In this study, the decision-making process management of forest tending in the forestry business is decentralized, and forest tending decision-making activities at different points in time are integrated by decision makers at different geographical locations. The decision-making process was analyzed and optimized from a system perspective. Based on the optimized decision-making process, a forest tending business group decision support system (FTGDSS) was established. We first reviewed and discussed the characteristics and development of the forest tending business and forestry decision support system. Business Process Modeling Notation was used to draw a current state flow chart of the forest tending business, to identify and discover important decision points in the process of tending decision-making. We also analyzed the content and attributes of each decision point, and described the system structure, functional framework, knowledge base structure, and reasoning algorithm of FTGDSS in detail. Finally, FTGDSS was evaluated from the two dimensions of the technology adoption model. FTGDSS integrates different levels of time-space decision-making activities, historical tending data, business plans, decision-makers' management tendencies into the decision-making process and automatically extracts decision-making data from the forest business process management enterprise resource planning system (Smartforest) that improves the ease of use of the decision support system (DSS). It also improves the quality of forest tending decisions, and enables the DSS to better support multi-target management strategies.

Energy system models have become indispensable to shape future energy systems by providing insights into different trajectories. However, sustainable systems with high shares of renewable energy are characterized by growing cross-sectoral interdependencies and decentralized structures. To capture important properties of increasingly complex energy systems, sophisticated and flexible modelling tools are needed. At the same time open science becomes increasingly important in energy system modelling. This paper presents the Open Energy Modelling Framework (oemof) as a novel approach in energy system modelling, representation and analysis. The framework forms a toolbox to construct comprehensive energy system models and has been published open source under a free license. With a collaborative development based on open processes the framework seeks for a maximum level of participation and transparency to facilitate open science principles in energy system modelling. Based on a generic graph based description of energy systems it is well suited to flexibly model complex cross-sectoral systems and incorporate various modelling approaches. This makes the framework a multi-purpose modelling environment for modelling and analyzing different systems ranging from an urban to a transnational scale.

With increasing electronic medical data and the development of artificial intelligence, Clinical Decision Support Systems (CDSSs) assist clinicians in diagnosis and prescription. Traditional knowledge-based CDSSs follow an accumulated medical knowledgebase and a predefined rule system, which clarifies the decision-making process; however, maintenance cost issues exist in the medical data quality control and standardization process. Non-knowledge-based CDSSs utilize vast amounts of data and algorithms to effectively decide; however, the deep learning black-box problem causes unreliable results. EXplainable Artificial Intelligence (XAI)-based CDSS provides a valid rationale and explainable results. It ensures trustworthiness and transparency by showing the recommendation and prediction results process through explainable techniques. However, existing systems have limitations, such as the scope of data utilization and the lack of explanatory power of AI models. This study proposes a new XAI-based CDSS framework to address these issues; introduce resources, datasets, and models that can be utilized; and provides a foundation model to support decision-making in various disease domains. Finally, we propose future directions for CDSS technology and highlight societal issues that need to be addressed to emphasize the potential of CDSS in the future.

The systems ESTE are running in nuclear crisis centers at various levels of emergency preparedness and response in Slovakia, the Czech Republic, Austria, Bulgaria, and Iran (at NPP monitored by International Atomic Energy Agency, IAEA). ESTE is a decision support system, running 24/7, and serves the crisis staff to propose actions to protect inhabitants against radiation in case of a nuclear accident. ESTE is also applicable as decision support system in case of a malicious act with radioactive dispersal device in an urban or industrial environment. Dispersion models implemented in ESTE are Lagrangean particle model (LPM) and Puff trajectory model (PTM). Described are models approaches as implemented in ESTE. PTM is applied in ESTE for the dispersion calculation near the point of release, up to 100 km from the point of nuclear accident. LPM for general atmospheric transport is applied for short-range, meso-scale and large-scale dispersion, up to dispersion on the global scale. Additionally, a specific micro-scale implementation of LPM is applied for urban scale dispersion modelling too. Dispersion models of ESTE are joined with radiological consequences models to calculate a complete spectrum of radiological parameters - effective doses, committed doses and dose rates by various irradiation pathways and by various radionuclides. Finally, radiation protective measures, like sheltering, iodine prophylaxis, or evacuation, evaluated on the base of predicted radiological impacts are proposed. Dispersion and radiological models of the state-of-the-art ESTE systems are described. Results of specific analyses, like number of particles applied, initial spatial distribution of the source, height of the bottom reference layer, are presented and discussed.

Tropical cyclones devastate large areas, take numerous lives and damage extensive property in Bangladesh. Research on landfalling tropical cyclones affecting Bangladesh has primarily focused on events occurring since AD1960 with limited work examining earlier historical records. We rectify this gap by developing a new tornado catalogue that include present and past records of tornados across Bangladesh maximizing use of available sources. Within this new tornado database, 119 records were captured starting from 1838 till 2020 causing 8,735 deaths and 97,868 injuries leaving more than 1,02,776 people affected in total. Moreover, using this new tornado data, we developed an end-to-end system that allows a user to explore and analyze the full range of tornado data on multiple scenarios. The user of this new system can select a date range or search a particular location, and then, all the tornado information along with Artificial Intelligence (AI) based insights within that selected scope would be dynamically presented in a range of devices including iOS, Android, and Windows. Using a set of interactive maps, charts, graphs, and visualizations the user would have a comprehensive understanding of the historical records of Tornados, Cyclones and associated landfalls with detailed data distributions and statistics.

Previous studies to recognize negative emotions (e.g. disgust, fear, sadness) for mental health care have used heavy equipment directly attaching electroencephalogram (EEG) electrodes to the head, making it difficult to use in daily life, and they have proposed binary classification methods to determine whether negative emotion or not. To tackle this problem, we propose a negative emotion recognition system to collect multimodal biosignal data such as five EEG signals in an EEG headset and heart rate, galvanic skin response, and skin temperature in a smart band for classifying multiple negative emotions. It consists of android Internet of Things (IoT) application, an oneM2M-compliant IoT server, and a machine learning server. The android IoT application upload the biosignal data to the IoT server. By using the biosignal data stored in the IoT server, the machine learning server recognizes the negative emotions of disgust, fear, and sadness using a multi-class support vector machine (SVM) model with a radial basis function kernel (RBF). The experimental results showed that the multi-class SVM model achieved 93% accuracy when considering all the multimodal biosignal data. Moreover, when considering only data in the smart band, it could achieve 98% accuracy by optimizing the hyper-parameter of the RBF kernel.

The anti-money laundering (AML) process has failed both in identifying suspicious cases in due time as in assisting the AML analysts in decision making. Starting from a new generic anti-fraud approach, this article presents the main aspects related to the development of a multi-agent system that goes beyond the capture of suspicious transactions, seeking to assist the human expert in the analysis of suspicious behaviour. First, a transactional behavioural profile of clients is obtained in a data mining process. A set of rules, obtained through data mining over a real database, in conjunction with specific rules based on legal aspects and in the expertise of the AML analysts make up the agents' knowledge base. The cases for which the system was unable to suggest a decision are flagged as requiring more detailed analysis. The system analysed 6 months of real transactions and indicated several suspicious profiles, a set of these suspects was investigated by the AML analysts who proved the suspicion of several cases, including some that had not been identified by the systems in execution.

Visualization is an essential tool for analysis of data and communication of findings in the sciences, and the Earth System Science (ESS) are no exception. However, within ESS specialized visualization requirements and data models --- particularly for those data arising from numerical models --- often make general-purpose visualization packages difficult, if not impossible, to effectively use. This paper presents VAPOR: a domain-specific visualization package that targets the specialized needs of ESS modelers, particularly those working in research settings where highly interactive exploratory visualization is beneficial. We specifically describe VAPOR’s ability to handle ESS simulation data from a wide variety of numerical models, as well as a multi-resolution representation that enables interactive visualization on very large data while using only commodity computing resources. We also describe VAPOR’s visualization capabilities, paying particular attention to features for geo-referenced data and advanced rendering algorithms suitable for time-varying, 3D data. Finally, we illustrate VAPOR's utility in the study of a numerically simulated tornado. Our results demonstrate both ease-of-use and the rich capabilities of VAPOR in such a use case.

The outbreak of COVID-19 is a public health emergency that caused disastrous results in many countries. The global aim is to stop transmission and prevent the spread of the disease. To achieve it, every country needs to scale up emergency response mechanisms, educate and actively communicate with the public, intensify infected case finding, contact tracing, monitoring, quarantine of contacts, and isolation of cases. Responding to an emergency requires efficient collaboration and a multi-skilled approach (medical, information, statistical, political, social, and other expertise), which makes it hard to define one interface for all. As actors from different perspectives and domain backgrounds need to address diverse functions, the possibility to exchange available information quickly would be desirable. Geoportal provides an entry point to access a variety of data (geospatial data, epidemiological data) and could be used for data discovery, view, download, and transformation. It helps to deal with challenges like data analysis, confirmed cases geocoding, recognition of disease dynamics, vulnerable groups identification, and capacity mapping. Predicting and modeling the spread of infection, along with application support for communication and collaboration, are the biggest challenges. In response to all these challenges, we have established the Epidemic Location Intelligence System (ELIS) using open-source software components in the cloud, as a working platform with all the required functionalities.

