Search Results (329)

Objectives: This study investigated levels of work engagement and the occurrence of compassion fatigue among nursing professionals during the COVID-19 pandemic. Methods: A cross-sectional, descriptive, and correlational study was conducted at a Brazilian university hospital between February and April 2022. The Brazilian versions of the Utrecht Work Engagement Scale (UWES-9) and the Professional Quality of Life Scale (ProQOL-BR) were administered. Results: High levels of compassion satisfaction (44.9 points), low levels of burnout (21.0 points), and low levels of secondary traumatic stress (22.8 points) were observed. No professional demonstrated a profile consistent with compassion fatigue. Engagement levels were high for dedication (5.3) and moderate for vigor (4.9), absorption (4.5), and overall engagement (4.9). Burnout showed moderate negative correlations with vigor (r = −0.611, p = 0.005) and dedication (r = −0.599, p = 0.019). Compassion satisfaction showed moderate positive correlations with vigor (r = 0.522, p < 0.001) and dedication (r = 0.572, p < 0.001). The overall engagement score was moderately and positively correlated with compassion satisfaction (r = 0.532, p < 0.001). Conclusions: This study identified high levels of work engagement, especially regarding dedication, and low levels of compassion fatigue among nursing professionals. The data suggest that even amid the emotional and physical demands imposed by the pandemic, participants preserved their emotional well-being and maintained a positive relationship with their work. Full article

Background/Objectives: The Lowenstein Communication Scale (LCS) is a tool for the evaluation of communicative performance in patients with disorders of consciousness (DOC). This study investigated the reliability and validity of the LCS. Methods: We evaluated 23 inpatients with unresponsive wakefulness syndrome (UWS) and 18 in a minimally conscious state (MCS), at admission to a Consciousness Rehabilitation Department and one month later. The evaluations included assessments of LCS by two raters, and of the Coma Recovery Scale–Revised (CRS-R) by one rater. Results: Total inter-rater agreement in LCS task scoring was found in 58–100% of the patients. Cohen’s kappa values were >0.6 for most tasks. High correlations were found between the two raters on total scores and most subscales (r = 0.599–1.000, p < 0.001), and the differences between them were small. LCS subscales and total score intraclass correlations (ICC) were high. Internal consistency was acceptable (Cronbach’s α > 0.7) for most LCS subscales and total scores. Moderate to strong correlations were found between LCS and CRS-R scores (r = 0.554–0.949, p < 0.05), and the difference in responsiveness between LCS and CRS-R was non-significant. Conclusions: The findings indicate that the LCS is reliable and valid, making it a valuable clinical and research assessment tool for patients with DOC. Full article

Since 2015 and the Paris Agreements, several countries have committed to sustainable development (SD) and the Sustainable Development Goals (SDGs). Higher Education Institutions (HEIs) have an important role to play in providing education and supporting research activities that integrate SD and SDG concepts. However, the context where the HEI is located has an impact on the level of development and integration of strategic guidelines, methods, and tools for measuring the performance of SDGs within the HEI. The United Nations framework remains the most developed and used tool, but it stays very global and needs to be adapted to other contexts, which leads to local initiatives by some HEIs in developing their tools. The response of HEIs to this challenge differs from one context to another, and this article aims to (i) provide a framework to analyze the different HEI contexts based on their own global, national, and local context; (ii) present and compare the context analysis of three different HEIs (ULaval, Sorbonne Univ, and UWE) in three different countries worldwide (Canada, France, and England), and (iii) discuss the limits, challenges, and research opportunities in the subject of SDG integration within HEIs. Notably, the context analysis of ULaval and UWE case studies showed that the Canadian and UK scales give global orientations with a delegation to the Quebec Province and England government for the education and research strategies. A strong leadership comes from the HEIs themselves in developing their own methods and tools for assessing and monitoring the SDGs, as is the case with ULaval and UWE. On the other hand, the Sorbonne Univ case follows the French national and European-United Nation framework but is less committed to developing its own tools and methods. Full article

