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Families manage daily conflict through communication and healthy family communication is critical to promoting better family relationships and youth adjustment. Community families without high‐risk factors, such as domestic dispute or clinical problems, are no less affected by the ramifications of poor communication and conflict management. However, there is limited translational research on community families analyzing the changes in parent–adolescent communication quality. This study aimed to test whether a brief 4‐week family conflict intervention improved openness and problems in mother–adolescent (MA) and father–adolescent (DA) communication and whether mothers, fathers, and adolescents experienced the intervention effects differently. A total of 225 community families with adolescents were randomly assigned to either a parent–adolescent treatment condition (PA: n = 75), parent‐only treatment condition (PO: n = 75), or control condition (n = 75). Mother, father, and adolescent reports on parent–adolescent communication were analyzed from pretest through a 3‐year follow‐up assessment, over five waves. ANCOVA results indicated significant intervention effects at posttest for mother‐reported openness in MA communication, youth‐reported openness in DA communication, and father‐reported problems in DA communication, for PA condition. No significant intervention effects were found for PO condition. Exploratory trajectory analysis revealed the necessity of testing both linear and nonlinear models to be able to best illustrate the 3‐year change trajectories of parent–adolescent communication quality. Resulting trajectories revealed interesting variations in longitudinal changes across three intervention conditions. The findings highlight the importance of involving fathers and adolescents in family intervention programs and the necessity of multi‐informant assessment to better clarify the interplay among different family members behind the intervention effects. [ABSTRACT FROM AUTHOR]

Wireless communication technologies have profoundly impacted the interconnectivity of mobile users and terminals. Nevertheless, the exponential increase in the number of users poses significant challenges, particularly in interference management, which is a major concern in wireless communication. Machine learning (ML) approaches have emerged as powerful tools for solving various problems in this domain. However, existing studies have not fully addressed the problem of interference management for wireless communication using ML techniques. In this paper, we explore the application of recurrent neural network (RNN) approaches to address co-channel interference in wireless communication. Specifically, we investigate the effectiveness of long short-term memory (LSTM), bidirectional LSTM (Bi-LSTM), and gated recurrent unit (GRU) network architectures in two different network settings. The first network comprises 10 connected devices, while the second network involves 20 devices. Our experimental results demonstrate that Bi-LSTM outperforms LSTM and GRU in terms of mean squared error, normalized mean squared error, and sum rate. While LSTM and GRU produce similar results, LSTM exhibits a marginal advantage over GRU. In addition, a combined RNN approach is also studied, and it can provide better results in dense networks. [ABSTRACT FROM AUTHOR]

The term topical steroid withdrawal (TSW) refers to a condition widely discussed on social media, but rarely mentioned in the medical literature. It typically involves a patient with chronic eczema who abruptly discontinues topical corticosteroids (TCS) believing they are ineffective and damaging. Symptoms include an acute eruption, worse than the previous eczema, of painful erythema followed by oozing, crusting, desquamation and sometimes prolonged systemic weakness. Patients self-diagnose and often avoid healthcare professionals who dismiss the diagnosis and persist in offering TCS, leaving them unsupported. We analysed 121 responses to a survey of UK dermatologists' attitudes to TSW. Views on aetiology included relapsed eczema, erythroderma and a social construct. A total of 88.4% (107/121) agreed that TSW needs better understanding and more research. Respondents earlier in their careers are more cautious than senior respondents about prescribing TCS long term because of TSW, suggesting a trend that might lead to better understanding, communication and management. [ABSTRACT FROM AUTHOR]

Purpose: Communication privacy management (CPM) theory is a major theory explaining the tensions between disclosing and concealing private information in interpersonal communication. By considering differences in interpersonal and humantechnology information disclosure and drawing on existing work related to privacy and technology, this article presents CPM theory as a broad theoretical framework for human-technology privacy boundary management. Method: This research employed a speculative theoretical approach by drawing on existing literature and synthesizing it to both apply and extend CPM theory's propositions to human-technology privacy boundary management. Results: CPM theory can be applied to understand the dynamics of humantechnology information disclosure and should incorporate technological literacy as a key consideration in human-technology privacy boundary management. Legal ties characterize human-technology privacy boundary coordination instead of social ties. Additionally, in human-technology information disclosure contexts, CPM theory should provide guidance regarding managing third parties that may gain access to information. Conclusion: CPM theory is the most comprehensive framework for how individuals manage privacy boundaries, be it in interpersonal or human-technology contexts. By considering technology as a property of technological actors instead of an actor itself, CPM theory in human-technology contexts becomes a flexible theoretical framework for understanding information disclosure and privacy boundary management, both for existing technologies (e.g., social media, online shopping platforms, artificial intelligence, Internet of Things) and future technologies. [ABSTRACT FROM AUTHOR]

Effective written communication is a critical part of management success. Before beginning to write, the manager should consider the importance of the document, its intended audience, the goals to be achieved, and the tone. The most important factor for successful writing is clarity so the recipients correctly understand the message and know what they should do. Careful editing for all types of errors is a must including involving others in the editing process. The manager should consider using the many free tools that are available to improve writing. Two specific tips are: always give the reason for reading the document in the first sentence and use a flat, factual style to communicate negative news. Finally, remember that any poorly written communication, even informal efforts such as emails and social media posts, can have negative management consequences. [ABSTRACT FROM AUTHOR]

Introduction: Oro‐control communication is one of the complications associated with dental extraction and oral surgeries. This case report presents a minimally invasive surgical approach for bone regeneration at the site of oro‐antral communication utilizing a prefabricated computer‐aided design and computer‐aided manufacturing (CAD‐CAM) allogenic bone block. Methods: A 20‐year‐old healthy female, nonsmoker, with a badly destructed upper right first molar was referred for dental implant placement after extraction. Cone beam computerized tomography images revealed the presence of a large bone defect associated with oro‐antral communication with the maxillary sinus and insufficient bone for dental implant placement. A prefabricated CAD‐CAM allogenic bone scaffold was fabricated. After surgical exposure, the scaffold was secured in place and covered with a non‐resorbable membrane. A dental implant was placed after 5 months, and a trephining biopsy was processed for histological evaluation. Results: Closure of the oro‐antral communication was clinically observed. The average width of the alveolar bone was 12 mm, and the average height was 11 mm. Histological analysis at 5‐month intervals showed thin newly formed bone trabeculae encircling remnants of graft material surrounded by osteoid tissue. The newly formed bone percentages were 32 ± 18% and 28 ± 17% volume remained after the biodegradation of the scaffold. Specific immune‐histochemical staining by anti‐vascular epithelial growth factor expression index value was 32.06%. Conclusions: A prefabricated CAD‐CAM scaffold was successfully used to seal a large oro‐antral communication and regenerate sufficient bone to place a dental implant. [ABSTRACT FROM AUTHOR]

