bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring the Determinants of Patient Satisfaction in Emergency Healthcare: Evidence from Irish EDs
Authors: Swallmeh Esmat , Abo-Hamad Waleed , Rashwan Wael 
Published: October 2024

Abstract

Background Patient satisfaction is a crucial indicator of healthcare quality, particularly in emergency departments (EDs), and it influences both clinical outcomes and institutional reputation. In Ireland, despite the significant challenges faced by these settings, including long waiting times and resource constraints, patient satisfaction in EDs has not been thoroughly explored. This article aimed to determine the key indicators influencing patient satisfaction in an Irish Emergency Department (ED).
Methods This study was conducted in the ED of an adult teaching hospital in Ireland utilizing a patient satisfaction survey distributed to individuals aged 16 years and older who visited the ED. The patient satisfaction determinants were evaluated by estimating multivariate models using PLS analysis to test hypotheses and examine the associations between patient satisfaction dimensions and overall patient satisfaction as a dependent outcome measure.
Results The analysis revealed that patient satisfaction is significantly and positively influenced by the dimensions of information, responsiveness, and assurance. These findings are crucial for understanding and improving healthcare quality. Interestingly, reliability was found to have a negative impact on patient satisfaction. However, it was also found to play a mediating role in the relationship between information and patient satisfaction, highlighting the complex dynamics of patient satisfaction. The dimensions of tangibility and empathy were not significantly associated with overall satisfaction. The expected mediating effect of responsiveness on reliability and satisfaction was not supported.
Conclusion The findings of this study offer valuable insights for healthcare providers and policymakers. By emphasising the critical importance of improving the quality of information provided to patients, addressing issues related to reliability, and enhancing responsiveness, this study provides practical guidance for enhancing patient satisfaction in emergency care settings. These factors are crucial in meeting patient expectations and boosting overall satisfaction. Continuous monitoring and targeted interventions are recommended to ensure that patient satisfaction levels are maintained and improved in the dynamic environment of emergency care. Implementing these strategies can lead to better patient experiences, improved clinical outcomes, and a stronger institutional reputation.
Removal of nitrothal-isopropyl and endosulfan from wastewater using modified coffee grounds by diethylenetriamine nanocomposites: Adsorption kinetics and DFT simulation study
Authors: Tegegn Dereje Fedasa , Belachew Habtamu Zewude 
Published: October 2024

Abstract

Water pollution containing high concentrations of organic pollutants such as nitrothal-isopropyl and endosulfan is a serious concern in the environment because both are implicated in the eutrophication of receiving water. Nitrothal-isopropyl and endosulfan are two main organic pollutants that cause water eutrophication. In this study, MCG-DETA nanocomposites used as a strong bio-adsorbent for the removal of nitrothal-isopropyl and endosulfan from wastewater were investigated. The aim of this study is to recycle MCG-DETA nanocomposites for the adsorption of nitrothal-isopropyl and endosulfan compounds. The optimum adsorption capacity for nitrothal-isopropyl and endosulfan is 35.74 mg/L and 19.21 mg/L, respectively. For nitrothal-isopropyl and endosulfan adsorption, the Freund isotherm model was suitable. Modification of coffee grounds by diethylenetriamine can serve as a potential low-cost adsorbent to remove nitrothal-isopropyl and endosulfan organic pollutants from wastewater. According to DFT calculations, electrostatic interactions between nitrothal-isopropyl and endosulfan with modified coffee grounds were verified. The highest possibility of the attraction between modified coffee grounds and nitrothal-isopropyl was between -COOH in modified coffee grounds and -NO2 in nitrothal-isopropyl. In addition, the attraction of modified coffee grounds and endosulfan is due to the COOH and NH2 in modified coffee grounds and sulfonyl and halide in endosulfan. This effort enhanced our thoughtfulness in the elimination of the mentioned organic pollutants from wastewater by using MCG-DETA nanocomposites experimentally and theoretically.
Effect of chemical mutagen ethylmethane sulfonate (EMS) on the reproductive parameters of clusterbean plants (Cyamopsis tetragonoloba linn.)
Authors: Gulati Deepika , Jangra Mukesh R. 
Published: October 2024

