Search Results (5,067)

Background/Objectives: This study explored how attribute framing (lifestyle-focused vs. technology-focused product descriptions) and popularity cueing (presence or absence of a “best-seller” label) influenced purchase likelihood for a fictitious selection of hearing aids (HAs) among Canadian adults aged 40 years and above. The study further aimed to investigate whether the effects observed were unique to HAs or applicable to less-specialized consumer technology contexts. Method: A 2 × 2 × 2 mixed experimental design compared attribute framing and popularity cueing effects across HAs and notebook computers at three technology levels (entry-level, midrange, and premium). Participants (n = 122) provided ratings indicating their purchase likelihood for each product. Results: Attribute framing showed no significant influence on purchase decisions across technology levels. The presence of a popularity cue that the midrange HA was the best-seller negatively affected purchase likelihood for the entry-level HA, with higher purchase likelihood ratings observed when this cue was absent. Participants expressed stronger purchase likelihood for premium HAs compared to premium notebook computers. Notably, these two effects were not statistically significant following correction for multiple comparisons. Conclusions: Popularity cues for HAs may have inadvertent consequences for consumer perceptions of models with differing technology levels. Findings also suggest potentially greater willingness to invest in premium health-related technologies versus familiar consumer technology. Further research involving current HA users or candidates is needed to better understand these findings. Full article

Background/Objectives: Digestive problems are common in the general population and may be influenced by lifestyle, emotional status and diet. This study aimed to estimate the prevalence of digestive problems in Spanish adults and examined associated factors. Methods: Descriptive cross-sectional analysis of anonymized adult microdata from the 2023 Spanish Health Survey was performed. Data were collected using a mixed-mode design (self-administered web questionnaire with interviewer-administered follow-up). Digestive problems were recoded by combining gastric ulcer, constipation, and prescribed use of laxatives, astringent drugs, and stomach medication. Therefore, digestive problems are primarily defined as the presence of gastric ulcers, diarrhea, and/or constipation. Variables included sociodemographic, Body Mass Index (BMI), smoking, alcohol intake, physical activity, Personal Health Questionnaire Depression Scale (PHQ-8), World Health Organization Well Being Index (WHO-5), and macronutrient intake estimated from a Food-Frequency Questionnaire using the Spanish Food Composition Database (BEDCA). Group comparisons and multivariable logistic regression were conducted (95% CI; significance level set at p < 0.05). Results: Of 34,148 participants, 13,518 provided information on digestive problems; among these respondents, 3860 (28.6%) reported having digestive issues. Prevalence ranged from 5.2% to 36.5% among national territories. Higher odds (OR) of digestive problems were associated with age (OR 1.026, 95% CI 1.023–1.029), female sex (OR 1.168, 1.070–1.276), non-smoking (OR 1.240, 1.005–1.531) and ex-smoking (OR 1.447, 1.272–1.647) compared to current smokers, higher PHQ-8 scores (OR 1.040, 1.029–1.051), greater protein intake (OR 1.016, 1.009–1.023), consumption of sweet pastries (OR 1.058, 1.039–1.077), and dairy products (OR 1.027, 1.002–1.053); in contrast, lower odds were associated with higher WHO-5 scores (OR 0.985, 0.982–0.987), total fiber intake (OR 0.968, 0.949–0.987), and legume consumption (OR 0.894, 0.856–0.933). Conclusions: Digestive problems show considerable variability in prevalence among survey-based Spanish sample. Digestive problems were associated with older age, female sex, depressive symptoms, high-protein intake, and higher consumption of sweet pastries and dairy products, whereas higher well-being scores, higher fiber intake and legume consumption were associated with lower odds of digestive problems. Full article