With the growing maritime economy, ensuring the quality of communication for maritime users has become imperative. The maritime communication system based on nearshore base stations enhances the communication rate of maritime users through dynamic resource allocation. A virtual queue-based deep reinforcement learning beam allocation scheme is proposed in this paper, aiming to maximize the communication rate. More particularly, to reduce the complexity of resource management, we employ a grid-based method to discretize the maritime environment. For the combinatorial optimization problem of grid and beam allocation under unknown channel state information, we model it as a sequential decision process of resource allocation. The nearshore base station is modeled as a learning agent, continuously interacting with the environment to optimize beam allocation schemes using deep reinforcement learning techniques. Furthermore, we guarantee that grids with poor channel state information can be serviced through the virtual queue method. Finally, the simulation results provided show that our proposed beam allocation scheme is beneficial in terms of increasing the communication rate. [ABSTRACT FROM AUTHOR]

This study examines the relationship between citizens' satisfaction with government COVID-19 communication and management (SWCCM) and institutional trust. By employing a longitudinal approach, using three-wave panel data from Sweden from 2020 to 2022, the study addresses the current lack of research on the interplay between SWCCM and institutional trust across different stages of a societal crisis like the COVID-19 pandemic. The results show that SWCCM increased slightly over the pandemic period, while trust in institutions slightly decreased. The study also finds that changes in SWCCM predict changes in trust in institutions, suggesting that increased satisfaction with communication and management is associated with increased trust in institutions. Additionally, we find that higher initial levels of SWCCM contribute to a faster decline in trust over time. However, no evidence supports the idea that initial trust in institutions predicts changes in SWCCM. This suggests a unidirectional relationship where SWCCM is a key driver of institutional trust during a crisis. Overall, the study uncovers intriguing dynamics in the relationship between SWCCM and trust over time, and it emphasizes the significance of effective and consistent communication and management in maintaining and boosting public trust during crisis. [ABSTRACT FROM AUTHOR]

The magnitude that communication has acquired today explains, to a large extent, the development experienced by communication offices. Any organization of any kind needs an organizational structure that optimally manages its relations with its relational universe, both externally and internally. This research aims to find out what the current panorama of communication departments is in Andalucía --territorially, one of the largest autonomous communities of Spain-- and to discover how it has evolved in the first two decades of the 21st century, taking into account the public, private and social sectors. The results show a generalized growth in the number of communication offices in all provinces and in all sectors, especially those of local administrations, as well as communication companies and social organizations, which have tripled in the last century. In addition to significant changes in the digitalization of communication. Now, Andalucian organizations, in addition to having a website, have profiles on the main social networks. [ABSTRACT FROM AUTHOR]

Purpose: The advancement of enterprise social networks (ESNs) facilitates information sharing but also presents the challenge of managing information boundaries. This study aims to explore the factors that influence the information-control behavior of ESN users when continuously sharing information. Design/methodology/approach: This study specifies the information-control behaviors in the "wall posts" channel and applies communication privacy management (CPM) theory to analyze the effects of the individual-specific factor (disposition to value information), context-specific factors (work-relatedness and information richness) and risk-benefit ratio (public benefit and public risk). Data on actual information-control behaviors extracted from ESN logs are examined using multilevel mixed-effects logistic regression analysis. Findings: The study's findings show the direct effects of the individual-specific factor, context-specific factors and risk-benefit ratio, highlighting interactions between the individual motivation factor and ESN context factors. Originality/value: This study reshapes the relationship of CPM theory boundary rules in the ESN context, extending information-control research and providing insights into ESNs' information-control practices. [ABSTRACT FROM AUTHOR]

Applying the Delphi method, this study aims at characterizing the perceptions and needs of physicians, individuals with hemophilia, and their caregivers in relation to the management of routine visits during regular follow-ups. A single structured questionnaire, prepared by an advisory board, was administered to 139 participants, comprising hemophilia treaters, patients and caregivers, during the period from May to June 2023. Agreement (defined following the Delphi method as developed by RAND Corporation) was reached on several topics. The Principal Component Analysis methods identified the four most relevant areas where consensus was reached among the interviewees, underscoring the necessity for in-depth discussions during routine visits: (1) medical aspects related to symptoms, life-limitations, pain, etc.; (2) non-medical related aspects (ambitions, lifestyle, network, etc.); (3) logistical-organizational aspects (home–hospital distance, alternative modalities of communication); and (4) visit duration and telemedicine integration. The results of both the Delphi and Principal Component Analysis underline that the care of individuals with hemophilia extends beyond merely prescribing drugs or treatment regimens. Instead, it necessitates consideration of numerous variables from both therapeutic and non-therapeutic domains, all of which are deemed important for the holistic management of the individuals. As a result, these aspects are routinely discussed and addressed during visits. [ABSTRACT FROM AUTHOR]

The paper proposes innovative modern solutions for an integrated mobile monitoring system with elements of artificial intelligence in the Internet environment based on a mobile communication-information system for collecting, aggregating, processing, and presenting in realtime streams of information objects. It presents the management of communication networks to optimize the transport and processing of information objects based on discrete-event data flow representation and modeling with a hierarchical structure. Qualitative aspects are considered for networks designed for monitoring and notification of geophysical, climatic, and other natural phenomena as well as for anthropogenic systems. A comparison of centralized and decentralized management capabilities is made, as well as the state of the art of network technologies and the possibilities for practical implementation in different network architectures. [ABSTRACT FROM AUTHOR]

This study investigates the influence of risk management on collaborative innovation and the intervention of communication intensity in agricultural cooperatives. A survey was conducted with managers of Brazilian agricultural cooperatives listed in the Organization of Cooperatives of Brazil. The structural equation modeling technique was applied to a sample of 103 valid answers. The results show that risk management positively influences collaborative innovation and communication intensity, and that communication intensity positively influences collaborative innovation. Furthermore, a mediating effect of communication intensity was observed in the relationship between risk management and collaborative innovation. Theoretical implications arise from the observation of the intervention of communication intensity in this relationship, mainly by providing insights to expand research in this direction. Practical implications also arise from observing the intervention of communication intensity in this relationship, such as alerts to the managers of these organizations about the relevance of aligning communication and risk management to the purpose of collaborative innovation. [ABSTRACT FROM AUTHOR]

