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I would like to express my sincere thanks and gratitude to my thesis advisor, Dr. Yasser Gadallah, for his tremendous support in completing this research work. I remember every piece of advice in our meetings and discussions that always built a strong and solid foundation for the thesis in particular and for my research skills in general. It is also worth mentioning the endless support of my academic advisor and the master’s program director, Dr. Maki Habib, for his exerted efforts to facilitate and grant the financial assistance that was a broad base of support to complete my study in the RCSS program. In addition, I am so grateful for the time spent in his labs where I learned many practical and professional concepts and methods in teaching and conducting research through my work as a teaching and research assistant under his guidance and supervision. My special and sincere thank you also goes to my dear colleague, Heba Kadry, for her continued moral support and encouragement throughout the years of working on my thesis. I remember when we spent hours discussing the challenges of the thesis or even the complicated coursework and how these discussions ended with a significant push to stand and move forward towards achieving my academic potential. Finally and foremost, many thanks to the great deal of support and assistance that grant me the completion of this thesis work and my master’s degree.

The purpose of this study was to examine whether customer gratitude mediates the association between ethical corporate social responsibility and customer loyalty. A cross-sectional survey was adopted. A total of 430 individual customers of retail banks located in some selected towns in north-east region of Nigeria were selected using convenience sampling. Structured questionnaires were used to collect. Descriptive statistics and partial least square structural equation modeling were used in data analysis. Finding showed that ethical corporate social responsibility positively and significantly affected customer loyalty. Also, a positive and significant effect of ethical corporate social responsibility on customer gratitude was observed. Furthermore, it was observed that customer gratitude and customer loyalty are positively associated. Also, customer gratitude mediated between ethical corporate social responsibility and customer loyalty. This study concluded that customer gratitude mediated the influence of ethical corporate social responsibility on customer loyalty. The finding of this study will help managers of Nigerian retail banks to develop ethical corporate social practices which strongly create feelings of gratitude among their banks’ customers in order to take advantage of customers’ gratitude, and eventually cultivate customers’ loyalty.

BACKGROUND Opioid misuse during pregnancy has been associated with adverse infant outcomes including preterm birth, stillbirth, and neonatal opioid withdrawal syndrome. The Pregnancy Risk Assessment Monitoring System (PRAMS) is an on-going state-based surveillance system of maternal behaviors, attitudes, and experiences prior to, during, and after pregnancy. Methods: We analyzed qualitative comments related to opioid use during pregnancy collected in 2016 from an open-ended prompt at the end of the PRAMS survey in 35 states (N = 40,408). Key word searches were conducted on the open-ended responses (n = 9,549) to identify opioid-related content with an automated function using Microsoft Excel. All responses from the initial screening (n = 1,035) were manually reviewed, and 69 responses were confirmed to relate to the respondent's personal experience with opioid use during pregnancy. Content analysis was conducted by 3 independent coders; key themes were compiled, discussed, and finalized by the coding team. Results: Five key themes related to opioid use during pregnancy were identified: (1) gratitude for treatment, recovery, and healthy infants; (2) pregnancy as motivation to seek treatment; (3) difficulty finding prenatal care providers with training in substance use disorders; (4) concern about the effects of treatment on the infant; and (5) experiences of discrimination and stigma in the hospital around the time of delivery. Conclusions: Women may be aware of the potential impact of opioid use during pregnancy on the health of their infants and motivated to seek treatment. Findings may help inform new and ongoing initiatives designed to improve care and reduce stigma for women needing or seeking treatment.

Background Limited studies exist that describe diagnosis, treatment, and management experiences of patients with hypertrophic cardiomyopathy (HCM). This study's purpose is to characterize patient experiences related to symptom onset, diagnosis, symptom management, support from healthcare professionals, and impacts on daily living. Methods Semi-structured interviews were conducted using open-ended questions and question probes were conducted with adults aged ≥18 years diagnosed with HCM ≥1 year prior. Interview recordings were transcribed verbatim and inductive and deductive thematic analyses were performed. Results A total of 32 interviews were conducted. The majority of participants were female (53.1%), aged ≥45 years (90.6%), white (96.9%), and non-Hispanic (96.9%). Participants with longer time to HCM diagnosis described having atypical HCM symptoms, denial of their own symptoms, and experiences of misdiagnoses. For HCM information and support, participants utilized personal healthcare professionals as well as non-medical resources. Participants described experiences of anxiety, denial, and upset feelings about their diagnosis, but also gratitude, acceptance, and increased mindfulness toward healthy habits. Individuals reported making changes in daily activities because of reduced physical capacity and making changes in lifestyle choices because of desire to be close to HCM specialists. Over time, participants also described becoming less fearful through utilization of available resources and treatment options. Conclusions The diverse but often challenging experiences of individuals with HCM suggest that increasing availability and utilization of HCM patient resources may be effective at reducing the unfavorable physical and psychological impacts of HCM. Common reports of misdiagnoses resulting in delayed HCM diagnosis also indicate a need for HCM-related educational opportunities for healthcare professionals.

