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1.
Siglo cero (Madr.) ; 54(4): 85-120, oct.-dic. 2024. ilus, tab, graf
Article in Spanish | IBECS | ID: ibc-EMG-560

ABSTRACT

La metodología de Planificación Centrada en la Persona (PCP) cada vez tiene mayor impacto en España. Comenzando desde las distintas legislaciones que regulan la atención a este colectivo en las diferentes autonomías y terminando en los centros que proveen este servicio. No obstante, existe escasa literatura internacional de estudios empíricos a grandes escalas que sitúen este enfoque metodológico en una posición relevante que garantice la eficacia de la PCP. El objetivo principal de este estudio es conocer el estado del uso de la metodología de PCP a través de estudios avalados empíricamente que sostengan tanto beneficios como limitaciones durante los últimos 10 años (2012-2022). Para ello, se ha realizado una revisión sistemática desde las directrices de PRISMA (2020), que incluye un total de 31 artículos. Como conclusión, se han descubierto más beneficios que limitaciones entre las que destacan las ventajas en su uso para las personas con discapacidad intelectual y del desarrollo y las mejoras de aspectos relacionados con la autodeterminación. No obstante, las limitaciones prevalecen por la falta de apoyos y recursos adecuados de las organizaciones para responder a una planificación centrada en la persona y la necesidad de formación de las personas implicadas en la elaboración de la PCP, lo que genera la incógnita de si se están realizando buenas prácticas en el uso de dicha metodología. (AU)


The methodology of Person Centered Planning (PCP) is having an increasing impact in Spain. Starting from the different legislations that regulate the attention to this group in the different autonomous regions and ending in the centers that provide this service. However, there is little international literature on large-scale empirical studies that place this methodological approach in a relevant position to guarantee the efficacy of PCP. The main objective of this study is to know the status of the use of PCP methodology through empirically supported studies that sustain both benefits and limitations during the last 10 years (2012-2022). For this purpose, a systematic review has been conducted since the PRISMA guidelines (2020), including a total of 31 articles. As a conclusion, more benefits than limitations have been found, among which the advantages in its use for people with intellectual and developmental disabilities and improvements in aspects related to self-determination stand out. However, limitations prevail due to the lack of adequate support and resources from organizations to respond to person-centered planning and the need for training of the people involved in the development of the PCP, which raises the question of whether good practices are being carried out in the use of this methodology. (AU)


Subject(s)
Developmental Disabilities , Intellectual Disability , Disabled Persons , Spain
2.
Siglo cero (Madr.) ; 54(4): 85-120, oct.-dic. 2024. ilus, tab, graf
Article in Spanish | IBECS | ID: ibc-229230

ABSTRACT

La metodología de Planificación Centrada en la Persona (PCP) cada vez tiene mayor impacto en España. Comenzando desde las distintas legislaciones que regulan la atención a este colectivo en las diferentes autonomías y terminando en los centros que proveen este servicio. No obstante, existe escasa literatura internacional de estudios empíricos a grandes escalas que sitúen este enfoque metodológico en una posición relevante que garantice la eficacia de la PCP. El objetivo principal de este estudio es conocer el estado del uso de la metodología de PCP a través de estudios avalados empíricamente que sostengan tanto beneficios como limitaciones durante los últimos 10 años (2012-2022). Para ello, se ha realizado una revisión sistemática desde las directrices de PRISMA (2020), que incluye un total de 31 artículos. Como conclusión, se han descubierto más beneficios que limitaciones entre las que destacan las ventajas en su uso para las personas con discapacidad intelectual y del desarrollo y las mejoras de aspectos relacionados con la autodeterminación. No obstante, las limitaciones prevalecen por la falta de apoyos y recursos adecuados de las organizaciones para responder a una planificación centrada en la persona y la necesidad de formación de las personas implicadas en la elaboración de la PCP, lo que genera la incógnita de si se están realizando buenas prácticas en el uso de dicha metodología. (AU)