Background: During disasters and emergencies, healthcare systems, particularly hospitals, as the leading providers of care, play an important role; accordingly, this study examines the preparedness of hospitals affiliated with Shahid Beheshti University of Medical Sciences for biological incidents. Materials and Methods: This descriptive cross-sectional study assessed the preparedness level of 14 teaching hospitals in response to biological incidents in 2022. The preparedness of the hospitals in facing biological incidents was evaluated by the secretaries of the hospitals' risk and disaster management committees using a standard questionnaire (hospital preparedness questionnaire in response to biological incidents) to assess different dimensions of hospital preparedness, including the development of managerial structures, capacity building, training and practice, information and communication management, healthcare system and laboratory, safety and security, patient management, and hospital resilience. Results: The assessment of different hospital preparedness dimensions in facing biological incidents showed that the mean scores of the managerial structure development, capacity building, training and practice, information and communication management, safety and security, healthcare system and laboratory, patient management, and hospital resilience were 20.12, 44.71, 14.14, 19.21, 46.64, 20.42, 27.42, 15.92, respectively. The highest score was related to safety and security and information and communication management, with average scores of 50.78 and 22, respectively. Also, the dimension of training and practice, with an average score of 16.28 and an average percentage of 64.29%, attained the lowest score among the eight dimensions of hospital preparedness. The net score of hospital preparedness in response to biological incidents was obtained at 230.28. According to the final score of hospital preparedness, 9(64.3%) hospitals had a good preparedness status, while 5(35.7%) hospitals acquired an average level of preparedness. Conclusion: The preparedness of the investigated hospitals in response to biological events was favorable. However, coping with biological incidents mandates the highest level of preparedness; therefore, it is necessary to maintain good preparedness and try to improve the condition to an optimal level by focusing on all dimensions, especially those acquiring lower scores. [ABSTRACT FROM AUTHOR]

Background: The Arbaeen march ritual stands as one of the largest congregations, attended by tens of millions every year. Given the large number of participants in this ritual, it is essential to minimize the health repercussions for pilgrims and ensure their prompt access to medical care. The present study was conducted to analyze the healthcare services during the 2019 Arbaeen march. Materials and Methods: Employing a qualitative approach, this study utilized various data collection methods, including in-depth and semi-structured interviews, field observations, and document review. The target population comprised healthcare decision-makers, managers, and providers of the 2019 Arbaeen march. The interview and data collection guide were developed in accordance with the World Health Organization (WHO) guidelines. Data collection continued until data saturation. Directed content analysis was employed to analyze the data. Results: Data saturation was achieved after conducting 30 personal interviews. Out of the challenges and significant factors found in healthcare deliveries during the Imam Hussein (AS) Arbaeen march, 9 main themes and categories were identified: Trauma system, disease surveillance system, health issues, health education and promotion, healthcare coordination and collaboration command in the health system, information and communication management, response planning, support and resource management, and safety and security. Conclusion: This study identified the major healthcare issues in the AS Arbaeen march, serving as an evidence-based guide for policymakers and planners of this famous religious ritual. The results of this study are applicable to similar public gatherings and marches. [ABSTRACT FROM AUTHOR]

Purpose: Higher education (HE) institutions can play a fundamental role in achieving the Sustainable Development Goals. However, universities often face various obstacles to sustainability management, leading to a lack of strategies for implementing governance for sustainability (GFS). The purpose of this paper is to propose a model, based on work and organizational psychology (WOP), for the analysis, promotion and implementation of GFS in HE. The model includes five dimensions: culture, leadership, teamwork, communication and transition management. Design/methodology/approach: Using a mixed methods approach, GFS was investigated in four Piedmontese (Northern Italy) universities and in their sustainability network, applying the model proposed in this paper. Findings: The five dimensions of the model have proven to be fundamental to the development of GFS in HE. Each dimension was filled with experiences from specific contexts through data collection, highlighting specificities and barriers. Furthermore, the mixed methods approach and the WOP perspective proved to be effective in addressing sustainable transitions in HE. Originality/value: A practical proposal for analyzing and improving HE sustainable transitions in a WOP perspective is still missing, as well as a model that identifies organizational dimensions that should be monitored. This study not only provides an example of this transition but also confirms the importance that the literature attributes to the specificities and barriers of dimensions such as culture, leadership, teamwork, communication and transition management in this context. [ABSTRACT FROM AUTHOR]

The aim of this study is to investigate the relationship between perceived communication and career management of employees working at various levels in different sectors in Turkey in terms of demographic variables. The research covers 260 employees working in the public and private sectors in Istanbul. Results showed that employees' perceived communication barriers have a significant negative and weak correlation with career management and also regression analysis indicated the same results. Further, differences were reported for participants' age and work experience in terms of perceived career management and no significant differences were found for the other demographic variables in terms of employee communication barriers and career management. Based on the findings, it is suggested that to increase the positive perceptions of career management of employees, communication barriers should be eliminated and organizational communication effectiveness should be improved. [ABSTRACT FROM AUTHOR]

This experimental study, extending the communication accommodation theory and the Communication Predicament of Disability Model, examined people with disabilities' perceptions of four manipulated communication styles and tested the effects on their cognitive, emotional, and behavioral responses. Results revealed that participants in the integrative talk condition judged the coworker as the most competent and satisfying and had the least anxiety, followed by a relational talk, dismissive talk, and directive talk. Additionally, integrative talk resulted in the least internalized stigma and the highest likelihood of participants using accommodative response strategies, such as problem-solving and obliging. Furthermore, results revealed indirect effects of the communication styles on communication competence, satisfaction, stigma, and response strategies through communication anxiety. [ABSTRACT FROM AUTHOR]

Destinations increasingly use chatbots in the management and communication with tourists. This study analyzes the mediating effect of chatbot usage satisfaction on forming the destination's image. As a case study, we use the Chabot "Victoria la Malagueña," Spain. Confirmatory factor analysis and structural equations were necessary to identify the relationships between the constructs. The results show that informativeness and empathy are the main attributes that influence user satisfaction and mediate forming a destination image. The study has managerial implications and provides destination management organizations with practical information for creating chatbots. [ABSTRACT FROM AUTHOR]

