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2024

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Full-Text Articles in Social and Behavioral Sciences

Improving Employee Retention In The Virtual Workforce, Marissa Williams Nov 2024

Improving Employee Retention In The Virtual Workforce, Marissa Williams

Walden Dissertations and Doctoral Studies

The need for addressing employee retention in the virtual workforce is critical, particularly in the context of the U.S. General Services Administration (GSA) Region 4. High employee turnover rates can lead to significant disruptions and decreased organizational performance. This administrative case study involved identifying effective strategies to improve retention and engagement among virtual employees. The practice-focused question involved understanding key factors that influenced employee retention and developing actionable recommendations for the GSA. Insights can be applied across similar organizations facing virtual workforce challenges. Data were collected through in-depth surveys with employees that were hired between 2020 and 2023, focusing on …


Looking Beyond Your Digital Repository: Metadata For Storytelling, Emily Baldoni, Maddi Loiselle, Angela Yon Nov 2024

Looking Beyond Your Digital Repository: Metadata For Storytelling, Emily Baldoni, Maddi Loiselle, Angela Yon

Faculty and Staff Publications – Milner Library

In recent years, the traditional use of digital collections simply as proxies for the physical has shifted to a paradigm of viewing collections as data suitable for computational use and novel research methods. A metadata strategy with robust description can provide access and inspire new contextual narratives and knowledge. The presenters saw great potential for a collections as data exploration in a significant World War I archival collection to highlight lesser-known stories, including those of the Pioneer Infantry, women, and noncombatants.

This case study presentation will discuss approaches to digital collections metadata, digital storytelling, data visualization and mapping, and will …


Healing Online Abuse Through Community-Based Art: An Exploratory Investigation, Sarah Auletta Nov 2024

Healing Online Abuse Through Community-Based Art: An Exploratory Investigation, Sarah Auletta

Sociology Between the Gaps: Forgotten and Neglected Topics

No abstract provided.


Understanding And Alleviating The Impact Of Convective Weather To Airfield Efficiency, Huang Feng Nov 2024

Understanding And Alleviating The Impact Of Convective Weather To Airfield Efficiency, Huang Feng

USF Tampa Graduate Theses and Dissertations

Extensive research in predicting annual passenger throughput at airports has been conducted, aiming at providing decision support for airport construction, aircraft procurement, resource management, flight scheduling, etc. However, few studies have been conducted on how airport operational throughput is affected by convective weather in the vicinity of the airport and how to predict short-term airport operational throughput. Convective weather near the airport could make arrivals miss their positions in the arrival stream and reduce airfield efficiency in terms of utilizing runway capacities. This research leverages the learning-based method (MB-ResNet model) to predict airport hourly throughput. It uses the Hartsfield–Jackson Atlanta …


Evaluating The Effectiveness Of Edge Line Sinusoidal Rumble Strips On Lane Departure Crash Prevention And Injury Severity, Shubhankar Chintamani Shindgikar Nov 2024

Evaluating The Effectiveness Of Edge Line Sinusoidal Rumble Strips On Lane Departure Crash Prevention And Injury Severity, Shubhankar Chintamani Shindgikar

USF Tampa Graduate Theses and Dissertations

Lane departure crashes are one of the most prevalent accidents in Florida and the United States. Various forms of rumble strips have been employed to mitigate and decrease these incidents. The Florida Department of Transportation (FDOT) recently adopted a new sinusoidal rumble strip pattern for statewide implementation of audible and vibratory treatment (AVT). Recent research indicates sinusoidal rumble strips are highly effective in alerting drivers audibly and through tactile vibrations, thus aiding lane departure prevention. Moreover, they generate less external noise compared to other rumble strip textures.

However, a systematic assessment of the safety effectiveness of sinusoidal rumble strips in …


Veteran Certification: Debunking Myths And Streamlining Processes, Misty Stutsman-Fox, Barbara Carson, John Perez, Rosalinda V. Maury Nov 2024

Veteran Certification: Debunking Myths And Streamlining Processes, Misty Stutsman-Fox, Barbara Carson, John Perez, Rosalinda V. Maury

Institute for Veterans and Military Families

This paper affirms the continued intent of the IVMF and CVOB to demystify and help streamline the VOB certification process by advocating for the establishment of either one nationally recognized certification, or a unified verification process where all certifying bodies work together towards a reciprocal solution.