STUDY DESIGN A generic qualitative design. OBJECTIVES To obtain a deeper understanding of the outcomes of spinal cord injury (SCI) peer mentorship programs delivered by community-based organizations. SETTING Peer mentorship programs of community-based SCI organizations METHODS: We interviewed 36 individuals who shared their experiences of SCI peer mentorship from the perspective of a peer mentee, peer mentor, or family member of a peer mentee/mentor, or staff of SCI community-based organizations. Interview data were analyzed using an inductive thematic analysis approach. RESULTS Four overarching themes with sub-themes were identified. (1) Positive outcomes for mentees such as understanding, emotional outlet/psychological support, inspiration/hope, and belonging. (2) Positive outcomes for mentors such as gaining gratitude, confidence, pride, and personal growth. (3) Reciprocity in positive/negative outcomes for mentors and mentees, such as shared learning and a lack of connection. (4) Negative outcomes for mentors such as impact of negativity, emotional toll, and time/energy demands. CONCLUSIONS Peer mentorship programs delivered by community-based SCI organizations are important, impactful resources for individuals with SCI who engage in these programs. These results provide insights into the variety of positive and negative outcomes linked with these programs.

Policymakers are generally most concerned about improving the lives of the worst-off members of society. Identifying these people can be challenging. We take various measures of subjective wellbeing (SWB) as indicators of the how well people are doing in life and employ Latent Class Analysis to identify those with greatest propensity to be among the worst-off in a nationally representative sample of over 215,000 people in the United Kingdom. Our results have important implications for how best to analyse data on SWB and who to target when looking to improve the lives of those with the lowest SWB (The authors owe a massive debt of gratitude to the Office for National Statistics for their support throughout this research. We are particularly grateful to Dawn Snape and Eleanor Rees for their valuable comments on earlier drafts of this paper, to Salah Mehad for the thorough review of methodology, and to Vahe Nafilyan for advice on clustering analysis. We also thank the anonymous reviewers for the very helpful comments. Thank you all very much.).

BACKGROUND: Stroke patients require continued care, which makes stroke family caregivers unlikely to anticipate the end of home health-care service. AIM: The objectives of this study aimed, therefore, to seek understanding of stroke family caregivers in relation to caring experience, problems and barriers, and needs of family caregivers in the context of border provinces of the upper northeast of Thailand. METHODS: The current study was based on the phenomenological approach. The study samples included 16 informants. Data collection, conducted between February and August 2020, was performed using in-depth interviews. The collected data then were analyzed using the van Manen’s approach. RESULTS: Experiences of the stroke family caregivers were reflected and fell in van Manen’s 4 points under 12 thematic categories: (1) Lived body including lack of knowledge, fatigue, and sense of obligation; (2) lived time including paying gratitude, uncertainty, and paying retribution; (3) lived space including just long distance, being isolated in the wide world and living in a remote area; and (4) lived relation including blood thicker than water, community network, and needs from health-care services. CONCLUSION: The findings may be exploited to develop health service preparedness for health outcome promotion for stroke patients and stroke family caregivers.

Background and Purpose: As per our Indian culture “atithi devo bhava” is part of respect and gratitude shown to any guest or visitor by offering to be seated in one of the basic piece of furniture, a chair. Its utilization is in various places like living rooms, offices, dining rooms, in schools and other work places. Chair varies in designs but in some schools comfort zone is not accomplished/fulfilled. Already lifestyle of teenagers have become imperfect due to continuous sitting in wrong postures, this can further lead to various postural changes and health disorders. The purpose of study was to take review about the comfort zone regarding cushioned benches used for classroom sitting in their institutions. So by this survey student’s response can be shown and changes can be made by making institutions head aware about basic problem their students and can avoid chronic disorders. Method: A qualitative method of research was used to conduct online survey of B.CA, polytechnic and physiotherapy college students. Also questions were asked regarding their comfort in classroom sitting along with their suggestions. Results: After survey 57.83% agreed that they are facing problem related with class room seating. Also 77.11% agreed problem emerging after long seating for more than 45 minutes. As per the suggestions from participants in reference of comfortable and sitting for long time period 49.4% suggested that cushioned benches are extremely helpful for sitting in the classrooms. Conclusion: After result and outcome of survey it concluded that the cushioned benches can prove better option for seating in classrooms along with comfortable and sitting for long time period. Key words: Sitting, classroom, cushion, benches.

This study examines preferential treatment and its effect on customer gratitude and customer outcomes in the B2B context. Drawing on social exchange theory, the paper investigates to what extent different categories of firm-initiated interactions (standardized and customized) have an impact on customer gratitude and relationship strength, and on other transactional and non-transactional customer outcomes (profitability and word-of-mouth). A dynamic panel data estimation was developed based on a random sample of 2,175 customers from 2013 to 2017 provided by a multinational B2B insurance company. The results indicate that standardized interactions, as opposed to customized interactions, have no influence on customer gratitude, profitability, or word-of-mouth. Moreover, customer gratitude affects relationship strength, which in turn affects profitability and word-of-mouth. These findings emphasize the importance of determining the effect of different types of firm–customer interactions on transactional and non-transactional behaviors. This is crucial for practitioners because it enables them to adjust commercial resources more efficiently.

Background The COVID-19 pandemic has led to significant mental health consequences for frontline health care workers (FHCWs). However, no known study has examined the prevalence, determinants, or correlates of posttraumatic growth (PTG) in this population. Methods Data were analyzed from a prospective cohort of FHCWs at an urban tertiary care hospital in New York City (NYC). Assessments were conducted during the spring 2020 pandemic peak (Wave 1) and seven months later (Wave 2). Multivariable logistic regression analyses were conducted to identify Wave 1 sociodemographic, occupational, and psychosocial factors associated with PTG at Wave 2, and the association between aspects of PTG with burnout and pandemic-related PTSD symptoms at Wave 2. Results A total 76.8% of FHCWs endorsed moderate or greater PTG; the most prevalent domains were increased appreciation of life (67.0%), improved relationships (48.7%), and greater personal strength (44.1%). Non-White race/ethnicity, greater levels of positive emotions, pandemic-related PTSD symptoms, dispositional gratitude, and feelings of inspiration were independently associated with PTG. At Wave 2, endorsement of spiritual growth during the pandemic was associated with 52% and 44% lower odds of screening positive for pandemic-related PTSD symptoms and burnout, respectively; greater improvement in relationships was associated with 36% lower odds of screening positive for burnout. Limitations Single institution study and use of self-report instruments. Conclusions Nearly 4-of-5 FHCWs report pandemic-related PTG, driven largely by salutogenic factors assessed during the pandemic surge. Interventions to bolster these factors may help promote PTG and mitigate risk for burnout and pandemic-related PTSD symptoms in this population.

