Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Journals

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Article Types

Countries / Regions

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Search Results (910)

Search Parameters:
Keywords = service quality assessment model

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
13 pages, 906 KiB  
Article
Integrated Flushing and Corrosion Control Measures to Reduce Lead Exposure in Households with Lead Service Lines
by Fatemeh Hatam, Mirjam Blokker and Michele Prevost
Water 2025, 17(15), 2297; https://doi.org/10.3390/w17152297 (registering DOI) - 2 Aug 2025
Abstract
The quality of water in households can be affected by plumbing design and materials, water usage patterns, and source water quality characteristics. These factors influence stagnation duration, disinfection residuals, metal release, and microbial activity. In particular, stagnation can degrade water quality and increase [...] Read more.
The quality of water in households can be affected by plumbing design and materials, water usage patterns, and source water quality characteristics. These factors influence stagnation duration, disinfection residuals, metal release, and microbial activity. In particular, stagnation can degrade water quality and increase lead release from lead service lines. This study employs numerical modeling to assess how combined corrosion control and flushing strategies affect lead levels in household taps with lead service lines under reduced water use. To estimate potential health risks, the U.S. EPA model is used to predict the percentage of children likely to exceed safe blood lead levels. Lead exceedances are assessed based on various regulatory requirements. Results show that exceedances at the kitchen tap range from 3 to 74% of usage time for the 5 µg/L standard, and from 0 to 49% for the 10 µg/L threshold, across different scenarios. Implementing corrosion control treatment in combination with periodic flushing proves effective in lowering lead levels under the studied low-consumption scenarios. Under these conditions, the combined strategy limits lead exceedances above 5 µg/L to only 3% of usage time, with none above 10 µg/L. This demonstrates its value as a practical short-term strategy for households awaiting full pipe replacement. Targeted flushing before peak water use reduces the median time that water remains stagnant in household pipes from 8 to 3 h at the kitchen tap under low-demand conditions. Finally, the risk model indicates that the combined approach can reduce the predicted percentage of children with blood lead levels exceeding 5 μg/dL from 61 to 6% under low water demand. Full article
Show Figures

Figure 1

20 pages, 2054 KiB  
Article
Change Management in Aviation Organizations: A Multi-Method Theoretical Framework for External Environmental Uncertainty
by Ilona Skačkauskienė and Virginija Leonavičiūtė
Sustainability 2025, 17(15), 6994; https://doi.org/10.3390/su17156994 (registering DOI) - 1 Aug 2025
Abstract
In today’s dynamic and highly uncertain environment, organizations, particularly in the aviation sector, face increasing challenges that demand resilient, flexible, and data-driven change management decisions. Responding to the growing need for structured approaches to managing complex uncertainties—geopolitical tensions, economic volatility, social shifts, rapid [...] Read more.
In today’s dynamic and highly uncertain environment, organizations, particularly in the aviation sector, face increasing challenges that demand resilient, flexible, and data-driven change management decisions. Responding to the growing need for structured approaches to managing complex uncertainties—geopolitical tensions, economic volatility, social shifts, rapid technological advancements, environmental pressures and regulatory changes—this research proposes a theoretical change management model for aviation service providers, such as airports. Integrating three analytical approaches, the model offers a robust, multi-method approach for supporting sustainable transformation under uncertainty. Normative analysis using Bayesian decision theory identifies influential external environmental factors, capturing probabilistic relationships, and revealing causal links under uncertainty. Prescriptive planning through scenario theory explores alternative future pathways and helps to identify possible predictions, offer descriptive evaluation employing fuzzy comprehensive evaluation, and assess decision quality under vagueness and complexity. The proposed four-stage model—observation, analysis, evaluation, and response—offers a methodology for continuous external environment monitoring, scenario development, and data-driven, proactive change management decision-making, including the impact assessment of change and development. The proposed model contributes to the theoretical advancement of the change management research area under uncertainty and offers practical guidance for aviation organizations (airports) facing a volatile external environment. This framework strengthens aviation organizations’ ability to anticipate, evaluate, and adapt to multifaceted external changes, supporting operational flexibility and adaptability and contributing to the sustainable development of aviation services. Supporting aviation organizations with tools to proactively manage systemic uncertainty, this research directly supports the integration of sustainability principles, such as resilience and adaptability, for long-term value creation through change management decision-making. Full article
Show Figures