From A Traditional City To A Smart City: The Measurement Of Cities’ Readiness For Transition, Egypt As A Case Study, Ahmed Hassebo, Mohamed Tealab, Mosaad Hamouda Nov 2024

From A Traditional City To A Smart City: The Measurement Of Cities’ Readiness For Transition, Egypt As A Case Study, Ahmed Hassebo, Mohamed Tealab, Mosaad Hamouda

Publications and Research

The transition from traditional legacy cities to smart cities represents a pivotal juncture in urban development and governance. As cities worldwide grapple with the challenges of rapid urbanization, resource constraints, and the need to enhance the quality of life for their citizens, the concept of a “smart city” has gained significant attention. This paper delves into the multifaceted process of urban transformation, shedding light on the essential criteria and considerations that guide a city’s conversion into a smart city. To provide a comprehensive framework for the conversion process, this paper outlines a computer program utilized to measure the readiness to …


Issues And Challenges Of Exporting Malaysia Musang King Durian To China, Swee Keong Goh, Jamalludin Helmi Hashim, Shirley Sie Ling Tan Nov 2024

Issues And Challenges Of Exporting Malaysia Musang King Durian To China, Swee Keong Goh, Jamalludin Helmi Hashim, Shirley Sie Ling Tan

Jesselton Journal of Educators and Scholars

This project paper is to analyse and understand Musang King Durian (MSKD) for its fruit, plantation, and market, especially its export to the China market. A comparison is also made with Thailand’s Monthong durian. Research findings are used to recommend solutions to the identified challenges. Porter’s Five Forces model and SCCMT are applied to provide in-depth figures supporting the proposed recommendations. The study includes a projection of China’s durian market size in 2030, identifying that Malaysia’s MSKD is capable of achieving 10 percent of China’s market share. This achievement is significant for Malaysia’s MSKD plantation industry. The research aims to …


An Investigation Into Consumers’ Perceptions Of Electronic Payment In Malaysia, Hao Fung Zhun, Javan Elfe Ginajil, Hong Tat Teh Nov 2024

An Investigation Into Consumers’ Perceptions Of Electronic Payment In Malaysia, Hao Fung Zhun, Javan Elfe Ginajil, Hong Tat Teh

Jesselton Journal of Educators and Scholars

The purpose of this study is to examine how consumers view electronic payment systems. The researcher has chosen to examine five factors that might affect consumers’ perception towards electronic payment: benefit, ease of use, self-efficacy, trust, and security. This study has advanced knowledge as it provides information on the current state of e-payment acceptance and use, particularly among Malaysians. The significant factors identified are beneficial to policymakers, banking institutions, online transaction facilities providers, and software developers as they develop strategies aimed at increasing e-payment acceptance and use.


Update On Recommendations For Cancer Screening And Surveillance In Children With Genomic Instability Disorders, Yoshiko Nakano, Roland P Kuiper, Kim E Nichols, Christopher C Porter, Harry Lesmana, Julia Meade, Christian P Kratz, Lucy A Godley, Luke D Maese, Maria Isabel Achatz, Payal P Khincha, Sharon A Savage, Andrea S Doria, Mary-Louise C Greer, Vivian Y Chang, Lisa L Wang, Sharon E Plon, Michael F Walsh Nov 2024

Update On Recommendations For Cancer Screening And Surveillance In Children With Genomic Instability Disorders, Yoshiko Nakano, Roland P Kuiper, Kim E Nichols, Christopher C Porter, Harry Lesmana, Julia Meade, Christian P Kratz, Lucy A Godley, Luke D Maese, Maria Isabel Achatz, Payal P Khincha, Sharon A Savage, Andrea S Doria, Mary-Louise C Greer, Vivian Y Chang, Lisa L Wang, Sharon E Plon, Michael F Walsh

Center for Medical Ethics and Health Policy Staff Publications

Genomic instability disorders are characterized by DNA or chromosomal instability, resulting in various clinical manifestations, including developmental anomalies, immunodeficiency, and increased risk of developing cancers beginning in childhood. Many of these genomic instability disorders also present with exquisite sensitivity to anticancer treatments such as ionizing radiation and chemotherapy, which may further increase the risk of second cancers. In July 2023, the American Association for Cancer Research held the second Childhood Cancer Predisposition Workshop, where multidisciplinary international experts discussed, reviewed, and updated recommendations for children with cancer predisposition syndromes. This article discusses childhood cancer risks and surveillance recommendations for the group …