Abstract

Clusterbean plants were raised from seeds soaked in 0.5% EMS or water for 6 h under saline conditions. Observations of the percentage of seed germination, time required to achieve final germination, morphological variation in leaf arrangement and shape, number of floral clusters plants, number of flowers/plant, pollen viability and germination, number of pods/plant, number of seeds/plant and weight of 100 seeds were recorded. The results indicated that EMS-treated seeds exhibited a decrease in and delay in seed germination, plant height, in vitro pollen germination and tube length under non saline conditions. EMS treatment produced mutants with profuse vegetative growth under 8 and 12dSm− 1 salinity. It also induced changes in the shape of the stigma from capitate to subapical and crescent shapeshaped under saline as well as nonsaline conditions. In some cases, these plants were also covered by trichomes. The number of pods and seeds per plant and the test weight of 100 seeds decreased in the plants raised from EMS-soaked seeds under nonsaline conditions. The number of flowers and pods and the seed yield per plant and the test weight of 100 seeds were greater for the mutants growing under 12dSm− 1 salinity than for their corresponding counterparts from untreated seeds.
Association between non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio and nonalcoholic fatty liver disease: NHANES 2017-2020
Authors: Sun Zhengyu , Yue Yong , Li Pengcheng 
Published: October 2024

Abstract

Background
The ratio of non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol (NHHR) is strongly linked to various dyslipidemia-related conditions. This study aimed to assess the relationship between NHHR and both nonalcoholic fatty liver disease (NAFLD) and liver fibrosis among American adults.
Methods
Our study utilized data from 5,861 individuals drawn from the National Health and Nutrition Examination Survey (NHANES) 2017–2020 cohort. We employed multivariate logistic regression models to elucidate the association between NHHR and both NAFLD and hepatic fibrosis. To assess the potential nonlinear relationship between NHHR and the risk of NAFLD and hepatic fibrosis, we applied restricted cubic spline (RCS) analysis. Additionally, stratified analyses were conducted to verify the consistency and robustness of the observed associations.
Results
After adjustment for covariates, the weighted multivariable logistic regression analysis identified a robust positive association between NHHR and the incidence of NAFLD (OR = 1.22, 95% CI: 1.14 to 1.30, P < 0.001). In contrast, no significant association was detected between NHHR and liver fibrosis when accounting for potential confounders (P > 0.05). Restricted cubic spline analysis revealed an S-shaped curve characterizing the relationship between NHHR and NAFLD risk (P for nonlinearity < 0.05), with a notable inflection point occurring at 2.49. However, a nonlinear association between NHHR and liver fibrosis was not observed (P for nonlinearity > 0.05). Subgroup analyses further uncovered significant interactions between NHHR and both ethnicity and BMI in relation to liver fibrosis prevalence (P for interaction < 0.05).
Conclusions
The NHHR demonstrated a positive correlation with the prevalence of NAFLD among American adults, whereas no such association was observed with liver fibrosis. Clinically, NHHR may serve as a valuable marker for the early identification of individuals at heightened risk for NAFLD.
Obesity Linked to Higher Risk of Stillbirth: Insights from the Tanzania Demographic and Health Survey
Authors: Moshi Fabiola Vincent , Bendera Anderson 
Published: October 2024