Figure 1

15 pages, 675 KiB  
Article
A Trusted Multi-Cloud Brokerage System for Validating Cloud Services Using Ranking Heuristics
by Rajganesh Nagarajan, Vinothiyalakshmi Palanichamy, Ramkumar Thirunavukarasu and J. Arun Pandian
Future Internet 2025, 17(8), 348; https://doi.org/10.3390/fi17080348 (registering DOI) - 31 Jul 2025
Viewed by 13
Abstract
Cloud computing offers a broad spectrum of services to users, particularly in multi-cloud environments where service-centric features are introduced to support users from multiple endpoints. To improve service availability and optimize the utilization of required services, cloud brokerage has been integrated into multi-cloud [...] Read more.
Cloud computing offers a broad spectrum of services to users, particularly in multi-cloud environments where service-centric features are introduced to support users from multiple endpoints. To improve service availability and optimize the utilization of required services, cloud brokerage has been integrated into multi-cloud systems. The primary objective of a cloud broker is to ensure the quality and outcomes of services offered to customers. However, traditional cloud brokers face limitations in measuring service trust, ensuring validity, and anticipating future enhancements of services across different cloud platforms. To address these challenges, the proposed intelligent cloud broker integrates an intelligence mechanism that enhances decision-making within a multi-cloud environment. This broker performs a comprehensive validation and verification of service trustworthiness by analyzing various trust factors, including service response time, sustainability, suitability, accuracy, transparency, interoperability, availability, reliability, stability, cost, throughput, efficiency, and scalability. Customer feedback is also incorporated to assess these trust factors prior to service recommendation. The proposed model calculates service ranking (SR) values for available cloud services and dynamically includes newly introduced services during the validation process by mapping them with existing entries in the Service Collection Repository (SCR). Performance evaluation using the Google cluster-usage traces dataset demonstrates that the ICB outperforms existing approaches such as the Clustering-Based Trust Degree Computation (CBTDC) algorithm and the Service Context-Aware QoS Prediction and Recommendation (SCAQPR) model. Results confirm that the ICB significantly enhances the effectiveness and reliability of cloud service recommendations for users. Full article
Show Figures

Figure 1

35 pages, 1131 KiB  
Article
Sustainable Destination Management in Luxury Tourism: Balancing Economic Development and Environmental Responsibility
by Hilmi Birinci, Ismet Esenyel and Hayford Asare Obeng
Sustainability 2025, 17(15), 6815; https://doi.org/10.3390/su17156815 - 27 Jul 2025
Viewed by 323
Abstract
This study applied the Stimulus–Organism–Response Theory to investigate the impact of sustainable destination management on perceived luxury service quality, taking into account the mediating role of perceived environmental responsibility and the moderating effect of tourist environmental awareness. Data were obtained from 541 tourists [...] Read more.
This study applied the Stimulus–Organism–Response Theory to investigate the impact of sustainable destination management on perceived luxury service quality, taking into account the mediating role of perceived environmental responsibility and the moderating effect of tourist environmental awareness. Data were obtained from 541 tourists in Northern Cyprus, and the analysis was conducted using Herman’s single-factor test in SPSS version 23 and partial least squares structural equation modeling in SmartPLS version 4.1.1.2. The study’s results revealed a significant positive influence of sustainable destination management on both perceived luxury service quality and environmental responsibility. Furthermore, the study showed a significant positive relationship between perceived environmental responsibility and perceived luxury service quality. Additionally, tourist environmental consciousness was found to be an important influencing factor in perceived luxury service quality. The mediating role of perceived environmental responsibility was revealed to be a significant partial mediator between sustainable destination management and perceived luxury service quality pathways. Although environmental awareness revealed an insignificant moderating influence on the relationship between sustainable destination management and perceived luxury service quality, it indicated a negative significant moderating influence on the relationship between perceived environmental responsibility and perceived luxury service quality. The study highlights how assessments of luxury services are contingent upon perceived environmental responsibility through sustainable destination activities. Emphasizing both academic and management perspectives, it encourages future research to explore broader psychological and contextual factors. Therefore, it underscores the strategic necessity of sustainability in enhancing the luxury tourism experience. Full article
Show Figures