Writing Therapy (WT) is defined as a process of investigation about personal thoughts and feelings using the act of writing as an instrument, with the aim of promoting self-healing and personal growth. WT has been integrated in specific psychotherapies with the aim of treating specific mental disorders (PTSD, depression, etc.). More recently, WT has been included in several Positive Interventions (PI) as a useful tool to promote psychological well-being. This narrative review was conducted by searching on scientific databases and analyzing essential studies, academic books and journal articles where writing therapy was applied. The aim of this review is to describe and summarize the use of WT across various psychotherapies, from the traditional applications as expressive writing, or guided autobiography, to the phenomenological-existential approach (Logotherapy) and, more recently, to the use of WT within Acceptance and Commitment Therapy (ACT). Finally, the novel applications of writing techniques from a positive psychology perspective will be analyzed. Accordingly, the applications of WT for promoting forgiveness, gratitude, wisdom and other positive dimensions will be illustrated. The results of this review show that WT yield therapeutic effects on symptoms and distress, but it also promotes psychological well-being. The use of writing can be a standalone treatment or it can be easily integrated as supplement in other therapeutic approaches. This review might help clinician and counsellors to apply the simple instrument of writing to promote insight, healing and well-being in clients, according to their specific clinical needs and therapeutic goals.

The preparation of this report would not have been possible without the valuable contribution of countless individuals and groups who contributed not only to this final report, but also to the planning, development and implementation of the study. Sincere gratitude is extended to the Dominican contributors and collaborators, starting with the CIANI families, CIANI employees, and community stakeholders who took the time to share their experiences. The data collectors in the Dominican who completed the field work on the ground, working tirelessly to collect and organize the data. To Kirsys Fernandez, for allowing us to partner with CONANI, and who facilitated the work done. To the various CONANI staff, for contributing their expertise and providing guidance and consultation throughout the life of this study. Special thanks to Alberto Padilla who helped facilitate collaboration and data collection. To INAIPI who took the time to meet with us and review our findings and provide feedback, special thanks to Alexandra Santelises and Eric Gomez who took the time to review the report and findings and meet with us to discuss. Lastly, to the European Union’s Children and Violence Evaluation Challenge Fund, for their financial support

Javanese people have unique characteristics and traditions that make them appealing for research. One of the unique things of the Javanese tradition called bancaan is that it is aimed at appreciating children. Bancaan is a simple banquet of gratitude on the occasion of a child’s birthday by inviting their playmates to pray together for their good. This tradition is rich in the value of hospitality but began to disappear as influences of current development overtake. Given this reality, this study discovered Christian values of hospitality in the bancaan tradition. This discovery is based on a survey by Lee Roy Martin and Michele Hersberger. This research is based on the paradigm of qualitative research. Data collection was conducted by examining the literature and studying the Bible. The problem was analysed using interactive analysis, revealing Christian hospitality values in the bancaan tradition. The values showed are as follows: (1) bancaan is open to everyone in nature despite their backgrounds, (2) bancaan is a form of interaction of hospitality in simplicity and (3) bancaan is a form of regeneration of hospitality values to the child. Contribution: This manuscript provided an overview of one form of Javanese culture, which was then linked to the principles of hospitality from Jesus. This culture was a form of Javanese culture towards children’s appreciation. It is hoped that this manuscript contributes to the preservation of Javanese bancaan culture.

The present study is aimed to identify the effect of gratitude as an adaptive regulating mechanism from suicidal ideation (SI) for veterans with mental illness (study 1) and student veterans with posttraumatic stress disorder (PTSD) symptoms (study 2) in the United States. Descriptive statistics and regression analyses were used to examine sociodemographic characteristics and relationships between gratitude and SI. Our study 1 consisted of 156 veterans with mental illness. The mean age for study 1 was 37.85. Our study 2 consisted of 232 student veterans with PTSD symptoms. The mean age for study 2 was 28.43. Higher gratitude scores in study 1 and study 2 were significantly associated with lower SI scores after adjusting for demographics and depression. This study partially supports the association between gratitude and SI in veterans with mental illness. Based on the results from this study, gratitude interventions may be effective in reducing SI when working with veterans with mental illness.

One of the ways that managers behave with agents is to use the method of encouragement and punishment. Usually, encouragement is done for good work in order to thank the person. Encouragement is a derivative of the word enthusiasm, which means creating enthusiasm and is a kind of gratitude. The question of this research is what methods did Imam Ali (A.S) use to encourage agents? The method of collecting data in this research was library and the processing method is descriptive-analytical. After investigations, it was found that Imam Ali (A.S) used different methods to encourage agents. One of these methods is to give a financial gift to a person. The second method is verbal encouragement that encourages the person and causes others to do good work. Another method of Imam Ali (A.s) is written encouragement. He thanked different people for their good performance by sending letters and etc to them.