Age-in-place can reduce the progress of dementia syndrome and improve the quality of life of the sufferers and their families. This work proposes an innovative information home support system to be established at the houses of people suffering from dementia. The main innovation of the system are its transparent character that overcomes the need for training of the sufferer, as well as the exploitation of a well-known technique for dementia, namely music therapy. It addresses the need of people suffering from dementia as well as their familiars to be recognized by them and have better interaction and collaboration. The system offers a ubiquitous recognition system, just by using smart devices like smart-phones or smart-wristbands. When a familiar person is detected in the house, then a sound file is reproduced on smart speakers placed in the house, in order to trigger the memory, based on the principles of music therapy. The system reproduced the appropriate time at 100% of the cases and the benefits of music therapy are evident daily. To the best of the authors' knowledge, this is the first system of its kind ever reported in the literature.

Thromboprophylaxis of hospitalized patients at risk of venous thromboembolism (VTE) presents challenges owing to patient heterogeneity and lack of adoption of evidence-based methods. Intuitive practices for thromboprophylaxis have resulted in many patients being inappropriately prophylaxed. Multiple interventions for thromboprophylaxis have been tested, including use of multifaceted approaches such as national VTE prevention programs with audits, use of passive alerts (either human or electronic), and more recently use of active clinical decision support (CDS) tools incorporated into electronic health records (EHRs). Multifaceted health-system interventions have shown mixed results in their ability to increase appropriate thromboprophylaxis and reduce VTE, unless mandated through a national VTE prevention program, though the latter approach is potentially costly, effort- and time-dependent. Studies utilizing passive human or electronic alerts have also shown mixed results in increasing appropriate thromboprophylaxis and reducing VTE. The use of active CDS tools holds the greatest promise, especially with further refinement and widespread implementation within various EHRs and clinical workflows. Recent-ly a universal cloud-based and EHR-agnostic CDS VTE tool revealed high adoption and effectiveness in increasing appropriate thromboprophylaxis and reducing major thromboembolism. This narrative review summarizes the literature on system-wide thromboprophylaxis interventions in hospitalized patients, with a focus on CDS tools.

NASA mission systems proposals are often compared using an equivalent system mass (ESM) framework wherein all elements of technology to deliver an effect- its components, operations and logistics of delivery- are converted to effective masses since this has a known cost scale in space operations. To date, ESM methods and the tools for system comparison have not considered complexities wherein systems that serve a mission span multiple transit and operations stages, such as would be required to support a crewed mission to Mars, and thus do not account for the different mass equivalency factors operational during each period and the inter-dependencies of the costs across the mission. Further, ESM does not account well for the differential reliabilities of the underlying technologies. Less reliability should incur an equivalent mass cost for technologies that might otherwise provide a mass advantage. We introduce an extensions to ESM to address these limitations and show that it provides a direct method for analyzing, optimizing and comparing different mission systems. We demonstrate our extended ESM (xESM) calculation with crop production technologies -- an aspect of the developing offworld biomanufacturing suite -- since it represents a case with strong coupling among stages of the mission and a relatively high-risk profile.

Background: Low back pain (LBP) is a major cause of disability globally, and the diagnosis of LBP is challenging for clinicians. Objective: This study aimed to assess the accuracy level of arti-ficial intelligence as a Clinical Decision Support System (CDSS) called Therapa compared to MRI in predicting lumbar disc herniated patients. Methods: One hundred low back pain patients aged ≥18 years old were included in the study. The study was conducted in 3 stages, at first, a case se-ries was conducted by matching MRI and Therapha diagnosis for 10 patients. Subsequently, Delphi methodology was employed to establish a clinical consensus. Lastly, to determine the ac-curacy of the newly developed software, a cross-sectional study was undertaken, involving 100 patients. Results: The software showed a significant diagnostic accuracy with the area under the curve in the ROC analysis determined as 0.84 with a sensitivity of 88% and a specificity of 80%. Conclusion: The study’s findings revealed that CDSS using Therapha has a reasonable level of ef-ficacy, and this can be utilized clinically to acquire faster and more accurate screening of patients with lumbar disc herniation.

1) Background: Genomic medicine harbors the real potential to improve the health and healthcare jour-ney of patients, care provider experiences, and improve health system efficiency – even reducing health care costs. There is expected to be an exponential growth in medically necessary new genome- based tests and test approaches in coming years. Testing can also create scientific research and commercial opportu-nities beyond healthcare decision-making. The purpose of this research is to generate a better under-standing of Canada’s state of readiness for genomic medicine, and to provide some insights for other healthcare systems; (2) Methods: a mixed-methodsapproach of literature review and key informant in-terviews with a purposive sample of experts was used. Health system readiness was assessed using a pre-viously published set of conditions. (3) Results: Canada has created some of the established conditions but more needs to be done to improve the state of readiness for genome-based medicine. Important gaps are the need for linked information systems and data integration; evaluative processes that are timely, and transparent; navigational tools for care providers; dedicated funding to facilitate rapid onboarding and supports test development and proficiency testing; and broader engagement with a broader set of inno-vation stakeholders. These findings highlight the known role of organizational context, social influence, and other factors that are known to affect the diffusion of innovation within health systems

It is important that both static and dynamic information is efficiently used to create a suitable tourism plan. However, collecting, accumulating and managing dynamic information can cost tourists time, money and energy. The present study developed an original tourism support system was designed and developed with the purpose of reducing the burden of tourists who are unfamiliar with the tourist destinations in particular. An original tourism planning support system and web-geographic information systems (Web-GIS) were integrated into a single system, and two original functions were implemented. The system was operated targeting Osaka City, Japan for a period of one month. The information concerning 529 sightseeing spots was collected from tourism-related web media and then saved to the database of the system beforehand. During the operation period, a cumulative total of 160 users accessed the system. Based on the questionnaire survey results, most of the main functions were highly rated regardless of users’ travel experiences to the operation target area. Additionally, based on the access log analysis results, it was clear that the use of the system was in line with the purpose of the present study, as the number of visits to the page for the main functions were high.

Analysing and understanding donor behaviour in Non-profit Organisations (NPOs) is challenging due to the lack of human and technical resources. Machine learning (ML) techniques can analyse and understand donor behaviour at a certain level; however, it remains to be seen how to build and design an Artificial Intelligence enabled Decision Support System (AI-enabled DSS) to analyse donor behaviour. Thus, this paper proposes an AI-enabled DSS conceptual design to analyse donor behaviour in NPOs. A conceptual design is created following a Design Science Research approach to evaluate an AI-enabled DSS's initial DPs and features to analyse donor behaviour in NPOs. The evaluation process of the conceptual design applied formative assessment through conducting interviews with stakeholders from NPOs. The interviews were conducted using the Appreciative Inquiry framework to facilitate the process of interviews. The results of analysis based on the interviews provide insightful information not only about the proposed conceptual design for an AI-enabled DSS, but also about what is required to analyse donor behaviour NPOs using DSS. Evaluating the conceptual design results recommend efficiency, effectiveness, flexibility, and useability in the requirements of the AI-enabled DSS. This research contributes to the design knowledge base of AI-enabled DSS for analysing donor behaviour in NPOs. Future research will combine theoretical components to introduce a practical AI-enabled DSS for analysing donor behaviour in NPOs. This research is limited to such analysis on donors who donate money or volunteer time for NPOs.

Growing agricultural demands for the global population are unlocking the path to developing innovative solutions for efficient water management. Herein, an intelligent variable rate irrigation system (fuzzy-VRI) is proposed for rapid decision-making to achieve optimized irrigation in various delimited zones. The proposed system automatically creates irrigation maps for a center pivot irrigation system for a variable-rate application of water. Primary inputs are spatial imagery on remotely sensed soil moisture (SSM), soil adjusted vegetation index (SAVI), canopy temperature (CT), and nitrogen content (NI). To eliminate localized issues with soil characteristics, we used the crop nitrogen content map to provide a focused insight on issues related to water shortage. The system relates these inputs to set reference values for the rotation speed controllers and individual openings of each central pivot sprinkler valve. The results showed that the system can detect and characterize the spatial variability of the crop and further, the fuzzy logic solved the uncertainties of an irrigation system and defined a control model for high-precision irrigation. The proposed approach is validated through the comparison between the recommended irrigation and actual irrigation at two field sites, and the results showed that the developed approach gives an accurate estimation of irrigation with a reduction in the volume of irrigated water of up to 27% in some cases. Future research should implement the fuzzy-VRI real-time during field trials in order to quantify its effect on irrigation use, yield, and water use efficiency.