Combustion processes in compression ignition engines lead to the inevitable generation of nitrogen oxides, which cannot be limited to the currently desired levels just by optimising the in-cylinder processes. Therefore, simulation-based engine development needs to include all engine-related aspects which contribute to tailpipe emissions. Among them, the SCR (selective catalytic reduction) aftertreatment-related processes, such as urea–water solution injection, urea decomposition, mixing, NOx catalytic reduction, and deposits’ formation, are the most challenging, and require as much attention as the processes taking place inside the cylinder. Over the last decade, the urea-SCR aftertreatment systems have evolved from underfloor designs to close-coupled (to the engine) architecture, characterised by the short mixing length. Therefore, they need to be tailor-made for each application. This study presents the CFD-based development of a multi-platform SCR system with a short mixing length for mobile non-road applications, compliant with Stage V NRE-v/c-5 emission standard. It combines multiphase dispersed flow, including wall wetting and urea decomposition kinetic reaction modelling to account for the critical aspects of the SCR system operation. The baseline system’s design was characterised by the severe deposit formation near the mixer’s outlet, which was attributed to the intensive cooling in the mounting area. Moreover, as the simulations suggested, the spray was not appropriately mixed with the surrounding gas in its primary zone. The proposed measures to reduce the wall film formation needed to account for the multi-platform application (ranging from 56 to 130 kW) and large-scale production capability. The performed simulations led to the system design, providing excellent UWS–exhaust gas mixing without a solid deposit formation. The developed system was designed to be manufactured and implemented in large-scale series production. Full article

This study aimed to compare the efficiency of four extraction methods, hot water (HW), hot alkaline (HA), ultrasound-assisted water (UW), and ultrasound-assisted alkaline (UA), for extracting crude β-glucan from Lentinula edodes, focusing on yield, functionality, and antidiabetic potential. The response surface methodology was used to optimize extraction conditions. Among all methods, UW yielded the highest β-glucan content (34.51 ± 0.82 g/100 g dry extract), indicating enhanced extraction efficiency through acoustic cavitation. However, HW demonstrated the most preserved structural integrity, exhibiting superior and consistent swelling power across all tested pH conditions, which indicated an excellent water-holding capacity. The ability of HA to scavenge antioxidants was significantly higher than that of other methods, likely due to the enhanced release of phenolic residues under alkaline conditions. UA showed the most potent inhibition against α-amylase (IC₅₀ = 1.46 mg/mL) and α-glucosidase (IC₅₀ = 1.21 mg/mL), demonstrating the potential for type 2 diabetes management. These results highlight that while UW is optimal for yield, HW preserves functional integrity, HA enhances antioxidant properties, and UA is promising for enzyme inhibition. The findings provide insights into tailoring extraction strategies for targeted functional or nutraceutical applications. Full article

This study evaluates the effectiveness and financial impact of treating anoestrus dairy cows using a modified DO protocol. Among the 350 cows included in the study, 142 (40.6%) were identified as anoestrus. The average daily milk production, days in milk at artificial insemination (AI), number of AIs, and parity were 33.8 ± 6.8 kg, 152.6 ± 24.4 days, 1.3 ± 0.2 AIs, and 1.9 ± 0.8 lactations, respectively. To assess embryo survival in anoestrus dairy cows undergoing the modified DO protocol, two groups were established. The experimental group (E group, n = 74) received the GnRH agonist gonadorelin five days after TAI as part of the DO protocol. The control group (C group, n = 68) received only the DO protocol. The pregnancy rates and cumulative pregnancy rates were significantly higher in the E group (35.1% and 56.8%) compared with the C group (26.5% and 45.6%, p < 0.05). A binary logistic regression analysis indicated that the interaction between treatment and anoestrus status considerably affected the pregnancy rate (p < 0.001) and the occurrence of accessory corpus luteum (aCL, p < 0.0001). The UW-DairyRepro$ decision support tool utilized in this study, indicated that implementing this approach could increase the net present value (NPV) by USD 54.2/anoestrus cow/year. Full article