This study aimed to describe and analyze social responsibility communications management at large companies in Ecuador, Colombia, and Chile and contribute empirical observations to understand sustainability management in Latin America better. The study followed a quantitative approach and conducted a survey based on the Communications and Sustainability Convergence Model. The survey was administered to 96 executives in the three countries, who were asked to rate their practices in these two dimensions. Notwithstanding the limitations associated with survey respondents self-evaluating their practices, we found that most of the companies surveyed categorize their communications and sustainability management as more strategic than tactical and that their practices fit within a scenario known as the Common Good, which aims at creating a triple social, economic and environmental value. However, conceptual differences emerge when understanding sustainability and where it should be focused within the organization. Further research is recommended to help achieve a consensus on the concept of sustainability and how it can be implemented through communications initiatives that benefit both organizations and the communities in which they operate. [ABSTRACT FROM AUTHOR]

The main objective of this study was to identify editorial practices related to time management in Spanish Communication journals and determine whether their time management is homogeneous, as well as to evaluate which journals are more agile, discover the differences between general and special issues, and identify practices that could streamline the publication process. To this end, we worked with an exploratory‐type methodology focused on content analysis. The sample analysed included 1,581 articles published in 2021 by the 62 Communication journals included in the Índice Dialnet de Revistas (IDR) 2020, differentiating between those published in general and special issues, with the aim of focusing attention on the time elapsed from when journals receive articles until their final publication. The results reveal little homogeneity in policies regarding information on dates and confirms average times of more than 6 months for the duration of the process, with the publication process for special issues being more agile. The strength of this work lies in the demonstration of the need to work on common policies that enable the publication process to be streamlined while accelerating the availability of research results for the benefit of academia as well as society. [ABSTRACT FROM AUTHOR]

Previous research applied an affordance approach to the literature in instruction and pedagogy. Because of the continued trend in online instruction and course management, there exists a need to study the impact of technological affordances and communication in learning management systems. The current study replicates and extends research investigating the responses of undergraduate students to discussion comments on a course management page, in which the presence or absence of peer identity and the helper heuristic of fellow students were manipulated. Results suggest that the act of being helpful (through the helper heuristic) positively impacted source credibility, perceptions of an assignment-related message, and computer-mediated competence. Findings for student rapport and task attraction did not replicate. Furthermore, identity cues continue to be unrelated to the variables of interest. Findings are discussed in terms of both theoretical and instructional relevance. [ABSTRACT FROM AUTHOR]

This research focuses on how Communication Management in Preventing the Negative Impact of Online Games on Students at SD Negeri 09 South Jakarta. The phenomenon of using online games among elementary school children is very widespread, which is feared is the negative impact experienced by elementary school students. These elementary school children have not been able to filter out what is right or wrong to apply in their lives. For this reason, it is necessary to manage school communication in order to develop good communication to prevent the negative impact of online games at SD Negeri 09 Jakarta. Because through good communication management carried out by school residents, students in this elementary school can take advantage of technology and become media literate so as to avoid negative behavior of online online games. By using the concept of communication management, and the concept of online games, and the concept of elementary school. The methodology used in this research is a qualitative method with indepth interviews with principals, teachers, students and parents and conducting data validity tests with data credibility tests. So the results of the research show that the management of communication carried out by SD 09 elementary school to prevent the negative impact of playing online games through the stages of communication planning then determining the best communication method and conducting socialization and education as well as collaborating with parents and monitoring and evaluating in monitoring student activities. [ABSTRACT FROM AUTHOR]

The purpose of this paper is to show what are the applicants' institution selection criteria in higher education in Hungary and what changes this will imply in higher education management and communication. These questions were investigated based on a review of the most relevant literature and the analysis of 1396 Hungarian higher education University of Pécs applicants in two consecutive years. Exploratory and confirmative factor analyses were used to identify the relative order of the application influencing factors: as a result, the first most important is the vivacity, followed by career and costs, fourth is image and the last one is the low commitment. In this context, the paper has shown that the identification of the application strategies requires renewed management and communication techniques. The results help the institutions to determine the possible actions to be implemented to attract more students and improve the level of offered services. The permanent system change of the Hungarian higher education as a phenomenon versus the applicants' institution selection criteria gives the uniqueness of the Hungarian situation, and this study provides information for researchers in higher education in this field additionally. [ABSTRACT FROM AUTHOR]

Using the lens of Communication Privacy Management (CPM) theory, this article examines communication between health care providers in the southern United States emergency department (ED) and patients who have experienced IPV. We qualitatively examine communicative challenges that COVID-19 protocols have created, as well as routine difficulties that occur when communicating with survivors of violence. The participants described challenges including: (1) Feeling uncertainty, (2) Encountering patient resistance, (3) Managing apathy and frustration, and (4) Navigating time pressure. Furthermore, the providers explained how COVID-19 compounded those challenges through: (1) Minimizing contact, (2) Losing nonverbal behavior, (3) Encountering limited resources, and (4) Facing visitor complications. This article extends CPM theory by exploring disclosure challenges related to IPV in health care settings during the COVID-19 pandemic including permeability, linkages, and privacy rules. It offers practical suggestions for increasing patient disclosure of IPV experiences. [ABSTRACT FROM AUTHOR]

In underground environments, survey elements such as survey points and observations provide the information required to define legal boundaries. These elements are also used to connect underground legal spaces to a geodetic survey network. Due to the issues of current 2D approaches for managing underground cadastral data, prominent 3D data models have been extended to support underground land administration. However, previous studies mostly focused on defining underground legal spaces and boundaries, with less emphasis on survey elements. This research aims to extend CityGML to support underground cadastral survey data. The proposed extension is based on the survey elements elicited from underground cadastral plans, which is then implemented for an underground case study area in Melbourne, Australia. This extension integrates underground survey data with legal and physical data in a 3D digital environment and provides an improved representation of survey elements, facilitating the management and communication of underground cadastral survey data. [ABSTRACT FROM AUTHOR]