Figure 1

36 pages, 3148 KiB  
Article
A Text-Mining-Based Evaluation of Data Element Policies in China: Integrating the LDA and PMC Models in the Context of Green Development
by Shuigen Hu and Xianbo Wang
Sustainability 2025, 17(15), 6758; https://doi.org/10.3390/su17156758 - 24 Jul 2025
Viewed by 343
Abstract
In the context of green development, promoting the development of data elements is crucial for advancing the green and low-carbon transition and achieving China’s “dual-carbon” targets. This study quantitatively evaluates China’s data element policies to identify their strengths and weaknesses and to assess [...] Read more.
In the context of green development, promoting the development of data elements is crucial for advancing the green and low-carbon transition and achieving China’s “dual-carbon” targets. This study quantitatively evaluates China’s data element policies to identify their strengths and weaknesses and to assess their alignment with green development objectives. In this study, we examine 15 representative data element policy texts, evaluating their quality by integrating the Latent Dirichlet Allocation (LDA) topic model with the PMC-Index model. The LDA analysis identifies five core themes within the policy texts: the data element industry, data resource management, data element trading systems, service platform construction, and e-governments. The evaluation results show an average PMC-Index score of 6.03 for the 15 policies, with 9 rated as “Good” and 6 as “Acceptable”. This indicates that while the overall design of the current policy system is acceptable, there remains substantial room for improvement. Based on the average scores for the primary indicators, the policies perform relatively poorly in terms of green development assessment, policy timeliness, policy nature, and policy guarantee. Drawing from these findings, we propose recommendations to enhance China’s data element policies, offering insights for policymakers. Full article
Show Figures

Figure 1

31 pages, 2179 KiB  
Article
Statistical Analysis and Modeling for Optical Networks
by Sudhir K. Routray, Gokhan Sahin, José R. Ferreira da Rocha and Armando N. Pinto
Electronics 2025, 14(15), 2950; https://doi.org/10.3390/electronics14152950 - 24 Jul 2025
Viewed by 299
Abstract
Optical networks serve as the backbone of modern communication, requiring statistical analysis and modeling to optimize performance, reliability, and scalability. This review paper explores statistical methodologies for analyzing network characteristics, dimensioning, parameter estimation, and cost prediction of optical networks, and provides a generalized [...] Read more.
Optical networks serve as the backbone of modern communication, requiring statistical analysis and modeling to optimize performance, reliability, and scalability. This review paper explores statistical methodologies for analyzing network characteristics, dimensioning, parameter estimation, and cost prediction of optical networks, and provides a generalized framework based on the idea of convex areas, and link length and shortest path length distributions. Accurate dimensioning and cost estimation are crucial for optical network planning, especially during early-stage design, network upgrades, and optimization. However, detailed information is often unavailable or too complex to compute. Basic parameters like coverage area and node count, along with statistical insights such as distribution patterns and moments, aid in determining the appropriate modulation schemes, compensation techniques, repeater placement, and in estimating the fiber length. Statistical models also help predict link lengths and shortest path lengths, ensuring efficiency in design. Probability distributions, stochastic processes, and machine learning improve network optimization and fault prediction. Metrics like bit error rate, quality of service, and spectral efficiency can be statistically assessed to enhance data transmission. This paper provides a review on statistical analysis and modeling of optical networks, which supports intelligent optical network management, dimensioning of optical networks, performance prediction, and estimation of important optical network parameters with partial information. Full article
(This article belongs to the Special Issue Optical Networking and Computing)
Show Figures