This study presents a novel semi-submersible platform design for 10 MW vertical-axis wind turbines (VAWTs), specifically engineered to address the compounded challenges of China’s intermediate-depth (40 m), typhoon-prone maritime environment. Unlike conventional horizontal-axis configurations, VAWTs impose unique demands due to omnidirectional wind reception, high aerodynamic load fluctuations, and substantial self-weight—factors exacerbated by short installation windows and complex hydrodynamic interactions. Through systematic scheme demonstration, we establish the optimal four-column configuration, resolving critical limitations of existing concepts in terms of water depth adaptability, stability, and fabrication economics. The integrated design features central turbine mounting, hexagonal pontoons for enhanced damping, and optimized ballast distribution, achieving a 3400-tonne steel mass (29% reduction vs. benchmarks). Comprehensive performance validation confirms exceptional survivability under 50-year typhoon conditions (Hs = 4.42 m, Uw = 54 m/s), limiting platform tilt to 8.02° (53% of allowable) and nacelle accelerations to 0.10 g (17% of structural limit). Hydrodynamic analysis reveals heave/pitch natural periods > 20 s, avoiding wave resonance (Tp = 7.64 s), while comparative assessment demonstrates 33% lower pitch RAOs than leading horizontal-axis platforms. The design achieves unprecedented synergy of typhoon resilience, motion performance, and cost-efficiency—validated by 29% steel savings—providing a technically and economically viable solution for megawatt-scale VAWT deployment in challenging seas. Full article

Background: Work engagement is essential to the well-being of nurses and the quality of health care, particularly in high-demand urban hospital environments in Bangkok. To determine the levels of work engagement—vigor, dedication, and absorption—among nurses in a Thai urban tertiary hospital, and to identify associated demographic and occupational predictors. Materials and Methods: A cross-sectional study was conducted among 650 nurses at a tertiary university hospital in Bangkok, Thailand, from February to March 2025. Participants were selected through simple random sampling. They completed an online survey including demographic data and the Utrecht Work Engagement Scale (UWES), which assesses three dimensions of engagement: vigor, dedication, and absorption. To identify the predictors of high engagement levels, chi-square tests and multivariate binary logistic regression were used. Results: Most nurses reported low engagement across all dimensions: 73.1% for vigor, 69.1% for dedication, and 70.0% for absorption. In the adjusted models, monthly income was a significant predictor of higher vigor and dedication, whereas no significant predictors emerged for absorption. Other variables, including age, experience, and professional rank, were significant in the bivariate analyses but not in the multivariate models. Conclusions: Nurse engagement remains suboptimal in the urban tertiary hospital setting, with financial compensation emerging as a key determinant. Strategic interventions to improve income equity and career development may help enhance engagement and retention in the nursing workforce. Full article

Drug removal from urban wastewater (UW) is a topic of growing interest. The new European Directive addresses this problem by introducing quaternary treatment by 2045, as part of the “Zero Pollution” plan from a One Health perspective. In this context, the role of microalgae remains very promising in achieving clean and safe effluents, although its cost–benefit ratio needs to be carefully evaluated. The purpose of this review is to disclose the latest approaches to drug removal and energy recovery from UWs adopting different algae (Chlorella spp., Galdieria spp., and Scenedesmus spp.), to provide a detailed background for further research towards the development of new effective strategies on UW remediation while producing clean energy. We examined the most recent studies, considering most drugs found in wastewater, their management, as well as strategies used to recover energy while being mindful of a circular economy. There is growing interest in algae-based systems. The latest findings on algae–bacteria consortia show that it could be a better alternative to suspended biomass and represent a way to manage drug waste. This finding suggests that large-scale experiments should be conducted to confirm the potential benefits of such waste treatments. Full article

