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Research objectives and problems: The purpose of the study was to test the impact of a high seas cruise on a traditional sailing ship, during which sail training is implemented, on selected characteristics of the participants. It was thought that significant, positive changes would emerge in terms of decision-making, perception of the future, resistance to change, and proactivity – and that these changes would be related to temperament. Research methods: Using the General Decision Making Style instrument, the Consideration of Future Consequences Scale, the Resistance to Change Scale, and the Proactivity Scale, a questionnaire with repeated measurement was administered to two groups of adolescents taking part in a sea cruise (Group 1: 14-day cruise, 11 boys, 8 girls, M age=17.1; Group 2: 7-day cruise, 13 boys, 7 girls, M age = 21.9). Measurements were taken on the first and last day of the cruise and one month after the cruise. Multilevel modeling was used to examine how temperament moderates changes in decision-making style, consideration of future consequences, resistance to change, and level of proactivity. Structure of the article: The text provides information on sail training, including the historical context, previous research, and impact on youths’ development. The role of temperament in shaping behavior and its relevance to sail training are introduced. The theoretical constructs investigated, and the tools used in the research are described. The research objectives are stated and the sample and procedure are explained. The results are presented and discussed. Limitations and conclusions are indicated. Research findings and their impact: Emotional reactivity significantly moderated the increase in dependent and avoidant decision-making styles and short-term focus, while it decreased cognitive rigidity and proactivity. Activity counteracted growth in avoidant decision-making style, reduced resistance to change, routine seeking, and emotional reactivity to change, lowered short-term focus, and supported growth in proactivity. Resilience counteracted the positive development of proactivity. Conclusions and recommendations: Temperament traits can be mediators of change in terms of the constructs discussed herein. The results allow us to look at sail training from a new perspective, though further research on a regular School Under Sails and aboard other sailing ships is needed to formulate indisputable conclusions.

Introduction: Activated phosphoinositide 3-kinase (PI3K)δ syndrome (APDS) is an ultra-rare inborn error of immunity (IEI) combining immunodeficiency and immune dysregulation. This study determined what represents value in APDS in Spain from a multidisciplinary perspective applying multicriteria decision analysis (MCDA) methodology. Methods: A multidisciplinary committee of nine experts scored the evidence matrix. A specific framework for orphan drug evaluation in Spain and the weights assigned by a panel of 98 evaluators and decision-makers was used. Re-evaluation of scores was performed. Results: APDS is considered a very severe disease with important unmet needs, including misdiagnosis and diagnostic delay. Current management is limited to treatment of symptoms with off-label use of therapies supported by limited evidence. Therapeutic benefit is partial, resulting in limited disease control. Haematopoietic stem cell transplantation (HSCT), the only potential curative alternative, is restricted to a reduced patient population and without evidence of long-term efficacy or safety. All options present a limited safety profile. Data on patients’ quality of life are lacking. APDS is associated with high pharmacological, medical and indirect costs. Conclusions: APDS is considered a severe disease, with limited understanding by key stakeholders of how treatment success is assessed in clinical practice, the serious impact that has on patients and the associated high economic burden. This study brings to light how MCDA methodology could represent a useful tool to complement current clinical and decision-making methods used by APDS experts and evaluators.