The Effect Of Exercise Type On Working Memory, Ariana Gonzalez, William R. Kochen Nov 2024

The Effect Of Exercise Type On Working Memory, Ariana Gonzalez, William R. Kochen

Journal for Sports Neuroscience

Martial arts encompass a wide range of sports and techniques that have been practiced for self-defense and combat for thousands of years. It has expanded to include various styles such as Brazilian Jiu-Jitsu, Taekwondo, judo, and karate. It has also been practiced as a form of exercise and entertainment. Martial arts have been associated to discipline, integrity, improved stamina, and increased mental and problem-solving capabilities. Unlike other exercise methods, most martial arts require focus, skill, and technique, which have been hypothesized to improve memory. The purpose of the study was to determine if there was a significant improvement in the …


Patient Engagement And Co-Creation In Healthcare Services: A Scoping Review, Thiruppavai Sundaramurthi, Smita Mathews, Ella Bermudez, Satish M. Mahajan Nov 2024

Patient Engagement And Co-Creation In Healthcare Services: A Scoping Review, Thiruppavai Sundaramurthi, Smita Mathews, Ella Bermudez, Satish M. Mahajan

Patient Experience Journal

Objective: The objective of this review was to find literature related to the concepts of patient engagement and co-creation in healthcare services and identify models and/or frameworks that combined these concepts. Methods: We developed the eligibility criteria using the Population-Concept-Context framework applicable to studies with population of patients exploring the concepts of engagement and co-creation in the context of healthcare services. The search was conducted in PubMed, CINAHL, Cochrane, APA PsycINFO, and Ovid MEDLINE. We searched for articles in English with no search limitations on publication dates. Reviewers screened abstracts and full texts to identify articles for data …


A Role Discovered: Exploring Northwell Health's Patient Experience Structure And Leadership Characteristics, Agnes Barden, Nicole Giammarinaro, Natalie Rousseau, Carolyne Burgess Nov 2024

A Role Discovered: Exploring Northwell Health's Patient Experience Structure And Leadership Characteristics, Agnes Barden, Nicole Giammarinaro, Natalie Rousseau, Carolyne Burgess

Patient Experience Journal

Examining the evolution of healthcare, leaders in patient experience (PX) have played a pivotal role in shaping a more compassionate and human-centered landscape. This three-part multi-modal descriptive study aimed to investigate shared traits, skills, and characteristics among PX leaders in hospital settings. Employing a transformational leadership self-assessment tool and a guided interview process, recurring themes surfaced. The majority of participants reported employing a transformational leadership style. PX leaders emphasized the significance of communication, empathy, adaptability, teamwork, presence, and relationship-building in their roles. While hospital executive leaders had a slightly varied perspective on essential PX leader skillsets, they underscored the importance …


Experiences Of Using Electronic Medical Records Among Patients From Ethnic Minority Backgrounds: A Rapid Review, Corey Adams, Reema Harrison, Alison Merchant, Narelle Arblaster, Tracey Bucknall, Kathleen Gray, Guncag Ozavci, Nilmini Wickramasinghe, Vicky Yuan, Elizabeth Manias Nov 2024

Experiences Of Using Electronic Medical Records Among Patients From Ethnic Minority Backgrounds: A Rapid Review, Corey Adams, Reema Harrison, Alison Merchant, Narelle Arblaster, Tracey Bucknall, Kathleen Gray, Guncag Ozavci, Nilmini Wickramasinghe, Vicky Yuan, Elizabeth Manias

Patient Experience Journal

This study explores the experiences of individuals from ethnic minority backgrounds using electronic medical records (EMRs) and identifies strategies to improve the inclusivity and usability of EMRs, aiming to reduce the digital divide in their access and use. A rapid review of the literature was conducted using Medline, Embase, and CINAHL databases to identify relevant studies published between 2010 and November 2023, with the assistance of a medical librarian.

