rather than by their effect on facial appearance.

Flame self-interactions in MILD combustion of homogeneous and inhomogeneous mixtures

Flame self-interaction (FSI) events in Moderate or Intense Low-Oxygen Dilution (MILD) combustion of homogeneous and inhomogeneous mixtures of methane and oxidiser have been analysed using three-dimensional Direct Numerical Simulations (DNS). The simulations have been conducted at the same global equivalence ratio (⟨ϕ⟩=0.8\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\langle \\phi \\rangle = 0.8$$\\end{document}) for different levels of O2\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\mathrm {O_2}$$\\end{document} concentration (dilution) and initial turbulence intensities. It has been reported that both homogeneous and inhomogeneous mixture MILD combustion cases exhibit significant occurrences of FSI events, with the peak frequency of FSI events occurring towards the burned gas side in all cases. Moreover, the frequency of FSI events increases with increasing dilution level and turbulence intensity, but the presence of mixture inhomogeneity leads to a reduction in total FSI events. In all cases, the cylindrical FSI topologies (i.e. tunnel formation and tunnel closure) were found to have a higher likelihood of occurrence compared to spherical FSI topologies (i.e. unburned and burned gas pockets). The geometries of FSI topologies were also analysed using the mean and Gaussian curvatures. It has been shown that the inward propagating spherical FSI topologies (i.e. unburned gas pockets) are associated with negative mean curvature, while outward propagating spherical FSI topologies (i.e. burned gas pockets) are associated with positive mean curvature. Moreover, tunnel formation (tunnel closure) FSI topologies predominantly exhibit either elliptic geometries with positive (negative) mean curvature or hyperbolic saddle geometries with negative (positive) mean curvature. It has been shown for the first time in MILD combustion that the mean values of kinematic restoration and dissipation terms in the transport equation of the magnitude of the reaction progress variable conditional upon the reaction progress variable tend to cancel each other in the vicinity of the critical points associated with cylindrical topologies. Thus, the singular contributions in these terms, which are obtained from analytical descriptions in the vicinity of tunnel formation and tunnel closure topologies, do not affect the balance equation of the magnitude of the gradient of the reaction progress variable. Consequently, there is no need for a separate model treatment for singularities in modelling approaches based on the magnitude of the gradient of the reaction progress variable. The FSI events in the reaction dominated and propagating flame regions of MILD combustion have also been analysed for the first time. It has been found that more FSI events occur in the reaction dominated region, particularly towards the burned gas side. However, the majority of spherical FSI topologies are found in the propagating flame region. The findings from this study indicate that turbulence intensity, dilution level and mixture inhomogeneity effects need to be considered in any attempt to extend flame surface-based modelling approaches to MILD combustion.

Work-Related Flow in Contrast to Either Happiness or PERMA Factors for Human Resources Management Development of Career Sustainability

In promoting career sustainability, psychological theories historically have informed human resource management (HRM) development—three assessment directions are among them: work-related flow, happiness promotion, and appraising PERMA (Positive Emotions, Engagement, Relationships, Meaning, and Accomplishment) factors. Csikszentmihalyi’s work-related flow represents an optimally challenging work-related process. Happiness promotion strives to maintain a pleased satisfaction with the current experience. PERMA represents measurable positive psychological factors constituting well-being. Reliable and validated, the experience of flow has been found to determine career sustainability in contrast to the more often investigated happiness ascertainment or identifying PERMA factors. Career sustainability research to inform HRM development is in its infancy. Therefore, publishers’ commitment to sustainability provides integrity. Given MDPI’s uniquely founding sustainability concern, its journal articles were searched with the keywords “flow, Csikszentmihalyi, work”, excluding those pertaining to education, health, leisure, marketing, non-workers, and spirituality, to determine the utilization of work-related flow to achieve career sustainability. Of the 628 returns, 28 reports were included for potential assessment. Current studies on Csikszentmihalyi’s work-related flow ultimately represented three results. These provide insight into successful, positive methods to develop career sustainability. Consequently, HRM is advised to investigate practices for assessing and encouraging employees’ engagement with work-related flow with the aim of ensuring career sustainability.

Coaching Program to Address Burnout, Well-being, and Professional Development in Pediatric Surgery Trainees: A Randomized Controlled Trial.

To assess impact of participation in a positive psychology coaching program on trainee burnout and well-being. Coaching using principles of positive psychology can improve well-being and reduce physician burnout. We hypothesized that participation in a coaching program would improve pediatric surgery trainee well-being. With IRB approval, a coaching program was implemented during the COVID-19 pandemic (September 2020 to July 2021) in the American Pediatric Surgical Association. Volunteer pediatric surgery trainees (n=43) were randomized to receive either one-on-one quarterly virtual coaching (n=22) from a pediatric surgeon trained in coaching skills or wellness reading materials (n=21). Participants completed prestudy and poststudy surveys containing validated measures, including positive emotion, engagement, relationships, meaning, accomplishment, professional fulfillment, burnout, self-valuation, gratitude, coping skills, and workplace experiences. Results were analyzed using the Wilcoxon rank sum test, Kruskal-Wallis test, or χ 2 test. Forty trainees (93%) completed both the baseline and year-end surveys and were included in the analysis. Twenty-five (64%) were female, mean age 35.7 (SD 2.3), and 65% were first-year fellows. Coached trainees showed an improved change in positive emotion, engagement, relationships, meaning, accomplishment ( P =0.034), burnout ( P =0.024), and gratitude ( P =0.03) scores from precoaching to postcoaching compared with noncoached trainees. Coping skills also improved. More coaching sessions were associated with higher self-valuation scores ( P =0.042), and more opportunities to reflect were associated with improved burnout and self-valuation. Despite the stress and challenges of medicine during COVID-19, a virtual positive psychology coaching program provided benefits in well-being and burnout to pediatric surgery trainees. Coaching should be integrated into existing wellness programs to support the acquisition of coping skills that help trainees cope with the stressors they will face during their careers.