One important goal of research on heterogeneous catalysis for Fischer Tropsch synthesis (FTS) is to understand the connection linking catalyst morphology and its activity. Development of these effective catalysts highlights the potential for understanding the effectiveness of promoted supported catalysts and revealing their complex and dynamic effects in FTS. The metal-support interaction (MSI) is influenced by the physicochemical and textural features provided by the modified support and can directly influence the sizes of active metal crystallites, reactants and/or products mass transfer, dispersion, mechanical strength, stability and consequently the adsorption-desorption characteristics of the catalyst. Herein, this article explores the general strategies for modifying silica supports (achieved through doping, coating, or promoting the support or support precursor) and how these strategies can be manipulated to further alter catalyst performance and product selectivity by enhancing the amount of active metal species and improving the intrinsic turnover frequency (TOF). Furthermore, the review emphasises a new strategy (the inverse model of the silica support modification) aiming at overcoming the challenges posed by active metal coating or coverage, as well as pore blockages by promoters that occur during conventional preparation of promoted silica supported FT catalysts.

Background: Mitigating climate change requires fundamentally redesigned energy systems in which renewable energy sources ultimately replace fossil fuels such as natural gas. In this context, the question how and to which extent the gas sector can contribute to an increasingly climate-neutral future EU energy system is heavily debated among scholars, energy industry experts and policy makers. Methods: We take a two-step approach: We begin with a review of studies from energy industry and academia to discuss potential gas sector contributions from a holistic energy system design point of view; this is followed by a comprehensive discussion of technical potentials, micro-economic conditions and societal implications of renewable gas. We then enrich our findings with the results of an empirical focus group process. Results: The gas sector can not only contribute to balancing volatile renewable energy production but also enable the supply of renewable energy to end-users in gaseous form; based on existing infrastructure. This could reduce costs for society, increase public acceptance and ultimately speed up the energy system transformation. There is the theoretical technical potential to substitute major parts of natural gas with renewable gas of biogenic and synthetic nature. This, however, crucially requires a supportive policy framework like the one established for renewable electricity. Conclusion: Given the societal benefits and the competitiveness of renewable gas as compared to renewable alternatives, energy policy makers should incorporate renewable gas and the existing gas infrastructure in the future energy system framework. The objective should be an optimized interplay of various energy vectors and their infrastructure along the entire energy supply chain. This requires a level playing field for different renewable technologies across different policy areas and a form of public support that strikes the balance between facilitating the gradual substitution of natural gas by renewable gas while maintaining public acceptance for this transformation despite higher costs for end-users.: Given the societal benefits and the competitiveness of renewable gas as compared to renewable alternatives, energy policy makers should incorporate renewable gas and the existing gas infrastructure in the future energy system framework. The objective should be an optimized interplay of various energy vectors and their infrastructure along the entire energy supply chain. This requires a level playing field for different renewable technologies across different policy areas and a form of public support that strikes the balance between facilitating the gradual substitution of natural gas by renewable gas while maintaining public acceptance for this transformation despite higher costs for end-users.

Introduction: The care of dependent people is eminently family-oriented, and often, there is a high level of dedication to this family care. Constant and continuous care leads to a series of negative psychological consequences. Social support has been related to improved mental health in family caregivers. We found heterogeneous results regarding the relationship between the types of social support received and the perceived level of support. In addition, to our knowledge, no reviews analyze this relationship among family caregivers. Therefore, we aimed to systematically syn-thesize the relationships between perceived and received social support in informal caregivers. Methodology: We have carried out a quantitative systematic review with meta-analysis, regis-tered in PROSPERO (id: CRD42023470047); the systematic search was carried out in the following databases: PubMed, CINAHL, PsycINFO, and Scopus, until November 2023. After the selection and review of the results, 12 studies were obtained, two of which were eliminated due to a high risk of classification bias. Regarding the results, a medium size positive statistical association was found (r = 0.43). The results were consistent, accurate, and robust. The Trim and Fill test showed a vari-ation of 7%. Subgroup analysis indicated no differences in the age group of the people cared for (adults or children), selection bias, and confounding bias. In conclusion, perceived social support is related to more social support received by family caregivers.

This review is devoted to present the history of CARDIOSIM© software simulator platform, which was developed in Italy to simulate the human cardiovascular and respiratory system. The first version of CARDIOSIM© was developed at the Institute of Biomedical Technologies of the National Research Council in Rome. The first platform version published in 1991 ran on PC with disk operating system (MS-DOS) and was developed using the Turbo Basic language. The last version runs on PC with Microsoft Windows 10 operating system; it is implemented in Visual Basic and C++ languages. The platform has a modular structure consisting of seven different general sections, which can be assembled to reproduce different pathophysiological conditions. The software simulator can reproduce the most important circulatory phenomena in terms of pressure and volume relationships. It represents the whole circulation using a lumped-parameter model and enables the simulation of different cardiovascular conditions according to Starling’s law of the heart and a modified time-varying elastance model. Different mechanical ventilatory and circulatory devices have been implemented in the platform including thoracic artificial lung, ECMO, IABP, pulsatile and continuous right and left ventricular assist devices, biventricular pacemaker and biventricular assist devices. CARDIOSIM© is used in clinical and educational environment.

Mammography is often used as the most common laboratory method for the detection of breast cancer, yet associated with the high cost and many side effects. Machine learning prediction as an alternative method has shown promising results. This paper presents a method based on a multilayer fuzzy expert system for the detection of breast cancer using an extreme learning machine (ELM) classification model integrated with radial basis function (RBF) kernel called ELM-RBF, considering the Wisconsin dataset. The performance of the proposed model is further compared with a linear-SVM model. The proposed model outperforms the linear-SVM model with RMSE, R², MAPE equal to 0.1719, 0.9374 and 0.0539, respectively. Furthermore, both models are studied in terms of criteria of accuracy, precision, sensitivity, specificity, validation, true positive rate (TPR), and false-negative rate (FNR). The ELM-RBF model for these criteria presents better performance compared to the SVM model.

Research has shown a protective association between social support and depression, depression among stroke patients, and health impacts of depression. Yet not much is known on the effect of social support on depression among stroke patients. This review aims to summarize the current research examining the association between social support and depression among stroke patients. A literature search was performed in PubMed to find original peer-reviewed journal articles from 2016 to Mar. 12, 2023 that examined the association between social support and depression among stroke patients. The search terms were depression and "social support" and stroke, which lead to 172 articles. After abstract review, seven observational studies that studied the target association among stroke patients were selected. One additional study was found using PsycINFO as a complementary source with the same search strategy and criteria. Overall, a negative association was found between social support and depression among stroke patients in seven studies, with more social support leading to lower rates of depression post-stroke. One study found that social support was positively related with depression, but the result was nonsignificant. Overall, the results of recent studies suggest that social support is negatively associated with depression among stroke patients. In most studies, this association was statistically significant. The findings suggest the importance of improving social support perceived by stroke patients in the prevention of depression after the occurrence of stroke.

The impact of the accurate estimated time of arrival (ETA) is often overlooked by bus operators. By providing accurate ETA to riders, it gives them the impression of bus services is efficient and reliable and this promotes higher ridership in the long run. This research project aims to predict bus arrival time by using the Support Vector Regression (SVR) model which is based on the same theory as the Support Vector Machine (SVM). Urban City Bus data covering part of the Petaling Jaya area (route name PJ03) is used in this research work. Features related to traffic such as travel duration, a distance of the road, weather and operation at peak or non-peak hour have been used as input in the training of the SVR model. By using kernel trick and specifying optimum parameters, all the features in higher dimensions are efficiently calculated and the SVR model achieves convergence. The model is evaluated with the test set of data split from the original dataset. The experimental result indicates the SVR model displays good prediction ability with its low average error on the prediction result. However, weather data has not been influential to the prediction model as the results of the model trained with and without weather data show a negligible difference.

This article presents a field-performance investigation on an Integrated Solar Water Supply System (SWSS) at two isolated agricultural areas in Thailand. The two case-study villages (Pongluek and Bangkloy ) have experienced severe draughts in the last decades, and therefore water supply has become a major issue. A stand-alone 15.36 kW solar power and a 15 kW solar submersible pump were installed along with the input power generated by solar panels supported by four solar trackers. The aim is to lift water at the static head of 64 and 48 m via piping length of 400 metres for each village to be stored in 1,000 m3 and 1,800 m3 reservoirs at an average of 300 m3 and 400 m3 per day, respectively for Pongluek and Bangkloy villages. The case study results have shown that the real costs of electricity generated by SWSS using solar PV systems intergraded with the solar tracking system yield better performance and are more advantageous compared with the non-tracking system. This study illustrates how system integration has been employed. System design and commercially available simulation predictions are elaborated. Construction, installation, and field tests for SWSS are discussed and highlighted. Performances of the SWSS in different weather conditions such as sunny, cloudy, and rainy days were analysed to make valuable suggestions for higher efficiency of the integrated solar water supply systems.