Figure 1

21 pages, 4519 KiB  
Article
Determining the Authenticity of Information Uploaded by Blockchain Based on Neural Networks—For Seed Traceability
by Kenan Zhao, Meng Zhang, Xiaofei Fan, Bo Peng, Huanyue Wang, Dongfang Zhang, Dongxiao Li and Xuesong Suo
Agriculture 2025, 15(15), 1569; https://doi.org/10.3390/agriculture15151569 - 22 Jul 2025
Viewed by 231
Abstract
Traditional seed supply chains face several hidden risks. Certain regulatory departments tend to focus primarily on entity circulation while neglecting the origin and accuracy of data in seed quality supervision, resulting in limited precision and low credibility of traceability information related to quality [...] Read more.
Traditional seed supply chains face several hidden risks. Certain regulatory departments tend to focus primarily on entity circulation while neglecting the origin and accuracy of data in seed quality supervision, resulting in limited precision and low credibility of traceability information related to quality and safety. Blockchain technology offers a systematic solution to key issues such as data source distortion and insufficient regulatory penetration in the seed supply chain by enabling data rights confirmation, tamper-proof traceability, smart contract execution, and multi-node consensus mechanisms. In this study, we developed a system that integrates blockchain and neural networks to provide seed traceability services. When uploading seed traceability information, the neural network models are employed to verify the authenticity of information provided by humans and save the tags on the blockchain. Various neural network architectures, such as Multilayer Perceptron, Recurrent Neural Network, Fully Convolutional Neural Network, and Long Short-term Memory model architectures, have been tested to determine the authenticity of seed traceability information. Among these, the Long Short-term Memory model architecture demonstrated the highest accuracy, with an accuracy rate of 90.65%. The results demonstrated that neural networks have significant research value and potential to assess the authenticity of information in a blockchain. In the application scenario of seed quality traceability, using blockchain and neural networks to determine the authenticity of seed traceability information provides a new solution for seed traceability. This system empowers farmers by providing trustworthy seed quality information, enabling better purchasing decisions and reducing risks from counterfeit or substandard seeds. Furthermore, this mechanism fosters market circulation of certified high-quality seeds, elevates crop yields, and contributes to the sustainable growth of agricultural systems. Full article
(This article belongs to the Section Agricultural Economics, Policies and Rural Management)
Show Figures

Figure 1

28 pages, 1112 KiB  
Article
Customer Retention in the Philippine Food Sector: Health Measures, Market Access, and Strategic Adaptation After the COVID-19 Pandemic
by Ma. Janice J. Gumasing
Foods 2025, 14(14), 2535; https://doi.org/10.3390/foods14142535 - 19 Jul 2025
Viewed by 597
Abstract
This study investigates the critical determinants of customer retention in casual dining restaurants within the context of the post-pandemic “new normal.” Anchored in service quality and consumer behavior theories, the research examines the influences of food quality, health measures, perceived price, brand image, [...] Read more.
This study investigates the critical determinants of customer retention in casual dining restaurants within the context of the post-pandemic “new normal.” Anchored in service quality and consumer behavior theories, the research examines the influences of food quality, health measures, perceived price, brand image, ambiance, and location on customer decision making. Using Partial Least Squares Structural Equation Modeling (PLS-SEM), data from 336 respondents in the National Capital Region, Philippines were analyzed to assess the relationships among these variables and their effects on restaurant selection and customer retention. The results reveal that food quality (β = 0.698, p < 0.05) exerts the strongest influence on restaurant selection, followed by health measures (β = 0.477, p = 0.001), perceived price (β = 0.378, p < 0.02), and brand image (β = 0.341, p < 0.035). Furthermore, health measures (β = 0.436, p = 0.002) and restaurant selection (β = 0.475, p < 0.05) significantly enhance customer retention, while ambiance and location were not found to be significant predictors. These findings offer theoretical contributions to the service quality and consumer trust literature and provide practical and policy-relevant insights for food establishments adapting to health-driven consumer expectations. The study highlights the need for the strategic integration of safety protocols, pricing value, and brand positioning to foster long-term loyalty and resilience in the evolving food service market. Full article
(This article belongs to the Section Sensory and Consumer Sciences)
Show Figures