Abstract

Background: Obesity among women of reproductive age is an escalating public health concern. This study aimed to assess the link between body mass index (BMI) and the risk of stillbirth among women of reproductive age in Tanzania.
Method: The study utilized the 2022 Tanzania Demographic and Health Survey and Malaria Indicator Survey data, encompassing a weighted sample of 2,218 women of reproductive age. Bivariate and multivariable binary logistic regression analyses were employed to determine the association between maternal BMI and stillbirth.
Results: The mean age of the participants was 32.7 years (SD = 8.7). Of the 2,218 women aged 15-49 years, 120 (5.4%) had ever experienced at least one stillbirth. The prevalence of overweight and obesity was 22.6% and 14.3%, respectively. The risk of stillbirth increased with higher BMI categories: 4.2% among women with BMI <25 kg/m2, 6.2% among those with BMI 25─29.0 kg/m2, and 9.8% among those with BMI ≥30 kg/m2. The differences in the prevalence of stillbirth across these BMI categories were statistically significant (p < 0.001). After controlling for confounders, women with obesity had more than twice the risk of stillbirth compared to those with normal weight (aOR=2.22, 95% CI: 1.32–3.72).
Conclusion: This study found that over one-third of women of reproductive age in Tanzania were either overweight or obese. It also found that an increase in maternal BMI was associated with a higher risk of stillbirths. We therefore recommend weight management strategies both before and during pregnancy to reduce the risk of adverse pregnancy outcomes.
Influence of volatile degradation products from thermal wood modification on wood-water interactions
Authors: De Ligne Liselotte , Fredriksson Maria , Thygesen Lisbeth G. , Thybring Emil E. 
Published: October 2024

Abstract

Thermal modification is a widely used technology for enhancing the dimensional stability and durability of wood. However, thermal degradation reactions in wood are complex and depend on the process conditions applied. Volatile degradation products from thermal wood modification are expected to affect the wood chemistry and the wood-water interactions of the thermally modified wood. In this paper, we investigate the impact on wood chemistry and wood-water interactions of retaining or evaporating volatile degradation products while thermally modifying beech and Scots pine in a closed thermal treatment process. The presence of extractable degradation products was determined based on water and multi-solvent extraction. pH measurements and ATR-FTIR analyses were performed to determine differences in wood chemistry. Light microscopy images of xylem cross-sections were taken to determine the vessel and tracheid lumen areas, and LFNMR and DSC measurements were performed to determine wood-water interactions. We found that thermal treatment with a cooling step at atmospheric pressure indeed allowed volatile degradation products to evaporate, in the case of beech, resulting in a less hydrophobic end product. However, for Scots pine, evaporating volatile degradation products during the thermal modification process did not have an effect on the pH and the amount of extractives, and as the impact on wood-water interactions was not in line with the findings on wood chemistry, the results are inconclusive. Our results demonstrate that volatile degradation products can have an impact on the wood-water interactions of thermally modified wood in the cooling step and that the results are wood species dependent.
Development of Environmental Sustainability Labels for Foods
Authors: Gonzáez-Hidalgo Catalina , Rojas Fernando , Sepúlveda Silvia , Beyer María Paz , Bastías Rossana , Escobar Marcela , Vergara Carlos 
Published: October 2024

Abstract

Introduction: Law 20.606 establishes that foods with a high content of critical nutrients must carry the ”High in” label on the front of the pack- age. This label was developed from the perspective of human nutrition and public health, but it does not address the impact that food production, distribution, and consumption have on the environment.
Objective: To create environmental sustainability labels for foods based on a sustain- ability score.
Subjects and Methods: A qualitative-quantitative study was conducted. Using focus groups (FGs) with 24 experts, sustainabil- ity dimensions were defined, and a score was estimated using the Robust Compromise (RoCo) Multi-Criteria Decision-Making (MCDM) statistical method. Based on these scores, foods were classified into environmen- tal sustainability categories, for which visual sustainability labels were designed and tested with older adults.
Results: Four environmental sustainability dimensions for foods were identified from the FGs: Nova System, Packaging Material, Water Footprint, and Carbon Footprint. In a database of 1,839 foods classified into 25 categories, the information for the four identified dimensions was recorded for every 100 grams or milliliters of each food. The median sustainability score was 0.521193 (p25=0.397067 to p75=0.615901). 4.3% of the foods presented high en- vironmental sustainability, 82.9% medium sustainability, and 12.8% low sustainability. The foods with the lowest environmental sustainability were: Coffee, Processed Meats and Cold Cuts, Pastry Products, Aged Cheeses, Sugary Products, and Red Meats. The foods with the high- est sustainability were: Fruits, Tea, Vegetables, and Eggs. Three types of labels were defined: High environmentally friendly, Medium environ- mentally friendly, and Low environmentally friendly.
Conclusions: This study identifies the environmental sustainability of foods consumed in Chile and provides a first version of environmental sustainability labels.
Supporting care transitions for older people: a practice-based qualitative study in England
Authors: Zhang Wenjing , Greig Julia , Towers Ann-Marie , Saloniki Eirini-Christina , Darton Robin 
Published: October 2024