Mechanical circulatory support has proven effective in managing postcardiotomy cardiogenic shock by stabilizing patients' hemodynamics and ensuring adequate organ perfusion. Among the available device modalities, the combination of extracorporeal life support and a microaxial flow pump for left ventricular unloading has emerged as a valuable tool in the surgical arma-mentarium. In this publication, we provide recommendations for the application and weaning of temporary mechanical circulatory support in cardiogenic shock patients, derived from a con-sensus among leading cardiac centers in German-speaking countrie

The Ranau Earthquake that struck on 5, June 2015 and follow by February 2018 and April 2021, were a new disaster in Sabah and caused many Sabahan to panic. The unpredicted disaster also caused a serious impact on all aspects of life in Sabah. The earthquake has caused severe damage to eight primary schools in the vicinity of the epicenter; although no casualties were reported. However, the disaster has passing deep psychological effects among students. In this study, we examine how the primary school teachers enabled the student to be resilient during and after the disaster. Based on the interviews of 16 primary school students it was revealed that most of the teachers used WhatsApp to support resilience during and after the earthquake. Interviews with 16 primary school teachers revealed there were two main reasons for them to communicate with students namely, delivering emotional aid and monitoring their stress. Based on student interviews, five content categories of emotional support were identified: caring, reassuring, emotion sharing, belonging, and distracting. The main contribution of this study is social media can be used as a spontaneously and proactive tool to support student's resilience during and after the earthquake trauma.

The rapid evolution of technology has reshaped the global economy, intensifying competition and prompting industry players to embrace innovation for sustained competitiveness. In Indonesia, Business Incubators, overseen by Universities and Provincial/City Governments, are pivotal. However, understanding the determinants of Business Incubator Performance remains limited. This study investigates 24 statement items aiming to uncover the factors influencing Technology Business Incubators in Indonesia, with a focus on knowledge management as a mediating variable derived from a knowledge-based perspective. Employing a quantitative approach, Structural Equation Modeling (SEM) is utilized to scrutinize these factors' impact on Business Incubator Performance. The findings reveal that knowledge management fully and partially mediates between funding support, government assistance, incubator governance, and Business Incubator Technology Performance. This research offers valuable insights for entrepreneurs and stakeholders, emphasizing the significance of funding, governmental backing, incubator governance, and knowledge management in enhancing Incubator Business Technology Performance in Indonesia.

(1) Background: Mechanical circulatory support (MCS) in myocardial infarction associated cardiogenic shock is subject to debate. This analysis aims to elucidate the impact of MCS timing on patient outcomes, based on data from the PREPARE CS registry.; (2) Methods: PREPARE CS prospective registry included consecutive patients experiencing cardiogenic shock (SCAI Classes C-E) and were referred for cardiac catheterization. Present analysis included a subset, in whom MCS was used and underwent coronary intervention due to myocardial infarction. Patients were categorized into Upfront group versus Procedural group, depending on the timing of MCS introduction in relation to PCI. Endpoint was the in-hospital mortality; (3) Results: In total 71 patients were included. MCS was started prior to PCI in 33 (46%) patients (Upfront), whereas 38 (54%) received MCS during or after PCI initiation (Procedural). Baseline characteristics and hemodynamic parameters were comparable. The Upfront group had a higher utilization of Impella® device compared to extracorporeal membrane oxygenation (67% vs 33%), while the Procedural group exhibited a balanced use (50% vs 50%). Most patients suffered of multi-vessel disease in both groups (82% vs 84%, respectively; p=0.99) and most patients required complex PCI procedure, the latter was more prevalent in the Upfront group (94% vs 71%, respectively; p=0.02). Rates of complete revascularization were comparable (52% vs 34%, respectively; p=0.16). Procedural CPR was significantly more frequent in the Procedural group (45% vs 79%, p<0.05), still in-hospital mortality was similar (61% vs 79%, respectively; p=0.12); (4) Conclusions: Upfront implantation of MCS in myocardial infarction associated CS did not provide in-hospital survival benefit.

Livestock management is challenging for resource-poor (R-P) farmers due to unavailability of quality feed, limited professional advice and rumor-spreading about animal health condition in a herd. This research seeks to improve animal health in southern Africa by promoting sericea lespedeza (Lespedeza cuneata), a nutraceutical fodder legume. An automated geospatial model for precision agriculture (PA) can identify suitable locations for its cultivation. Additionally, a novel approach of radio frequency identifier (RFID) supported telemetry technology can track animal movement, and the analyses of data using artificial intelligence can determine sickness of small ruminants. This RFID-based system is being connected to a smartphone app (under construction) to alert farmers of potential livestock health issues in real-time so they can take immediate corrective measures. An accompanying Decision Support System (DSS) site is being developed for R-P farmers to obtain all possible support on livestock production, including the designed PA and RFID-based DSS.

(1) Background: Adolescent well-being is a multifaceted construct embedded in family, school, and peer socialization contexts. By adopting a social-psychological perspective we test the association between three sources of support (parents, teachers, peers) and specific components of subjective well-being (cognitive, affective, global-and-domain-specific) to determine whether there is a functional specialization of the role that these crucial socialization agents play for adolescents to attain well-being in specific life domains. (2) Methods: Cross-sectional Albanian data from Wave 3 of the Children’s Worlds International Survey (www.isciweb.org) were used, including 2,339 adolescents (age range 9-13; girls = 49.3%). A structural equation model (SEM) was employed to explore associations between supportive relationships with parents, teachers, and peers and adolescent well-being. (3) Results: Findings support a functional specialization hypothesis as parental support was significantly related to global cognitive and affective well-being; teacher support was significantly related with school satisfaction; and significant relations were found between peer support and almost all well-being variables (context-free, domain-based life satisfaction and affective subjective well-being). (4) Conclusions: Findings contribute to a more nuanced understanding of the role of supportive relationships with adults and peers in adolescents’ proximal socialization contexts (family, school, peer groups) and specific components of subjective well-being.

Obstructive Sleep Apnea (OSA) is nowadays one of the respiratory pathologies with a higher in-cidence globally in developed countries. This situation led to an increase in the demand for medical appointments and diagnostic studies related to that condition, especially those based on poly-somnographies and cardiorespiratory polygraphies. These studies are limited in resources, causing long waiting lists with the subsequent impact on the patients’ health. Furthermore, it is necessary to mention that OSA’s symptomatology is not very specific, and it is typically present in the general population (excessive sleepiness, snore, etc.). In this regard, this paper proposes a novel intelligent clinical decision support system for the diagnosis of OSA which could be used to help medical teams, both in primary care settings and in units specialized in respiratory pathologies. The aim of the proposed system is to help discriminate the patients suspected of suffering from the pathology from those who are not. To this end, two types of information sets of heterogeneous nature are consid-ered. The first one encompasses objective data, related to the patient's health profile with infor-mation usually available in electronic health records. The second type comprises subjective data, referred to the symptomatology reported by the patient in a previous interview. To process the first group of information, a Machine Learning classification algorithm is used, Bagged Trees in this case. For processing the second information set, related with the symptomatology of the patient, a col-lection of expert systems based on fuzzy inferential systems arranged in cascade are employed. As a result, the system is able to determine two risk indicators related to the patient's risk of suffering from OSA: the Statistical Risk and the Symbolic Risk respectively. Subsequently, by interpreting both risk indicators mentioned it will be possible to determine the severity of the patients’ health, proposing a preliminary evaluation on their condition. For the initial tests of the system, a software artifact has been built using a dataset with 4,978 selected patients, suspected of suffering from OSA, from the Álvaro Cunqueiro Hospital in Vigo. The results obtained are promising, demonstrating the potential usefulness of this type of tools in medical diagnosis. Once the system has been validated with new data from clinical environments, it is considered as possible to obtain a relevant improvement in the quality of the healthcare services, and a reduction in the associated costs.