Background Technological advancements make it possible to deliver depression interventions via smartphone applications (“Apps”), including those that deliver content “just-in-time” (e.g., in response to acute negative mood states). This study examined whether an app-based just-in-time intervention (ImproveYourMood+) decreased depressive symptoms, and whether the following features were related to symptom improvement: micro-intervention content, mood monitoring, and just-in-time prompts to use content. Methods Participants (n = 235) from the general population who self-identified as wanting to improve their negative mood were randomised to a waitlist control group (n = 55) or one of three intervention groups: MoodTracker (monitoring-only, n = 58), ImproveYourMood (monitoring and content; n = 62), or ImproveYourMood+ (monitoring, content, and prompts; n = 60). The active intervention phase was 3 weeks. Depressive and anxiety symptoms, and negative automatic thoughts were assessed at baseline, immediately post-intervention, and one month following post-intervention. Results Linear mixed modelling revealed greater declines over time in depressive and anxiety symptoms and negative automatic thoughts for the ImproveYourMood group (standardized mean differences [SMDs] ranged from .32 to .40) and improves for the ImproveYourMood+ group for negative automatic thoughts (SMDs ≥ .37) compared to the waitlist control group. No between-group differences were observed between the MoodTracker and control groups (SMDs = .04–.23). User experience appeared to be superior in more comprehensive/multi-modal versions. Limitations The study employed a naturalistic design, whereby participants self-selected to utilise the program, did not complete eligibility assessments, and did not receive compensation. The study therefore attained considerable drop-out rate (~50% by the follow-up timepoints), potentially reflecting the usage patterns of real-world mental health apps. Conclusions The findings suggest that micro-interventions can be an effective way to reduce depressive symptoms both in the moment and 1–2 months later. Integration of micro-interventions with full treatment programs is a viable next step in micro-intervention research.

Purpose: The purpose of this paper is to explore how innovation capability can be enhanced by inclusive leadership. In particular, the focus is on identifying the key drivers of work engagement and the role of leadership in boosting the innovation capability. Methodology/Approach: This research has a qualitative exploratory nature. The exploratory fieldwork is based on an in-depth interview with the CEO, field observations and on the analysis of relevant corporate sources. Findings: The research provides further confirmation of the link between inclusive leadership, work engagement and innovation capability. Specifically, authentic communication and leadership traits such as trust, courage, humility, empathy and gratitude are considered to be among the most important enablers of an inclusive environment that leads to business success. Research Limitation/Implication: This study contributes to a better understanding of how companies could enhance innovation capabilities by leveraging the power of inclusion. The subjective business evidence coming from only one company constitute the main limitations of the present study. Originality/Value of paper: This paper contributed to leadership and innovation literature. The results of this work provide a thorough understanding of the mechanisms for improving work engagement and, consequently, innovation capability. By grounding our research in both theory and empirical evidence, we provide valuable insight for both academia and practice.

It is known that self esteem and gratitude play a pivotal role in the development of an individual. The purpose of this study was to find out about the exact role that self esteem and gratitude play in the development of Indian students of 16 to 24 years. Rosenberg Self Esteem Scale, Gratitude Questionnaire and Personal Growth Initiative Scale were administered on the participants who were selected for the study by the method of random sampling. Data was collected with the help of google forms as personally meeting the subjects was not possible during the pandemic. Findings suggests that most participants who participated in the study possessed high levels of gratitude and moderate levels of self esteem, thus showing good personal development. It was believed that increment in self esteem leads to the increment in overall personal development of a person, but in this research, it came out that rise in self esteem up to a certain level can positively impact personal development, more than that can create a negative impact on the development. It was also found out that gratitude and personal development were positively correlated to each other, i.e., rise in levels of gratitude leads to increment in personal growth of students.

We investigate the gendered use of Instagram memes on COVID-19 using a mixed-analysis approach. We find that memes referencing women are mostly related to community support and healthcare, which often express gratitude for frontline workers, while the majority of memes on men refer to news and promotion as well as suffering due to the high death rates and other financial hardships. As for sexual and gender minorities, memes mostly mention community support similar to the case of the memes referencing women. We argue that internet memes offer insight into ongoing trends in the public's perceptions of pandemics, and they should be further examined because they often communicate vital information on gender groups and public health.

Funding Information: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. R. Kajaste acknowledges with gratitude grants from Fortum and H?me Foundations. Funding Information: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. R. Kajaste acknowledges with gratitude grants from Fortum and Häme Foundations. Publisher Copyright: © 2021 the Author(s), licensee AIMS Press. This study focuses on the possibilities to abate greenhouse gas emissions in the value chain of plastics with special emphasis on efficiency improvements in the virgin plastics production and to recycle or reuse/regenerate plastics from waste streams. The study is restricted to the plastics and their intermediates produced in annual quantities over 20 million tons (Mt) on global scale. The chemicals and polymers considered include intermediate feedstocks ammonia, methanol, ethene and propene, polyolefins polyethylene and polypropylene, and other included polymers are polyester, polyamide and acrylic fibres, polyvinylchloride, polyethylene terephthalate, polyurethane resin and polystyrene. Improved efficiency in the virgin plastic value chain has the potential to reduce global greenhouse gas (GHG) emissions by 531 Mt CO2eq /y, provided that all of the current global production is upgraded to meet the European Union’s best benchmarked facilities. These improvements would mean a 15.4% reduction of all global chemical sector emissions. The evaluation of probability for all global production facilities to reach the EU benchmarked values is excluded as unclear. Increasing the global recycling rate of plastics from the current 18% to 42% would reduce global greenhouse gas emissions by 142.3 Mt CO2eq /a, provided that the segregation of recyclable materials is improved, and that incineration is not increased. These downstream improvements would mean a 4% reduction of all global chemical sector emissions and reduce the accumulation of plastics not only on land but also in the oceans.