Hypertension is a chronic disease common in developing countries like Afghanistan, and improving patient awareness of the risk factors and the significance of regular treatment decreases the burden of the disease. In Afghanistan, a higher level of health literacy can help patients with hypertension to know the risk factors, the role of lifestyle management, and the significance of regular treatment for hypertension. Also, a higher level of health literacy can provide venues for the patient to comprehend the provided information and actively participate in the care. Alternatively, patients with lower health literacy might need to appropriately understand the information related to diet, treatment, and provider communication during the management of hypertension. A lack of understanding of hypertension-related treatment suggestions might lead to poor compliance with hypertension medication. This qualitative study aimed to assess the health literacy level among patients seeking care for hypertension at Blossom Health Care Center in Kabul, Afghanistan. A total of 198 patients who had hypertension participated in the study, and patients were interviewed using a Likert scale for responses generated by a focus group of 10 Afghan doctors practicing in Kabul, Afghanistan. We found that 68.7% of patients with hypertension scored Strongly Disagree to having adequate hypertension knowledge. Moreover, around 37.3% of participants indicated Always visiting a doctor for this condition, and 38.4 indicated Always taking their medication. Studies have shown that lower health literacy in patients with hypertension might negatively impact their health outcomes. Therefore, increasing awareness and knowledge of hypertension related-treatment among people with hypertension might improve their overall health and well-being. [ABSTRACT FROM AUTHOR]

Solving problems of high dimensionality (and complexity) usually needs the intense use of technologies, like parallelism, advanced computers and new types of algorithms. MapReduce (MR) is a computing paradigm long time existing in computer science that has been proposed in the last years for dealing with big data applications, though it could also be used for many other tasks. In this article, we address big optimization: the solution to large instances of combinatorial optimization problems by using MR as the paradigm to design solvers that allow transparent runs on a varied number of computers that collaborate to find the problem solution. We study and analyze the MR technology, focusing on Hadoop, Spark, and MPI as the middleware platforms to develop genetic algorithms (GAs). From this, MRGA solvers arise using a different programming paradigm from the usual imperative transformational programming. Our objective is to confirm the expected benefits of these systems, namely file, memory, and communication management, over the resulting algorithms. We analyze our MRGA solvers from relevant points of view like scalability, speedup, and communication vs. computation time in big optimization. The results for high-dimensional datasets show that the MRGA over Hadoop outperforms the implementations in Spark and MPI frameworks. For the smallest datasets, the execution of MRGA on MPI is always faster than the executions of the remaining MRGAs. Finally, the MRGA over Spark presents the lowest communication times. Numerical and time insights are given in our work, so as to ease future comparisons of new algorithms over these three popular technologies. [ABSTRACT FROM AUTHOR]

Purpose: Higher education (HE) institutions can play a fundamental role in achieving the Sustainable Development Goals. However, universities often face various obstacles to sustainability management, leading to a lack of strategies for implementing governance for sustainability (GFS). The purpose of this paper is to propose a model, based on work and organizational psychology (WOP), for the analysis, promotion and implementation of GFS in HE. The model includes five dimensions: culture, leadership, teamwork, communication and transition management. Design/methodology/approach: Using a mixed methods approach, GFS was investigated in four Piedmontese (Northern Italy) universities and in their sustainability network, applying the model proposed in this paper. Findings: The five dimensions of the model have proven to be fundamental to the development of GFS in HE. Each dimension was filled with experiences from specific contexts through data collection, highlighting specificities and barriers. Furthermore, the mixed methods approach and the WOP perspective proved to be effective in addressing sustainable transitions in HE. Originality/value: A practical proposal for analyzing and improving HE sustainable transitions in a WOP perspective is still missing, as well as a model that identifies organizational dimensions that should be monitored. This study not only provides an example of this transition but also confirms the importance that the literature attributes to the specificities and barriers of dimensions such as culture, leadership, teamwork, communication and transition management in this context. [ABSTRACT FROM AUTHOR]

Responding effectively to climate change requires an understanding of what shapes people's individual and collective sense of agency and responsibility towards the future. It also requires transforming this understanding into political engagement to support systems change. Based on a national representative survey in Sweden (N = 1,237), this research uses the novel SenseMaker methodology to look into these matters. More specifically, in order to understand the social and institutional prerequisites that must be in place to develop inclusive climate responses, we investigate how citizens perceive their everyday life and future, and the implications for their sense of responsibility, agency, and political engagement. Our research findings show how citizens perceive and act on climate change (individually, cooperatively, and by supporting others), their underlying values, beliefs, emotions and paradigms, inter-group variations, and obstacles and enablers for change. The findings reveal that, in general, individual and public climate action is perceived as leading to improved (rather than reduced) wellbeing and welfare. At the same time, climate anxiety and frustration about structural and governance constraints limit agency, whilst positive emotions and inner qualities, such as human–nature connections, support both political engagement and wellbeing. Our results shed light on individual, collective, and structural capacities that must be supported to address climate change. They draw attention to the need to develop new forms of citizen involvement and of policy that can explicitly address these human interactions, inner dimensions of thinking about and acting on climate change, and the underlying social paradigms. We conclude with further research needs and policy recommendations. In general, citizens perceive increased individual and public climate action as leading to improved (rather than reduced) wellbeing and welfare. Effective responses to climate change require addressing underlying social paradigms (to complement predominant external, technological, and information-based approaches). Such responses include increasing policy support for: o learning environments and practices that can help individuals to discover internalized social patterns and increase their sense of agency and interconnection (to self, others, nature); o institutional and political mechanisms that support citizen engagement and the systematic consideration of human inner dimensions (values, beliefs, emotions and associated inner qualities/capacities) across all sectors of work, by systematically revising organizations' vision statements, communication and project management tools, working structures, policies, regulations, human and financial resource allocation, and collaboration; and o nature-based solutions and other approaches to support the human–nature connection. [ABSTRACT FROM AUTHOR]

Purpose: Exploring the considerations that guide and influence members of Facebook medical support groups to disclose private information. Design/methodology/approach: The sample included 293 participants, aged 18–85 years, who answered an online survey, 155 members of Facebook medical support groups and 138 members of other Facebook groups. Findings: Members of medical support groups attach greater importance to privacy policy, give greater value to privacy and reveal more private information, compared to members of other groups. Members of medical support groups tend to feel that they receive more support and feel that the privacy policy preserves their privacy much more. These feelings are associated with greater self-disclosure of groups' members. Originality/value: The research insights will help medical support groups' members and admins to put into action the fundamental right to privacy and build a set of rules tailored to their individual and group needs. [ABSTRACT FROM AUTHOR]