The methodology of Person Centered Planning (PCP) is having an increasing impact in Spain. Starting from the different legislations that regulate the attention to this group in the different autonomous regions and ending in the centers that provide this service. However, there is little international literature on large-scale empirical studies that place this methodological approach in a relevant position to guarantee the efficacy of PCP. The main objective of this study is to know the status of the use of PCP methodology through empirically supported studies that sustain both benefits and limitations during the last 10 years (2012-2022). For this purpose, a systematic review has been conducted since the PRISMA guidelines (2020), including a total of 31 articles. As a conclusion, more benefits than limitations have been found, among which the advantages in its use for people with intellectual and developmental disabilities and improvements in aspects related to self-determination stand out. However, limitations prevail due to the lack of adequate support and resources from organizations to respond to person-centered planning and the need for training of the people involved in the development of the PCP, which raises the question of whether good practices are being carried out in the use of this methodology. (AU)


Subject(s)
Developmental Disabilities , Intellectual Disability , Disabled Persons , Spain
3.
J Drug Target ; : 1-18, 2024 Jul 11.
Article in English | MEDLINE | ID: mdl-38990642

ABSTRACT

The present research looked for ways to develop shielded nanoparticles (NPs)-drug transporters made of chitosan (CS) to enhance the bioavailability of Edoxaban tosylate monohydrate (ETM) for oral administration by examining the correlation among design aspects and data from experiments using response surface methodology. ETM-loaded CS nanoparticles (ETM-CS-NPs) were developed using the ionic gelation of CS with tripolyphosphate (TPP). Utilizing Zeta-sizer and scanning electron microscopy, the ETM-CS-NPs were evaluated for particle size (PS), zeta potential (ZP), surface morphology, polydispersity index (PDI), entrapment efficiency (EE), and drug loading (DL). Drug and polymer interactions in NPs were assessed using Fourier transform infrared spectroscopy. The response surface approach and Design-Expert software optimized the ETM-CS-NPs. Using response surface methodology, the effects of independent variables such as the amount of CS, the amount of TPP, and the amount of glacial acetic acid on PS, PDI, and ZP were analyzed. The optimal combination of PS (354.8 nm), PDI (0.509), ZP (43.7 + mV), % EE (70.3 ± 1.3), and % DL (9.1 ± 0.4) has been identified for the optimized ETM-CS-NPs. ETM-CS-NPs' anticoagulant activity was evaluated using activated partial thromboplastin time (aPTT), prothrombin time (PT), and thrombin time (TT) assays. In conclusion, a practical and consistent method has been established, and its application has been proven in vitro, indicating its utility for future studies of the biological distribution of ETM-CS-NPs in vivo for specific antithrombotic treatments.

4.
Elife ; 122024 Jul 11.
Article in English | MEDLINE | ID: mdl-38990761

ABSTRACT

Synaptic inputs to cortical neurons are highly structured in adult sensory systems, such that neighboring synapses along dendrites are activated by similar stimuli. This organization of synaptic inputs, called synaptic clustering, is required for high-fidelity signal processing, and clustered synapses can already be observed before eye opening. However, how clustered inputs emerge during development is unknown. Here, we employed concurrent in vivo whole-cell patch-clamp and dendritic calcium imaging to map spontaneous synaptic inputs to dendrites of layer 2/3 neurons in the mouse primary visual cortex during the second postnatal week until eye opening. We found that the number of functional synapses and the frequency of transmission events increase several fold during this developmental period. At the beginning of the second postnatal week, synapses assemble specifically in confined dendritic segments, whereas other segments are devoid of synapses. By the end of the second postnatal week, just before eye opening, dendrites are almost entirely covered by domains of co-active synapses. Finally, co-activity with their neighbor synapses correlates with synaptic stabilization and potentiation. Thus, clustered synapses form in distinct functional domains presumably to equip dendrites with computational modules for high-capacity sensory processing when the eyes open.


Subject(s)
Dendrites , Synapses , Visual Cortex , Animals , Dendrites/physiology , Synapses/physiology , Mice , Visual Cortex/physiology , Visual Cortex/growth & development , Patch-Clamp Techniques , Mice, Inbred C57BL
5.
Chem Biodivers ; : e202400907, 2024 Jul 12.
Article in English | MEDLINE | ID: mdl-38993058