Due to the dynamic and harsh underwater environment, which involves a long propagation delay, high bit error rate, and limited bandwidth, it is challenging to achieve reliable communication in underwater wireless sensor networks (UWSNs) and network support applications, like environmental monitoring and natural disaster prediction, which require energy efficiency and low latency. To tackle these challenges, we introduce AC-RL-based power control (ACRLPC), a novel hybrid MAC protocol that can efficiently integrate Carrier Sense Multiple Access with Collision Avoidance (CSMA/CA)-based MAC and Time Division Multiple Access (TDMA) with Actor–Critic Reinforcement Learning (AC-RL). The proposed framework employs adaptive strategies, utilizing adaptive power control and intelligent access methods, which adjust to fluctuating conditions on the network. Harsh and dynamic underwater environment performance evaluations of the proposed scheme confirm a significant outperformance of ACRLPC compared to the current protocols of FDU-MAC, TCH-MAC, and UW-ALOHA-QM in all major performance measures, like energy consumption, throughput, accuracy, latency, and computational complexity. The ACRLPC is an ultra-energy-efficient protocol since it provides higher-grade power efficiency by maximizing the throughput and limiting the latency. Its overcoming of computational complexity makes it an approach that greatly relaxes the processing requirement, especially in the case of large, scalable underwater deployments. The unique hybrid architecture that is proposed effectively combines the best of both worlds, leveraging TDMA for reliable access, and the flexibility of CSMA/CA serves as a robust and holistic mechanism that meets the desired enablers of the system. Full article

Background/Objectives: Employment instability is increasingly recognized as an organizational stressor, yet its combined effect on nurse burnout, humanized care, and work engagement is poorly quantified. This study investigates those relationships and tests a serial mediation model linking contract instability, burnout, humanization, and engagement in Spanish hospital nurses. Methods: A nationwide cross-sectional survey was completed by 400 fixed-term nurses between March and May 2025. The data included demographics, number of contracts signed during 2024, and scores on the Maslach Burnout Inventory (MBI), Utrecht Work Engagement Scale (UWES), and Health Professionals’ Humanization Scale (HUMAS). Spearman coefficients described the bivariate relations. Results: Burnout correlated positively with both contract count (r = 0.42, p = 0.039) and years of experience (r = 0.74, p = 0.040). Work engagement was inversely associated with instability (r = –0.62, p = 0.018). Humanized care was strongly and negatively related to burnout (r = –0.61, p = 0.032), particularly in sociability and self-efficacy dimensions. Discussion: Contractual precarity elevates burnout, erodes perceptions of humanized care, and, through this erosion, suppresses nurse engagement. Stabilizing workforce arrangements and strengthening empathy-centered skills may mitigate these effects and foster a socially sustainable nursing workforce. Full article

The World Health Organization (WHO) cites antimicrobial resistance as among the greatest threats to human health. The multidrug-resistant pathogen Acinetobacter baumannii, recognized as a priority pathogen for healthcare and research, is responsible for a diverse array of infections including respiratory tract, soft tissue and wound, and bloodstream infections. Despite this importance, the mechanisms of its pathogenesis remain poorly understood. Conjugation represents a central mechanism for bacterial adaptation and evolution and is responsible for the spread of genes that promote pathogen survival, antibiotic resistance, virulence, and biofilm formation. Our laboratory recently characterized a large group of almost 120 Type IV Secretion System (T4SS)-encoding plasmids in Acinetobacter, distributed globally across 20 countries spanning four continents, and demonstrated that an XDR A. baumannii plasmid from this family was transmissible to another A. baumannii strain. This research investigated the potential diversity of host strains for this representative member plasmid. Using the GC1 lineage strain A. baumannii AB5075-UW harbouring the XDR plasmid p1AB5075 and a series of previously characterized clinical and environmental Acinetobacter strains, conjugative analyses demonstrated transfer of the XDR plasmid to both A. baumannii strains of more genetically divergent sequence types and to non-baumannii Acinetobacter species both inside and outside the Acinetobacter calcoaceticus–baumannii (ACB) complex. Successful recipients included diverse strains of both clinical and environmental origin within the Acinetobacter genus. Collectively, this research could provide insights into an important genetic element for future surveillance. Full article

