Successful Transition Research Articles

Transition-related outcomes among a cohort of patients with juvenile idiopathic arthritis

Abstract A major goal in juvenile idiopathic arthritis (JIA) long-term management is to ensure a successful transition to adult age. This study aims to assess transition outcomes in a group of JIA patients during their passage from pediatric to adult healthcare assistance at a single center. This is a cross-sectional study. All patients with JIA undergoing a transition from the Pediatric Rheumatology Service of the IRCCS “Burlo Garofolo” Hospital, Trieste, to the adult Rheumatology Service of “Santa Maria della Misericordia” Hospital, Udine, between 2017 and 2022, were enrolled. Clinical and laboratory data were collected. A semi-structured survey exploring patients’ satisfaction was distributed through email. Numerical variables were compared using Student’s t-test or Mann–Whitney test. Categorical variables were compared with Fisher’s exact test. We recruited 36 patients (26 female, 72.2%): 9 with polyarticular course JIA, 13 oligoarticular, 8 psoriatic arthritis, 3 systemic JIA, and 3 enthesitis-related arthritis. The mean age at transition was 18.6 (Q1–Q3, 18.3–19.1). JADAS-27 score significantly decreased after the transition, with a mean difference of 2.6 (p = 0.014). No patients were lost to follow-up, and in 8 out of 36 (22.2%), a step-up therapy was needed within the first 12 months. Among these, no correlation was found with the JIA subtype, age at onset, type of involved joints, and other variables explored. Finally, the 15 patients who answered the survey (response rate 50%) were satisfied about the transition process. This study described a real-life transition experience from pediatric to adult rheumatology care, showing good transition outcome measures, with no patients lost to follow-up and a reduction of JADAS-27 score after completing the process.

Crystal growth, structural phase transitions and optical gap evolution of FAPb(Br1-xClx)3 hybrid perovskites (FA: formamidinium ion, CH(NH2)2+)

Chemically tuned organic–inorganic hybrid halide perovskites based on bromide and chloride anions CH(NH2)2Pb(Br1−xClx)3 (CH(NH2)2+: formamidinium ion, FA) have been crystallized and investigated by neutron powder diffraction (NPD), single crystal X-ray diffraction (SCXRD), scanning electron microscopy (SEM) and UV–vis spectroscopy. FAPbBr3 and FAPbCl3 experience successive phase transitions upon cooling, lowering the symmetry from cubic to orthorhombic phases; however, these transitions are not observed for the mixed halide phases, probably due to compositional disorder. The band-gap engineering brought about by the chemical doping of FAPb (Br1-xClx)3 perovskites (x = 0.0, 0.33, 0.5, 0.66 and 1.0) can be controllably tuned: the gap progressively increases with the concentration of Cl− ions from 2.17 to 2.91 eV at room temperature, presenting a nonlinear behavior. This study provides an improved understanding of the structural and optical properties of these appealing hybrid perovskites.

Catalyzing organizational evolution: a scholarly examination of performance improvement plans and their enhancement of employee transition experiences in corporate frameworks

The rapid evolution of technological advancements in today’s corporate world is increasing exponentially, primarily due to the acquisition and retention of exceptionally intellectual and innovation-driven talented individuals. Exemplary employee performance is a key factor contributing to successful businesses and performance evaluations play a pivotal role in assessing whether employees meet, exceed job expectations, or underperform and is conducted on a quarterly or annual basis. Some organizations implement performance-based appraisals and other tangible benefits for preserving talent while others utilize strategic performance development techniques such as skill and role-focused training and development programs. Despite rigorous efforts, corporate employees’ underperformances are not uncommon. To overcome this, organizations deploy a Performance Improvement Plan (PIP) as a strategic risk management measure to ensure that employee performance aligns with organizational expectations and contributes positively to the overall efficacy of the enterprise. However, employees under PIP view the process as demoralizing and career failure indicative rather than a targeted action plan to enhance job performance as superior evaluation is the only construct that defines the outcomes of the PIP process. in recent times. The study aims to broaden the scope of understanding PIP and examine the potential to facilitate positive transitions for employees within corporate environments, rather than leading to terminations. The research explores the anticipated outcomes and actual experiences associated with PIP through comprehensive analysis and pinpoints the key factors contributing to successful employee transitions. The preliminary analysis suggests successful employee PIPs are achieved by adapting to tailored managerial support and continuous feedback mechanisms. The researchers’ study utilizes a survey to collect quantitative data from participants who underwent experienced the Performance Improvement Plan (PIP). The research strives to identify best PIP practices that reinforce performance, and improve employee satisfaction and retention, thus fostering genuine organizational transformation.