Figure 1

22 pages, 3599 KiB  
Article
A Framework for Synergy Measurement Between Transportation and Production–Living–Ecological Space Using Volume-to-Capacity Ratio, Accessibility, and Coordination
by Xiaoyi Ma, Mingmin Liu, Jingru Huang, Ruihua Hu and Hongjie He
Land 2025, 14(7), 1495; https://doi.org/10.3390/land14071495 - 18 Jul 2025
Viewed by 271
Abstract
In the stage of high-quality development, the functional coordination between transportation systems and territorial space is a key issue for improving urban spatial efficiency. This paper breaks through the traditional volume-to-capacity ratio analysis paradigm and innovatively integrates the “production-living-ecological space” theory. By introducing [...] Read more.
In the stage of high-quality development, the functional coordination between transportation systems and territorial space is a key issue for improving urban spatial efficiency. This paper breaks through the traditional volume-to-capacity ratio analysis paradigm and innovatively integrates the “production-living-ecological space” theory. By introducing an improved accessibility evaluation model and developing a coordination measurement algorithm, a three-dimensional evaluation mechanism covering development potential assessment, service efficiency diagnosis, and resource allocation optimization is established. Empirical research indicates that the improved accessibility indicators can precisely identify the transportation location value of regional functional cores, while the composite coordination indicators can deconstruct the spatiotemporal matching characteristics of “transportation facilities—spatial functions,” providing a dual decision-making basis for the redevelopment of existing space. This measurement system innovatively realizes the integration of planning transmission mechanisms with multi-scale application scenarios, guiding both overall spatial planning and urban renewal area re-optimization. The methodology, applied to the urban villages of Guangzhou, can significantly increase land utilization intensity and value. The research results offer a technical tool for cross-scale collaboration in land space planning reforms and provide theoretical innovations and practical guidance for the value reconstruction of existing spaces under the context of new urbanization. Full article
Show Figures

Figure 1

17 pages, 5116 KiB  
Article
Impact of Real-Time Boundary Conditions from the CAMS Database on CHIMERE Model Predictions
by Anita Tóth and Zita Ferenczi
Air 2025, 3(3), 19; https://doi.org/10.3390/air3030019 - 18 Jul 2025
Viewed by 186
Abstract
Air quality forecasts play a crucial role in informing the public about atmospheric pollutant levels that pose risks to human health and the environment. The accuracy of these forecasts strongly depends on the quality and resolution of the input data used in the [...] Read more.
Air quality forecasts play a crucial role in informing the public about atmospheric pollutant levels that pose risks to human health and the environment. The accuracy of these forecasts strongly depends on the quality and resolution of the input data used in the modelling process. At HungaroMet, the Hungarian Meteorological Service, the CHIMERE chemical transport model is used to provide two-day air quality forecasts for the territory of Hungary. This study compares two configurations of the CHIMERE model: the current operational setup, which uses climatological averages from the LMDz-INCA database for boundary conditions, and a test configuration that incorporates real-time boundary conditions from the CAMS global forecast. The primary objective of this work was to assess how the use of real-time versus climatological boundary conditions affects modelled concentrations of key pollutants, including NO2, O3, PM10, and PM2.5. The model results were evaluated against observational data from the Hungarian Air Quality Monitoring Network using a range of statistical metrics. The results indicate that the use of real-time boundary conditions, particularly for aerosol-type pollutants, improves the accuracy of PM10 forecasts. This improvement is most significant under meteorological conditions that favour the long-range transport of particulate matter, such as during Saharan dust or wildfire episodes. These findings highlight the importance of incorporating dynamic, up-to-date boundary data, especially for particulate matter forecasting—given the increasing frequency of transboundary dust events. Full article
Show Figures