The Thrace region in Turkey is an important region where production suitable for irrigated agriculture such as sugar beet, paddy, sunflower and corn is widely carried out. Producers in the region have to decide on the product they will produce every year. A large number of factors that can affect decision-making in agricultural production can affect the outcome of the farmers. Therefore, it is necessary to have a decision-making process that can facilitate access to information and decision-making. Analytical Hierarchy Process (AHP) is a valuable decision-making methodology that can be applied not only in agricultural production but also in many other areas. This study evaluates four products with the AHP method according to the criteria by surveying 271 producers in the area. The aim is to determine the most suitable products for planting in these areas. We found that rice is the product that provides the highest profit. The AHP model used in this study primarily serves to determine the importance levels of various criteria and demonstrates its effectiveness as a decision-making tool in product selection when the correct criteria are applied

One-step oxidative esterification of 2, 5-furandiformaldehyde (DFF) derived from biomass to prepare Dimethyl Furan-2, 5-dicarboxylate (FDMC) not only simplifies the catalytic process and increases purity of product, but also avoids the polymerization of 5-hydroxymethylfurfural (HMF) at high temperature condition. Gold supported on a series of acidic oxide, alkaline oxide and hydrotalcite were prepared by colloidal deposition to explore the effect of support on the catalytic activities. The Au/Mg3Al-HT catalyst exhibited the best catalytic activity in all catalysts, 97.8% selectivity of FDMC at 99.9% conversion of DFF. And this catalyst is suitable to oxidative esterification of benzaldehyde and furfural as well. X-ray diffraction (XRD), transmission electron microscopy (TEM), X-ray photoelectron spectroscopy (XPS) and CO2 temperature programmed desorption (CO2-TPD) were performed to characterize the catalysts. The results indicated that the medium and strong basic sites in the heterogeneous catalysts benefited for the absorption of intermediate spices, further facilitated the oxidative esterification of aldehyde groups. While, neutral or acidic support tended to aldol condensation reaction. It was worth noting that basicity on the support surface reduce electronic state of the Au nanoparticle (Auδ-), thus enhance the catalytic selectivity of oxidative esterification. This finding demonstrated the support plays crucial role in oxidative esterification.

The study of the effect of corporate entrepreneurship(CE) which is a key indicator of success in corporate innovation performance(IP) is a central research topic. However, an empirical study on whether various types of government support(GS) have a moderating effect between these two variables is of new interest. This study empirically analyzed the effects of CE on IP and analyzed the indirect effects of GS on CE and IP based on 4000 Korean manufacturing firms. The results showed that all five factors of CE (innovativeness, risk-taking, proactiveness, autonomy, and competitive aggressiveness) had a positive effect on IP. In addition, the moderating effect of GS on the relationship between CE and IP was validated in seven categories: taxation, subsidies, financial support, human resources, technology, certification, and procurement. The results showed that five types of GS, other than financial support and technical support, strengthened the effect of CE on IP. This study provides a basis for establishing a strategy for strengthening organizational entrepreneurship and for selecting and focusing on various types of GS. It can be concluded that for more effective government support policies, direct government financial support or technical support should be more elaborately implemented.

The period of study in the online environment can be a very demanding trial for students and masters, especially for those who are not familiar with computer technology. This is largely due to a complex of factors that come from the changes to which they are subjected, such as: leaving the parental home and settling into another living environment (living in dormitories or other forms of accommodation) but also settling with an unfamiliar and very different educational environment from what they were familiar with. Along with all the changes occurring in the family and social plan, the students had to adapt to the educational system made exclusively online. Higher educa-tion institutions in Romania use, as a method of knowledge transmission, traditional learning methods, namely they use face-to-face lecture-type courses in a lecture hall or practical and ex-planatory activities in a seminar/laboratory room. The emergence of this pandemic forced higher education institutions to switch to an online teaching mode for all types of activities included in the educational process.

Background Tuberculosis is a type of infectious disease that can cause death if treatment is not completed. the duration of tuberculosis treatment can reach 6 to 8 months so it really requires discipline when doing treatment. This makes tuberculosis patients in dire need of health information and social support which is very helpful in providing motivation, health information, and monitoring treatment from nurses. Aim of this literature review is to provide an overview of the The Role Of Nurses In Providing Social Support In Tuberculosis Treatment: Literature Review. Method is a literature review research, this study uses electronic database searches using keywords according to research questions from the online library PubMed, Content Science, and Science Direct. Result it was found that the role of nurses in the aspect of social support, namely in providing motivation, supervision, comfort, empathy, and information. this is very necessary for patients with tuberculosis at the time of treatment. Conclution social support is needed by tuberculosis patients who are currently undergoing treatment to provide motivation, health information, and as a nurse's supervision of patient adherence to tuberculosis treatment.

The Burnout syndrome is a negative experience for the athlete development and it has been demonstrated that it gets worse when a sport is practiced in an obsessive way. The interventions about a positive vision through the sport could be a protective factor to boost the athlete’s wellbeing. The aim of the present study was to analyze the mediator effect from social support, the relationship between the burnout, positivity and passion in young Mexican athletes. The sample was composed by 452 Mexican athletes, males and females from 12 to 18 years of age (M = 16.29, SD = 1.66). Participants answered the Athlete Burnout Questionnaire, The Scale of the Social Support Perceived by Athletes, the Passion Scale and the Positivity Scale. The results of structural equation modeling showed the model presented a good adjustment (χ2 = 813.507; df = 229; χ2 /df = 3.552; p < 0.01; CFI = 0.93; TLI = 0.91; IFI = 0.93; NFI = 0.91; RMSEA = 0.07). The positivity and harmonious passion presented direct and indirect effects over the burnout, being the perceived social support the mediator variable of the indirect effects. However, the effect of the obsessive passion mediated by the perceived social support did not resulted significant.

Predicting copper price is essential for making decisions that can affect companies and governments dependent on the copper mining industry. Copper prices follow a time series that is non-linear, non-stationary, and which have periods that change as a result of potential growth, cyclical fluctuation and errors. Sometimes the trend and cyclical components together are referred to as a trend-cycle. In order to make predictions, it is necessary to consider the different characteristics of trend-cycle. In this paper, we study a copper price prediction method using Support Vector Regression. This work explores the potential of the Support Vector Regression with external recurrences to make predictions at 5, 10, 15, 20 and 30 days into the future in the copper closing price at the London Metal Exchanges. The best model for each forecast interval is performed using a grid search and balanced cross-validation. In experiments on real data-sets, our results obtained indicate that the parameters (C, ε, γ) of the model Support Vector Regression do not differ between the different prediction intervals. Additionally, the amount of preceding values used to make the estimates does not vary according to the predicted interval. Results show that the support vector regression model has a lower prediction error and is more robust. Our results show that the presented model is able to predict copper price volatilities near reality, being the RMSE equal or less than the 2.2% for prediction periods of 5 and 10 days.

Regional product labeling can help develop regional business activities, especially with traditional regional products. Their general popularity is a significant source of income for the less developed regions. The Gemer-Malohont region belongs to economically underdeveloped areas with high unemployment rate. The subject of the survey was regional food products, which are made by small farmer. The analysis was carried out on a questionnaire survey in the period April-July 2017 in each of the region's districts. The results obtained by questionnaire survey have been statistically processed using the statistical method (two-step cluster analysis, radar chart, box-plots, regression analysis) using Microsoft Excel and IBM SPSS Statistics 23 software. Through cluster analysis and based on the preference of regional food, we divided consumers into two groups - knowledgeable regional food purchasers and priced oriented consumers. We have shown that the more developed regions (Rimavská Sobota, Rožňava) show a higher rate of purchase of regional foods. Less developed regions (Poltár, Revúca) are represented by lower-income consumers for whose the food price is the decisive criterion. Local residents of backward regions should pay attention to domestic food and local small farmers, who are the way to create local capital and local development.

Objective: A 1964 study challenged the consensus that saturated fat consumption increased the risk for myocardial infarction (MI). Roseto Pennsylvania, an Italian-American enclave of 1600 people, had similar rates of cigarette smoking, obesity and higher saturated fat consumption as neighboring towns, but far lower MI death rates. More than 50 years later, it remains uncertain if Roseto’s residents had better heart health than the average American and if so, what factors were responsible. Methods: We compared MI deaths in Roseto and neighboring towns to the Framingham Heart Study cohort matched for age and sex. Results: We found no evidence that MI deaths were lower in Roseto, PA than in Framingham, MA when controlling for age and sex. While the role of social support in health is uncontested, methodological issues, confounding factors and biases challenge the validity of the Roseto study. Conclusions: The dramatically lower MI and MI mortality rates among males in Roseto reflects biases in sampling and comparison populations, which also impacted the contrasting Diet-Heart hypothesis that saturated fats cause heart disease. Although social support enhances health outcomes, the Roseto study neither supported nor refuted this connection.