ABSTRACT

The current study proposes an optimized ethanolic extraction for the efficient recovery of high-value components from Pakistani olives (cv. Arbequina) using response surface methodology (RSM) and artificial neural networking (ANN). The extracts were investigated for antioxidant properties and GC-MS metabolite profiling.  Four factors such as time, temperature, solvent concentration, and solute weight (g/100 mL) were utilized as independent variables for determining the response (% yield).  The results obtained under optimum extraction conditions such as duration (25 min), temperature (45°C), solvent concentration (65%; ethanol: water v/v), and solute (7.50 g) indicated an extract yield of 40.96% from Arbiquina olives. The analysis of variance (ANOVA) for the RSM model showed significant p-values and a correlation coefficient (R2) of 0.9960, confirming model reliability.  The multilayer perceptron architecture was used in ANN, and the results were fairly consistent with the experimental findings. Arbequina olive extract (AOE) demonstrated significant antioxidant ability in terms of total phenolics, total flavonoid concentration, and DPPH radical scavenging. The GC-MS analysis of AOE revealed the presence of several bioactives, including oleic acid (36.22%), hydroxytyrosol (3.95%), tyrosol (3.32%), ß-sitosterol (2.10%), squalene (1.10%), sinapic acid (0.67%), α-tocopherol (0.66%), vanillic acid (0.56%), 3,5-di-tert-butylcatechol (0.31%), and quercetin.

6.
Article in English | MEDLINE | ID: mdl-38987516

ABSTRACT

The effluent from the oil drilling site is a complex mixture of hazardous chemicals that causes environmental impacts on its disposal. The treatment of oil drill-site wastewater has not been explored much, and understanding its characteristics and optimizing the treatment process are required. In the present study, we have optimized the electrocoagulation process with aluminum electrodes for drill-site wastewater treatment. A multi-level factorial center composite design using response surface methodology is applied to optimize the effect of current density (CD), pH, and inter-electrode distance (IED) on chemical oxygen demand (COD) removal. The increasing current density shows a significant increase in COD removal, and a similar trend was observed with a decreased pH. It was found that with current density and inter-electrode distance, the maximum COD removal achieved was 70% at the CD of 19.04 mA cm-2 and IED 2.6 cm. By varying pH and current density, the COD removal reached up to 90% at pH 6 and CD 19.04 mA cm-2. The study shows that the current density is the dominant factor for the process's energy consumption and operating cost, followed by pH. This study's findings could be effectively used to develop large-scale treatment processes through electrocoagulation.

7.
J Pak Med Assoc ; 74(6): 1051-1054, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38948970

ABSTRACT

OBJECTIVE: To find out the possibilities and usefulness of introducing cinemeducation in medical institutions, and to formulate suggestive inserts for faculty and policy-makers. METHODS: The quantitative study was conducted in Lahore from January to June 2021 after approval from the ethics review committee of King Edward Medical University, Lahore, and comprised fourth and final year medical students. Relevant short clips from seven movies of different genres were selected and shown to the students who were then divided into eight equal groups. Every session lasted 30 minutes, and was followed by an interactive discussion between the students and faculty members. The critical aspects of the sessions were discussed and analysed. Data was collected using a 7-item questionnaire that was scored on a 5-point Likert scale. Data was analysed using SPSS 21. RESULTS: Of the 240 participants, the questionnaire was returned duly filled by 219(91.25%). Among them, 176(80.4%) said they found the experience worthwhile and that they would like to have such an experience again, while 184(84%) said such sessions should be made a part of regular curriculum. Also, 166(75.8%) participants felt that the session had helped them learn about crucial features of medicine, and 169(77%) thought that the session facilitated the understanding towards patient management. CONCLUSIONS: Cinemeducation was found to be an excellent tool of pedagogy that should be incorporated in all the relevant disciplines of medicine and allied sciences.


Subject(s)
Motion Pictures , Students, Medical , Humans , Students, Medical/psychology , Students, Medical/statistics & numerical data , Education, Medical, Undergraduate/methods , Surveys and Questionnaires , Teaching , Female , Male , Pakistan , Curriculum
8.
Article in English | MEDLINE | ID: mdl-38949731

ABSTRACT

To maximize the efficiency of biomass waste utilization and waste management, a novel acid-modified magnetic biomass spent coffee grounds (NiFe2O4/SCG) was obtained by pyrolysis at 473 K and co-precipitation methods and employed to eliminate bivalent mercury (Hg(II)) in water bodies. The prepared NiFe2O4/SCG adsorbent exhibits remarkable magnetism with a strength of 45.78 emu/g and can easily be separated from water via a magnetic force. The adsorption of Hg(II) over the NiFe2O4/SCG has an optimal conditions of pH = 8, T = 39 ℃, and dosage of 0.055 g/L, and the maximal adsorption capacity for Hg(II) is 167.44 mg/g via Response Surface Methodology optimization. The removal of Hg(II) over NiFe2O4/SCG primarily involves ion exchange, electrostatic attraction, and chelation; conforms to the pseudo-second-order kinetic and Langmuir models; and is an endothermic reaction. Additionally, the magnetic biomass NiFe2O4/SCG has good regeneration capability and stability. The application research reveal that inorganic salt ions, nitrogen fertilizer urea, humus, and other contaminants in different actual water bodies (river water, lake water, and the effluent of sewage treatment plant) have little effect on the adsorption of Hg(II) over the NiFe2O4/SCG. The prepared adsorbent NiFe2O4/SCG has practical application value for removing Hg(II) from water bodies.