Background: Chronic thoracic pain is commonly caused by thoracic facet dysfunction, intercostal neuralgia, surgery, or thoracic pain secondary to cancer and is present in approximately 15% of the population. Conventional treatments, including pharmacotherapy and transcutaneous electrical nerve stimulation, are often ineffective and are often associated with poorly tolerated adverse effects. Cooled radiofrequency ablation (c-RFA) is a minimally invasive procedure that uses radiofrequency energy delivered through a probe to lesion the targeted nerve and provide significant and lasting relief. Methods: This study was a retrospective analysis of data extracted from UW-Health Electronic Medical Health records from October 2015 through June 2024. Patient data were collected, including diagnosis, pre-operative pain score, post-operative pain score, duration of relief, age, sex, and BMI. A two-tailed paired t-test was used to analyze the pre-operative and post-operative pain scores. A p-value < 0.05 was considered significant. Results: A total of 111 thoracic c-RFA procedures were reviewed; 43 were excluded due to absent pre-operative or post-operative pain scores in medical records. A total of 68 procedures were included in the analysis, comprising 55 patients: 25 females and 30 males with an average age of 51.31 ± 18.22 years and a BMI of 29.79 ± 6.48 kg/m². Improvement in pain scores was reported in 77.94% (n = 53), 16.18% (n = 11) reported no change, and 5.88% (n = 4) reported worsening pain. Patients reported an average pre-operative pain score of 5.98 (M = 5.98, SD = 1.91) and an average post-operative pain score of 3.06 (M = 3.06, SD = 2.52); this achieved significance (p < 0.0001). Of the 77.94% (n = 53) charts that noted improvement, there is an average of 62.83 ± 28.48% reduction from their pre-operative pain scores. The average duration of relief lasted 11.85 ± 13.42 months. Conclusions: This study supports the efficacy and safety of c-RFA as a minimally invasive therapy for chronic thoracic pain refractory to conservative measures. Full article

Aim: This study aimed to explore the relationships between burnout, emotional intelligence (EI), and work engagement (WE) among hospital nurses. Specifically, it examined the mediating role of burnout in the relationship between EI and WE. Background: Nurses are frequently exposed to emotionally and physically demanding environments, which may lead to sustained occupational stress. Prolonged exposure to such conditions can contribute to burnout, adversely affecting both personal well-being and professional performance. EI is increasingly recognised as a protective factor that may alleviate burnout and enhance WE. Methods: A quantitative, cross-sectional correlational design was employed. A quota sampling technique was used to select 336 nurses working in public healthcare facilities in Ha’il, Saudi Arabia. Data were collected using standardised self-report instruments: the 14-item Shirom–Melamed Burnout Questionnaire (SMBM), the short-form Genos Emotional Intelligence Inventory (Genos EI), and the 9-item Utrecht Work Engagement Scale (UWES-9). Structural equation modelling examined associations and the mediating role of burnout between EI and WE. Results: EI was positively associated with WE and negatively with burnout. Burnout, in turn, was negatively associated with WE. Mediation analysis confirmed that burnout partially mediated the effect of EI on WE, indicating that EI nurses were less likely to experience burnout and more likely to remain engaged in their roles. Discussion: The results emphasise the role of EI in reducing burnout and enhancing WE among nurses. Burnout partially mediates this relationship, suggesting that EI influences WE both directly and indirectly. Conclusions and Implications for Nursing: Integrating EI training into professional development and implementing measures to reduce burnout may improve WE and retention. Policy efforts should ensure supportive work environments and adequate staffing to sustain nurse well-being. Full article

Mean–geometric mean (MGM) linking compares group differences on a latent variable $\theta$ within the two-parameter logistic (2PL) item response theory model. This article investigates three specifications of MGM linking that differ in the weighting of item difficulty differences: unweighted (UW), discrimination-weighted (DW), and precision-weighted (PW). These methods are evaluated under conditions where random DIF effects are present in either item difficulties or item intercepts. The three estimators are analyzed both analytically and through a simulation study. The PW method outperforms the other two only in the absence of random DIF or in small samples when DIF is present. In larger samples, the UW method performs best when random DIF with homogeneous variances affects item difficulties, while the DW method achieves superior performance when such DIF is present in item intercepts. The analytical results and simulation findings consistently show that the PW method introduces bias in the estimated group mean when random DIF is present. Given that the effectiveness of MGM methods depends on the type of random DIF, the distribution of DIF effects was further examined using PISA 2006 reading data. The model comparisons indicate that random DIF with homogeneous variances in item intercepts provides a better fit than random DIF in item difficulties in the PISA 2006 reading dataset. Full article