Innovation is a crucial issue in healthcare services since it can affect job-related variables such as productivity, satisfaction and burnout. The aim of our study was to examine the impact of innovation support on quiet quitting, innovative behavior and innovation outputs among nurses. We conducted a cross-sectional study in Greece during April 2024. We employed a convenience sample of nurses. We used the following instruments: (a) the Innovation Support Inventory (ISI) to measure innovation support, (b) the Quiet Quitting Scale (QQS) to measure quiet quitting, (c) the Innovative Behavior Inventory (IBI) to measure innovative behavior, and (d) the Innovation Outputs (IO) scale to measure innovation outputs. Our multivariable analysis identified a negative relationship between innovation support and quiet quitting. Moreover, we found that managerial support and cultural support improved several aspects of innovative behavior, such as idea generation, idea search, idea communication, implementation starting activities, involving others, and overcoming obstacles. Additionally, managerial support improved innovation outputs. Our findings suggested the positive impact of innovation support on quiet quitting, innovative behavior and innovation outputs among nurses. Organizations and nurses’ managers should establish an innovative working environment to improve nurses’ passion, motives and productivity.

. Background/Objectives: Crohn's disease is a chronic and debilitating intestinal disorder that alternates between remission and active flare-ups, often leading to hospitalization. Social support is known to enhance adaptation to the disease and modulate stress perception in patients, while stress may exacerbate symptoms. The aim of this study was to examine the roles of perceived stress and social support in Crohn's disease and their impact on the frequency of flare-ups. Methods: A cross-sectional observational study was conducted, assessing stress and social support in a cohort of 91 patients with Crohn's disease during flare-up and remission phases. The Perceived Stress Scale (PSS-14) and a Social Support Questionnaire were utilized for evaluation. We examined the relationship between stress and social support in Crohn's disease. The interaction between the variables studied was also studied, considering the stage of the disease. Finally, we realized analysis of the influence of these two variables on the development of flares in Crohn's disease. Results: The study revealed that patients experience higher stress levels during flare-ups and that these levels are amplified by a lack of social support. A significant relationship was identified between the levels of social support and the occurrence of flare-ups, indicating that better social support is associated with fewer flare-ups.. Conclusions: Patients with Crohn's disease in the flare-up phase are subject to considerable stress. Deficit in social support is linked to an increase in stress levels. The interplay of social support and stress plays a critical role in the development of flare-ups.

This research mapped significant social networks of victims of childhood sexual abuse, identifying relationships between childhood trauma and social bonds in adult life. Ten adult women, aged between 20 and 40 years, in psychiatric care for the consequences of trauma suffered in childhood participated in the research. For data collection, the map of significant social networks was used and analyzed through the structure, functions and attributes of the bonds. The network is composed of people from the Friendship, Family, Community, Work/Study and Health Teams group. The networks of friendships, family, co-workers or studies play a predominant role of emotional support, while the Health Teams also offer emotional support, but primarily provide clinical support in overcoming trauma and its consequences. The network of relationships has specific functions that maintain psychosocial integrity and help women to overcome the abuse suffered.

The way in which a person walks, known as human gait, is a significant indicator of overall health and well-being. Abnormalities in gait can indicate the presence of metabolic disorders, such as diabetes or obesity. However, detecting these disorders can be challenging using traditional methods, which often involve subjective assessments or invasive procedures. In this study, a novel methodology known as Criticality Analysis (CA) was proposed for the detection and monitoring of human gait in people with metabolic disorders taking part in an intervention to increase activity and reduce weight. The CA approach utilised inertial measurement unit gait data, alongside clinical health measures. This allows for the control of nonlinear growth in the system, resulting in lower dimensional, nonlinear, free-scale, stable, controlled, and organised trajectories. These trajectories were then analysed using a Support Vector Machine (SVM) algorithm, which is well-suited for this task due to its ability to handle nonlinear and dynamic data. The combination of the CA approach and the SVM algorithm demonstrated high accuracy and non-invasiveness in detecting metabolic disorders, yielding an average accuracy within the range of 78.2% to 90%. Additionally, the classification technique accuracy, at a group level was observed to reduce during period of the intervention (e.g., from week 2 to week 3) alongside changes in fitness and health, which indicates the potential of using the approach to measure and monitor biological systems. As such, this novel methodology has the potential to be a valuable tool for healthcare professionals in detecting and monitoring metabolic disorders, as well as other unknown diseases associated with the human biological system.

Decision makers have to work on resolving multiple forms of problems within their organizations. The problems can be structured, semi-structured, or unstructured. Handling these issues requires intensive time dedication and resource allocation. Looking at the perspective of strategic decision making in Saudi Arabia, current operations are lacking in various sectors. This indulges an immediate need to introduce proper systems and highlight the loopholes that would allow the leaders make informed decisions aided by a support system. For this reason, the researchers set out to work on two research questions. The first question focused on how decision makers ensured accuracy of the decisions they are making. It would allow to identify why such system is important that should also guarantee consistency and accuracy. The second question asked about the proper process that would govern and control the outcome of decision. Considering the above questions, this research aimed at identifying the ideal framework, and whether the proposal developed would fit into the Saudi organizations. A case study in health sector has been reviewed containing various models across the world. Following this, interviews with five decision makers in their organization were conducted to perform the qualitative research. The researcher identified that most organizations lacked systems to ensure their decisions were accurate. The research also concluded that the tools and elements presented in the proposed informed decision framework would fit into most Saudi organizations to eliminate the identified problem, and especially due to the inclusion of the non-digital sources of information as part to the decision process. Furthermore, the analysis was conducted and discussion was determined stating validations of the study.

Background: Our study aimed to assess the differences between domestic and international students in terms of social support, vital exhaustion, and depression during the time of COVID-19. Methods: The online cross-sectional survey was conducted via Google Forms® at three time intervals during the pandemic. Results: Respectively 1320, 246, and 139 students completed our questionnaires in the different time intervals. International students reported significantly lower values of perceived social support. Women reached higher scores regarding vital exhaustion in both samples. Concerning depression, international female students had higher values than their male counterparts but the difference diminished with time. No differences could be found in the comparison of depression between domestic female and male students. Significant correlations were found between depression, perceived social support, and vital exhaustion. Discussion: International students perceive diminished social support just when they need more. Decreased levels of perceived social support may contribute to the development of their psychological problems.

The COVID-19 pandemic in Indonesia makes a significant impact both physically and psychologically. One month after the President of the Republic of Indonesia announced about the COVID-19 patient cases, the Indonesian Child Protection Commission data during April 2020, depicted that 76.7% of children were not happy to participate in distance learning because 81.8% were only given assignments by the teacher and 73.2% felt they had a heavy task and had a short period of time to complete. This reaction is an indicator of the children’s anxiety about distance learning. The anxiety that occurs in these students is assumed to depend on their social support and emotional maturity. When students get optimal family support and are able to control their emotions in the face of a pandemic, they can reduce anxiety in facing online learning. The subjects of this study were 202 junior high and high school students. The results showed that social support and emotional maturity simultaneously affect anxiety in online learning (Freg = 45.066, p = 0.00 <0.01). These results can be used as a basis for providing psycho-education to increase family support and emotional maturity to reduce anxiety in online learning.

The objectives were to identify conditions under which mothers may be willing to use telelactation and explore associations between participant characteristics, willingness, and beliefs regarding telelactation use. Mothers 2-8 weeks postpartum were recruited from two Florida maternal care sites and surveyed to assess demographics, breastfeeding initiation, and potential telelactation use. Analyses included descriptive statistics and logistic regression models. Of the 88 participants, most were white, married, earned less than $50,000 per year, had access to technology, and were willing to use telelactation if it was free (80.7%) or over a secure server (63.6%). Fifty-six percent were willing to use telelactation if it involved feeding the baby without a cover, but only 45.5% were willing if their nipples may be seen. Those with higher odds of willingness to use telelaction under these modesty conditions were experienced using videochat, white, married, and of higher income. Mothers with security concerns had six times the odds of being uncomfortable with telelactation compared to mothers without concerns. While telelactation can improve access to critical services, willingness to use telelactation may depend on conditions of use and sociodemographics. During the COVID-19 pandemic and beyond, these findings offer important insights for lactation professionals implementing virtual consultations.

Space missions have always assumed that the risk of spacecraft malfunction far outweighs the risk of human system failure. This assumption breaks down for longer duration exploration missions and exposes vulnerabilities in space medical system. Space agencies can no longer buy down the majority of human system risk through the crew member selection process and emergency re-supply or evacuation. No mature medical solutions exist to close the risk gap. With recent advances in biotechnology, there is promise in augmenting a space pharmacy with a biologically-based space foundry for on-demand manufacturing of high-value medical products. Here we review the challenges and opportunities of molecular pharming, the production of pharmaceuticals in plants, as the basis of a space medical foundry to close the risk gap in current space medical systems. Plants have long been considered an important life support object in space and can now also be viewed as programmable factories in space. Advances in molecular pharming-based space foundries will have widespread application in promoting simple and accessible pharmaceutical manufacturing on Earth.

