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- High specificity clinical signs of impending death: a scoping reviewPublication . Simões, Catarina; Carneiro, Rui; Teixeira, Abílio CardosoBackground Accurate diagnosis of impending death is essential to provide proper care in the last days and hours of life. Recognising the death situation immediately allows adjustment of care goals, ensuring that they suit the patient's condition, as well as tuning the team's and family's expectations. Objective To map and describe evidence on high specificity clinical signs of impending death in cancer and noncancer hospitalised patients over 18 years of age. Methods A comprehensive search of the published literature was conducted According to Joanna Briggs Institute's methodology for scoping reviews. Online databases, including MEDLINE, CINAHL complete, SCOPUS, WEB OF SCIENCE, and the Cochrane Database of Systematic Reviews, and the search for unpublished studies included OpenGrey, DART-Europe, and RCAAP. Publications in English, French, Portuguese, and Spanish were included, and no period was set. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis extensions to scoping review guidelines were used to report the results. The review protocol was registered in Open Science Framework (Simões et al., 2022). Results The 15 studies included in this review were published in English between 2013 and 2023. In addition to identifying the clinical signs of impending death, some researchers intend to develop accurate prognostic models for this clinical situation. Only two studies in the noncancer population met the inclusion criteria. Twelve articles were prospective observational studies (seven were multicentre studies), one was a retrospective cohort study, and two were narrative reviews. A clinical sign that is common to studies in both populations is respiration with mandibular movement, particularly in the last 12 h of life. Conclusions Clinical signs of impending death and prediction models can help clinicians identify impending death. However, they should not replace clinical judgement. Further research is required to understand whether the dying process differs among different patient populations and care settings.
- Unveiling the power of supplier-country image on B2B customers' perceptions: beyond the product’s beautyPublication . Crespo, Cátia Fernandes; Crespo, Nuno Fernandes; Silva, Susana C.Researchers in business-to-business (B2B) sectors often assume that findings regarding country-of-origin (COO) effects on end consumers can be directly applied to the industrial marketing context. This tendency to generalize can result in an inaccurate understanding of how buyers perceive COO information in B2B scenarios. This study investigates the effect of supplier-country image on international customers’ perceptions of both perceived product quality and relationship quality in a B2B market environment. We further examine the consequences of perceived product quality and relationship quality on supplier awareness and customer loyalty. Data collected from 182 international B2B buyers in the Portuguese footwear, molds, and wood products and furniture industries were analyzed using structural equation modeling (SEM). The results indicate that supplier-country image influences the relationship quality dimensions (trust, commitment, and satisfaction) and perceived product quality. Moreover, trust and commitment enhance customer loyalty, while trust and satisfaction leverage supplier awareness. In contrast, perceived product quality only influences customer loyalty, albeit to a weaker extent. Thus, relationship quality plays a more significant role than perceived product quality in influencing supplier awareness and customer loyalty in B2B environments. These results challenge the notion that the impact of COO on end consumers can be equally applied in B2B contexts, and they expand our understanding of how supplier-country image affects relationship quality in the industrial setting. Furthermore, they draw managers’ attention to the importance of mitigating a potentially negative COO image through measures aimed at improving relationships.