Abstract

Care transitions in later life are challenging for older people and their carers. Social care practitioners, including social workers and other professionals, play a significant role in supporting these transitions, such as hospital discharges to care homes and moves between settings, but often face difficulties in providing effective support. This qualitative study explores the challenges experienced by older people, their carers and social care practitioners during transitions, and examines ways to improve transition-related practice. It involved semi-structured interviews with older people who have experienced or are planning to move (n = 6), family/friend carers (n = 11) and social care practitioners (n = 10). Using inductive data-driven thematic analysis, the study identified four themes: (1) unmet practical and emotional needs for older people and their carers, notably in decision-making; (2) barriers to effective practice, including communication, sourcing funding, and system challenges, such as a fragmented health and social care system; (3) strategies to improve practice, including person-centred strength-focused approaches, better communication and information access, and understanding diverse care settings; and (4) the importance of supporting practitioners. This study emphasises the need to equip social care practitioners with necessary tools, training, and systemic support to facilitate proactive decision-making, improve care transitions and outcomes for older people.
Analysis of the spatiotemporal coupling coordination relationship between industrial development and water resource security in China
Authors: Sun Fuchun , Wang Zenan , Ma Zhida 
Published: October 2024

ABSTRACT

Industrial development is an important part of economic and social development, and a stable pattern of water resource security can meet the needs of economic and social development. Therefore, correctly handling the relationship between industrial development and water resource security in China is the key to achieving high-quality development. This paper takes 287 prefecture-level cities in China from 2010 to 2019 as the research object, establishes the evaluation index system of industrial development and water resource security, calculates the comprehensive index of industrial development and water resource security by the entropy weight method, and analyzes the spatiotemporal evolution trend of the two by using the coupling coordination degree model. The results show that the degree of coupling coordination between industrial development and water resource security in China shows an overall upward trend from 2010 to 2019. Optimizing the industrial structure and promoting industrial transformation and upgrading can effectively improve the coupling coordination level between industrial development and water resource security, and the degree of industrial development threatening water resource security is stronger than the degree of water resource security restricting industrial development. The research conclusion has important practical significance for optimizing industrial structure and implementing regional differentiation policy.
Peracetic acid enhanced anaerobic co-digestion of excess sludge and food waste: Performance and mechanism
Authors: Yang Xuemei , Fu Jinfeng , Xu Yazhou 
Published: October 2024

ABSTRACT
Anaerobic co-digestion of excess sludge (ES) and food waste (FW) has been proven to be a clean and efficient strategy for the resource recovery of organic waste. However, the methane production from the anaerobic co-digestion of ES and FW is not optimal. This study reports a new strategy of using peracetic acid (PAA) pretreatment to enhance the anaerobic co-digestion of ES and FW and reveals the underlying mechanisms. The results confirm that PAA can effectively promote the production of methane from the anaerobic co-digestion of ES and FW, with the maximum methane yield reaching 416 mL/g volatile suspended solids at a PAA content of 9% (w/w). Mechanistic analysis indicates that PAA efficiently facilitates the solubilization of organic matter, promoting the release of soluble proteins and polysaccharides, and accelerating the metabolic conversion of volatile fatty acids (VFAs) to prevent excessive acidification. The maximum output of VFA in the PAA group was 1,511–1,974 mg/L, which was lower than that in the control group. Batch experimental analysis revealed that PAA promoted the hydrolysis and acidification processes, but inhibited the methanogenic process. The PAA pretreatment technique provides a theoretical basis for the efficient treatment of organic matter in urban areas.
¡Ay, maricón! Analisando a tradução de tabus linguísticos na legendagem de La Mala Educación para o Português Brasileiro Um estudo comparativo entre legendas oficiais e fansubbing
Authors: Moura William Henrique Cândido 
Published: October 2024