Figure 1

19 pages, 949 KiB  
Review
Assessment of Patients’ Quality of Care in Healthcare Systems: A Comprehensive Narrative Literature Review
by Yisel Mi Guzmán-Leguel and Simón Quetzalcoatl Rodríguez-Lara
Healthcare 2025, 13(14), 1714; https://doi.org/10.3390/healthcare13141714 - 16 Jul 2025
Viewed by 482
Abstract
Introduction: Assessing the quality of patient care within healthcare systems remains a multifaceted challenge due to varying definitions of “quality” and the complexity of care delivery structures worldwide. Patient-centeredness, institutional responsiveness, and contextual adaptability are increasingly recognized as core pillars in quality assessment. [...] Read more.
Introduction: Assessing the quality of patient care within healthcare systems remains a multifaceted challenge due to varying definitions of “quality” and the complexity of care delivery structures worldwide. Patient-centeredness, institutional responsiveness, and contextual adaptability are increasingly recognized as core pillars in quality assessment. Objective: This narrative literature review aims to explore conceptual models and practical frameworks for evaluating healthcare quality, emphasizing tools that integrate technical, functional, and emotional dimensions and proposing a comprehensive model adaptable to diverse health system contexts. Methodology: A systematic literature search was conducted in the PubMed, Scopus, and Cochrane Library databases, covering the years 2000 to 2024. Studies were selected based on relevance to quality assessment models, patient satisfaction, accreditation, and strategic improvement methodologies. The review followed a thematic synthesis approach, integrating structural, process-based, and outcome-driven perspectives. Results: Core frameworks such as Donabedian’s model and balancing measures were reviewed alongside evaluation tools like the Dutch Consumer Quality Index, SERVQUAL, and Importance–Performance Analysis (IPA). These models revealed significant gaps between patient expectations and actual service delivery, especially in functional and emotional quality dimensions. This review also identified limitations related to contextual generalizability and bias. A novel integrative model is proposed, emphasizing the dynamic interaction between institutional structure, clinical processes, and patient experience. Conclusions: High-quality healthcare demands a multidimensional approach. Integrating conceptual frameworks with context-sensitive strategies enables healthcare systems to align technical performance with patient-centered outcomes. The proposed model offers a foundation for future empirical validation, particularly in resource-limited or hybrid settings. Full article
Show Figures

Figure 1

22 pages, 1534 KiB  
Article
Predictability of Air Pollutants Based on Detrended Fluctuation Analysis: Ekibastuz Сoal-Mining Center in Northeastern Kazakhstan
by Oleksandr Kuchanskyi, Andrii Biloshchytskyi, Yurii Andrashko, Alexandr Neftissov, Svitlana Biloshchytska and Sergiy Bronin
Urban Sci. 2025, 9(7), 273; https://doi.org/10.3390/urbansci9070273 - 16 Jul 2025
Viewed by 527
Abstract
Environmental comfort and air pollution are among the most important indicators for assessing the population’s quality of life in urban agglomerations. This study aims to explore long-term memory in air pollution time series by analyzing the dynamics of the Hurst exponent and evaluating [...] Read more.
Environmental comfort and air pollution are among the most important indicators for assessing the population’s quality of life in urban agglomerations. This study aims to explore long-term memory in air pollution time series by analyzing the dynamics of the Hurst exponent and evaluating the predictability index. This type of statistical pre-forecast analysis is essential for developing accurate forecasting models for such time series. The effectiveness of air quality monitoring systems largely depends on the precision of these forecasts. The Ekibastuz coal-mining center, which houses one of the largest coal-fired power stations in Kazakhstan and the world, with a capacity of about 4000 MW, was chosen as an example for the study. Data for the period from 1 March 2023 to 31 December 2024 were collected and analyzed at the Ekibastuz coal-fired power station. During the specified period, 14 indicators (67,527 observations) were collected at 10 min intervals, including mass concentrations of CO, NO, NO2, SO2, PM2.5, and PM10, as well as current mass consumption of CO, NO, NO2, SO2, dust, and NOx. The detrended fluctuation analysis of a time series of air pollution indicators was used to calculate the Hurst exponent and identify long-term memory. Changes in the Hurst exponent in regards to dynamics were also investigated, and a predictability index was calculated to monitor emissions of pollutants in the air. Long-term memory is recorded in the structure of all the time series of air pollution indicators. Dynamic analysis of the Hurst exponent confirmed persistent time series characteristics, with an average Hurst exponent of about 0.7. Identifying the time series plots for which the Hurst exponent is falling (analysis of the indicator of dynamics), along with the predictability index, is a sign of an increase in the influence of random factors on the time series. This is a sign of changes in the dynamics of the pollutant release concentrations and may indicate possible excess emissions that need to be controlled. Calculating the dynamic changes in the Hurst exponent for the emission time series made it possible to identify two distinct clusters corresponding to periods of persistence and randomness in the operation of the coal-fired power station. The study shows that evaluating the predictability index helps fine-tune the parameters of time series forecasting models, which is crucial for developing reliable air pollution monitoring systems. The results obtained in this study allow us to conclude that the method of trended fluctuation analysis can be the basis for creating an indicator of the level of air pollution, which allows us to quickly respond to possible deviations from the established standards. Environmental services can use the results to build reliable monitoring systems for air pollution from coal combustion emissions, especially near populated areas. Full article
Show Figures