Mental health outcomes in patients with moderate to severe psoriasis treated with bimekizumab: Analysis of phase 2/3 randomized trials

Patients with psoriasis have increased risk of suicidal ideation and behavior (SIB) and depression. Bimekizumab, a biologic that inhibits interleukin (IL)-17A and IL-17F, received Food and Drug Administration approval in 2023 for moderate to severe plaque psoriasis, following 2021 European Medicines Agency approval. To report SIB and depression in patients with moderate to severe psoriasis treated in bimekizumab clinical trials. Mental health changes, including neuropsychiatric events, were actively monitored across 9 bimekizumab clinical trials in psoriasis phase 2/3 trials. The patient-reported electronic Columbia-Suicide Severity Rating Scale (measuring SIB) and Patient Health Questionnaire-9 (measuring depression) were administered, monitored by an independent Neuropsychiatric Adjudication Committee. Throughout 7166 patient-years (PY) of bimekizumab exposure, the adjudicated SIB rate was 0.13/100PY; SIB ranges for the general psoriasis population and patients receiving anti-IL-17A/anti-IL-23 therapies are 0.09 to 0.54/100PY and 0.09 to 0.19/100PY, respectively. At week 16, 92.9% vs 81.1% of bimekizumab- vs placebo-treated patients had no/minimal depression. Newonset positive electronic Columbia-Suicide Severity Rating Scale responses and mean Patient Health Questionnaire-9 scores were low for bimekizumab-treated patients. Patient exclusion for significant/severe prespecified SIB/depression history. The long-term adjudicated SIB rate with bimekizumab was low and within ranges reported in the general psoriasis patient population and psoriasis patients treated with anti-IL-17A/anti-IL-23 biologics. Screening/monitoring questionnaires reported low SIB and depression levels.

Persaingan Bisnis: Telaah Konsep Pemikiran Kahrudin Yunus

This research discusses current business competition practices which tend to have a negative connotation, namely unhealthy competition and bringing each other down. The aim of the research is to provide an overview and paradigm regarding the true meaning of the word competition. In this research the researcher used a literature review method or literature review which focuses on collecting past data, especially the opinions of economic experts, in this case Kahrudin Yunus, who he wrote about in his book "Economic Systems According to Islam/Islamism volumes 1 and 2" the concept of business competition healthy". The results of the research found Kahrudin Yunus' views on the meaning of competition, an explanation of the positive benefits of competition, the initial causes of unhealthy competition and solutions to return to the initial concept of healthy competition. The implications of this research are expected to provide enlightenment and a new paradigm for all levels of society regarding the positive meaning of competition. And it is also important for all mankind to remember the purpose of its creation so that it can return to the rules set by the owner of the universe so that the meaning of "Bersamasime" can be realized.

Trends in Anthropometric Measurements of Internationally Adopted Children.

The objective of this study was to describe anthropometric measures from internationally adopted children. Internationally adopted children are at risk for poor growth and development and there is no standardized growth chart evaluation for internationally adopted children due to variations in growth, genetics, and environmental exposures. This is a retrospective chart review of 882 patients seen in an international adoption clinic between 2010 and 2017. Anthropometric measurements were converted to Z scores for weight, height, head circumference, and body mass index. A total of 41 countries and 16 subregions were represented. Central America, northern Africa, southern Africa, and southern Europe were the only subregions that had positive mean Z scores for weight, and southeast Asia had the lowest mean Z score for weight (n = 40, -1.76). No subregion had a positive mean Z score for height, and western Asia had the lowest overall mean Z score for height (n = 2, -2.44). Mean Z score for body mass index was positive in several subregions. Growth is an important predictor of health and development, and this study adds to the literature on growth patterns of internationally adopted children.

The Impact of Meaningful Work on Employee Engagement: The Case of Mongolian Kindergarten Teachers

Numerous studies substantiate the correlation between meaningful work and its far-reaching impact on various aspects of employees' lives. This includes bolstering financial stability, improving physical health, nurturing relationships, and fostering a sense of community. Consequently, these positive outcomes ripple into elevated levels of job satisfaction, increased work engagement, and enhanced job retention. The primary objective of this study is to explore the relationship between meaningful work and employee engagement. The study utilized data from 149 employees across four private kindergartens in Ulaanbaatar city of Mongolia and conducted thorough analyses to evaluate the reliability and correlation of variables, employing covariance-based structural equation modeling (CB-SEM). The analysis revealed that the positive meaning has a significant and positive correlation with all three facets of employee engagement. Notably, positive meaning has moderate positive impacts on cognitive engagement (β = 0.531), emotional engagement (β = 0.549), and behavioral engagement (β = 0.546) among the participants. Additionally, the research findings revealed that meaning-making through work displayed small yet statistically significant positive effects on various aspects of employee engagement among kindergarten employees. Specifically, meaning-making through work weak and positively influenced cognitive engagement (β = 0.479), emotional engagement (β = 0.395), and behavioral engagement (β = 0.408). Furthermore, the research findings revealed that the greater good motivations had the strongest positive relationship with employee engagement among the three facets assessed. Specifically, greater good motivations showed substantially positive effects on cognitive engagement (β = 0.751), emotional engagement (β = 0.859), and behavioral engagement (β = 0.763) among the kindergarten teachers.