Internet use has increased worldwide during the COVID-19 pandemic, to the point where it has inadvertently integrated into our lives. University students use the Internet daily for different purposes: seeking information, entertaining, as a teaching and learning tool, they consider social networks as a means of connection and social interaction, and to seek information to make health decisions. Because of this, the Internet and social networks have gained popularity among this group, to the point of developing an abusive use that is not perceived as an addictive risk. A descriptive analysis was performed through the adaptation of a survey about Internet use, social networks and health perception; this survey was given to nursing students of the Gimbernat School during the academic year 2021–2022. Students completed the ad hoc questionnaire (N = 486; 83.5% female, 16.3% male; only 1 declared to be non-binary gender). Our hypothesis had to do with whether the population of nursing students at Gimbernat School had increased, after the pandemic, its use of the Internet and social networks to make decisions about health problems. The objective of the study was to analyse differences in students’ habits of use of the Internet and social networks as they look for health information, their decision-making when they find the information and their perception of health as nursing students from a gender perspective. The results showed a clear positive relationship between the variables studied. Of nursing students, 60.4% spend between 20 and more than 40 h a week using the Internet, and 43.6% of these hours are spent on social networks. Of students, 31.1% make health decisions by searching for information on the Internet and consider it useful and relevant. The use of the Internet and social media in relation to health decisions is clearly affected. To try to reduce the incidence of the problem, interventions are needed regarding the prevention and/or consequences of Internet abuse and health education of student nurses as future health assets.

Abstract Scholars and managers have long discussed the best profile for successful leadership, which can influence employee performance and organizational growth. Despite leadership being the focus of many studies and continuous training, what explains leaders’ effectiveness within institutions and companies remains unclear. To better understand this phenomenon, we perform a comprehensive review of empirical studies and theoretical essays (N = 93) exploring the application of neuroscience in an organization’s practices and leaders’ development. We conducted a systematic review using these references and built narrative arguments organizing understudied areas and defining a process to classify and integrate trends. The study is different from previous research in identifying groups of research areas such as the biological, brain, psychological, management, emotional, and cognitive approaches, as well as research topics such as culture, decision-making, engagement, ethics, and human development. Moreover, we suggest a theoretical framework comprising those approaches and the main research topics to stimulate the move of the field forward. The article contributes to the literature by organizing the state of the art of research and presenting neuroleadership as a construct. We conclude with suggestions for future research that we hope will address existing gaps and contribute to building relevant theories and policy recommendations.

This research explores the potential of geographic intelligence in modelling optimal corridors for assessing alternative locations for power transmission lines at different stages of the study. The difficulties verified in the environmental licensing of new projects, the expansion of the national transmission system, and the lack of work to research techniques for formulating locational alternatives are motivating questions for this research. The investigation employs a multicriteria decision-making approach integrated with a geographic information framework to compute and map the feasibility corridors based on environmental constraints and stakeholder inputs. Findings reveal that the current decision-making process for implementing new power transmission lines involves disparate public and private entities operating non-integratively in a multi-level analysis and decision-making process. Through a case study utilising multicriteria analysis and expert consultations, the research demonstrates the applicability of spatial modelling in the locational planning of transmission projects. It highlights the model's capacity to address the complexity inherent in such studies, aggregate analyses and decisions from various stakeholders, and enhance transparency in the decision-making process from energy planning to operational phases.

Objective: we analyzed decision-making under stress by manipulating salivary cortisol levels. Theoretical background: literature dedicated to the relationship between stress and decision-making is still inconclusive. Studies have found that when dealing with stressful decisions, people will respond with a greater propensity for opportunistic behavior. However, stress might also decrease the potential for deception when the decision requires strategic/analytical responses. Method: we implemented a laboratory experiment using the ultimatum game with asymmetric information, in which only the first mover was fully informed about the size of the endowment. Our experiment compared the decisions of subjects who received a stress stimulus from an adapted Trier social stress test for groups (TSST-G) protocol with a control group. Results: we found that under stress, proposers transferred more to responders. In contrast, non-stressed players were more likely to take advantage of information asymmetry by choosing lower strategic offers, which is consistent with the so-called ‘hide behind a small cake’ effect. Regression analysis also indicated that larger offers are not necessarily associated with increased prosocial motives since stressed proposers became more confident about the responder’s ability to guess the true endowment, which decreased their incentive to take advantage of the aforementioned effect. Conclusions: one possible effect of stress could be an increase in risk perception, decreasing the ability to make strategic decisions. The stressful condition might have rendered our participants less capable of realizing the ‘hide behind a small cake’ potential of the game, leading them to make more conservative offers when compared to the control group.