Figure 1

12 pages, 307 KiB  
Article
Quality and Satisfaction in Health Care: A Case Study of Two Public Hospitals in Trujillo, Peru
by Ariane Morales-Garrido, Brigitte Valderrama-Pazos, Jeremy García-Carranza, Alexis Horna-Velásquez, Willy Reyes-Anticona, Anlli Estela-Vargas and Walter Rojas-Villacorta
Int. J. Environ. Res. Public Health 2025, 22(7), 1119; https://doi.org/10.3390/ijerph22071119 - 16 Jul 2025
Viewed by 352
Abstract
(1) Background: The Peruvian healthcare system is widely regarded as deficient, with ongoing improvements identified as a key area of need. This study sought to assess user satisfaction and the quality of care in two public hospitals in Trujillo. (2) Methods: A non-experimental, [...] Read more.
(1) Background: The Peruvian healthcare system is widely regarded as deficient, with ongoing improvements identified as a key area of need. This study sought to assess user satisfaction and the quality of care in two public hospitals in Trujillo. (2) Methods: A non-experimental, cross-sectional, and correlational study was carried out. A group of 384 people who used two public hospitals in the city of Trujillo was studied. The people in the study were chosen based on the researchers’ convenience sampling. Information was collected using a survey based on the SERVQUAL model. This survey was used to evaluate the quality of service. Descriptive and inferential analyses were performed, including Spearman’s correlation and multinomial logistic regression to assess associations and identify key predictors of perceived service quality. (3) Results: The results indicated that 97.66% of the users perceived a low quality of care and 100% expressed dissatisfaction with the services. The most critical dimensions were reliability and responsiveness, while tangible items obtained better results. A positive correlation (rho = 0.723) was identified between quality of care and user satisfaction, with empathy (rho = 0.559) and safety (rho = 0.543) emerging as the most influential dimensions. (4) Conclusions: Responsiveness and Security were identified as key predictors of the perceived service quality in two public hospitals in Trujillo, Peru. Despite high empathy correlations, only timely care and safety significantly influenced satisfaction. The findings align with SDG 3, calling for improved efficiency and humanized care in public health services. Full article
22 pages, 1492 KiB  
Article
An Embedded Mixed-Methods Study with a Dominant Quantitative Strand: The Knowledge of Jordanian Mothers About Risk Factors for Childhood Hearing Loss
by Shawkat Altamimi, Mohamed Tawalbeh, Omar Shawkat Al Tamimi, Tariq N. Al-Shatanawi, Saba’ Azzam Jarrar, Eftekhar Khalid Al Zoubi, Aya Shawkat Altamimi and Ensaf Almomani
Audiol. Res. 2025, 15(4), 87; https://doi.org/10.3390/audiolres15040087 - 16 Jul 2025
Viewed by 270
Abstract
Background: Childhood hearing loss is a public health problem of critical importance associated with speech development, academic achievement, and quality of life. Parents’ awareness and knowledge about risk factors contribute to early detection and timely intervention.  Objective: This study aims to [...] Read more.
Background: Childhood hearing loss is a public health problem of critical importance associated with speech development, academic achievement, and quality of life. Parents’ awareness and knowledge about risk factors contribute to early detection and timely intervention.  Objective: This study aims to examine Jordanian mothers’ knowledge of childhood hearing loss risk factors and investigate the impact of education level and socioeconomic status (SES) on the accuracy and comprehensiveness of this knowledge with the moderating effect of health literacy. Material and Methods: The approach employed an embedded mixed-methods design with a dominant quantitative strand supported by qualitative data, utilizing quantitative surveys (n = 250), analyzed using structural equation modeling (SEM) in SmartPLS, and qualitative interviews (n = 10), analyzed thematically to expand upon the quantitative findings by exploring barriers to awareness and healthcare-seeking behaviors. Results: The accuracy and comprehensiveness of knowledge of hearing loss risk factors were also positively influenced by maternal knowledge of hearing loss risk factors. Maternal knowledge was significantly associated with both education level and socioeconomic status (SES). Furthermore, maternal knowledge and accuracy were significantly moderated by health literacy, such that mothers with higher health literacy exhibited a stronger relationship between knowledge and accuracy. Qualitative findings revealed that individuals encountered barriers to accessing reliable information and comprehending medical advice and faced financial difficulties due to limited options for healthcare services. Conclusions: These results underscore the need for maternal education programs that address specific issues, provide simplified healthcare communication, and enhance access to pediatric audiology services. Future research should explore longitudinal assessments and intervention-based strategies to enhance mothers’ awareness and detect early childhood hearing loss. Full article
Show Figures