As editors of World Journal of Critical Care Medicine (WJCCM), it is our great pleasure to take this opportunity to wish all our authors, subscribers, readers, Editorial Board members, independent expert referees, and staff of the Editorial Office a Very Happy New Year. On behalf of the Editorial Team, we would like to express our gratitude to all authors who have contributed their valuable manuscripts and to the independent referees and our subscribers and readers for their continuous support, dedication, and encouragement. The excellent team effort by our editorial board members and staff of the Editorial Office allowed WJCCM to advance remarkably in 2020. In the future, the Baishideng Publishing Group and WJCCM’s editorial board will continue to increase their communication and collaboration, both internally and involving our external contributors, in order to promote our collective impact on the field of Critical Care Medicine even further.

Combining positive psychology with coaching is a complex matter. While most positive psychology coaching research promotes the use of positive psychology interventions in a coaching practice, the c...

PurposeThe purpose of this paper is to identify which loyalty programme (LP) benefits are most likely to create consumer gratitude and increase loyalty towards the brand for consumer goods and services loyalty schemes.Design/methodology/approachFrench-speaking Quebecer (Canada) members of retail LPs answered an online survey. The S-O-R framework was used to investigate the effects of LP benefits on customer loyalty to the brand through the mediating mechanism of gratitude. Data analysis was performed by means of partial least square structural equation modelling.FindingsThree benefits (entertainment, recognition and social) out of five were identified to significantly enhance customer gratitude towards the brand. Neither monetary nor exploration benefits had a direct effect on gratitude or loyalty. In addition, gratitude was positively and strongly related to loyalty and fully mediated the effects of entertainment and recognition benefits on loyalty. As for social benefits, gratitude complementarily mediated their relationship to loyalty.Practical implicationsThe findings are of utmost interest to LP managers. They offer valuable insights to maintain or modify LPs to enhance customer true loyalty. First, they highlight the strategic role of gratitude, which strongly determines customer loyalty. Second, this study's findings indicate which LP benefits should be prioritised to enhance customer gratitude and loyalty.Originality/valueThis research is the first empirical attempt to study the effects of LP perceived benefits on customer gratitude. It addresses the paucity of research on customer gratitude and enhances its importance in retail and relationship literature.

Background Family interaction is an important factor contributing to the quality of survivorship among breast cancer survivors. The dearth of studies involving young females with breast cancer has limited the understanding of family interaction in this increasingly large population. Methods The aim of this study was to explore family interaction patterns among young Chinese breast cancer survivors. We conducted in-depth interviews with seventeen young breast cancer survivors (YBCSs) in China between May 2019 and December 2019. A content analysis was performed to identify the characteristics of family interaction in this population. Conceptualizations of feminism and social support were used to guide the data analysis. Results Family interaction patterns were categorized into 5 domains from the perceptions of Chinese YBCSs: (1) adjustment of parenthood (changes in child-rearing approaches, perception of children’s care) (2) ambivalence towards intimacy (desire for intimate relationships, perceived relationship insecurity); (3) concerns regarding fertility; (4) return to work (coping with gratitude and guilt by working, readapting to family and society by working); (5) activation of the support system in a large family (instrumental support from core family members, instrumental, informational, and appraisal support from relatives). Conclusions The study provides a deeper understanding of the interactions between young breast cancer survivors and their family members in China. These findings can support health professionals in developing female-sensitive, culturally specific interventions to assist Chinese YBCSs and their families in increasing positive interactions and family resilience as well as quality of life. In addition, the findings are highly applicable to other female cancer survivors and their vulnerable families exposed to similar social and cultural contexts.

Over the course of medical school, students’ optimism and hopefulness often devolve into a cynical view of medicine that continues throughout clinical rotations and beyond (Neumann et al., Acad Med 86(8):996–1009, 2011). Here, we present a qualitative evaluation of a novel immersive elective in pediatric psycho-oncology coupled with narrative medicine and its impact on students. Participants were third- and fourth-year medical students who were relieved of traditional clinical duties. Alternatively, they shadowed pediatric cancer patients, keeping narrative journals of their observations and insights. A trained team of pre-clinical medical students and faculty conducted a retrospective analysis of 120 journals written between 2008 and 2019. They compared recurring concepts to assess how blending experiential learning and reflective writing influenced the attitudes and behaviors of students. Consistent themes emerged related to developing a rich understanding of patient experiences, a humanistic appreciation of the context of illness, the ability to meaningfully reflect on insights to critically ill children, and an appreciation for the unique learning opportunity. Additionally, families expressed gratitude for the students’ attentiveness to their emotional needs. By the conclusion of the elective, most students discovered that they had reignited their intrinsic empathic behaviors and were provided with beneficial insights that they believed would continue into future rotations. Experiential teaching methods paired with narrative reflection may be a valuable and therapeutic tool to learn the intricacies of the patient perspective, with the potential to enhance humanism in students during a critical time in their medical training when empathy tends to drift. Longitudinal and quantitative studies are warranted to better understand the degree and duration of specific benefits.