9.
Nat Catal ; 7(6): 655-665, 2024.
Article in English | MEDLINE | ID: mdl-38947227

ABSTRACT

The development of novel strategies to rapidly construct complex chiral molecules from readily available feedstocks is a long-term pursuit in the chemistry community. Radical-mediated alkene difunctionalizations represent an excellent platform towards this goal. However, asymmetric versions remain highly challenging, and more importantly, examples featuring simple hydrocarbons as reaction partners are elusive. Here we report an asymmetric three-component alkene dicarbofunctionalization capitalizing on the direct activation of C(sp 3)-H bonds through the combination of photocatalysed hydrogen atom transfer and nickel catalysis. This protocol provides an efficient platform for installing two vicinal carbon-carbon bonds across alkenes in an atom-economic fashion, providing a wide array of high-value chiral α-aryl/alkenyl carbonyls and phosphonates, as well as 1,1-diarylalkanes from ubiquitous alkane, ether and alcohol feedstocks. This method exhibits operational simplicity, broad substrate scope and excellent regioselectivity, chemoselectivity and enantioselectivity. The compatibility with bioactive motifs and expedient synthesis of pharmaceutically relevant molecules highlight the synthetic potential of this protocol.

10.
Health Care Sci ; 3(3): 151-162, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38947364

ABSTRACT

Background: The sustainability of rural surgical and obstetrical facilities depends on their efficacy and quality of care, which are difficult to measure in a rural context. In an evaluation of rural practice, it is often the case that the only comparators are larger referral facilities, for which facility-level comparisons are difficult due to differences in population demographics, acuity of patients, and services offered. This publication outlines these limitations and highlights a best-practice approach to making facility-level comparisons using population-level data, risk stratification, tests of noninferiority, and Firth logistic regression analysis. This includes an investigation of minimum sample-size requirements through Monte Carlo power analysis in the context of low-acuity rural surgical care. Methods: Monte Carlo power analysis was used to estimate the minimum sample size required to achieve a power of 0.8 for both logistic regression and Firth logistic regression models that compare the proportion of surgical adverse events against facility type, among other confounders. We provide guidelines for the implementation of a recommended methodology that uses risk stratification, Firth penalized logistic regression, and tests of noninferiority. Results: We illustrate limitations in facility-level comparison of surgical quality among patients undergoing one of four index procedures including hernia repair, colonoscopy, appendectomy, and cesarean delivery. We identified minimum sample sizes for comparison of each index procedure that fluctuate depending on the level of risk stratification used. Conclusion: The availability of administrative data can provide an adequate sample size to allow for facility-level comparisons in surgical quality, at the rural level and elsewhere. When they are made appropriately, these comparisons can be used to evaluate the efficacy of general practitioners and nurse practitioners in performing low-acuity procedures.

11.
iScience ; 27(6): 110070, 2024 Jun 21.
Article in English | MEDLINE | ID: mdl-38947497

ABSTRACT

We sought to replicate and expand previous work showing that the more human-like a robot appears, the more willing people are to attribute mind-like capabilities and socially engage with it. Forty-two participants played games against a human, a humanoid robot, a mechanoid robot, and a computer algorithm while undergoing functional neuroimaging. We confirmed that the more human-like the agent, the more participants attributed a mind to them. However, exploratory analyses revealed that the perceived socialness of an agent appeared to be as, if not more, important for mind attribution. Our findings suggest top-down knowledge cues may be equally or possibly more influential than bottom-up stimulus cues when exploring mind attribution in non-human agents. While further work is now required to test this hypothesis directly, these preliminary findings hold important implications for robotic design and to understand and test the flexibility of human social cognition when people engage with artificial agents.