Considerando o avanço das pesquisas nos Estudos da Tradução Audiovisual nas últimas décadas, o presente trabalho objetivou vislumbrar se a tradução-da-letra (Berman 2013), proposta inicialmente para os estudos de tradução literária, pode ser considerada como uma metodologia para pesquisas em legendagem. Utilizamos as formas clássicas de tradução literária, etnocêntrica e hipertextual, e as tendências deformadoras da tradução para analisar um corpus composto pelas palavras e expressões-tabu relativas à injúria, encontradas nas legendas oficiais e nas legendas feitas por fansubbing, em português brasileiro, do filme espanhol La Mala Educación [Má Educação], de Pedro Almodóvar. Constatamos que a partir das análises das tendências deformadoras utilizadas, tanto nas legendas oficiais, quanto nas legendas do fansubbing, as palavras e expressões-tabu foram, em sua maioria, traduzidas de modo a não amenizar seu sentido, o que pôde ser explicado pelo fato de os legendadores terem realizado traduções mais voltadas para o etnocêntrico, prezando pelo significado que as legendas deveriam propiciar ao público que assiste ao filme. Concluímos que a teoria bermaniana pode ser utilizada como uma metodologia para a análise de legendas, desde que feitas algumas alterações, tendo em vista as características intrínsecas à legendagem.
Improving SMEs Marketing Performance through Market Orientation, Product Innovation, and Competitive Advantage in Bali-Indonesia
Authors: Pramuki Ni Made Wisni Arie , Kusumawati Ni Putu Ayu 
Published: October 2024

AbstractDuring the COVID-19 pandemic, Small and Medium Enterprise (SMEs) as one of the elements driving economic growth had a tremendous impact on business productivity. However, this does not discourage SMI from showing excellent performance and being able to adapt to changes and business competitiveness. This study aims to analyze the role of market orientation as an antecedent in the relationship of product innovation to marketing performance through the competitive advantage of SMIs in Bali Province. This research method is quantitative with a survey approach. The sample size used was 125 samples of SMI managers. The analysis technique in this study uses a structural equation modeling (SEM) approach with the help of SmartPLS 3.2.9 software. The findings show that all the hypothesized variables can be verified. Keywords:Marketing Performance, Product Innovation, Market Orientation, Competitive Advantage
Evaluating AI Competence in Specialized Medicine: Comparative Analysis of ChatGPT and Neurologists in a Neurology Specialist Examination in Spain
Authors: Ros-Arlanzón Pablo , Perez-Sempere Angel 
Published: October 2024

Abstract

Background
With the rapid advancement of artificial intelligence (AI) in various fields, evaluating its application in specialized medical contexts becomes crucial. ChatGPT, a large language model developed by OpenAI, has shown potential in diverse applications, including medicine.

Objective
This study aims to compare the performance of ChatGPT with that of attending neurologists in a real neurology specialist examination conducted in the Valencian Community, Spain, assessing the AI’s capabilities and limitations in medical knowledge.

Methods
We conducted a comparative analysis using the 2022 neurology specialist examination results from 120 neurologists and responses generated by ChatGPT versions 3.5 and 4. The examination consisted of 80 multiple-choice questions, with a focus on clinical neurology and health legislation. Questions were classified according to Bloom’s Taxonomy. Statistical analysis of performance, including the κ coefficient for response consistency, was performed.

Results
Human participants exhibited a median score of 5.91 (IQR: 4.93-6.76), with 32 neurologists failing to pass. ChatGPT-3.5 ranked 116th out of 122, answering 54.5% of questions correctly (score 3.94). ChatGPT-4 showed marked improvement, ranking 17th with 81.8% of correct answers (score 7.57), surpassing several human specialists. No significant variations were observed in the performance on lower-order questions versus higher-order questions. Additionally, ChatGPT-4 demonstrated increased interrater reliability, as reflected by a higher κ coefficient of 0.73, compared to ChatGPT-3.5’s coefficient of 0.69.

Conclusions
This study underscores the evolving capabilities of AI in medical knowledge assessment, particularly in specialized fields. ChatGPT-4’s performance, outperforming the median score of human participants in a rigorous neurology examination, represents a significant milestone in AI development, suggesting its potential as an effective tool in specialized medical education and assessment.