Progress has been impeded by organizational inertia, special interests protecting entitlements, a lack of courage, and claimed constraints of human resources technology [ ]a survey in June 2020 of human resources leaders in 843 companies globally, reflecting a total employee population of over 10 million, found that 55% are either testing or have implemented new talent processes in response to COVID-19, and this nimbleness is highly correlated with employee perceptions of effective organizational crisis leadership (Adair, 2020 ) Gratitude, purpose, cohesiveness, caring, clarity, pride, responsibility, visibility, support, emotional bonding, talented teammates, enhanced physical safety, increased focused on mental health and well-being—all are levers that envelop solid employees in meaningful moments across the life cycle [ ]this may well be the time to redefine the leadership model for 2021 and beyond, and systematically harness this unique moment to accurately capture a holistic profile of genuine future-facing leadership potential [ ]there is genuine urgency to make sure that our models are updated as we

Applied to COVID-19, individuals could recognize that negative emotions (e.g., frustration) indicate that their current state (e.g., working from home with kids) is discrepant from their ideal state (e.g., being able to hold a call or Zoom meeting without interruption), signaling that added effort is needed to resolve this issue. Fredrickson (2003) also offers sentiments in her broaden-and-build theory, suggesting that positive emotions can help employees foster the resilience they need to make progress during a crisis (Fredrickson etal., 2003). [...]people may feel calm and happy that they are able to work from home and maintain employment, spurring productivity. [...]healthcare workers who face challenging job demands and conditions (e.g., lack of personal protective equipment or working in hospitals where crisis care has been evoked) are likely to feel heightened fear as they expose themselves to the people with the virus, yetalso feel gratitude for their coworkers who are with them and community members who are celebrating them. [...]capturing how emotions are jointly experienced is a crucial means to understanding how working during COVID-19 affects employee health, motivation, and performance.

As burnout is an issue facing our profession, developing and nurturing a greater purpose which promotes a sense of gratitude and purpose in medicine is important for physician wellness and resilience. We often develop our sense of purpose through the internalization of values and ideas of people we have met in life. Mentors play an important role in helping us realize and develop our skills and talents, which may not have been readily apparent to us. In this essay, I, as a physician pursuing dermatology, describe my experiences and what I’ve learned from inspirational teachers and mentors in my education and training that helped me realize the gifts and talents I have to offer the world as a dermatologist. Then, my mentors describe how a specific experience or hobby has helped them develop a greater sense of purpose and gratitude in their careers. These are a few of the infinite possibilities which can nurture a sense of gratitude and purpose in our lives, and our goal is for others to reflect on and to expand on these possibilities and share them with colleagues.

The authors would like to express their gratitude to COLCIENCIAS for the financial support given by the research project (1210-715-51742). F.C. also acknowledges COLCIENCIAS for the Ph.D. scholarship (757-2016). F.C. expresses gratitude to the Clean Combustion Research Center at King Abdullah University of Science and Technology for the research internship. Some of the measurements presented herein were performed in the KAUST Core Laboratories with assistance from Wen Zhang, Abdul-Hamid Emwas, and Eman Barradah. The authors are also deeply grateful to Cindy N. Arenas for her valuable support with the characterization of some samples

Aims Implantable cardioverter-defibrillator (ICD) treatment has expanded due to its effectiveness. However, there are concerns about complications, and use in the most elderly has been questioned. There is scarce data on qualitative aspects regarding experiences of living with an ICD among patients above the age of 80 years. The aim of this study was to explore octogenarians’ experience, knowledge, and attitude of living with an ICD. Method and results We used semi-structured interviews to collect data from 20 patients, aged 80–89 years (90% men). The data were then structured and analysed through deductive thematic analysis network approach using the ATLAS.ti v.8.4 software. The framework of the analysis was based on the Successful Aging Theory. Three main themes emerged regarding the patients’ experiences: Life goes on; Their Health, The Janus-Faced Device; Their attitudes, and Mind the gap; Their knowledge. None of the octogenarians regretted receiving their ICD, instead, they presented with feelings such as gratitude towards the device. However, a lack of knowledge about the devices was expressed, which can be a risk for potential complications, in turn causing suffering and unnecessary concerns. Conclusion Overall, the ICD did not pose a threat towards successful ageing. It was mainly considered a life-saving device. However, the lack of knowledge might hinder informed choices close to death and contribute to ethical dilemmas when deactivation of the ICD is a reasonable option.

Peusijuek is one of the traditions of the Acehnese people that is still preserved and practiced. Implemented as a form of gratitude due to marriage, circumcision, building a new house, buying a new vehicle and hajj or because of an accident due to accidents, disputes and bleeding. From the form of gratitude, it can be interpreted as an expression of gratitude and sharing happiness. Meanwhile, a disaster can be interpreted as building self-confidence and strengthening brotherhood. However, peusijuek also often create pros and cons perceptions in the community both in general and religious groups. This writing is to answer existing problems, (1) How is the implementation of peusijuek in Gampong Geudubang Aceh and gampong Asam Peutik, and (2) How is the community perception about peusijuek in gampong Geudubang Aceh and gampong Asam Peutik. In writing this thesis using ethnographic research type with a qualitative approach. The data analysis technique was carried out by the steps (1) data collection, (2) data reduction, (3) data display and (4) verification and conclusion. The results showed that the people in Gampong Geudubang Aceh and Peutik Acid in the implementation of peusijuek did not show any differences even though there were community perceptions that were both pros and cons. This is made possible by the high awareness of community members in preserving peusijuek as a cultural heritage. Community acceptance of peusijuek in both gampongs is closely related to adat. The perception of the people of Gampong Geudubang Aceh and Asam Peutik is that there are similarities to the peusijuek leadership and differences occur in the types of peusijuek, peusijuek implementation, use of tools and materials, and philosophical values.