Mapping of Circular Construction Ecosystems’ Characteristics: Interconnections, Relationships, and Synchronization of Stakeholders at the Micro, Meso, and Macro Scales

The application of circular strategies in the architecture, engineering, construction, and operations (AECO) sector has been extensively researched, demonstrating the significance of technical approaches. However, research also focuses on the organizational challenges that arise within circular networks. Recent studies emphasize the importance of collective action in fostering cooperation across the value chain to achieve circular economy (CE) goals. Nevertheless, a considerable amount of research, including EU policies, tends to concentrate on “end-of-pipe” solutions, while failing to adequately address the socio-ecological challenges inherent in the transition to a CE. This study aims to explore collective activities and work in circular construction ecosystems at the macro, meso, and micro scales, identifying their interconnections. The findings of the literature review indicate that a successful transition to a CE requires a deeper commitment from stakeholders, which is influenced by the structure and relationships within the ecosystem. The increasing complexity of these ecosystems necessitates a redefinition of stakeholder roles and competencies, emphasizing a collective perception of value. Given the lack of tools and research on collaboration, we propose developing a map of circular construction ecosystems to improve the visualization and understanding of their dynamics.

Understanding the Impact of Upper Extremity Musculoskeletal and Comorbid Health Conditions on Physical and Mental Health and Quality of Life in 956 Adults Aged 50 to 65

The objective of the study was to examine the relationship and impact of comorbidity, pain, and function on quality of life in people aged 50-65 with upper extremity musculoskeletal disorders (UED), controlling for sex, occupational status, and age. This was a cross-sectional study. We performed hierarchical linear regression models to assess the extent that comorbidity and injury-related pain and disability affected overall health-related quality of life measured by the SF-36. We included 956 patients, of whom 601 were female. Physical and mental disability were associated significantly with lower levels of UE functional capacity (effect <sub>physical health </sub>= 0.24, SE = 0.10, <i>P</i> < 0.001; effect<sub> mental health</sub> = 0.17, SE = 0.09, <i>P</i> < 0.05). Comorbidity, pain, and occupational status have indirect relationships with UED, such that greater pain, a larger burden of comorbid health conditions, and less participation in the workforce, is associated with poorer physical and mental health. Mobility is key in promoting health and quality of life while contributing towards a successful transition into retirement.

The Historical and Clinical Foundations of the Modern Neuroscience Intensive Care Unit.

The subspecialty of neurocritical care has grown significantly over the past 40years along with advancements in the medical and surgical management of neurological emergencies. The modern neuroscience intensive care unit (neuro-ICU) is grounded in close collaboration between neurointensivists and neurosurgeons in the management of patients with such conditions as ischemic stroke, aneurysmal subarachnoid hemorrhage, intracerebral hemorrhage, subdural hematomas, and traumatic brain injury. Neuro-ICUs are also capable of specialized monitoring such as serial neurological examinations by trained neuro-ICU nurses; invasive monitoring of intracranial pressure, cerebral oxygenation, and cerebral hemodynamics; cerebral microdialysis; and noninvasive monitoring, including the use of pupillometry, ultrasound monitoring of optic nerve sheath diameters, transcranial Doppler ultrasonography, near-infrared spectroscopy, and continuous electroencephalography. Neuro-ICUs are also capable of specialized neuroprotective management of medical complications, including sodium disorders, renal failure, respiratory failure, and hypertension. These units depend on an interdisciplinary team including speech and language pathologists, occupational and physical therapists, and social workers and case managers, who work to implement early mobilization and successful transition to rehabilitation centers. There are numerous models of neuro-ICUs ranging from "open" units in which patients are cared for in an ICU by an admitting attending, generally without involvement of an intensivist, to "semi-open" units in which intensivists act as consultants, to "closed" units in which the neurointensivist is the admitting attending. The utilization of neuro-ICUs is associated with improved outcomes including lower mortality rates, decreased ICU and hospital length of stay, and improved functional outcomes.