An effective facility management process is crucial to overall firm performance and is becoming a core competency for organizations seeking to gain a competitive advantage. The recent literature on facility management reveals that poor facility management is a major cause of management inefficiency, leading directly to budget overruns, maintenance delays, repetition of work, variations, noncompliance incidents, unnecessary risk, and dissatisfied customers. Therefore, facility management firms should pay close attention to the most critical success factors in order to effectively manage and measure performance. This paper presents a multidimensional campus facility management performance framework (CFMPF) that addresses both operational and systematic factors. Facility management companies, owners, contractors, and consultants can use this framework to identify systemic weaknesses using key indicators to specifically assess the effectiveness and success of facility management. The significance of 45 key facility management success factors across seven categories was determined via a literature review, expert interviews, and the Delphi method. The seven process groups are: Campus Facility Work Force Management, Campus Facility Communication Management, Campus Facility Systems Management, Campus Facility Organizational Management, Campus Facility Financial Management, Campus Sustainability & Environment Management, and Campus Facility Assets Management. To verify the overall agreement via the Delphi rounds, the score percentage and standard deviation to mean ratio were examined. Mean value and interrater agreement (IRA) analyses were conducted to evaluate the correlation between the factors and facility performance. This research adds to the body of knowledge by presenting a systematic operational framework for campus facility management that identifies the underlying factors influencing performance and fills the gaps left by previous studies. [ABSTRACT FROM AUTHOR]

Guided by the theory of communication privacy management, this study examines recipients' communicative and relational responses to disclosures of transgender identity. Participants (N = 207) completed an online survey and reported on a time they learned about a close other's transgender identity. Results indicated that perceived disclosure strategy influenced recipients' supportive communication, avoidance, aggression, and relational distancing. Recipients' feelings of sympathy and anger moderated the effects of disclosure strategies on recipient responses. A general pattern emerged, suggesting the effects of disclosure strategies on recipient responses are amplified at low levels of sympathy and high levels of anger. [ABSTRACT FROM AUTHOR]

The global outbreak of the Covid-19 pandemic has forced governments around the world to launch various digital information campaigns in an attempt to boost public awareness about the virus and increase public information on effective measures to prevent its diffusion in local communities. Different public relations and data preservation, data retention, and data distribution strategies have been applied by healthcare policymakers to initiate, implement, and promote a wide range of public information campaigns, unique open data-driven platforms, and related digital solutions and tools to achieve the goal. Likewise, they were driven by different motivations and priorities as well as demands and political signals that they received from both top government leadership and civil society. In this regard, it is interesting to analyze how these different public relations and data management strategies were manifested in real administrative and technological practices, what priorities policymakers put in promoting such digital platforms, what communication and data management tools they used, and how effective they were in raising public awareness about the pandemic via such digital information platforms and related data-driven projects, startups, and initiatives. [ABSTRACT FROM AUTHOR]

The present study examines the discourse of the then Greek Prime Minister, Alexis Tsipras, following the 2018 July wildfire disaster in the Eastern Attica suburbs including Mati to reveal the frames employed by the main protagonist utilizing existing framing models while also incorporating the notions of ethic of care and strategic ambiguity. The then government received extensive criticism by the media and political opponents in regard to the management and communication responses of the then Prime Minister. A content analysis was conducted to the statements made by the then Prime Minister. Findings indicate that Tsipras during the initial stages of the crisis acknowledged the extent of crisis while also emphasizing the successful crisis response efforts. Moreover, strategic ambiguity along with low levels of "caring" were important elements of Tsipras' narrative at the initial stage. As the public outrage and criticism intensified, Tsipras incorporated a more caring profile and presented the disaster as a "critical opportunity" by shifting the blame to previous governments and proposing policy changes. [ABSTRACT FROM AUTHOR]

Background: The ward round is an integral part of everyday surgical practice. It is a complex clinical activity that requires both sound clinical management and communication skills. This study reports the results of a consensus-building exercise on the common aspects of the general surgical ward rounds. Methods: The consensus-building committee involving a range of stakeholders from 16 United Kingdom (UK) National Health Service trusts took part in this consensus exercise. The members discussed and suggested a series of statements concerning surgical ward round. An agreement of ≥ 70% among members was regarded as a consensus. Results: Thirty-two members voted on 60 statements. There was a consensus on fifty-nine statements after the first round of voting, and one statement was modified before it reached consensus in the second round. The statements covered nine sections: a preparation phase, team allocation, multidisciplinary approach to the ward round, structure of the round, teaching considerations, confidentiality and privacy, documentation, post-round arrangements, and weekend round. There was a consensus on spending time to prepare for the round, a consultant-led round, involvement of the nursing staff, an MDT round at the beginning and end of the week, a minimum of 5 min allocated to each patient, utilisation of a round checklist, afternoon virtual round, and a clear handover and plan for the weekend. Conclusion: The consensus committee achieved agreement on several aspects concerning the surgical ward rounds in the UK NHS. This should help improve the care of surgical patients in the UK. [ABSTRACT FROM AUTHOR]

Organizations facing the question of whether to adopt an ethical management programme not only face this question, but also that of which tools to apply to achieve this. Although having a code of ethics is usually the main tool through which an organisation accomplishes this, it is not the only tool available. For an organisation's ethical management programme to be effective, the tools applied must form an interconnected whole, which is often referred to as a company’s “ethical infrastructure”. This infrastructure usually includes, among other things, ethical leadership, ethics training and communication for management and employees alike, an internal ethics committee, an ethics officer, etc. The aim of this paper is to describe, analyse and evaluate the main tools organisations use to implement ethical management programmes in addition to a code of ethics. Within this context, the research sought to determine how widespread certain ethical management tools are among Czech companies, what the main factors are that influence their prevalence and structure, and to evaluate how effective these tools are. The results presented in the article are based on an extensive quantitative, as well as qualitative analysis, of a sample of Czech companies of various types and sizes. [ABSTRACT FROM AUTHOR]