Traditionally, overnight fasting before elective surgery has been the routine in medical practice for risk reduction of pulmonary aspiration of gastric contents. Several original study and international societies recommend a 2‐h preoperative fast for clear fluids and a 6‐h fast for solids in most elective patients. We conducted a narrative review of the literature, searching electronic databases (Medline and CINAHL). We used PICO approach. The results of our review suggest that nutrition support in the perioperative period is very important to reduce length of hospital stay and reduced postoperative complication.

In this review, we explore a broad-based view of technologies for supporting human activities on the Moon. Primarily, we assess the state of life support systems technology beginning with physicochemical processes, waste processing, bioregenerative methods, food production systems and the robotics and advanced biological technologies that support the latter. We observe that the Moon possesses in-situ resources but that these resources are of limited value in CELSS – indeed, CELSS technology is most mature in recycling water and oxygen, the two resources that are abundant on the Moon. This places a premium on developing CELSS that recycles other elements that are rarified on the Moon including C and N in particular but also other elements such as P, S and K which might be challenging to extract from local resources. Although we focus on closed loop ecological life support systems, we also consider related technologies that involve the application of biological organisms to bioregenerative medical technologies and bioregenerative approaches to industrial activity on the Moon as potential future developments.

The blood counts of α thalassemia carriers (α-thal) are similar to those of β thalassemia carriers, except for Hgb A2 that is not elevated. The objective of this study was to determine whether mathematical formulas are effective for detecting suspected α-thal. The data were obtained from the database of the prevention program for detecting couples at risk for having a child with hemoglobinopathy. RBC indices were analyzed using mathematical formulas and the sensitivity and negative predictive value (NPV) calculated. Among 1334 blood counts suspected α-thal analyzed, only the Shine&Lal and the Support Vector Machine formulas revealed high sensitivity and NPV. Sensitivity was 85.54 and 99.33% and NPV 98.93 and 99.93%, respectively. Molecular defects were found in 291, 81 had normal α genes. Molecular analysis was not performed in 962. Based on these results, mathematical formulas incorporating one of these reliable formulas for detecting suspected α or β thalassemia carriers in the program of the automatic analyzers can flag these results and increase the awareness of the primary physicians about the carrier risk and send an alert with a recommendation for further testing.

Nurses have experienced several psychological and work-related issues during the COVID-19 pandemic including pandemic burnout and job burnout. The aim of the study was to examine the impact of social support and resilience on COVID-19 pandemic burnout and job burnout among nurses. We conducted a cross-sectional study in Greece. Study population included 963 nurses. We measured social support, resilience, COVID-19 pandemic burnout, and job burnout with the Multidimensional Scale of Perceived Social Support, Brief Resilience Scale, COVID-19 burnout scale, and single item burnout measure respectively. Nurses received high levels of social support, while their resilience was moderate. Additionally, nurses experienced moderate levels of COVID-19 burnout and job burnout. Increased social support (adjusted beta = -0.075, 95% CI = -0.125 to -0.024) and increased resilience (adjusted beta = -0.399, 95% CI = -0.491 to -0.308) were associated with reduced COVID-19 pandemic burnout. We found a negative relationship between social support and job burnout (adjusted beta = -0.263, 95% CI = -0.405 to -0.121). A similar negative relationship was found between resilience and job burnout (adjusted beta = -0.529, 95% CI = -0.785 to -0.272). Social support and resilience can act as protective factors against COVID-19 pandemic burnout and job burnout among nurses. Policy makers should develop and implement appropriate strategies to improve nurses’ social support and resilience since they are the backbone of healthcare systems worldwide.

The present study focuses on the investigation of fatigue, social support and quality of life that characterizes social workers. Furthermore, the study aims to highlight the effect of demographic and occupational characteristics on the above factors. A total of 400 social workers with an average age of 39.05 years took part in the research. Most were women, single, residents of cities of more than 100,000, and health care workers. Participants were asked to answer online questionnaires (FAS for fatigue, MSPSS for social support and GHQ-28 for quality of life). From the analysis of the data, it was found that the level of fatigue of the social workers is at low levels. At the same time, the level of occurrence of negative symptoms is also low, with physical symptoms appearing more often than the rest. Participants receive a high level of support from their environment, and more so from the "significant other" in their life. Finally, it was found that the fatigue, social support and quality of life of social workers is affected by the age of the social workers, the total years of service, gender, marital status, place of residence, employer and position of responsibility.

There has been a rapid increase in the use of Marine Spatial Planning (MSP) throughout the world recently, partly due to the continued loss of marine biodiversity and habitat. The sustainability of marine resources is threatened in all regions of the world by major events such as climate change, marine pollution, overfishing, illegal, unreported and unregulated fishing both on the high seas and in country waters. Here, we present a comprehensive review and analysis of how economic information has been applied and used to inform decisions about MSP in British Columbia (BC), Canada and other similar jurisdictions. This focus for the paper was selected because important gaps remain in the literature in terms of incorporating economic questions into MSP. We first present different definitions of MSP, and then we extract useful lessons from MSP regimes with well–tested decision support tools, and use this to guide MSP implementation in BC. We finally present and discuss case studies from Australia, South Africa and Belgium. Our review suggests that applying economic information to support the design and implementation of MSPs would lead to better decisions. This in turn would foster livelihoods, attract finance, increase buy–in and advance United Nations Sustainable Development Goal 14: Life Below Water, thereby achieving Infinity Fish, i.e., ensuring that ocean benefits flow to humanity forever.

This paper proposes a model that combines multi-criteria and multi-faceted risk assessment. Using two data sources, a fuzzy Technique for Order of Preference by Similarity to Ideal Solution FTOPSIS method combined with FMEA assessment. The FMEA method presented in this paper combines the technique of prioritising preferences according to FTOPSIS similarity to the ideal solution and conviction structure to overcome the defects of traditional FMEA indicators. The paper describes the exact process and tool selection, and the results obtained in the study verified accurate data. Finally, a numerical case study was presented on hospital reorganization services and case adaptation to prioritize surgical abandonment in Poland. The problem considered in the publication is the priority of patients’ operations in hospitals. The selection of relevant criteria, their importance and patient preferences are presented. The results obtained from the method provide a viable action plan for the proposed research problem. The proposed method is multi-faceted and can be part of an information system supporting reorganization, restructuring, and modification of the operational process.

The high demands of caring for and raising a child with autism spectrum disorder on a daily basis fatally lead parents to the appearance of physical and mental fatigue. This study aimed to assess the effect of social support and spirituality on the fatigue of parents with children with autistic spectrum disorder. A cross-sectional study with a convenience sample was conducted in Schools of Special Education in Attica (Greece). The sample consisted of 123 parents who completed The Fatigue Assessment Scale (FAS), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Functional Assessment of Chronic Illness Therapy Spiritual Well-Being Scale (FACIT Sp-12) to measure the levels of fatigue, social support, and spirituality, respectively. Demographic data were, also, recorded. Data analysis was applied using IBM SPSS 21.0. The mean age was 47.3 years old, 81.3% were women, and 38.9% stated much / very much religious. The mean of total FAS was 28.4 (SD±7.5), of total FACIT Sp-12 was 31.5 (SD±8.7), and of total MSPSS 5.1 (SD±1.1). Higher levels of total MSPSS and FACIT Sp-12 were associated with lower total FAS (r= -0.50, p &lt;0.001 and r= -0.49, p&lt;0.001 respectively). Social support and spirituality are significant predictors of fatigue.

This research objective was to develop a promoting vegetable and fruit consumption behaviors program among preschool children based on 4 aspects of House’s social support framework to increase fruit and vegetable consumption in preschool the program. This study was quasi-experimental. The sample consisted of preschool children and their caregivers who were randomly selected based on the inclusion criteria. The experimental and control groups had 96 pairs of preschool-aged children and their caregivers. The experimental group was given the program, while the control group was to resume normal activities. The program development was based on the caring lifestyle of caregivers in Muang District, Nakhon Si Thammarat Province. The tools consisted of a preschool care eating behavior assessment and a caregiver knowledge test about the child's fruit and vegetable intake and how to modify the child's fruit and vegetable intake. In addition, fruit and vegetable eating behaviors in preschoolers and a handbook for nurses and primary caregivers were approved by five experts and deemed suitable for the caregiver support framework. The results of the development indicated that a 10-week program was appropriate and tended to increase preschoolers' consumption of fruits and vegetables. In especially experimental group both caregivers increasingly gained knowledge and behavior of caregivers to promote fruit and vegetable eating behavior and preschool increasing the fruit and vegetable consumption.

