Sadiyya Haffejee, Sonia Mbowa and Leila Patel
There is a growing call both globally and nationally for integrated multisectoral and multidisciplinary systems of care to be implemented for children's needs in the foundation…
Abstract
Purpose
There is a growing call both globally and nationally for integrated multisectoral and multidisciplinary systems of care to be implemented for children's needs in the foundation stages of their growth to be met. Extant literature shows that historical, structural, epidemiological, political and social factors create many adversities for South African children both in the short and in the long term. South Africa's fragmented and weak service delivery compounds the situation. In this paper, the authors describe the lessons learnt from a multisectoral and multidisciplinary community of practice established to strengthen social systems to ensure child wellbeing outcomes.
Design/methodology/approach
A qualitative research design was used, drawing on data collected over a two-year period. Data included meeting minutes, focus group discussions, and email communications between project partners. Focus group discussions were audio-recorded and transcribed verbatim. Data was analysed thematically.
Findings
Findings show that having a shared goal, establishing supportive, mutually beneficial relationships and contributing to services that enhance child wellbeing outcomes enabled the community of practice, while differing organizational mandates and heavy workloads constrained the partnership.
Research limitations/implications
The study shows the effectiveness of a Community of Practice (CoP) in integrating services across sectors for children's well-being and promoting collaborative learning and intersectoral work. However, this success also depends on the presence of strong leadership and efficient coordination.Limitation: Despite its benefits, the CoP model presents challenges, including securing active participation and buy-in from stakeholders, managing time and resource constraints, and dealing with issues in the existing service delivery system. Questions about long-term sustainability and the practicalities of scaling and institutionalizing the model need to be addressed.
Originality/value
Through this paper, the authors contribute to a nascent area of research in the Global South, critically reflecting on the lessons the authors learnt from implementing an integrated community of practice approach to strengthen social sector systems toward the enhancement of children's wellbeing.
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Leila Cheikh Ismail, Hadia Radwan, Tareq Osaili, Eman H. Mustafa, Fatema M. Nasereddin, Hafsa J. Saleh, Sara A. Matar, Sheima T. Saleh, Maysm N. Mohamad, Rameez Al Daour, Radhiya Al Rajaby, Eman R. Saif, Lily Stojanovska and Ayesha S. Al Dhaheri
Nutrition labels provide a cost-effective method of conveying nutrition information to consumers. This study aimed to assess the use of nutrition facts panels, knowledge of…
Abstract
Purpose
Nutrition labels provide a cost-effective method of conveying nutrition information to consumers. This study aimed to assess the use of nutrition facts panels, knowledge of traffic light labelling (TLL) and perceived healthiness of food items using TLL among consumers.
Design/methodology/approach
A web-based cross-sectional study was conducted among adults in the United Arab Emirates (UAE) (n = 1,322). TLL knowledge score was derived for each participant. Conjoint analysis was used to calculate the utilities and relative importance of the perceived healthiness scores for four attributes (fat, saturated fat, total sugar, salt) at the aggregate level.
Findings
Participants had a positive attitude towards TLL but were less familiar with TLL than the nutrition facts panel (47.4 vs 85.8%). The mean TLL knowledge score was 3.6 out of 7 (51.6%). Younger age, higher education, higher income, and health-related qualifications were associated with higher scores. Conjoint analysis showed that participants tend to choose products with greener labels, especially for sugars (80.1%) and avoid red labels for fats. Sugars had the highest percentage value of relative importance compared to the other attributes (27.1%).
Originality/value
The study outcomes offer valuable insights into the extent of consumer awareness, comprehension and utilization of nutrition facts panels in the UAE. These findings contribute essential knowledge for a deeper understanding of the impact of nutrition labels on consumer behaviour and decision-making in the region.
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Leila Nasrolahi Vosta and Mohammad Reza Jalilvand
This paper aims to examine how technological media accelerates sustainable development. Further, the mediating role of good governance and society empowerment would be…
Abstract
Purpose
This paper aims to examine how technological media accelerates sustainable development. Further, the mediating role of good governance and society empowerment would be investigated.
