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  • Open Access

    ARTICLE

    Leaders’ expectations of innovation and employees’ innovative behavior: The roles of employees’ expected positive performance outcomes and innovative self-efficacy

    Qian Ma1, Hao Zhou2,*

    Journal of Psychology in Africa, Vol.35, No.1, pp. 7-19, 2025, DOI:10.32604/jpa.2025.065775 - 30 April 2025

    Abstract Employees’ innovative performance determines an organization’s innovation, which critically impacts its structural optimization and sustainability. Applying expectancy theory, we examined how and when the Pygmalion effect occurs in the relationship between leaders’ expectations of innovation and employee innovative behavior. Our sample comprised 201 frontline employees (female = 31.84%; mean age = 41.48 years, SD = 7.97 years) in a Chinese coal enterprise, who completed surveys on innovation expectations of leaders, expected positive performance outcomes, innovative self-efficacy and innovative behavior. The results revealed that employees’ expected positive performance outcomes mediated the positive relationship between leaders’ innovation More >

  • Open Access

    ARTICLE

    Comparing functional outcomes of glansectomy with or without glans reconstruction

    Mihály Murányi1,*, András Domoszlai1, Attila Csaba Nagy2, Tibor Flaskó1

    Canadian Journal of Urology, Vol.32, No.2, pp. 119-127, 2025, DOI:10.32604/cju.2025.063821 - 30 April 2025

    Abstract Introduction: We aimed to compare the oncological and functional outcomes of glansectomy and split-thickness skin graft reconstruction (GR) with those of glansectomy alone (GA) and penile amputation (PA). Materials and Methods: This retrospective study included patients with penile carcinoma or penile intraepithelial neoplasia diagnosed between 2017 and 2022. Surgical outcomes, complications, and oncological outcomes were assessed through a chart review, and functional outcomes were assessed using a questionnaire administered to patients who underwent GR (group A), GA (group B), or PA (group C). Results: Six, eight, and seven patients were enrolled in groups A, B, and… More >

  • Open Access

    ARTICLE

    Sacrocolpopexy in urology versus gynecology: a contemporary analysis of outcomes and patient profiles

    Yash B. Shah1, Courtney E. Capella1,*, Rishabh K. Simhal2, Maria J. D’Amico1, Whitney Smith1, Alana M. Murphy1

    Canadian Journal of Urology, Vol.32, No.1, pp. 63-70, 2025, DOI:10.32604/cju.2025.064711 - 20 March 2025

    Abstract Introduction: With the aging population, more females will suffer from pelvic organ prolapse. Both urologists and gynecologists perform sacrocolpopexy, but there is no comparative study analyzing differences in provision of care, outcomes, or patient population. We aimed to elucidate potential differences in demographics, outcomes, and minimally invasive surgery utilization for SCP performed by urology and gynecology. Methods: In our retrospective analysis, sacrocolpopexies were identified using the American College of Surgeons National Surgical Quality Improvement Project database from 2006–2020. Pearson’s chi-square test was performed to test trends in the utilization of MIS in five-year blocks. Frailty… More >

  • Open Access

    ARTICLE

    The new gold standard for surgical management of BPH: an institutional experience with 1000 HoLEPs

    Yash B. Shah1, Brian H. Im1, Aaron R. Hochberg1, Elliott P. Freudenburg2, James Jiang2, Bruce M. Gao2, Mihir S. Shah1, Akhil K. Das2,*

    Canadian Journal of Urology, Vol.32, No.1, pp. 15-19, 2025, DOI:10.32604/cju.2025.064708 - 20 March 2025

    Abstract Introduction: Holmium Laser Enucleation of the Prostate (HoLEP) is a size-independent, endoscopic management option for benign prostatic hyperplasia (BPH). HoLEP offers a distinct advantage for patients who are at high-risk for bleeding whilst preserving prostatic tissue for pathology analysis, unlike photoselective vaporization. Further, HoLEP avoids the need for cystotomy, unlike simple open and robotic prostatectomy, by using intravesical morcellation. We report our experience with the first 1000 HoLEP procedures at our institution. Materials and Methods: We performed a retrospective review of all HoLEP procedures performed at our institution from 2013–2021 to capture patient demographics, procedure details,… More >

  • Open Access

    ARTICLE

    Post-operative outcomes in rectourethral fistula repair using gracilis interposition flap

    Gabrielle Yankelevich1,*, Jessica Swaim1, Ian Coate1, Margaret Stroud1, William Stallings1, Virgilio George2, M. Lance Tavana3, Harry Clarke1

    Canadian Journal of Urology, Vol.32, No.1, pp. 37-42, 2025, DOI:10.32604/cju.2025.064684 - 20 March 2025

    Abstract Objectives: To assess outcomes of rectourethral fistula repair utilizing a gracilis flap in a largely radiated cohort. Patients and Methods: We performed a retrospective review of all gracilis interposition flap reconstruction surgeries performed for RUF at a university hospital in South Carolina between January 2010 and June 2023. All repairs utilized a multidisciplinary approach with urology, colorectal, and plastic surgery teams. Post-operatively, patients were maximally drained with foley catheter and suprapubic tube (SPT). Initial voiding cystourethrogram (VCUG) was performed at 4 weeks post-repair. If there was a persistent leak, catheter drainage was maintained for 4 additional… More >