Silica nanoparticles (SNPs) are pivotal in designing functional optical films, but accurately modeling their properties is hindered by the limitations of classical effective medium theories, which break down for larger particles and complex morphologies. We introduce a robust, effective medium theory that overcomes these limitations by incorporating full Mie scattering solutions, thereby accounting for size-dependent and multipolar effects. Our model is comprehensively developed for unshelled, shelled, mixed, and hollow SNPs randomly dispersed in a host medium. Its accuracy is rigorously benchmarked against 3D finite-element method simulations. This work establishes a practical and reliable framework for predicting the optical response of SNP composites, significantly facilitating the rational design of high-performance coatings, such as anti-glare layers, with minimal computational cost. Full article

Transit-Oriented Development (TOD), formalized by Calthorpe and Poticha in 1993, emerged to counter urban sprawl, reduce car dependency, and revitalize historical community centers. Rooted in “new urbanism”, TOD emphasizes integrated regional land-use planning and high-capacity public transportation. In the Middle East, TOD implementation remains understudied, particularly regarding heritage integration and social equity in arid climates. Doha’s rapid social and economic transformation presents both opportunities and risks: growth offers urban revitalization yet threatens to displace communities and dilute cultural identity. Shifts in urban planning have aimed to address sustainability, connectivity, and heritage preservation. This study examines Msheireb Downtown Doha (MDD) to assess how TOD can restore historic districts while managing gentrification, enhancing accessibility and promoting inclusiveness. A mixed-methods approach was applied, including 12 semi-structured interviews with stakeholders (Qatar Rail, Msheireb Properties, Ministry of Municipality and Environment), purposive surveys of 80 urban users, site observations, and spatial mapping. Using the Node-Place-People (NPP) model, the study evaluates TOD effectiveness across transportation connectivity (node), built environment quality (place), and equity metrics (people). The findings show that MDD successfully implements fundamental TOD principles through its design, which enhances connectivity, walkability, social inclusiveness, and heritage preservation. However, multiple obstacles remain: the “peripheral island effect” limits benefits to the core, pedestrian–vehicular balance is unresolved, and commercial gentrification is on the rise. This research provides evidence-based knowledge for GCC cities pursuing sustainable urban regeneration by demonstrating both the advantages of TOD and the necessity for critical, context-sensitive implementation that focuses on social equity together with physical transformation. Full article

The current debate on digital education is at a crossroads between the need for technological innovation and the growing concern about the impact of passive screen use. In this context, identifying sustainable pedagogical models that integrate Information and Communication Technologies (ICT) in a meaningful and inclusive way is an urgent need. This article presents a case study of the Amara Berri System (ABS), aiming to analyze how inclusive and sustainable digital innovation is operationalized within the system and whether teachers’ length of service is associated with the implementation and perceived impact of inclusive ICT practices. The investigation is based on a mixed-methods sequential design. A questionnaire was administered to a sample of 292 teachers to collect data on their practices and perceptions. Subsequently, a focus group with eight teachers was conducted to further explore the meaning of their practices. Quantitative results show that the implementation and positive evaluation of inclusive ICT practices correlate significantly with teachers’ seniority within the system, which suggests that the model is formative in itself. Qualitative analysis shows that ICTs are not an end in themselves within the ABS, but an empowering tool for the students. The “Audiovisual Media Room”, managed by students, functions as a space for social and creative production that gives technology a pedagogical purpose. The study concludes that the sustainability of digital innovation requires coherence with the pedagogical project. Findings offer valuable implications for the design of teacher training contexts that foster the integration of technology within a framework of truly inclusive education. Full article

Heat exchangers are central to energy and process industries, yet performance is bounded by the trade-off between higher heat transfer and greater pressure drop. This review targets indirect-type heat exchangers and organizes bioinspired strategies through a multi-scale lens of surface, texture, and network scales. It provides a structured comparison of their thermo-hydraulic behaviors and evaluation methods. At the surface scale, control of wettability and liquid-infused interfaces suppresses icing and fouling and stabilizes condensation. At the texture scale, microstructures inspired by shark skin and fish scales regulate near-wall vortices to balance drag reduction with heat-transfer enhancement. At the network scale, branched and bicontinuous pathways inspired by leaf veins, lung architectures, and triply periodic minimal surfaces promote uniform distribution and mixing, improving overall performance. The survey highlights practical needs for manufacturing readiness, durability, scale-up, and validation across operating ranges. By emphasizing analysis across scales rather than reliance on a single metric, the review distills design principles and selection guidelines for next-generation bioinspired heat exchangers. Full article