A total of 44 studies were included in the review, revealing significant disparities in EMR adoption and utilization among ethnic minority groups. Three key themes of inequality were identified: presentation of …


Laboratory Literacy: Surveying Lab Result Interpretations Of A Local Patient Population, Jordan Franco, Mark K. Fung Nov 2024

Laboratory Literacy: Surveying Lab Result Interpretations Of A Local Patient Population, Jordan Franco, Mark K. Fung

Patient Experience Journal

A patient's independent interpretation of their medical laboratory data has become an unspoken prerequisite in the current age of medicine. In the outpatient setting, it is anecdotally commonplace for patients to receive their lab results before their physicians, resulting in patients often relying on self-interpretations of their results. This study analyzed the degree to which patients are comfortable interpreting lab results and sought to shed light on the question: How are patients interpreting their laboratory reports? A survey was constructed to include the items from a validated health literacy screening tool, followed by items inquiring about the respondent's experience and …


A Quality Improvement Initiative Using Discharge Education Videos To Improve Communication With Families In A Pediatric Urgent Care, Hannah G. Carron, Gisella Valderrama, Adam A. Vukovic Nov 2024

A Quality Improvement Initiative Using Discharge Education Videos To Improve Communication With Families In A Pediatric Urgent Care, Hannah G. Carron, Gisella Valderrama, Adam A. Vukovic

Patient Experience Journal

Introduction: Effective discharge communication, often given in verbal and written form, during pediatric acute healthcare visits positively impacts caregiver satisfaction and competency in providing at-home care. Institutions are beginning to incorporate evidence-based, and standardized multimedia education to try to further improve these outcomes.

Methods: For this QI initiative, educational videos were created and shown to families prior to discharge from a pediatric urgent care. PDSA cycles focused on development of an electronic medical record (EMR) order to provide video education, a best practice alert regarding this order, and recurrent staff education. The primary outcome measure was the percentage …


Post-Pandemic Needs Of Unpaid Family And Friend Caregivers To Effectively Continue Caregiving Duties In One Northern Ontario Health Authority, Jodi Webber, Erin Mulroney, Mark Tatasciore, Brianna Smith, Patti-Jo Duggan, Louis Ferron, Hannah Albani, Bianca Feitelberg, Laura Tenhagen, Sophia Myles Nov 2024

Post-Pandemic Needs Of Unpaid Family And Friend Caregivers To Effectively Continue Caregiving Duties In One Northern Ontario Health Authority, Jodi Webber, Erin Mulroney, Mark Tatasciore, Brianna Smith, Patti-Jo Duggan, Louis Ferron, Hannah Albani, Bianca Feitelberg, Laura Tenhagen, Sophia Myles

Patient Experience Journal

The Covid-19 pandemic had a significant impact on the support networks for older adults and caregivers as health and social care systems were forced to dramatically change the ways patients and clients interacted with providers, services, and programs. In Northern Ontario, caregivers are older, caring in more intense situations, more likely to be caring for multiple care recipients simultaneously and less likely to be in contact with health professionals. This research sought to explore the post-pandemic needs of caregivers in a Northern Ontario health catchment to better understand the needed supports. Using a collaborative and co-design approach with caregiver advisors …


Patients' Perceptions: A Group Differences Study Twelve Months Before And Twelve Months During A Worldwide Pandemic, Nancy B. Valla Nov 2024

Patients' Perceptions: A Group Differences Study Twelve Months Before And Twelve Months During A Worldwide Pandemic, Nancy B. Valla

Patient Experience Journal

Objective: The COVID-19 pandemic subjected healthcare systems' to decreasing operational margins, enhanced regulatory scrutiny, and challenges related to patients' expectations. Until now, there was a lack of empirical evidence studying patients' perceptions prior to versus deep immersion into the pandemic. Methods: This quantitative non-experimental ex post facto causal-comparative study examined if and to what extent there were significant differences in patients' perceptions of the nurses' communications, doctors' communications, overall hospital rating, and willingness to recommend before versus during the COVID-19 pandemic for HCAHPS participating hospitals in California. The final sample size was 292 facilities grouped by two identically …


Driving Healthy Behaviors Through Social Support: The Role Of Co-Responsibility In Weight Loss And Maintenance, Melanie Knufinke-Meyfroyt, Carlo Lancia, Yentl Lodewijks, Simon Nienhuijs, Eva Deckers Nov 2024

Driving Healthy Behaviors Through Social Support: The Role Of Co-Responsibility In Weight Loss And Maintenance, Melanie Knufinke-Meyfroyt, Carlo Lancia, Yentl Lodewijks, Simon Nienhuijs, Eva Deckers