Potential development of thermally stable polycrystalline photovoltaic modules utilizing biocomposite materials

Abstract Solar energy has become a vital source for generating and harvesting electricity. Enhancing the efficiency of solar modules is an essential factor for successful transition to a sustainable and green energy production. Since natural fiber composites (NFCs) possess various outstanding properties, they can be used as an adequate alternative to synthetic fibers and environmentally harmful materials that are used in photovoltaic (PV) applications and module components. Solar modules are believed to undergo a decline in efficiency when exposed to excessive sun radiation, which eventually caused by a gradual escalation in temperature. Therefore, utilizing appropriate NFCs in the rear components and backsheets of solar modules could significantly contribute to the overall efficiency of these modules and enhance their thermal stability.

HEALTH SYSTEM ADOPTION OF COMMUNITY-BASED EXERCISE FOR OLDER ADULTS TO ADDRESS LONELINESS AND SOCIAL ISOLATION

Abstract Transitioning the delivery of evidence-based programs (EBPs) for older adults from research to community-based settings potentially alters programs’ reach. We compared the demographics of our research participants to our referred community participants after the program’s adoption by Cedars-Sinai, Community Health Improvement (CHI). Research participants enrolled in Falls Prevention EBPs reported decreased levels of loneliness and social isolation and were referred by physicians, social workers, and pharmacists using an order in the electronic medical record (EMR). Clinicians referred 1355 in-person participants (July 2017-March 2020) and 283 virtual (April 2020- May 2021). Enrolled research participants (in-person (n=382) /virtual (n=214)) had an average age of 76.6 / 76.5 years; were 83.4% / 82.5 % female; and non-Hispanic white 42 % / 70.4%; and non-Hispanic Black 43.5% / 8.2%. CHI retained the relationship with the non-profit partner who ran the study’s EBPs and the EMR order remained active and received 391 referrals (July 2021 – March 2024). Referred patients had an average age of 79.5 years, 79.3% female, 59.5% non-Hispanic white, 21.5% Black, 8.2% Hispanic, 5.9% Asian, 3.1% Other; 68.5% had Medicare and 31.7% Medicare Advantage. Referral orders were associated with diagnoses for preventative visits (18.7%), falls (15.6%), and cognitive changes (13.6%). Compared to research participants, community referrals included those with cognitive impairment, were older, more male, and more racially diverse than virtual study participants. Community implementation of EBPs may reach a more diverse population than research participants and successful transition of programs can be facilitated through preserving prior community partnerships and referral pathways.

Green Economy Transition and Sustainable Development: Implication for Developing Countries

The green economy has received prominence owing to environmental concerns and the need for sustainable growth. For developing nations in the Global South, shifting to a green economy is crucial to tackling climate change, poverty, and unemployment through renewable energy, sustainable agriculture, and green technology. Effective policy-making, financial assistance, and international collaboration are vital to overcoming hurdles and achieving a successful green economic transition, contributing to global sustainability objectives. This paper investigates the green economic transition, stressing regulatory structures and stakeholder interaction. This study uses secondary data analysis, focused on a literature examination of over 50 sources, including government files and academic journals. It studied case studies, policy frameworks, stakeholder engagement tactics, and the advantages, obstacles, and success of green economy initiatives in developing nations. The study discussed engaging stakeholders in developing nations' green economy transitions involving inclusive policies, multi-stakeholder platforms, public awareness, financial incentives, and capacity building. Despite constraints like limited budgets and inadequate institutions, effective transitions depend on clear, integrated policies, cross-sector coordination, and sustainable financing. Strengthening stakeholder participation and harnessing international assistance can generate effective transformation. In conclusion, the study highlights that transitioning to a green economy in undeveloped nations brings both possibilities and problems that require specific measures. Effective policies must incorporate environmental sustainability into wider economic objectives, address capacity-building and funding restrictions, and foster cross-sector collaboration. By building institutions, motivating green investments, and engaging stakeholders, developing nations may achieve sustainable growth and contribute to global sustainability goals.