Allogeneic hematopoietic stem cell transplantation (HSCT) recipients often experience deficits in positive psychological well-being (PPWB) due to intensive treatment and follow-up care. Positive psychology interventions (PPIs) that promote PPWB via deliberate and systematic exercises (e.g., writing a gratitude letter) have consistently improved PPWB in medical populations, yet have never been studied in early HSCT recovery. In this single-arm, proof-of-concept study, we assessed the feasibility and acceptability of a novel eight-session, telephone-delivered PPI in early HSCT recovery. A priori, we defined feasibility as >50% of eligible patients enrolling in the study and >50% of participants completing 5/8 sessions, and acceptability as mean ease and utility scores of weekly participant ratings of PP exercises as 7/10. Of 45 eligible patients, 25 (55.6%) enrolled, 20 (80%) completed baseline assessments, 15 (75%) started the intervention, and 12 (60%) completed the intervention and follow-up assessments. The intervention was feasible (55.6% of eligible participants enrolled; 60% of baseline assessment completers finished 5/8 sessions) and led to very small-to-medium effect-size improvements in patient-reported outcomes. A novel, eight-week, telephone-delivered PPI was feasible and acceptable in allogeneic HSCT recipients. Larger, randomized studies are needed to examine the efficacy of PPIs for improving outcomes in this population.

Objective Objectives were to evaluate patient perceptions of a nurse-led, patient-centered gratitude intervention and if nurses identified actionable items to improve patient's hospitalization experience. Background Research demonstrates positive effects of gratitude and caring interventions on patient health and well-being. Evidence is sparse regarding nurse-led gratitude interventions improving hospitalized patient's experiences. Methods In this pilot study, 91 adult medical patients completed gratitude forms twice daily for up to 6 shifts and a study discharge form documenting intervention perceptions. In response to the patients' gratitude-related feedback, RNs recorded patient experience-related actions they and interprofessional teams could implement. Results On average, patients perceived the nurse-led gratitude intervention as helpful (4.2) (1 = very unhelpful, 5 = very helpful) and improved hospitalization experiences (4.3) (1 = seldom, 5 = never). Most of the time actions were required or to be taken, based on patient gratitude intervention responses. Conclusions Patient perceptions of nurse-led gratitude intervention demonstrated helpfulness and improved hospitalization experience.

Edward L. Greenstein, who has recently published a most accomplished translation of the biblical book of Job, gives an indication of the extent of the labor required to produce such a translation: “I have been deeply engaged by the challenges of the book of Job—its themes, literary affiliations, language, and poetics—for over four decades” (xvii). That Greenstein has more than endured what he rightly characterizes as “this intimate endeavor” (xvii), including especially “the painstaking work of original philological investigation” (xviii), demonstrates that he is not only a long-suffering “scholar of difficult language” but indeed a “lover of words,” and of the work of words (ix). Further proof of his love lies in the stated altruism of his goals (xvii). He has aimed “to make good sense of the text of Job” and “to convey something of the text’s poetics” (x, xxxvi). That is, he has tried to recreate in English something of the theological and literary genius of the ancient Joban writers, better than others have done previously. And fellow students of Job and lovers of words, including the present author, owe a debt of gratitude to Greenstein for his labor of love and this work of translation. For, true to his goals, the still enigmatic biblical book begins to make (stunning) good sense and, here and there, lays bare more of its (sinuous) literary genius in Greenstein’s new translation.1

Rough estimates by some business magazines reported attrition in e-commerce startups in India around 50%. Acknowledging the gravity of the issue, researchers and practitioners have started to investigate various interventions to negate the intention to leave the organization. The primary objective of this study is to explore the relationship between gratitude and turnover intention among employees of e-commerce startups. The study also investigates the mediating effect of organizational citizenship behavior on the relationship between the three constructs of gratitude and employee turnover intentions. The findings reported a significant negative three dimensions of gratitude with turnover intentions. Organizational citizenship behaviour is also reported to mediate partially the relationship of gratitude and turnover intentions.

The Information Technology (IT) industry in India is an integral part of the nation’s economy. The COVID-19 pandemic is a cause of disquietude and is probably the gravest challenge encountered by t...

Subjective career success of civil servants is a major focus of both scholars and public managers, but few studies have explored its antecedents from the perspective of the expression of a special positive emotion. To narrow the gap regarding the antecedents of civil servants’ subjective career success, we use the broaden-and-build theory of positive emotions to examine whether, how, and when civil servants’ gratitude expression to their supervisors is related to their subjective career success, as well as the mediating role of supervisors’ mentoring and the moderating role of traditionality. By using the survey data of 216 supervisor-subordinate dyads from the Chinese public sector, we found that gratitude expression by subordinates is positively related to their subjective career success, and this relationship is mediated by their supervisors’ mentoring. The relationship between gratitude expression to supervisors and supervisors’ mentoring is positively moderated by supervisor traditionality. Moreover, supervisor traditionality plays a positive moderating role in the association between gratitude expression to supervisors and subjective career success via supervisors’ mentoring. The above relationships are stronger when supervisors have a high level of traditionality. These findings contribute to the literature and generate managerial implications for civil servants’ career success management.