Maintaining color constancy in polymer extrusion processes is a key difficulty in manufacturing applications, as fluctuations in processing parameters greatly influence pigment dispersion and the quality of the finished product. Preliminary historical data mining analysis was conducted in 2009. This work concentrates on Opaque PC Grade 5, which constituted 2.43% of the pigment; it contained 10 PPH of resin2 with a Melt Flow Index (MFI) of 6.5 g/10 min and 90 PPH of resin1. It also employs a fixed resin composition with an MFI of 25 g/10 min. This research identified the significant processing parameters (PPs) contributing to the lowest color deviation. Interactions between processing parameters, for the same color formulation, were analyzed using statistical methods under various processing conditions. A principle-driven General Trends (GT) diagnostic procedure was applied, wherein each parameter was individually varied across five levels while holding others constant. Particle size distribution (PSD) and colorimetric data (CIE Lab*) were systematically measured and analyzed. To complete this, correlations for the impact of temperature (Temp) on viscosity, particle characteristics, and color quality were studied by characterizing viscosity, Digital Optical Microscopy (DOM), and particle size distribution at various speeds. The samples were characterized for viscosity at three temperatures (230, 255, 280 °C) and particle size distribution at three speeds: 700, 750, 800 rpm. This study investigates particle processing features, such as screw speed and pigment size distribution. The average pigment diameter and the fraction of small particles were influenced by the speed of 700–775 rpm. At 700 rpm, the mean particle size was 2.4 µm, with 61.3% constituting particle numbers. The mean particle size diminished to 2 µm at 775 rpm; however, the particle count proportion escalated to 66% at 800 rpm. This research ultimately quantifies the relative influence of particle size on the reaction, resulting in a color value of 1.36. The mean particle size and particle counts are positively correlated; thus, reduced pigment size at increased speed influences color response and quality. The weighted contributions of the particles, 51.4% at 700 rpm and 48.6% at 800 rpm, substantiate the hypothesis. Further studies will broaden the GT analysis to encompass multi-parameter interactions through design experiments and will test the diagnostic assessment procedure across various polymer grades and colorants to create robust models of prediction for industrial growth. The global quality of mixing polycarbonate compounding constituents ensured consistent and smooth pigment dispersion, minimizing color streaks and resulting in a significant improvement in color matching for opaque grades. Full article

Leadership lies at the core of public administration, yet research on boundary-spanning leadership has paid limited attention to the micro-level behaviors through which regional collaboration is enacted. Drawing on empirical evidence from China and a mixed-methods research design, this study examines relational leadership behaviors (RLBs) in regional collaborative governance (RCG). It identifies three types of collaborative leaders—leaders embedded in network administrative organizations, leaders within specialized collaborative departments, and leaders exchanged between regions—and four core RLBs: relational initiative, reconciliation, catalysis, and linkage. These behaviors enhance the perceived effectiveness of RCG by fostering trust, managing conflicts, and integrating diverse interests. The findings further show that RLBs are shaped by the collaborative context, including institutional arrangements, leader roles, task complexity, and the temporal dynamics of collaboration. By incorporating relational leadership into a process-oriented perspective, this study extends RCG theory and offers practical insights for improving governance effectiveness in RCG. Full article