Design/methodology/approach
A questionnaire survey was conducted among 450 students at the level of higher education using stratified sampling plan. Following a two-step approach, a measurement model was estimated and then a structural model was analyzed to evaluate five proposed hypotheses.
Findings
The research results indicate that technological media has a direct and positive effect on good governance, empowerment and sustainable development; technological media has an indirect and positive influence on sustainable development via good governance and empowerment as mediating variables; good governance and empowerment are significant antecedents of sustainable development.
Originality/value
The research examines the relationship among technological media, good governance, empowerment and sustainable development, thus contributing to sustainable development literature theoretically. In addition, relevant implications are provided for policymakers as to how to accelerate development sustainably across their countries.
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Zamzam Paknahad, Leila Yazdanpanah, Mohammad Reza Maracy, Amir Reza Moravejolahkami, Seyed Ali Javad-Mousavi and Abbas Nemati
Patients with chronic obstructive pulmonary disease (COPD) suffer from many health problems including poor sleep. This paper aims to evaluate the relationship between diet quality…
Abstract
Purpose
Patients with chronic obstructive pulmonary disease (COPD) suffer from many health problems including poor sleep. This paper aims to evaluate the relationship between diet quality indices (DQIs) and sleep quality in COPD.
Design/methodology/approach
The current cross-sectional study was carried on 121 COPD patients. Subjective quality of sleep was determined by Pittsburgh Sleep Quality Index (PSQI) and categorized into “poor” and “good” sleep quality. Dietary history was assessed by the DQIs. Disease status was categorized according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) Guidelines.
Findings
In total, 103 men and 18 women with a mean age of 66.1 ±10.9 were studied. The subjects were categorized into four groups based on GOLD; 3.3% of subjects were at Stage 1, 38% in Stage 2, 38% in Stage 3 and 20.7% in Stage 4. In total, 38% of subjects were good, and 62% were bad sleepers according to PSQI score. There was no significant relationship between the severity of COPD and PSQI score. We observed a significant inverse relation between PSQI total score and Mediterranean diet (MED) scale, Healthy Eating Index (HEI)-2010 and HEI-2005 (p = 0.024, 0.037 and 0.024, respectively) in males.
Originality/value
This study showed a high prevalence of poor quality of sleep and sleep disturbances among COPD patients. There was an inverse association between PSQI and sleep disorders and DQIs scores in COPD patients. Regardless of the severity of airflow obstruction, poor diet quality may constitute a risk factor for sleep quality.
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Roza Rafiei, Leila Roozbeh Nasiraie, Zahra Emam Jumeh and Sara Jafarian
The use of polysaccharides increases solubility and consistency and causes functions such as viscosity? Moisture and food emulsifier stabilizer. This study aims to enrich the…
Abstract
Purpose
The use of polysaccharides increases solubility and consistency and causes functions such as viscosity? Moisture and food emulsifier stabilizer. This study aims to enrich the formulation of low-fat mozzarella cheese using microcoated vitamin D3 (VD3).
Design/methodology/approach
This study investigates the addition of hydrocolloids to low-fat mozzarella cheese to enhance its properties and nutritional value. Tests were conducted on cheese samples with 0.05% and 0.25% hydrocolloid concentrations at various stages: before production and at three and six months’ postproduction. The samples were evaluated for elasticity, pH and solubility to select the best one, which was then fortified with VD3. The vitamin was microencapsulated using alginate and whey protein to shield it from light and oxygen, optimizing the formula using the response surface method. The fortified cheese was tested for VD3 content over its shelf life.