Advancing Waste Reduction and Resource Conservation through Circular Economy Practices: A Rational Review

The modern world is undergoing profound changes due to globalisation, digital transformation and the depletion of natural resources; it requires radical modernisation of the economy and repeatedly involves introducing new organisational and economic models that combine economic development, environmental safety and the rational use of natural resources. To address these challenges, it is crucial to shift towards a sustainable lifestyle that balances short-term economic interests with long-term environmental impacts. As the foundation of the new industrial revolution, the circular economy offers a pathway to creating more competitive and sustainable economies where waste becomes a resource and economic development does not contradict environmental protection, but its implementation requires a comprehensive approach. This study aims to demonstrate the necessity of transitioning from a linear to a circular production model to minimize waste and conserve natural resources through the integrated application of cyclicality principles. This approach enables enterprises to achieve profitability while alleviating the strain on natural resources. Using a systematic approach and various scientific methods such as analysis, synthesis, deduction, generalisation, and abstraction, this review investigates modern environmental challenges and identifies one of our most significant environmental problems: waste minimisation and conservation of natural resources. The paper evaluates the potential and limitations of implementing the circular economy in contemporary economic contexts to enhance efficiency and safety. The critical indicators of the circular economy were analysed, allowing a general idea of the progress in this area in recent years, based on the example of the European Union. The study concludes that a successful transition to a circular economy requires a comprehensive approach that creates new business opportunities and promotes interaction between enterprises, society and the state, ensuring the exchange of experience and knowledge.

The Crucial Need for Occupational Therapy to Prioritize Postsecondary Transition.

Recent federal initiatives demonstrate that improving adult outcomes for youth with disabilities is a high priority for the United States. The U.S. Office of Special Education Programs launched a new initiative in May 2023 to improve postsecondary outcomes for students with disabilities titled "Expect, Engage, Empower: Successful Transitions for All!" In addition, recent funding initiatives have allocated millions of federal dollars to improving postschool outcomes for youth with disabilities. Occupational therapy practitioners must be aware of these initiatives and the implications they have for their roles in school-based practice, vocational rehabilitation, and other practice settings where they serve children and youth. "Expect, Engage, Empower," along with existing legislation, creates opportunities for occupational therapy practitioners to secure their role as leaders in supporting the transition to adulthood. The time is now for the occupational therapy profession to recognize this as a priority and work to ensure they are well represented in the area of postsecondary transition. In this article, we review existing legislation, new federal initiatives, and recent research evidence and demonstrate the need for occupational therapy practitioners to assert their role in postsecondary transition.

FLUXO DE TRABALHO DIGITAL E TECNOLOGIAS CAD/CAM: IMPACTOS OPERACIONAIS E ECONÔMICOS NA ODONTOLOGIA

This article explores the economic, operational, and clinical impacts of implementing CAD/CAM technologies and digital workflows in dentistry. The literature review highlights how these innovations transform the relationship between dentists and patients, offering greater precision, efficiency, and personalization in treatments. Key benefits include the reduction of manual steps, the production of customized dental prostheses and devices, and resource optimization. The integration of technologies such as intraoral scanners, 3D printing, and electronic health records enhances service quality and patient experience. However, the adoption of these technologies faces significant challenges, such as initial implementation costs, the need for specialized training, and reliance on centralized production, which can impact time efficiency. The analysis suggests that integrating prosthetic laboratories into dental offices and employing hybrid models can mitigate these limitations, promoting greater agility and patient satisfaction. The study concludes that the successful digital transition in dentistry depends on a strategic balance between technological innovation and maintaining personalized care, ensuring high-quality outcomes that meet clinical, aesthetic, and economic demands.

Translation of a longitudinal survey of veterans' well-being into action by a research-practice-policy partnership.