Background and Objectives: Payment parity laws require commercial health plans to pay for telehealth on the same basis as in-person care. We systematically reviewed open-access empirical studies to identify and synthesize empirical U.S. studies that explicitly evaluated state telehealth payment parity (distinct from coverage-only parity) and to summarize reported effects on telehealth utilization, modality mix, quality/adherence, equity/access, and expenditures. Methods: Following PRISMA 2020, we searched PubMed/MEDLINE, Scopus, and Web of Science for U.S. studies that explicitly modeled state payment parity or stratified results by payment parity vs. coverage-only vs. no parity. We included original quantitative or qualitative studies with a time or geographic comparator and free full-text availability. The primary outcome was telehealth utilization (share or odds of telehealth use); secondary outcomes were modality mix, quality and adherence, equity and access, and spending. Because designs were heterogeneous (interrupted time series [ITS], difference-in-differences [DiD], regression, qualitative), we used structured narrative synthesis. Results: Nine studies met inclusion criteria. In community health centers (CHCs), payment parity was associated with higher telehealth use (42% of visits in parity states vs. 29% without; Δ = +13.0 percentage points; adjusted odds ratio 1.74, 95% CI 1.49–2.03). Among patients with newly diagnosed cancer, adjusted telehealth rates were 23.3% in coverage + payment parity states vs. 19.1% in states without parity, while cross-state practice limits reduced telehealth use (14.9% vs. 17.8%). At the health-system level, parity mandates were linked to a +2.5-percentage-point telemedicine share in 2023, with mental-health (29%) and substance use disorder (SUD) care (21%) showing the highest telemedicine shares. A Medicaid coverage policy bundle increased live-video use by 6.0 points and the proportion “always able to access needed care” by 11.1 points. For hypertension, payment parity improved medication adherence, whereas early emergency department and hospital adoption studies found null associations. Direct spending evidence from open-access sources remained sparse. Conclusions: Across ambulatory settings—especially behavioral health and chronic disease management—state payment parity laws are consistently associated with modest but meaningful increases in telehealth use and some improvements in adherence and perceived access. Effects vary by specialty and are attenuated where cross-state practice limits persist, and the impact of payment parity on overall spending remains understudied. Full article

Occupational Health and Safety (OHS) in educational settings is a vital responsibility that is often inconsistently implemented. There is a need for research to bridge the gap between policy and practice. This study employed a cross-sectional mixed-methods design in six schools in the capital city of Indonesia to identify key implementation barriers, strategies, and compliance levels in OHS. Data were collected from 217 teachers using a structured KPAP (Knowledge, Attitudes, Perceptions, Practices) survey and from an additional 38 teachers via Focus Group Discussions (FGDs). Quantitatively, teachers showed highly positive attitudes (99.4% viewing OHS as a professional duty) and generally positive perceptions but implementation practices were sub-optimal (e.g., low participation in drills and PPE usage), showing a gap between awareness and action. Qualitatively, the main barriers identified were a lack of specific OHS regulation or guidance for schools, limited resources/infrastructure, and the perception of OHS as a low priority. Management strategies focused on external collaboration and ongoing in-school initiatives. In conclusion, a significant gap exists between OHS awareness and its integration into school management, highlighting the urgent need for strengthened governance, comprehensive policies, and sustained capacity-building to ensure a proactive, safe, and sustainable school environment for staff and students. Full article

