In an attempt to mitigate the effects of extreme natural events caused by greenhouse gases (GHGs), a significant number of researchers and environmentalists have repeatedly stressed the importance of implementing protective measures, including the promotion of green consumption. This study examined the elements that motivated the willingness and the practice of green behavior (GB) among low-income households in coastal Peninsular Malaysia. To meet the research objectives, this study adopted the survey questionnaire method to collect data from 380 low-income households. The findings revealed that self-efficacy (SE) and environmental concerns (EC) have statistically significant effects on the attitude toward green products (ATT), while subjective norms (SN) and perceived behavioral control (PBC) have influence on the intention of green vehicles. Eventually, the study discovered the effects of the intention to adopt green vehicle on green vehicle adoption behavior. Hence, the findings of this study provide new insights for policymakers in Malaysia to place more emphasis on improving consumer attitudes, social standards, and PBC, which will ultimately contribute to the adoption of environment-friendly vehicles. In addition, car manufacturers should support this program by designing products and options that would encourage those in the low-income group to replace their conventional vehicles with green alternatives in Malaysia.
BACKGROUND AND OBJECTIVE: Rheumatoid arthritis (RA) is a predominant inflammatory autoimmune disorder. The incidence and prevalence of RA is increasing with considerable morbidity and mortality worldwide. The pathophysiology of RA has become clearer due to many significant research outputs during the last two decades. Many inflammatory cytokines involved in RA pathophysiology and the presence of autoantibodies are being used as potential biomarkers via the use of effective diagnostic techniques for the early diagnosis of RA. Currently, several disease-modifying anti-rheumatic drugs are being prescribed targeting RA pathophysiology, which have shown significant contributions in improving the disease outcomes.
DISCUSSION: Even though innovations in treatment strategies and monitoring are helping the patients to achieve early and sustained clinical and radiographic remission, the high cost of drugs and limited health care budgets are restricting the easy access of RA treatment. Both direct and indirect high cost of treatment are creating economic burden for the patients and affecting their quality of life.
CONCLUSION: The aim of this review is to describe the updated concept of RA pathophysiology and highlight current diagnostic tools used for the early detection as well as prognosis - targeting several biomarkers of RA. Additionally, we explored the updated treatment options with side effects besides discussing the global economic burden.
According to strategic management theory, dynamic capability plays a significant role in enhancing organizational performance. Using a cross-sectional research design, the current study quantitatively assesses the mediating effect of dynamic capability on the relationships of total quality management, customer intellectual capital, and human resource management practice with the performance of microfinance institutions. An online survey involving 120 members of Induk Koperasi Kredit, a credit union association in West Kalimantan, Indonesia, is conducted. All the data are subjected to variance-based partial least squares structural equation modeling (PLS-SEM) analysis. The obtained results demonstrate the significant and positive influence of total quality management and human resource management practice on dynamic capability. Furthermore, dynamic capability is found to mediate the relationship between total quality management and human resource management practice on the performance of microfinance institutions. However, this study is unable to conclude that total quality management and human resource management practice have any significant impact on the performance of microfinance institutions. Nonetheless, this study demonstrates the crucial need for microfinance institutions to enhance their management activities via dynamic capability to enhance performance. This is one of the earliest studies conducted during the COVID-19 pandemic to examine the capabilities and performance of microfinance institutions in Indonesia. Notably, the performance of microfinance institutions can be further sustained by improving customers' intellectual and dynamic capabilities.