Patient Experience Journal

Objective: The effectiveness of out of hospital lifestyle interventions in healthcare is likely co-dependent on social support from involved one's. We sought to investigate the interrelationships between patient-partner Co-responsibility, Spousal Support, and Self-efficacy and the mechanisms through which they contribute to health behaviors and outcomes relevant to weight loss and maintenance. Methods: Co-responsibility, Spousal Support, self-efficacy, health outcomes and health behaviors like total weight loss, physical activity, OBESI-Q, and health satisfaction were assessed through a questionnaire among 868 individuals attempting to lose weight. Full and semi-partial correlations were used to understand the association between Co-responsibility, Spousal Support, Self-efficacy …


Efficacy Of A Communication Toolkit To Optimize Palliative Care Communication In The Surgical Intensive Unit, Kathryn J. Cary, Aubrey Place, Marta Mccrum, Joanna Grudziak, Lauren Mcguire Nov 2024

Efficacy Of A Communication Toolkit To Optimize Palliative Care Communication In The Surgical Intensive Unit, Kathryn J. Cary, Aubrey Place, Marta Mccrum, Joanna Grudziak, Lauren Mcguire

Patient Experience Journal

Data demonstrates patients benefit from the experience of specialty palliative care providers for advance care planning and prioritizing quality of life, regardless of diagnosis or stage of illness. Despite these benefits, many intensive care units (ICUs) show low utilization of palliative care. The purpose of this study was to evaluate the ability of a bedside communication toolkit to improve communication between family members and caregivers of surgical ICU patients and the ICU team, particularly in the context of medical updates and decision-making. A pilot bedside communication tool was completed by fifty family members of trauma and emergency general surgery (EGS) …


Patient Experience (Px) Giants: Pioneers And The Path Forward, Geoffrey A. Silvera, Courtney Haun, Varun Natarajan Nov 2024

Patient Experience (Px) Giants: Pioneers And The Path Forward, Geoffrey A. Silvera, Courtney Haun, Varun Natarajan

Patient Experience Journal

This commentary pays tribute to the foundational figures in patient experience (PX) scholarship, acknowledging the "PX Giants" whose contributions have established and expanded the field's core principles. Building upon the analysis in Foundational PX, which identified highly cited works, this piece honors individual contributors who have contributed to the scholarly foundation of PX. It highlights the cumulative impact of both frequently cited and consistently productive scholars, underscoring their essential role in shaping patient-centered care. PX Giants have pioneered frameworks on diverse aspects of PX, such as patient-provider communication, care disparities, and the integration of patient perspectives into quality assessments. Through …


Why Human Experience Matters, Jason A. Wolf Nov 2024

Why Human Experience Matters, Jason A. Wolf

Patient Experience Journal

As we close the 11th volume of Patient Experience Journal and a pivotal year for experience efforts globally, it provides a moment of pause, of reflection, and an opportunity to return to purpose. As a publication accessed in over 220 countries and territories around the world, I am heartened by the fact that what is shared on these pages moves you. That what our amazing authors contribute here truly matters. This issue, with its 24 insightful articles, brings our total publication count to 570 articles. These pieces have informed us, pushed our thinking, and challenged our beliefs. This is …


Shadow Banking In The Financial System In Poland In 2007–2009 And 2017–2019, Marta Czarkowska Nov 2024

Shadow Banking In The Financial System In Poland In 2007–2009 And 2017–2019, Marta Czarkowska

European Management Studies

Purpose: The main goal of this work is to present shadow banking in the financial sector. The specific aim is to present and classify non-banking financial intermediaries. For the purposes of the study, the following hypothesis was formulated: shadow banking poses a threat to the maintenance of the stability of the financial system in Poland.

Design/methodology/approach: The research method used in the article is a critical analysis of the related literature on the basis of many studies and reports available on the market.

Findings: The results of the literature review are the basis for statements about shadow banking …


A Business Framework Of Architecture For A Retail Information System, Kateryna Czerniachowska, Marcin Hernes, Sergey Subbotin Nov 2024

A Business Framework Of Architecture For A Retail Information System, Kateryna Czerniachowska, Marcin Hernes, Sergey Subbotin

European Management Studies

Purpose: Retail is one of the most important sectors in modern life. Retail information systems support organizational processes in retail chains. Since such systems are very complex, they need to be structured in a framework based on actual business requirements for understanding the nature and sources of retail information systems. This article focuses on developing a business framework of architecture for a retail information system. This framework allows us to explore the main modules of retail information system.