This study was conducted to evaluate the effect of rumen-protected γ-aminobutyric acid (GABA) supplementation on milk productivity of lactating Holstein cows. Eighteen Holstein dairy cows (mean parity, 2.2 ± 1.0 year; mean milk yield, 34.3 ± 5.5 kg) were selected in a commercial dairy farm for the experiment. The experiment was conducted from 17 July 2024 to 11 September 2024 (56 days). Generally, THI 72 is set as a threshold since the productivity of Holstein cows starts to decrease. Animals were exposed to heat stress conditions (THI ≥ 72) during the experimental period. The basal diet was fed as a total mixed ration (TMR), and GABA was top-dressed onto the TMR. The treatments were basal diet (Control), basal diet supplemented with rumen-protected GABA 3 g/d (Treatment 1), and basal diet supplemented with rumen-protected GABA 6 g/d (Treatment 2) as a completely randomized design. Statistical significance was compared between the control and GABA treatment groups using the method of repeated measurement. Increased levels of rumen-protected GABA supplementation tended to mitigate the decline in milk yield associated with heat stress (p = 0.083). Milk fat content in the GABA supplementation groups was significantly greater than that in the control group (p = 0.036). Milk lactose content was significantly increased by GABA supplementation (p = 0.017). Blood metabolic profiles and cortisol did not differ significantly between the control and GABA supplementation groups. Activities in the GABA supplementation groups were significantly greater than those in the control group (p < 0.05). Rest and rumination times in the GABA supplementation group were significantly lower than those in the control group (p < 0.05). These results suggest that rumen-protected GABA can be a practical nutritional intervention for minimizing productivity losses in Holstein cows during periods of elevated ambient temperature. Full article

Background: Fibromyalgia syndrome (FMS) and post-traumatic stress disorder (PTSD) may co-occur and are associated with increased symptom burden, functional impairment, and reduced quality of life. Accumulating evidence suggests shared neurobiological mechanisms. Trauma-focused interventions targeting maladaptive memory processes may therefore represent a relevant therapeutic approach in this population. Objective: To evaluate the feasibility, tolerability, and preliminary clinical associations of a brief reconsolidation-based therapy in women with comorbid FMS and PTSD. Methods: This multicenter pilot study included adult women diagnosed with FMS and PTSD who underwent six sessions of reconsolidation therapy combining traumatic memory reactivation with propranolol administration. Clinical outcomes were assessed at baseline and at 3-month follow-up using the Fibromyalgia Impact Questionnaire (FIQ), the Impact of Event Scale–Revised (IES-R), the Montgomery–Åsberg Depression Rating Scale (MADRS), the Beck Depression Inventory (BDI), the Rosenberg Self-Esteem Scale (RSES), and the SF-36. Changes over time were analyzed using paired statistical tests and linear mixed-effects models. Results: Fourteen participants completed the intervention and follow-up assessments. The intervention was feasible and well tolerated. Changes over time were observed in fibromyalgia-related quality of life (FIQ scores), PTSD symptom severity (IES-R), and depressive symptoms (MADRS, BDI), as well as in selected SF-36 domains, including vitality, social functioning, and mental health. A progressive decrease in IES-R scores was observed across treatment sessions. Conclusions: This pilot study suggests that reconsolidation-based therapy is feasible in women with comorbid FMS and PTSD and was associated with changes in PTSD symptoms and fibromyalgia-related functional impact. Given the exploratory design and absence of a control group, these findings should be interpreted cautiously and warrant confirmation in larger, controlled trials. Full article

Background/Objectives: The optimal duration of pulsed radiofrequency (PRF) applied to the dorsal root ganglion (DRG) remains unclear, particularly in patients with chronic lumbosacral radicular pain (LRP) who are unresponsive to conservative therapy. Although preclinical data suggest duration-dependent neuromodulatory effects, comparative clinical evidence for specific exposure times is limited. This study aimed to evaluate the outcomes of 4 min and 8 min DRG-targeted PRF applications performed in combination with transforaminal epidural steroid injection (TFESI) in patients with chronic LRP unresponsive to conservative treatment, to determine whether prolonged exposure provides superior analgesic and functional outcomes. Methods: In this prospective, single-center, observational comparative study, 72 patients with chronic lumbar radicular pain (LRP) refractory to conservative management received DRG-targeted PRF using standardized parameters (45 V, 20 ms, 2 Hz, ≤42 °C). Participants underwent either 4 min (n = 36) or 8 min (n = 36) PRF, assigned according to clinical discretion. All procedures were followed by transforaminal epidural injection of dexamethasone and bupivacaine. The primary endpoint was Numeric Rating Scale (NRS) pain intensity at 6 months. Secondary endpoints included Oswestry Disability Index (ODI), patient satisfaction, responder rates, and analgesic use across 1-, 3-, and 6-month follow-up. Results: Both groups achieved significant improvements from baseline at all time points. Linear mixed-effects analysis demonstrated a significant overall association favoring the 8 min protocol for pain (estimate: −0.81, 95% CI: −1.52 to −0.10, p = 0.025) and functional disability (estimate: −12.84, 95% CI: −19.36 to −6.32, p < 0.001). Functional benefits emerged by 3 months (p = 0.006), while pain reduction reached borderline statistical significance at 6 months (p = 0.048). The 8 min group showed numerically higher responder rates and patient satisfaction without increased adverse events. Conclusions: In this study evaluating a combined PRF and corticosteroid injection protocol, 8 min PRF exposure was associated with superior pain and functional outcomes compared to 4 min, without compromising safety. However, the observational design and concurrent medication administration limits causal inference. Randomized controlled trials are needed to confirm these findings and isolate the independent effect of PRF duration. Full article