Figure 1

22 pages, 4636 KiB  
Article
SP-GEM: Spatial Pattern-Aware Graph Embedding for Matching Multisource Road Networks
by Chenghao Zheng, Yunfei Qiu, Jian Yang, Bianying Zhang, Zeyuan Li, Zhangxiang Lin, Xianglin Zhang, Yang Hou and Li Fang
ISPRS Int. J. Geo-Inf. 2025, 14(7), 275; https://doi.org/10.3390/ijgi14070275 - 15 Jul 2025
Viewed by 275
Abstract
Identifying correspondences of road segments in different road networks, namely road-network matching, is an essential task for road network-centric data processing such as data integration of road networks and data quality assessment of crowd-sourced road networks. Traditional road-network matching usually relies on feature [...] Read more.
Identifying correspondences of road segments in different road networks, namely road-network matching, is an essential task for road network-centric data processing such as data integration of road networks and data quality assessment of crowd-sourced road networks. Traditional road-network matching usually relies on feature engineering and parameter selection of the geometry and topology of road networks for similarity measurement, resulting in poor performance when dealing with dense and irregular road network structures. Recent development of graph neural networks (GNNs) has demonstrated unsupervised modeling power on road network data, which learn the embedded vector representation of road networks through spatial feature induction and topology-based neighbor aggregation. However, weighting spatial information on the node feature alone fails to give full play to the expressive power of GNNs. To this end, this paper proposes a Spatial Pattern-aware Graph EMbedding learning method for road-network matching, named SP-GEM, which explores the idea of spatially-explicit modeling by identifying spatial patterns in neighbor aggregation. Firstly, a road graph is constructed from the road network data, and geometric, topological features are extracted as node features of the road graph. Then, four spatial patterns, including grid, high branching degree, irregular grid, and circuitous, are modelled in a sector-based road neighborhood for road embedding. Finally, the similarity of road embedding is used to find data correspondences between road networks. We conduct an algorithmic accuracy test to verify the effectiveness of SP-GEM on OSM and Tele Atlas data. The algorithmic accuracy experiments show that SP-GEM improves the matching accuracy and recall by at least 6.7% and 10.2% among the baselines, with high matching success rate (>70%), and improves the matching accuracy and recall by at least 17.7% and 17.0%, compared to the baseline GNNs, without spatially-explicit modeling. Further embedding analysis also verifies the effectiveness of the induction of spatial patterns. This study not only provides an effective and practical algorithm for road-network matching, but also serves as a test bed in exploring the role of spatially-explicit modeling in GNN-based road network modeling. The experimental performances of SP-GEM illuminate the path to develop GeoEmbedding services for geospatial applications. Full article
Show Figures

Figure 1

Back to TopTop