Design/methodology/approach: Research is based mainly on theoretical studies of retail information systems. Findings: As a result, we developed a framework that …


Digital Communication Tools As A Success Factor Of Interdisciplinary Projects, Matthew R. Ganis, Małgorzata Waszkiewicz Nov 2024

Digital Communication Tools As A Success Factor Of Interdisciplinary Projects, Matthew R. Ganis, Małgorzata Waszkiewicz

European Management Studies

This article considers the important role of digital communication in interdisciplinary projects. This paper describes the experience of interdisciplinary project teams and points to the consequences of the choice of communication channels and tools influencing project deliverables within those teams. The first section of this paper considers the influence of digital transformation on project management. The second section describes key project success factors concerning all types of projects and concludes that communication is one of important factors. The third section briefly defines interdisciplinary projects: SQUAD and BIM. This section also describes the communication methods and techniques that were used within …


Political Economy Of The Coup D’État In Brazil, Alexis Dantas, Elias Jabbour Nov 2024

Political Economy Of The Coup D’État In Brazil, Alexis Dantas, Elias Jabbour

European Management Studies

The aim of this paper is to demonstrate that the Brazilian political crisis that culminated in the impeachment of President Dilma Rousseff is not a direct result of the economic crisis, but a consequence of a broad coalition involving business groups, opposition parties and media with influence in the heart of the state apparatus. The formation of this conservative character of political coalition was part of a process to cut off positive results related to the growing role of the state in the economy and its consequence on employment, labor income and the welfare of Brazilian workers. The economic crisis, …


Quality Management Systems And Their Role In Managing Risks Arising In The Supply Chain, Grażyna Wieteska Nov 2024

Quality Management Systems And Their Role In Managing Risks Arising In The Supply Chain, Grażyna Wieteska

European Management Studies

Growing interest - both in business practice and at the The growing interest, both in business practice and academia, in ensuring the continuity of supply chain processes in supply chains leads to a search for tools that make it possible to effective risk management. This article attempts to identify the role of quality management systems in analysing and mitigating risks in supply chains. occurring in supply chains. It refers to selected management standards management standards and the results of surveys conducted among companies operating on the B2B market in Poland.


How Do You Translate A Service System Into A Quality Customer Experience?, Wiesław Urban Nov 2024

How Do You Translate A Service System Into A Quality Customer Experience?, Wiesław Urban

European Management Studies

In services, due to their characteristics, there are some difficulties and ambiguities when it comes to measuring their quality. A very popular in services is the measurement of the quality experienced by customers, while the measurement of the organisational aspects specific to services, on the other hand, often remain separated from customer experience. The relationship between the sources of quality within an organisation and the effect of quality experienced by customers form the canvass of this article. It reviews the most important concepts literature showing the relationship between the service delivery system perspective service delivery system perspective and the customer …


Fear-Based Politics Of Vladimir Putin, Ben Capocci Nov 2024

Fear-Based Politics Of Vladimir Putin, Ben Capocci

Opinion Matters: Student Analyses of World News

This Op-Ed discusses the reasons for aggressive Russian actions, including the threat of nuclear warfare and the invasion of Ukraine, and how these actions are rooted in deep-seated fear of Western forces.


Creatine And Depression In Rodents: A Meta-Analysis, Ruchika S. Tirupachur Nov 2024

Creatine And Depression In Rodents: A Meta-Analysis, Ruchika S. Tirupachur

Master's Theses

Traditional treatments for major depression are based on the monoamine deficiency hypothesis, and they fail to achieve remission in a substantial portion of patients. Newer evidence suggests the pathophysiology of depression is a more complex story, highlighting a need for research in alternative therapies. Mounting evidence shows a linkage between depression and the supplement creatine monohydrate (CRMH). Research in rodent models suggests that CRMH may both alleviate depressive symptoms and enhance the efficacy of standard antidepressants like SSRIs. The following study describes findings from a combined fixed- and random-effects meta-analysis based on four empirical studies investigating the effect of CRMH …