Purpose: Advancements in management of non-communicable diseases using regular reminders on lifestyle and dietary behaviors have been effectively achieved using mobile phones. This study evaluates the effects of regular communication using a mobile phone on dietary management of Type 2 Diabetes Mellitus (T2DM) among patients attending Kitui County Referral Hospital (KCRH) in Kenya. Methods: Pre/post-study design among eligible and consenting T2DM patients visiting KCRH was used for this study. One hundred and thirty-eight T2DM patients were enrolled; 67 in the intervention group (IG) and 71 in the control group (CG). The IG received regular reminders on key dietary practices through their mobile phones for six months while the CG did not. The Net Effect of Intervention (NEI) and bivariate logistic regression were used to determine the impact of mobile phone communication intervention at p < 0.05. SPSS version 24 was used to analyze the data. Results: The results revealed an increase of respondents who adhered to the meal plan in the IG from 47.8% to 59.7% compared to a decrease from 49.3% to 45.1% in CG with corresponding NEI increasing (16.1%) significantly (p < 0.05). The proportion of respondents with an increased frequency of meals increased from 41.8 to 47.8% in the IG compared to a reduction from 52.1% to 45.1% in the CG with corresponding NEI increasing (13.0%) significantly (p < 0.05). Conclusion: Regular reminders on lifestyle and dietary behaviors using mobile phone communication improved adherence to dietary practices such as meal planning and frequency of meals in the management of T2DM. [ABSTRACT FROM AUTHOR]

Device‐to‐Device (D2D) communication is one of the leading technologies which works under the aegis of fifth generation (5G) communication for the Internet of Things in Healthcare. In D2D communication, power control with resource allocation is the most challenging area for the research to make them suitable for IoT devices. In the present work, power control with resource allocation is done by using the Linear pricing game power allocation method. First, a mathematical min‐function based problem is proposed whilst taking the interference, data rate and minimum power requirement as a constraint to ensure the resource and power allocation. In the next phase, a linear pricing game (LPG) method is utilized to propose the LPG power control with resource allocation (L‐PaRAG). Mathematical analysis and theorem ensure the minimum cost function with global stability for an optimal solution of the proposed problem. Numerical analysis and results show that the proposed algorithm gives the best results for power control and resource management whilst managing the interference to maintain the quality of services (QoS) in D2D communication. Optimized power can be utilized for the communication between the base station and D2D users, especially, during disaster management. [ABSTRACT FROM AUTHOR]

Smart speakers can transform interactions with users into retrievable data, posing new challenges to privacy management. Privacy management in smart speakers can be more complex than just making decisions about disclosure based on the risk–benefit analysis. Hence, this study attempts to integrate privacy self-efficacy and the multidimensional view of privacy management behaviors into the privacy calculus model and proposes an extended privacy calculus model for smart speaker usage. The study explicates three types of privacy management strategies in smart speaker usage: privacy disclosure, boundary linkage, and boundary control. A survey of smart speaker users (N = 474) finds that perceived benefits are positively associated with privacy disclosure and boundary linkage, whereas perceived privacy risks are negatively related to these two strategies. Also, perceived privacy risks are positively related to boundary control. Finally, privacy self-efficacy promotes all three strategies while mitigating the impact of perceived privacy risks and boosting the impact of perceived benefits on privacy management. [ABSTRACT FROM AUTHOR]

The development of technologies, organizational changes and the COVID-19 pandemic have caused a significant increase in the use of remote work modalities. The objective of this research was to evaluate the working conditions of remote work modalities in Cuba. The telework/remote work questionnaire was applied to a total of 28,026 s and managers. The working conditions were valued positively teleworker and remote worker, and managers, elements related to: the clarity of the objectives to be achieved, the deadlines for completing their tasks and adequate communication with co-workers and managers stand out. The main difficulties with working conditions are associated with limitations in the speed and stability of the Internet connection, and access to the necessary computer means provided by labor organizations. Significant differences are evident in all working conditions with the exception of communication between bosses, and teleworker and remote worker [ABSTRACT FROM AUTHOR]

Introduction: Because adolescence is a time of difficult management of Type 1 diabetes (T1D) in part from adolescent-parent shared responsibility of T1D management, our objective was to assess the effects of a decision support system (DSS) CloudConnect on T1D-related communication between adolescents and their parents and on glycemic management. Methods: We followed 86 participants including 43 adolescents with T1D (not on automated insulin delivery systems, AID) and their parents/care-giver for a 12-week intervention of UsualCare + CGM or CloudConnect, which included a Weekly Report of automated T1D advice, including insulin dose adjustments, based on data from continuous glucose monitors (CGM), Fitbit and insulin use. Primary outcome was T1D-specific communication and secondary outcomes were hemoglobin A1c, time-in-target range (TIR) 70–180 mg/dl, and additional psychosocial scales. Results: Adolescents and parents reported a similar amount of T1D-related communication in both the UsualCare + CGM or CloudConnect groups and had similar levels of final HbA1c. Overall blood glucose time in range 70-180 mg/dl and time below 70 mg/dl were not different between groups. Parents but not children in the CloudConnect group reported less T1D-related conflict; however, compared to the UsualCare + CGM group, adolescents and parents in the CloudConnect reported a more negative tone of T1D-related communication. Adolescent-parent pairs in the CloudConnect group reported more frequent changes in insulin dose. There were no differences in T1D quality of life between groups. Conclusions: While feasible, the CloudConnect DSS system did not increase T1D communication or provide improvements in glycemic management. Further efforts are needed to improve T1D management in adolescents with T1D not on AID systems. [ABSTRACT FROM AUTHOR]

The multi-agent system is used to study the negotiation problem of virtual enterprises in the context of the Internet of Things (IoT) to strengthen the decision-making ability of enterprises and improve the negotiation efficiency between different enterprises. Firstly, virtual enterprises and high-tech virtual enterprises are introduced. Secondly, the virtual enterprise negotiation model is implemented using the agent technology in the IoT, including constructing the operation mode of the alliance enterprise agent and the member enterprise agent. Finally, a negotiation algorithm based on improved Bayesian theory is proposed. It is applied to virtual enterprise negotiation, and the effect of the negotiation algorithm is verified by setting an example. The results show that: (1) When one side of the enterprise adopts a risk-taking strategy, the number of negotiation rounds between the two sides increases. (2) High joint utility can be achieved when both parties to the negotiation adopt a conservative strategy. (3) The improved Bayesian algorithm can improve the negotiation efficiency of enterprises by reducing the number of negotiation rounds. This study aims to achieve efficient negotiation between the alliance and the member enterprises to improve the decision-making ability of the alliance owner enterprise. [ABSTRACT FROM AUTHOR]