Research-practice-policy partnerships are shifting the academic research paradigm toward collaboration and research-informed action at community and policy levels. In this case study, researchers partnered with philanthropic foundations to actualize data findings from a rigorous, longitudinal study. In 2016, a survey of post-9/11 military veterans began assessing veterans' well-being in key domains: health, vocation (education and employment), finances, and social relationships. Data were collected from 9,566 veterans with three study aims: document factors affecting well-being, describe the use of transition-assistance programs and distill them into common components, and identify components associated with positive changes in veterans' well-being. The study evolved into a partnership among an academic applied research center and philanthropic funders to disseminate survey findings, investigate additional research questions of practical application, and help ensure public and private funds are invested in evidence-informed programs and services that support veterans' well-being. Four RPP partnership goals were identified. Goal 1 included survey expansion to capture data on emerging concerns (e.g., COVID-19 impacts, educational experiences, burn pit exposure, civic engagement, social-media use). This resulted in eight waves of data collection over 6.5 years. Goal 2 involved co-interpretation of data to define successful military-to-civilian transition (MCT) and strategic communications to engage national leaders in policy change for veterans. Goal 3 focused on evaluation support of partners' organizational portfolios and programs, which resulted in new tools such as an online screener that veteran-serving providers could use to identify veterans' MCT risks and respond with tailored, research-informed resources and program components. Goal 4 allowed for the application of research findings with an innovative model for using longitudinal study variables within robust comparison analyses to assess partners' program components; propensity matching demonstrated that effective component use leads to better outcomes for veterans (e.g., higher salaries). Partnerships can equip funders and service organizations with credible data, clear messaging, and tools to advocate for and champion the well-being of populations. This partnership, galvanized by using data for co-learning and collaborative action, has augmented the nation's understanding of veterans' reintegration and has led to veterans receiving data-driven support for successful transitions and enhanced well-being.

Measuring Debilitating and Facilitating Anxiety Within Nursing Simulation

Background: Anxiety in simulations can be influenced by various factors that either motivate or immobilize students. Understanding simulation anxiety is crucial for educators to design appropriately challenging scenarios without overwhelming students. No instruments have yet been tested to differentiate between debilitating and facilitating anxiety within nursing simulations. Methods: A quantitative repeated measures design was used to examine students’ baseline and pre-simulation anxiety with 90 pre-licensure junior level nursing students. The Achievement Anxiety Test (AAT) was administered to differentiate levels of debilitating and facilitating anxiety. Results: The revised AAT demonstrated preliminary validity and reliability for measuring debilitating and facilitating anxiety when used in nursing simulation. Linear regression showed only debilitating anxiety significantly predicted pre-simulation state anxiety. Baseline anxiety has a significant impact on students, increasing debilitating anxiety in simulated settings. Conclusions: To ensure success in practice settings, it is important to address students baseline anxiety to support a successful transition into practice. This study was prospectively determined to be exempt with the University’s Institutional Review Board on 6 December 2022 and was not prospectively registered in a formal registry.

Senior Registered Nurses' Organisational Communication Satisfaction, Job Satisfaction, Burnout, and Intention to Stay: A Cross‐Sectional Study of Two Healthcare Groups

ABSTRACTAimTo explore organisational communication satisfaction and its impact on senior registered nurses' job satisfaction, burnout, and intention to stay.DesignA cross‐sectional design using surveys. The study was conducted with senior registered nurses across two healthcare groups in Western Australia.ResultsOne hundred seventy‐four usable surveys were returned. The results of this study indicated that those with higher communication satisfaction levels were more likely to have higher levels of job satisfaction. Senior registered nurses who intended to leave their jobs had a higher risk of emotional exhaustion and depersonalisation, which may result in higher rates of burnout compared to those who intended to stay. The open‐ended questions were analysed with four overarching themes being identified: information needs, optimising communication, job satisfaction, retention, and attrition.ConclusionThe findings of this study provide insight into senior registered nurses' perception of communication and the impact that this has on job satisfaction, burnout, and intention to stay. It is recommended that organisations explore strategies to support the senior registered nurse cohort to improve job satisfaction, reduce burnout levels, and improve retention rates.Implications for the Nursing ProfessionSenior registered nurses are considered integral to the delivery of healthcare services and, the provision of positive practice environments. Their success is measured by nurse and patient outcomes. When senior registered nurses intend to leave their roles the practice environment is disrupted resulting in an increase in frontline nurse turnover and negative patient outcomes, which increases the costs of care provision. Therefore, it is vital to support this cohort to improve retention of the senior and experienced workforce and to assist with the creation of positive practice environments that promote clinical nurse retention and successful transition of newly qualified nurses into the profession.Reporting MethodSTROBE.Patient or Public ContributionNo patient or public contribution.