Findings
Results indicated that all hydrocolloids tested improved moisture and meltability of the cheese while higher protein levels increased stretchability two to threefold. Rice starch hydrocolloid at 0.05% concentration was chosen due to superior sensory scores and minimal oil separation. This study concluded that VD3 levels remained stable during the cheese’s shelf life, suggesting that this approach could enhance the nutritional value of low-fat cheese without compromising its quality. Therefore, after examining the obtained results and comparing the regression models, the results indicated that the Quadratic model was chosen to investigate the effect of independent variables on the response rate, which had a statistically significant difference with other models (p = 0.0019). Also the results of the area under the curve and using the encapsulation efficiency equation, the percentage of microencapsulated vitamin was obtained, and according to the simulation results, the encapsulation efficiency was reported as 89.02%.
Originality/value
Developing innovative functional dairy products fortified with VD3 could improve the vitamin D status in deficient populations. Therefore, these designs can be applied at industrial scales for functional cheese production.
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Ayat Ahmadi, Leila Doshmangir, Vladimir Sergeevich Gordeev, Bahareh Yazdizadeh and Reza Majdzadeh
Underreporting of new tuberculosis (TB) cases is one of the main problems in TB control, particularly in countries with high incidence and dominating role of a private sector in…
Abstract
Purpose
Underreporting of new tuberculosis (TB) cases is one of the main problems in TB control, particularly in countries with high incidence and dominating role of a private sector in TB cases diagnosing. The purpose of this paper was to explore behavioral determinants of underreporting of new TB cases among private sector physicians in Iran.
Design/methodology/approach
The authors conducted a population-based, cross-sectional study of physicians working in private clinics. The data collection tool was designed using the theory of planned behavior (TPB). The authors used structural equation models with maximum likelihood estimation to examine attitude toward the notification behavior.
Findings
Of 519 physicians, 433 physicians completed the questionnaire. Attitude toward notification had the highest score (mean score = 87.65; sd = 6.79; range: 0–100). The effect of perceived behavioral controls on the notification behavior (
Practical implications
Considering stronger effect of perceived behavioral control on the behavior, interventions aiming at facilitating notification process would be more effective than those aiming at changing the attitude or enhancing intention among physicians.
Originality/value
To the best of our knowledge, no other study previously explored determinants of underreporting from the behavioral and cognitive perspective. Specifically, the authors explored the role of the TPB constructs in predicting intention to notify new TB cases.
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Somaye Fatahi, Fahime Haghighatdoost, Bagher Larijani, Pamela J. Surkan and Leila Azadbakht
Recent research has suggested the beneficial effects of omega-3 fatty acids on kidney function; however, differences in these benefits have not been well-documented with respect…
Abstract
Purpose
Recent research has suggested the beneficial effects of omega-3 fatty acids on kidney function; however, differences in these benefits have not been well-documented with respect to different omega-3 fatty acid sources. Hence, the purpose of this study is to compare the effects of plants, marine sources of omega-3 fatty acids and their combination on biomarkers of renal function in overweight and obese individuals.
Design/methodology/approach
Ninety-nine overweight and obese women from a weight loss clinic received three weight-reducing diets with fish (300 g/week), walnuts (18 walnuts/week) or fish + walnuts (150 g fish + 9 walnuts/week) for 12 weeks. Serum biomarkers of renal function were measured at the beginning and the end of the intervention.
Findings
After 12 weeks, a reduction in serum creatinine was statistically higher for both the fish + walnut (−0.16 ± 0.09 mg/dL, p = 0.001) and walnut (−0.15 ± 0.05 mg/dL, p = 0.001) diets compared with the fish diet (−0.05 ± 0.04 mg/dL). A significant decrease was seen in blood urea nitrogen (BUN) level in the fish + walnut group (−0.12 ± 0.05 mg/dL, p = 0.03) and walnut group (−0.10 ± 0.04 mg/dL, p = 0.03) compared to the fish group (−0.05 ± 0.03 mg/dL). The effect of serum creatinine and BUN in the fish + walnut diet group was relatively higher than in the walnut diet group. Also, a significant difference was observed regarding weight loss in the fish + walnut diet (−7.2 ± 0.9 kg, p = 0.03) compared to in the other groups. The change in other indices was not different among the three diets.