Organic optoelectronic devices receive appreciable attention due to their low cost, ecology, mechanical flexibility, band-gap engineering, brightness, and solution process ability over a broad area. In this study, we designed and studied organic light-emitting diodes (OLEDs) consisting of an assembly of natural dyes, extracted from noble fir leaves (evergreen) and blue hydrangea flowers mixed with poly-methyl methacrylate (PMMA) as light emitters. We experimentally demonstrate the effective conversion of blue light emitted by an inorganic laser/photodiode into longer-wavelength red and green tunable photoluminescence due to the excitation of natural dye–PMMA nanostructures. UV-visible absorption and photoluminescence spectroscopy, ellipsometry, and Fourier transform infrared methods, together with optical microscopy, were performed for confirming and characterizing the properties of light-emitting diodes based on natural dyes. We highlighted the optical and physical properties of two different natural dyes and demonstrated how such characteristics can be exploited to make efficient LED devices. A strong pure red emission with a narrow full-width at half maximum (FWHM) of 23 nm in the noble fir dye–PMMA layer and a green emission with a FWHM of 45 nm in blue hydrangea dye–PMMA layer were observed. It was revealed that adding monolayer MoS₂ to the nanostructures can significantly enhance the photoluminescence of the natural dye due to a strong correlation between the emission bands of the inorganic–organic emitters and back mirror reflection of the excitation blue light from the monolayer. Based on the investigation of two natural dyes, we demonstrated viable pathways for scalable manufacturing of efficient hybrid OLEDs consisting of assembly of natural-dye polymers through low-cost, purely ecological, and convenient processes. Full article

To investigate the influence of particle characteristics on wear in slurry pump flow-through components, this study established a computational fluid dynamics-discrete element method (CFD-DEM) coupled with the Archard wear model for numerical simulation of solid-liquid two-phase flow characteristics and wear mechanisms within the pump. Focusing on the correlation between wear contour distribution and particle collision frequency, the study systematically analyzed the influence mechanisms of particle concentration, size distribution, and shape on wear patterns within the pump. The reliability of the coupled model was validated through external characteristic tests. Results indicate that wear severity on both the impeller and volute increases significantly with rising particle concentration, while wall particle collision frequency exhibits a positive correlation with concentration. Particles of 1.5 mm diameter cause the most severe localized wear on the impeller, whereas the presence of mixed particles partially mitigates the wear effect of larger particles. Both total and localized wear on the volute peak at a particle diameter of 1 mm. Low-sphericity particles intensified overall wear on both the impeller and volute; while high-sphericity particles reduced overall wear, they induced more severe localized wear on the impeller. Volute localized wear was most pronounced at a sphericity of 0.84. This study elucidates the mechanism by which particle characteristics influence wear on slurry pump flow-through components, providing a theoretical basis for optimizing slurry pump design. Full article