Background: Substantial resources are invested by Health Departments worldwide in introducing National Clinical Audits (NCAs). Yet, there is variable evidence on the NCAs' effectiveness and little is known on factors underlying the successful use of NCAs to improve local practice. This study will focus on a single NCA (the National Audit of Inpatient Falls -NAIF 2017) to explore: (i) participants' perspectives on the NCA reports, local feedback characteristics and actions undertaken following the feedback underpinning the effective use of the NCA feedback to improve local practice; (ii) reported changes in local practice following the NCA feedback in England and Wales. Methods: Front-line staff perspectives were gathered through interviews. An inductive qualitative approach was used. Eighteen participants were purposefully sampled from 7 of the 85 participating hospitals in England and Wales. Analysis was guided by constant comparative techniques. Results: Regarding the NAIF annual report, interviewees valued performance benchmarking with other hospitals, the use of visual representations and the inclusion of case studies and recommendations. Participants stated that feedback should target front-line healthcare professionals, be straightforward and focused, and be delivered through an encouraging and honest discussion. Interviewees highlighted the value of using other relevant data sources alongside NAIF feedback and the importance of continuous data monitoring. Participants reported that engagement of front-line staff in the NAIF and following improvement activities was critical. Leadership, ownership, management support and communication at different organisational levels were perceived as enablers, while staffing level and turnover, and poor quality improvement (QI) skills, were perceived as barriers to improvement. Reported changes in practice included increased awareness and attention to patient safety issues and greater involvement of patients and staff in falls prevention activities. Conclusions: There is scope to improve the use of NCAs by front-line staff. NCAs should not be seen as isolated interventions but should be fully embedded and integrated into the QI strategic and operational plans of NHS trusts. The use of NCAs could be optimised, but knowledge of them is poor and distributed unevenly across different disciplines. More research is needed to provide guidance on key elements to consider throughout the whole improvement process at different organisational levels. [ABSTRACT FROM AUTHOR]

Changes in consumer behavior in accessing information in the digitalization era have become a challenge for radio broadcaster RRI Medan to maintain its existence. Therefore, communication management needs to innovate and develop effective communication strategies to stay relevant and interesting to listeners. This research was conducted to determine the communication strategy of broadcaster RRI Medan in maintaining its existence in the digitalization era. This type of research is descriptive qualitative which aims to explain and describe. Researchers use content analysis in analyzing data. The data analysis used in this study is data reduction, data presentation, and conclusions. Radio conveys information and instructions to its listeners quickly, or it can be said that it is also delivered directly. Having a good communication strategy as well as interesting content really helps radio in maintaining its existence in society. In addition, Broadcasters are the spearhead for broadcast radio. The research results show that. RRI Medan also makes it easier for listeners to listen to broadcasts through the RRI play go application and other internet access. In this effort, RRI Medan can maintain its existence in the digitalization era. [ABSTRACT FROM AUTHOR]

Ongoing management and research interest in dog-related issues at recreation areas necessitates examining support for relevant management strategies among different visitor groups. Using data collected from an onsite survey of nonadjacent visitors (n=1,257) and a household mail survey of visitors who live adjacent (n=74) to a multiple-use recreation area (referred to as the Forests) in Oregon, we compare visitation characteristics and attitudes about dog-related management strategies among these two visitor groups. Nearly half of all respondents reported bringing dogs with them. Overall, respondents supported providing more dog waste bags and trash cans and requiring leashes in busy areas. They opposed requiring leashes everywhere. Compared to nonadjacent respondents, adjacent respondents have been recreating at the Forests longer, used stricter leash behavior with their dogs, and supported stricter leash regulations and increased enforcement of regulations. However, effect sizes for these statistically significant differences were small. Thus, communication and management strategies that aim to mitigate unwanted impacts from dogs may not need to be targeted uniquely to adjacent visitors compared to those who travel to the Forests. We discuss other pertinent management and communication implications. [ABSTRACT FROM AUTHOR]

The potential of ad hoc networks, which enable flexible and dynamic network establishment only by mobile terminals equipped with wireless communication devices, has recently attracted attention for the coming IoT era. Although the nature of ad hoc networks shows the advantages of their autonomous and distributed network management, a manifestation of drawbacks owing to the nature of wireless communication and the mobility of terminals are inevitable. Many routing protocols have already been proposed to address the issues by adapting to nature and achieving a certain level of improvement. However, the routing protocols still suffer from difficulties in information collection for routing and adaptive route management during communication. Moreover, there is another issue that end pair-based routing procedures prevent other end pairs from reusing the routing information effectively. To address the drawbacks of conventional routing protocols, this paper proposes VORTEX, a novel routing protocol that employs an opportunistic routing strategy using hierarchization. One of the characteristic features of VORTEX is its network-driven opportunistic forwarding, in which packets travel toward destination terminals using hierarchy as a guide without conventional route discovery procedures. Moreover, another characteristic feature of VORTEX is that the hierarchical structure also contributes to adapting to communication environment changes in an autonomous manner. In other words, VORTEX enables flexible network-wide information-based routing only with the locally collected information. The simulation results show that the proposed VORTEX could provide better service quality and reliability with improved efficiency compared to the conventional routing protocols. Furthermore, the most significant contribution is not only in the communication performance but also VORTEX omits route discovery or route maintenance from routing protocols, and formed networks themselves have a function to deliver packets toward destination terminals. [ABSTRACT FROM AUTHOR]

Classroom management is a difficult task for teacher candidates and a significant barrier to being an effective teacher. The aim of this study was twofold: a) to examine the relation between student teachers' emotional intelligence and their educational practices and b) whether emotional intelligence significantly predicted classroom management. The instruments used for data collection were TEIQue, a self-report questionnaire that measures trait emotional intelligence, and TEP-Q, a self-report questionnaire assessing three dimensions of classroom management: communication, organization, relationship. The sample of the study was comprised of third year undergraduate student teachers in the Department of Pedagogy and Primary Education at the National and Kapodistrian University of Athens, who had their first experience with teaching practice at primary schools. Descriptive statistics and correlational models showed that there is a statistically significant correlation between the factors. In fact, student teachers' emotional intelligence predicted classroom management. Research results have pedagogical implications, while the impact of the research on practice and policy highlights the urge of social and emotional interventions during teachers' both initial and ongoing education as well as the need to promote an educational design that embraces the goals of social and emotional learning at schools. [ABSTRACT FROM AUTHOR]