12.
Heliyon ; 10(11): e32346, 2024 Jun 15.
Article in English | MEDLINE | ID: mdl-38961934

ABSTRACT

Ultrasonic-assisted oxidative desulfurization (UAOD) is utilized to lessen environmental problems due to sulfur emissions. The process uses immiscible polar solvents and ultrasonic waves to enhance desulfurization efficiency. Prior research focused on comparing the effectiveness of UAOD for gasoline using response surface methodology. This study evaluates the desulfurization efficiency and operating costs, including ultrasonic power, irradiation time, and oxidant amount to determine optimal conditions. The study used a multi-objective fuzzy optimization (MOFO) approach to evaluate the economic viability of UAOD for gasoline. It identified upper and lower boundaries and then optimized the desulfurization efficiency and operating costs while considering uncertainty errors. The fuzzy model employed max-min aggregation to optimize the degree of satisfaction on a scale from 0 (unsatisfied) to 1 (satisfied). Optimal conditions for gasoline UAOD were found at 445.43 W ultrasonic power, 4.74 min irradiation time, and 6.73 mL oxidant, resulting in a 66.79 % satisfaction level. This yielded a 78.64 % desulfurization efficiency (YA) at an operating cost of 13.49 USD/L. Compared to existing literature, gasoline desulfurization was less efficient and less costly. The solutions provided by MOFO demonstrate not only economic viability through decreased overall operating costs and simplified process conditions, but also offer valuable insights for optimizing prospective future industrial-scale UAOD processes.

13.
Prep Biochem Biotechnol ; : 1-19, 2024 Jul 04.
Article in English | MEDLINE | ID: mdl-38963714

ABSTRACT

This study aimed to enhance the extracellular polymeric substances (EPS) production of Virgibacillus dokdonensis VITP14 and explore its antioxidant potential. EPS and biomass production by VITP14 strain were studied under different culture parameters and media compositions using one factor at a time method. Among different nutrient sources, glucose and peptone were identified as suitable carbon and nitrogen sources. Furthermore, the maximum EPS production was observed at 5% of inoculum size, 5 g/L of NaCl, and 96 h of fermentation. Response surface methodology was employed to augment EPS production and investigate the optimal levels of nutrient sources with their interaction. The strain was observed to produce actual maximum EPS of about 26.4 g/L for finalized optimum medium containing glucose 20 g/L, peptone 10 g/L, and NaCl 50 g/L while the predicted maximum EPS was 26.5 g/L. There was a nine fold increase in EPS production after optimization study. Additionally, EPS has exhibited significant scavenging, reducing, and chelating potential (>85%) at their higher concentration. This study imparts valuable insights into optimizing moderately halophilic bacterial EPS production and evaluating its natural antioxidant properties. According to findings, V. dokdonensis VITP14 was a promising isolate that will provide significant benefits to biopolymer producing industries.

14.
J Environ Manage ; 365: 121683, 2024 Jul 03.
Article in English | MEDLINE | ID: mdl-38963968

ABSTRACT

Ammonia recovery from wastewater has positive environmental benefits, avoiding eutrophication and reducing production energy consumption, which is one of the most effective ways to manage nutrients in wastewater. Specifically, ammonia recovery by membrane distillation has been gradually adopted due to its excellent separation properties for volatile substances. However, the global optimization of direct contact membrane distillation (DCMD) operating parameters to maximize ammonia recovery efficiency (ARE) has not been attempted. In this work, three key operating factors affecting ammonia recovery, i.e., feed ammonia concentration, feed pH, and DCMD running time, were identified from eight factors, by a two-level Plackett-Burman Design (PBD). Subsequently, Box-Behnken design (BBD) under the response surface methodology (RSM) was used to model and optimize the significant operating parameters affecting the recovery of ammonia though DCMD identified by PBD and statistically verified by analysis of variance (ANOVA). Results showed that the model had a high coefficient of determination value (R2 = 0.99), and the interaction between NH4Cl concentration and feed pH had a significant effect on ARE. The optimal operating parameters of DCMD as follows: NH4Cl concentration of 0.46 g/L, feed pH of 10.6, DCMD running time of 11.3 h, and the maximum value of ARE was 98.46%. Under the optimized conditions, ARE reached up to 98.72%, which matched the predicted value and verified the validity and reliability of the model for the optimization of ammonia recovery by DCMD process.