Hand that rocks the cradle: Impact of personality on business succession in family-owned small business

ABSTRACT Entrepreneurs’ cognitive and decision-making capabilities, as well as their ability to handle relationship dynamics, are influenced by their personality traits. This study aims to identify the personality traits of descendant entrepreneurs that contribute to the successful transition of their family-owned small businesses (FoSBs) into subsequent generations and to determine which traits require strong support from their predecessors for a successful succession transition. This study collected data from 224 descendant entrepreneurs using purposive sampling. SmartPLS software was used to analyze the data. The findings revealed that descendant entrepreneurs with openness, conscientiousness, extroversion, and agreeableness traits can handle succession matters successfully, while those with neuroticism traits may not. The study found that descendant entrepreneurs with extroversion and agreeableness traits benefit from strong relationships, while those with weak relationships can still contribute to successful succession due to their openness traits. Entrepreneurs with a conscientiousness trait can succeed without support from their predecessors, but neuroticism traits hinder successful succession. The study provides guidance for business families and policy makers on assigning job responsibilities and preserving relationship quality based on the personality traits of the descendant entrepreneur. It introduces a framework for FoSBs using the trait activation theory, with the predecessor–descendant entrepreneur relationship as a situational moderator. The study found that not all descendant entrepreneurs require strong support from their predecessors for a successful transition.

Psychological Impact of Hospital Discharge on the Older Person: A Systematic Review.

Introduction: Hospitalisation and prolonged length of stay is associated with deconditioning that risks adverse outcomes after discharge. Less is known about the psychological impact on older people after hospital discharge. The purpose of this systematic review was to elucidate factors contributing to psychological stress in older patients post-discharge to inform better discharge planning. Methods: A systematic search for studies reporting poor discharge outcomes in older people between 2010 and 2022 was performed in Medline, CINAHL, and PsycINFO. Search terms were 'older patients > 65 year', 'post-discharge', 'psychological distress', 'loneliness', 'anxiety', 'depression', and 'length of hospital stay'. Exclusion criteria included COVID-19 disease, dementia (±severe cognitive impairment), individuals aged <65, and those under palliative care services. Results: A total of 1666 records were identified, of which 878 were excluded as they were outside of our date limits or were not written in the English language, 681 were excluded after application of exclusion criteria, and 699 were excluded because of insufficient details. A total of 31 duplicates were removed, leaving 38 articles that were assessed for eligibility; 7 of these reports were found suitable, comprising 1131 patients. Three highly relevant themes identified relating to post-discharge outcomes were social isolation, lack of support, depression and anxiety. Older patients with a tendency toward depressive symptoms had an increased likelihood of death. Conclusions: It appears that the discharge process from hospital fails to address psychological factors that permit a successful transition from hospital. Pre-discharge screening of psychological symptoms and coping ability may assist in identifying older patients who are at risk of mental as well as subsequent physical deterioration. Better knowledge of positive and negative predictors of a successful transition from hospital to home would enable more holistic, effective, and inclusive discharge planning processes for older adults.

Strategies to Guide Paediatric Type 1 Diabetes Management and Transition of Care: A State-Of-The-Art Review.