Originality/value
This study found synergistic benefits of the plant and marine omega-3 fatty acids in reducing serum creatinine, BUN and weight compared with isolated marine omega-3s in overweight and obese women.
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Reihaneh Mousavi, Morteza Arab-Zozani, Elaheh Foroumandi, Majid Karandish, Leila Maghsoumi-Norouzabad, Anahita Mansoori and Jalal Moludi
This study aims to identify the effect of strawberry supplementation on some metabolic, inflammatory and oxidative parameters in adults with cardiovascular (CV) risk factors.
Abstract
Purpose
This study aims to identify the effect of strawberry supplementation on some metabolic, inflammatory and oxidative parameters in adults with cardiovascular (CV) risk factors.
Design/methodology/approach
A systematic literature search was performed up to November 2020 using PubMed, Embase, Cochrane, Web of Sciences and Scopus databases. The pooled mean difference (MD) with 95% confidence interval (CI) was used to analyze the data by random-effects model. I2 statistics and Cochrane risk of bias tool were used for investigating heterogeneity and quality of included studies, respectively.
Findings
In total, 13 randomized controlled trials with 488 participants were included. Strawberry supplementation significantly reduced diastolic blood pressure (MD = −2.1, 95% CI [−3.7, −0.42], P = 0.01), low-density lipoprotein cholesterol (−0.16, −0.30, −0.02, P = 0.03), high-sensitivity C-reactive protein (CRP) (−0.76, −1.4, −0.05, P < 0.001) and CRP (−0.31, −0.43, −0.18, P = 0.04). Leptin levels were raised in control group compared with participants who had received strawberry (0.65, 0.09 and 1.2, P = 0.02). The results of subgroup analysis based on the follow-up duration and supplementation dose showed that consumption of strawberry for more than eight weeks and 50 g day−1 can significantly decrease some other CV risk factors compared to control group. Further, both higher follow-up duration and supplementation dose were more effective in increasing leptin levels of control group compared to intervention group.
Originality/value
The use of some useful plant foods such as strawberries by the pharmaceutical industry and the community health sector can greatly help improve people’s CV and metabolic health.
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Arezoo Ghamgosar, Maryam Zarghani and Leila Nemati-Anaraki
The use of citation analysis to identify the first 100 articles on malaria offers unique insights into understanding the disease and subsequent follow-up treatment innovations…
Abstract
Purpose
The use of citation analysis to identify the first 100 articles on malaria offers unique insights into understanding the disease and subsequent follow-up treatment innovations over time. In this study, the 100 most-cited articles on malaria were analyzed, and key studies were highlighted.
Design/methodology/approach
The data of the most-cited articles for the period of four decades were extracted from the Web of Science database. The search terms malaria, plasmodium infection and remittent fever were used to identify the related articles for the study.
Findings
The preliminary data of the 100 most-cited articles were recorded and analyzed. The total number of retrieved articles was 55,517. Dondrop and colleagues wrote the most-cited articles focusing on a new treatment for falciparum malaria resistant to existing medications. The author, with the most publications, was N. J. White. The most-cited articles on malaria were published in 35 journals. The USA had published most of the influential articles, while the Mahidol Oxford Tropical Medicine Research Unit was the leading institute active in malaria research. The experimental method was the most frequent method used by the most-cited articles. There was a significant relationship between the number of authors, the presence of the corresponding author on Research Gate, the availability of the full text of the article on Research Gate, the impact factor of the journal in which the article was published and the international collaboration of authors and the number of citations on malaria. The most influential authors, countries, institutes, journals and articles were specified. Most of the notable articles on malaria were published in journals with high impact factors. A group of journals was introduced as the core journals.
Originality/value
It was found that having co-authors, the presence of the corresponding author on Research Gate, the availability of the full text of the article on Research Gate, the impact factor of the journal in which the article was published and international collaboration contributed to the publication of high-quality scientific products. Updated information on malaria is needed to present and expand the screening strategies to improve health and reduce burden of malaria.