15.
Meat Sci ; 216: 109577, 2024 Jun 22.
Article in English | MEDLINE | ID: mdl-38964227

ABSTRACT

This study aimed to evaluate the sous-vide cooking and ficin treatment effects on the tenderness of beef steak and optimize it for the elderly using response surface methodology (RSM). The M. semitendinosus (ST) from Chikso cattle was shaped into 5 × 5 × 2.54 cm pieces. Ficin solution was injected into the ST steak at 10% of the meat weight, and sous-vide cooked in a water bath at 65 °C for 6 or 12 h. As ficin concentration increased, L*- and a*-value, shear force, and hardness decreased, while soluble peptides increased (P < 0.05). As cooking time increased, cooking loss and collagen solubility of the steak increased (P < 0.05). An interaction effect between ficin and sous-vide cooking was found in L*- and a*-value, shear force, hardness, and soluble peptides (P < 0.05). A model to optimize the hardness for elderly people was established (R2 = 0.7991). Optimization conditions by RSM were 0.86 U/L with 8.87 h (23 N/cm3) for tooth intake (grade 1), 16.31 U/L with 13.24 h (3 N/cm3) for gums intake (grade 2), according to KS H 4897 and Universal Design Foods concept for the elderly. These optimized conditions enable the production of customized products tailored to the oral conditions of elderly people.

16.
Health Res Policy Syst ; 22(1): 78, 2024 Jul 05.
Article in English | MEDLINE | ID: mdl-38970038

ABSTRACT

BACKGROUND: Globally, a growing number of calls to formalize and strengthen evidence-support systems have been released, all of which emphasize the importance of evidence-informed decision making. To achieve this, it is critical that evidence producers and decision-makers interact, and that decision-makers' evidence needs can be efficiently translated into questions to which evidence producers can respond. This paper aims to create a taxonomy of demand-driven questions for use by evidence producers, intermediaries (i.e., people working in between researchers and decision-makers) and decision-makers. METHODS: We conducted a global cross-sectional survey of units providing some type of evidence support at the explicit request of decision-makers. Unit representatives were invited to answer an online questionnaire where they were asked to provide a list of the questions that they have addressed through their evidence-support mechanism. Descriptive analyses were used to analyze the survey responses, while the questions collected from each unit were iteratively analyzed to create a mutually exclusive and collectively exhaustive list of types of questions that can be answered with some form of evidence. RESULTS: Twenty-nine individuals completed the questionnaire, and more than 250 submitted questions were analysed to create a taxonomy of 41 different types of demand-driven questions. These 41 questions were organized by the goal to be achieved, and the goals were grouped in the four decision-making stages (i) clarifying a societal problem, its causes and potential impacts; (ii) finding and selecting options to address a problem; (iii) implementing or scaling-up an option; and (iv) monitoring implementation and evaluating impacts. CONCLUSION: The mutually exclusive and collectively exhaustive list of demand-driven questions will help decision-makers (to ask and prioritize questions), evidence producers (to organize and present their work), and evidence-intermediaries (to connect evidence needs with evidence supply).


Subject(s)
Decision Making , Cross-Sectional Studies , Humans , Surveys and Questionnaires , Research Personnel , Administrative Personnel
17.
BMC Nurs ; 23(1): 458, 2024 Jul 05.
Article in English | MEDLINE | ID: mdl-38970098

ABSTRACT

BACKGROUND: Effective communication is essential for high-quality healthcare, yet barriers often impede meaningful connection between nurses and patients. This study aimed to prioritize communication barriers between nurses and patients in Iranian hospitals, exploring nurses' perspectives. METHODS: Thirty-one nurses participated in a six-step Q methodology study to identify different perspectives on communication barriers. Participants sorted a set of statements based on their own experiences and beliefs. RESULTS: The average age of participants was 38.07 (SD = 6.49), with 70% being women. Four distinct factors emerged, explaining 47% of the total variance in perspectives: Organizational factors and work conditions (20%), Emotional distress and psychological barriers (11%), Lack of mutual understanding and awareness (7%), and declining professional motivation and engagement among nurses (9%). CONCLUSION: These findings highlight the multi-faceted nature of communication barriers between nurses and patients in this context. Interventions should address organizational factors, emotional well-being of nurses, cultural awareness, and professional motivation to improve communication and ultimately, patient care. This study provides valuable insights for Iran and other developing countries that are facing similar challenges.