The aim of the study was to synthesise current evidence on the transition of type 1 diabetes management responsibility from caregiver to child. A state-of-the-art review was conducted. Using Rayyan software, two authors independently performed the study selection. CINAHL, PubMed and Web of Science databases were searched to identify relevant articles that focused on children ages 1-19 who were transitioning care of paediatric type 1 diabetes. The last search was performed on 17 October 2023. Thirty-seven studies conducted in four different countries were included following abstract screening, full-text review and assessment for risk of bias-23 quantitative, 13 qualitative and one mixed method. One study examined early childhood transition, five studies examined middle childhood and 31 studies examined transition strategies utilised in later childhood. Themes in clinician and caregiver transition interventions were identified. Findings can inform the development and refinement of transition interventions to help clinicians and caregivers ensure a successful transition of type 1 diabetes management to the paediatric patient. A rigorous investigation to validate strategies for different age groups is needed. To support this process and improve type 1 diabetes mellitus outcomes for paediatric patients, research and recommendations should be further reviewed to assist in tailoring interventions accordingly. Effective transition management strategies to shift responsibility from caregiver to child are increasingly important to ensuring safe self-management of paediatric type 1 diabetes. Reviews on type 1 diabetes transition management strategies for youth are needed. In this systematic review, we highlight transition strategies for children ages 1-19 who were transitioning care of paediatric type 1 diabetes. Findings offer insight on long-term diabetes management to improve patient outcomes in paediatric patients with type 1 diabetes. We adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. No patient or public contribution was required in this review.

From Incremental Market to Mature Market: Challenges and Countermeasures for Business Model Transformation of Chinese Enterprises

In light of the deceleration in economic expansion, Chinese enterprises are faced with a multifaceted and evolving business landscape. In this context, the implementation of refined management strategies is of paramount importance for the successful transition. This paper examines the challenges and responses involved in the transformation of business models from a focus on incremental market expansion to one of adapting to the existing market. This paper examines the strategies of two e-commerce giants, Alibaba and JD.com, in response to slowing market growth. It considers how these companies have strengthened their product offerings and optimized their operations in order to maintain competitiveness. In response, Alibaba has implemented a new retail program that integrates online and offline shopping experiences, with the aim of catering to a more sophisticated and demanding consumer base. At the same time, JD.com is concentrating on leveraging advanced technologies in logistics and supply chain management to ensure efficiency and dependability. These adjustments underscore the need to develop targeted and value-added products and services, ensuring the maintenance of business growth and competitiveness in a slowing economic environment. It is anticipated that these insights will prove valuable for other businesses undergoing comparable market transitions.

Cross-Cultural Validation of the HIV Adolescent Readiness for Transition Scale (HARTS) in China.

For adolescents infected with the Human Immunodeficiency Virus (HIV), transitioning from pediatric to adult healthcare requires thorough preparation to maintain care continuity and optimal health outcomes. In China, a dedicated scale for assessing their transition readiness is lacking. The HIV Adolescent Readiness for Transition Scale (HARTS) addresses this by evaluating transition readiness across vital domains, with its 15-item design predicting post-transition viral suppression-a key indicator of a successful transition. With no equivalent tool in China, the HARTS's cross-cultural adaptation holds significant potential for enhancing personalized transition strategies and health management.To validate the HIV Adolescent Readiness for Transition Scale (HARTS) among adolescents with HIV in China,the validation was conducted from October 2023 to February 2024, following a five-step process: translation and back-translation; content validity examination by 13 experts; pre-survey with 30 adolescents with HIV; test-retest reliability assessment with 40 adolescents with HIV over a 10-day interval; and structural validation using exploratory factor analysis, including principal component analysis and varimax orthogonal rotation, among 170 adolescents with HIV.The average content validity index of the scale was 0.99. The Cronbach's alpha value for the pre-survey was 0.767, and for test-retest reliability, the intra-class correlation coefficient (ICC) was 0.901. With a total of 15 items, the four factors that made up the scale-"Disclosure," "Health Navigation," "Self-Advocacy," and "Health Literacy"-explained 81.73% of the variation. With alpha values of 0.940, 0.917, 0.929, and 0.888 for each of the four domains, the scale's overall Cronbach's alpha value was 0.943.The Chinese version of HARTS demonstrates good reliability and validity, serving as a tool for assessing the medical transition readiness level of adolescents with HIV in China.