  • Open Access

    REVIEW

    The effect of concomitant drugs on oncological outcomes in patients treated with immunotherapy for metastatic urothelial carcinoma: a narrative review

    MICHELE MAFFEZZOLI1,2,#, GIULIA CLAIRE GIUDICE1,2,#,*, GIACOMO IOVANE1,2, MARTINA MANINI1,2, ELENA RAPACCHI1, GIUSEPPE CARUSO1, NICOLA SIMONI3, STEFANIA FERRETTI4, STEFANO PULIATTI4, DAVIDE CAMPOBASSO5, SEBASTIANO BUTI1,2

    Oncology Research, Vol.33, No.4, pp. 741-757, 2025, DOI:10.32604/or.2024.057278 - 19 March 2025

    Abstract Background: immune checkpoint inhibitors (ICIs) have revolutionized the treatment of metastatic urothelial carcinoma (mUC), significantly improving survival outcomes. However, a subset of patients do not respond to ICIs, prompting research into potential predictive factors. Commonly prescribed medications such as corticosteroids, proton-pump inhibitors (PPIs), antibiotics (Abs), antihypertensives, and analgesics may influence ICI effectiveness. Methods: we conducted a literature search on PubMed to investigate the impact of concomitant medications on the outcomes of patients with mUC, treated with ICIs. We selected the most relevant studies and performed a narrative review. Results: corticosteroids, PPIs and Abs have been associated More >

  • Open Access

    REVIEW

    Reverse Potts Shunt in Children with Suprasystemic Pulmonary Arterial Hypertension: A Systematic Review and Meta-Analysis

    Yong An1,2, Gang Wang1,2, Jiangtao Dai1,2, Zhengxia Pan1,2, Yuhao Wu1,2,*

    Congenital Heart Disease, Vol.20, No.1, pp. 1-12, 2025, DOI:10.32604/chd.2025.063152 - 18 March 2025

    Abstract Background Pulmonary arterial hypertension (PAH) is a progressive condition with a poor prognosis in children. Lung transplantation (Ltx) remains the ultimate option when patients are refractory to PAH-specific therapy. Reverse Potts shunt (RPS) has been introduced to treat suprasystemic PAH. This study aims to investigate the clinical outcomes of suprasystemic PAH in children. Methods Embase, Pubmed, and the Cochrane Library databases were searched for related studies that reported the clinical outcomes of suprasystemic PAH following RPS in children. To investigate the clinical outcomes of RPS, meta-analyses of the early and overall mortalities were performed. Results Nine studies… More >

  • Open Access

    ARTICLE

    Predictors of In-Hospital Mortality and Survival Outcomes in a Paediatric Congenital Cardiac Cohort in South Africa—A 12-Year Review

    Prathap Sarma1, Palesa Mogane2,*, Katharina Vanderdonck3, Moses Kebalepile1, Palesa Motshabi Chakane4

    Congenital Heart Disease, Vol.20, No.1, pp. 41-53, 2025, DOI:10.32604/chd.2025.060382 - 18 March 2025

    Abstract Background: Congenital cardiac diseases (CCD) are common congenital birth defects that require high-risk surgery. Outcomes following congenital cardiac surgery in children living in high-income countries (HIC) have been documented, but little is known from the African continent. This study aimed to determine factors associated with perioperative mortality in patients who underwent congenital cardiac surgery at our institution. Methods: This retrospective, cross-sectional study was conducted at Charlotte Maxeke Johannesburg Academic Hospital over 12 years (2006–2017). A multivariable regression analysis was performed for the factors which had a p-value of 0.1 and less in the univariable regression analysis. A… More >

  • Open Access

    ARTICLE

    Walking for Mental Health: Effects of Mobile-Based Walking on Stress and Affectivity in College Students

    Ye Hoon Lee1, Juhee Hwang2,*

    International Journal of Mental Health Promotion, Vol.27, No.2, pp. 179-191, 2025, DOI:10.32604/ijmhp.2025.060685 - 03 March 2025

    Abstract Objectives: Recent research has shown that college students experience high levels of stress from various sources, which contribute to heightened rates of psychological distress and make them particularly vulnerable to mental health issues. Hence, we conducted a study, aimed to analyze the influence of a mobile-based walking routine on mental health outcomes, such as perceived stress and positive and negative affect. Methods: The participants were divided into two groups: the walking group (N = 23) and the control group (N = 24). The walking group engaged in an approximately 25-min walking session for at least 3 days… More >

  • Open Access

    REVIEW

    The Impact of Exercise during Pregnancy on Maternal and Offspring Outcomes in Gestational Diabetes Mellitus

    Sha Chen1,#, Minkai Cao1,#, Kerong Liu2,*, Ying Gu1,*

    BIOCELL, Vol.49, No.2, pp. 181-198, 2025, DOI:10.32604/biocell.2025.058745 - 28 February 2025

    Abstract The increasing prevalence of gestational diabetes mellitus (GDM) is associated with an array of pregnancy complications and enduring health challenges in both mothers and their offspring. Studies have indicated that exposure to the intrauterine environment can prompt adaptations in the offspring, thereby programming transgenerational inheritance. Physical activity during pregnancy, as a non-pharmacological intervention, mitigates metabolic risks through epigenetic modifications, mediating placental adaptations, the action of exercise factors, and gut microbiota. Here, we provide a review summarizing how regular exercise can reduce the risk of GDM and positively influence pregnancy outcomes. It also discusses the exercise-induced More >

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