18.
Clin Exp Dent Res ; 10(4): e906, 2024 Aug.
Article in English | MEDLINE | ID: mdl-38970251

ABSTRACT

OBJECTIVES: This study aimed to explore the dental staff knowledge of simulated patient methodology and support for its use to investigate dental staffs' triaging ability. MATERIAL AND METHODS: Staff at dental practices in Western Australia were invited to participate in a cross-sectional online questionnaire, consisting of demographic questions, questions on triaging, and knowledge of simulated patient methodology. Descriptive and parametric tests were undertaken for quantitative data; qualitative responses were thematically analyzed. RESULTS: Of the 100 participants, most were female (71%), aged 25-39 years (57%), dentists (46%), and worked in private practices (60%). While 82% of participants triaged dental appointment enquiries, only 26% had heard of simulated patient studies. The majority (66%) of participants spent 1-5 min when triaging appointments and less than half (29%) asked about medical history, aggravating or alleviating factors. Although there was a general positive attitude toward use of simulated patient methodology to investigate practice, some concerns were identified. CONCLUSIONS: The findings of our exploratory study suggests that there may be a potential for utilizing simulated patient studies to improve the care of patients by dental receptionists in general dental practices.


Subject(s)
Dental Clinics , Patient Simulation , Humans , Female , Pilot Projects , Adult , Cross-Sectional Studies , Male , Dental Clinics/organization & administration , Western Australia , Surveys and Questionnaires/statistics & numerical data , Attitude of Health Personnel , Triage/methods , Triage/standards , Middle Aged , Appointments and Schedules , Dental Staff
19.
Nat Prod Res ; : 1-9, 2024 Jul 07.
Article in English | MEDLINE | ID: mdl-38972058

ABSTRACT

This study's main objectives are to evaluate and confirm the effects of the extraction process, operating conditions, solvent type and solvent polarity on the yield and quality of the extracts. Supercritical carbon dioxide (scCO2) and Soxhlet were specially used in this study to extract bioactive chemicals from the seeds of a natural plant known as Plantago ovata. No studies have been published so far regarding the extraction from the seeds of this plant using scCO2.The effects of three operating parameters (pressure, temperature and particle size) on the extraction yield, total phenolic content, total flavonoid content (TFC), total tannin content (TTC) and antioxidant activity were assessed in this study using the Box-Behnken statistical experimental design (BBD). The chemical components in the extracts were separated and identified using gas chromatography mass spectrometry. According to the antioxidant activity results, scCO2 failed to produce bioactive compounds with interesting properties when operated within operating range conditions.

20.
J Environ Manage ; 366: 121726, 2024 Jul 06.
Article in English | MEDLINE | ID: mdl-38972184

ABSTRACT

Drinking water (DW) production treatments can be affected by climate change, in particular intense rainfall events, having an impact on the availability and quality of the water source. The current study proposes a methodology for the evaluation of the costs of the different treatment steps for surface water (SW) and groundwater (GW), through the analysis and quantification of the main cost items. It provides the details to count for strong variations in the key quality parameters of inlet water following severe rainfalls (namely turbidity, iron, manganese, and E. coli). This methodology is then applied to a large drinking water treatment plant (DWTP) in Italy, which treats both SW, around 70 %, and GW, around 30%. It discusses the overall DW production costs (from 7.60 c€/m3 to 10.43 c€/m3) during the period 2019-2021 and analyzes the contributions of the different treatment steps in water and sludge trains. Then it focuses on the effects on the treatments of significant variations in SW turbidity (up to 1863 NTU) due to intense rainfalls, and on the daily costs of DW with respect to the average (baseline) costs evaluated on the annual basis. It emerges that, when SW has low turbidity levels, the energy-based steps have the biggest contribution on the costs (final pumping 22 % for SW and 10 % for GW, withdrawal 15 % and 14 %, respectively), whereas at very high turbidity levels, sludge greatly increases, and its treatment and disposal costs become significant (up to 14 % and 50 %). Efforts are being made to adopt the best strategies for the management of DWTPs in these adverse conditions, with the aim to guarantee potable water and optimize water production costs. A mitigation measure consists of increasing GW withdrawal up to the authorized flow rate, thus reducing SW withdrawal. In this context, the study is completed by discussing the potential upgrading of the DWTP by only treating GW withdrawn from riverbank filtration. The DW production cost would be 7.76 c€/m3, which is lower than that seen for the same year (2021) with the current plant configuration (8.32 c€/m3).

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