Positive emotions have drawn considerable interest of researchers in the recent past. One such emotion is happiness. The current study attempts to discover the underlying mechanism through which consumer happiness transforms into positive outcomes. Based on the “broaden and build theory of positive emotions” a model was developed and tested. Gratitude has been taken as a mediating variable. The proposed model explains the Pakistani customers’ shopping considerations from well known clothing outlets. Consumer happiness in this study has been used as an antecedent of repurchase intentions and customer advocacy, whereas, gratitude mediates the relationship between consumer happiness and positive outcomes. Data was collected with the help of structured questionnaire from 330 respondents through survey method. All questionnaires were personally administered. PLS-SEM techniques have been used through smart PLS 3 for testing the model. The relationship between consumer happiness and customer advocacy was found significant. Gratitude was found as a significant mediator among consumer happiness and outcomes. However, repurchase intention from branded clothing stores in Pakistan was found to be insignificantly affected by consumer happiness. The study contributes towards the better comprehension about the shopping experience of Pakistani shoppers towards branded clothing stores in true letter and spirit. The study contributes to the existing body of literature by incorporating experiences of shoppers from emerging economies like Pakistan and establishing the mechanism through which consumer happiness transforms consumer experiences into positive outcomes. Keywords: Consumer Happiness, Gratitude, Repurchase Intention, Customer Advocacy.

It is a common practice for authors of an academic work to thank the anonymous reviewers at the journal that is publishing it. Allegedly, scholars thank the reviewers because their comments improved the paper and thanking them is a proper way to show gratitude to them. Yet often, a paper that is eventually accepted by one journal is first rejected by other journals, and even though those journals' reviewers also supply comments that improve the quality of the work, those reviewers are not customarily thanked. We contacted prominent scholars in bioethics and philosophy of medicine and asked whether thanking such reviewers would be a welcome trend. Having received responses from 107 scholars, we discuss the suggested proposal in light of both philosophical argument and the results of this survey. We argue that when an author's work is published, the author should thank the reviewers whose comments improved the paper regardless of whether those reviewers' journals rejected or accepted the work. That is because scholars should show gratitude to those who deserve it, and those whose comments improved the paper deserve gratitude. We also consider objections against this practice raised by scholars and show why they are not entirely persuasive. publishedVersion

On behalf of the Editorial Office of World Journal of Cardiology (WJC), we extend our sincere gratitude to our authors, readers, Editorial Board members, and peer reviewers, thanking each and every one for their contributions to WJC in 2020 and with wishes for a Happy New Year. It was the collective support of all authors, Editorial Board members, peer reviewers and staff of the Editorial Office that allowed the Baishideng Publishing Group Inc. to carry out successfully the complete peer review, editing and publishing processes for WJC in 2020. We have now analyzed the metric data of WJC's manuscripts that were submitted and published in 2020, the peer review of manuscripts in 2020, the invited manuscripts for 2021 and the Editorial Board members' composition and activities. As a global academic journal in cardiology, the findings from such will facilitate greater productivity and more efficient collaborative efforts to raise the academic rank of WJC in 2021. We enthusiastically anticipate WJC's contributions to promote further cardiology research sharing and exchange in 2021.

Due to the COVID-19 pandemic, the 84thAnnual Meeting of the Japanese Circulation Society (JCS) was held in a web-based format for the first time in its history as "The Week for JCS 2020" from Monday, July 27 to Sunday, August 2, 2020. All sessions, including general abstracts, were streamed live or on-demand. The main theme of the meeting was "Change Practice!" and the aim was to organize the latest findings in the field of cardiovascular medicine and discuss how to change practice. The total number of registered attendees was over 16,800, far exceeding our expectations, and many of the sessions were viewed by far more people than at conventional face-to-face scientific meetings. At this conference, the power of online information dissemination was fully demonstrated, and the evolution of online academic meetings will be a direction that cannot be reversed in the future. The meeting was completed with great success, and we express our heartfelt gratitude to all affiliates for their enormous amount of work, cooperation, and support.

We gratefully acknowledge the support from the Mid-Career Researcher Support Program (Grant No. 2019R1A2C2011312) of the National Research Foundation (NRF) of Korea and from the Meta-Structure Based Seismic Shielding Research Fund (Project No. 1.200043.01) of UNIST. We also acknowledge with gratitude the supercomputing resources of the UNIST supercomputing Center.

PurposeOrganizations take a more oriented approach to the management of business processes since business processes are core elements of organizational performance. The purpose of this study is to bridge certain knowledge, theoretical, literature and contextual gaps that have not yet been addressed, in line with the organizational approach. The current study is also carried out in order to satisfy the needs of the industry for sustainable development that lead to economic prosperity in the country.Design/methodology/approachPositivism research philosophy was espoused followed through a deductive approach. A structured questionnaire was used in order to collect the data from the employees working in public-sector organizations with a purposive sampling technique. In total, 364 respondents’ data were analyzed by using Analysis of a Moment Structures guidelines and tested the sequential path accordingly.FindingsThe results suggested that authentic leadership through sequential mediation of relational identification and positive emotions had a significant impact on employee engagement. Overall, three hypotheses were formulated on the basis of literature, and all hypotheses were supported.Research limitations/implicationsThe first significant limitation is the use of a single source of information. All variables (authentic leadership, employee engagement, gratitude, happiness and compassion and relational identification) were asked to be reported to individuals. In addition, the current study took only three positive emotions (gratitude, happiness and compassion). There are, however, a number of other emotions that can be taken to identify the relationship between authentic leadership and employee attitude.Originality/valueThe plethora of research seeks to identify mechanisms that can overcome the challenge of employee engagement in the organizational sphere. To this end, organizations are continually identifying and implementing strategies to enhance employee engagement. Recently, the adoption of a bottom-up approach identified as a potential contributor to increasing employee engagement. It has also meant that authentic leadership is the best source of support for a bottom-up approach. However, limited research has been identified in relation to authentic leadership and positive employee emotions.