The continuous transformations that characterise cities have placed at the centre of the political debate the theme of urban regeneration, as urban, environmental, and social rehabilitation, especially about degraded urban areas that become fertile ground for new urban functions. Considering degraded areas as the result of economic, social, physical, and environmental transition processes, their regeneration must consider an inclusive and multi-actor process involving different stakeholders and users. Such an understanding examines multiple cultural and design approaches to urban regeneration and geographical transformation. This paper implements the Geodesign approach to investigate and develop a Collaborative Decision Support System oriented to the planning and assessing wasted roadscapes regeneration. The wasted roadscapes are conceived as degraded areas located close to roads, which need sustainable strategies with particular attention to local problems related to accessibility and the inclusion of degraded areas in the planning process. Bacoli’s city (South of Italy), has been selected as a best-fit case study for testing the decision-making process elaborated, involving a working group of professors, researchers, PhD candidates, students, local authorities, and citizens. The Geodesign approach facilitated the definition of sustainable planning strategies among people with diverse backgrounds and interests, aiming at recovering degraded landscapes and connecting them to urban accessibility strategies, facing conflicts and supporting the elaboration of a shared vision.

Assistance dogs provide significant benefits to older adult owners. However, despite protective legislation, aged care facilities continue to not allow owners to retain their dog on relocation. The purpose of the current study was to explore whether older adults should be allowed to retain their dog on relocation to an aged care facility, and what factors should impact this decision. Further, if allowed to retain their dog, what would be the best practice to allow for this. A deliberative democracy methodology was used, with a range of key stakeholders recruited. Focus groups were held, with follow up questionnaire to establish deliberation for all questions. Results indicated that with sufficient objective measurement, fair decisions can be made to ensure the welfare and wellbeing for owner and dog. Key policy and procedure changes would also be necessary to ensure ongoing support, such as training, care plans, and emergency directives. By ensuring sufficient policies and procedures are in place, training and support could lead to an ideal outcome where facilities could be at the forefront of a better future for aged care.

Soil working tools, implements, and machines are inevitable in mechanized agriculture. The soil-tool/machine interaction is a multivariate, dynamic, and intricate process. The accurate interpretation, description, and modeling of a soil-machine interaction is key to providing a solution to sustainable crop production by reducing energy input, excessive soil pulverization, and compaction. The traditional method provides insight into soil-machine interaction but often provides inadequate solutions and lacks broad applicability. Computational intelligence (CI) is a comprehensive class of approaches that rely on approximate information to solve complex problems. The CI method has been extensively studied and applied in soil tillage and traction domain in recent decades. The study critically reviews the CI techniques implemented in soil-machine interactions, especially in the context of tillage, traction, and compaction. The traditional methods and their limitation are discussed. The fundamental of CI methods and a detailed overview of the most popular methods are provided. The study reviews and summarizes the 50 selected articles on soil-machine interaction studies where CI methods were employed. It discusses the strength and limitations of employed CI methods. It also suggests the emergent CI methods and future applications are discussed. The outlined study would serve as a concise reference and a quick and systematic way to understand the applicable CI methods that allow crucial farm management decision-making.

The article explores the subject of information and accounting solutions for accounts receivable management that include appropriate accounting solutions and analytical techniques. The study focuses on the statutory framework for accounting for accounts receivable under the Russian Accounting Standards (RAP), International Financial Reporting Standards (IFRS), and the generally accepted accounting principles (GAAP). The analytical techniques are described in the context of the authors' view on the essence of accounts receivable management that implies analysis, the establishment of a credit policy and of a discount policy. The article places emphasis on the use of available information technology for accounts payable management, such as blockchain-based smart contracts.

The purpose of this study was to explore the role of moral distress on physician burnout during COVID-19. Physicians in the US were interviewed between February and March 2021; 479 responded to our survey. Results indicated that moral distress was a key mediator in explaining the relationship between perceived organizational support, medical specialization, emotional labor, and coping on burnout. There was no support for increased burnout among female physicians, and contracting COVID-19 likewise did not play a role in burnout. Our findings suggest that physician burnout can be mitigated by increasing perceived organizational support; likewise, physicians who engaged in deep emotional labor and problem-focused coping tended to fare better when it came to feelings of moral distress and subsequent burnout.

AbstractBackground: the development of nursing, especially related to the nursing intervention approach, is running so fast. This can be seen from the use of peer group support in nursing interventions in individual humans. The purpose of this literature is to find the impact of implementing nursing interventions using a peer group support approach.Method: this literature review method uses JBI and Prisma on 120 articles taken from journal databases, namely Scopus, PubMed and Sciendirect.Result: From the articles analyzed, it was found that the application of peer groups can improve individual abilities both in psychological and behavioral aspects.Conclusion: the application of the peer group approach is able to be one of the approaches in the world of nursing in carrying out nursing actions today.

Background: Malignant pleural mesothelioma (MPM) is an atypical, belligerent tumor that matures into cancer in the pleura, a stratum of tissue bordering the lungs. Pleural mesothelioma is a common type of mesothelioma that accounts for about 75 percent of all mesothelioma diagnosed yearly in the United States. Diagnosis of mesothelioma takes several months and is expensive. Given the difficulty of diagnosing MPM, early identification is crucial for patient survival. Our study implements artificial intelligence and recommends the best fit model for early diagnosis and prognosis of MPM. Method: We retrospectively retrieved patient’s medical reports generated by Dicle University, Turkey and implemented multi-layered perceptron (MLP), voted perceptron (VP), Clojure classifier (CC), kernel logistic regression (KLR), stochastic gradient decent SGD), adaptive boosting (AdaBoost), Hoeffding tree (VFDT), and primal estimated sub-gradient solver for support vector machine (s-Pegasos). We evaluated the models, compared and tested using paired T-test (corrected) at 0.05 significance based on their respective classification accuracy, f-measure, precision, recall, root mean squared error, receivers characteristic curve (ROC), and precision-recall curve (PRC). Results: In phase-1 SGD, AdaBoost.M1, KLR, MLP, VFDT generates optimal results with the highest possible performance measures. In phase-2, AdaBoost with a classification accuracy of 71.29% outperformed all other algorithms. C-reactive protein, platelet count, duration of symptoms, gender, and pleural protein were found to be the most relevant predictors that can prognosticate mesothelioma. Conclusion: This study confirms that data obtained from biopsy and imagining tests are strong predictors of mesothelioma but are associated with high cost, however, can identify mesothelioma with optimal accuracy. Predictive analytics without using biopsy results can diagnose mesothelioma with acceptable accuracy. Implementation of phase-2 followed by phase-1 can address diagnosis expenses and maximize disease prognosis. Additionally, results indicate improved MPM diagnosis using AI methods dependent upon the specific application.

Identifying human actions in complex scenes is widely considered as a challenging research problem due to the unpredictable behaviors and variation of appearances and postures. For extracting variations in motion and postures, trajectories provide meaningful way. However, simple trajectories are normally represented by vector of spatial coordinates. In order to identify human actions, we must exploit structural relationship between different trajectories. In this paper, we propose a method that divides the video into N number of segments and then for each segment we extract trajectories. We then compute trajectory descriptor for each segment which capture the structural relationship among different trajectories in the video segment. For trajectory descriptor, we project all extracted trajectories on the canvas. This will result in texture image which can store the relative motion and structural relationship among the trajectories. We then train Convolution Neural Network (CNN) to capture and learn the representation from dense trajectories. . Experimental results shows that our proposed method out performs state of the art methods by 90.01% on benchmark data set.

3D plotting is an additive manufacturing technology enabling biofabrication, thus the integration of cells or biologically sensitive proteins or growth factors into the manufacturing process. However, most (bio-)inks developed for 3D plotting were not shown to be processed into clinical relevant geometries comprising critical overhangs and cavities, which would collapse without a sufficient support material. Herein, we have developed a support hydrogel ink based on methylcellulose (mc), which is able to act as support as long as the co-plotted main structure is not stable. Therefore, 6 w/v %, 8 w/v % and 10 w/v % mc were allowed to swell in water, resulting in viscous inks, which were characterized for their rheological and extrusion properties. The successful usage of 10 w/v % mc as support ink was proven by multichannel plotting of the support together with a plottable calcium phosphate cement (CPC) acting as main structure. CPC scaffolds displaying critical overhangs or a large central cavity could be plotted accurately with the newly developed mc support ink. The dissolution properties of mc allowed complete removal of the gel without residuals, once CPC setting was finished. Finally, we fabricated a scaphoid bone model by computed tomography data acquisition and co-extrusion of CPC and the mc support hydrogel.

Aquaculture is growing ever more important due to the decrease in natural marine resources and increase inworldwide demand. To avoid losses due to aging and abnormalweather, it is important to predict seawater temperature in order to maintain a more stable supply, particularly for high value added products, such as pearls and scallops. The increase in species extinction is a prominent societal issue. Furthermore, in order to maintain a stable quality of farmed fishery, water temperature should be measured daily and farming methods altered according to seasonal stresses. In this paper, we propose an algorithm to estimate seawater temperature in marine aquaculture by combining seawater temperature data and actual weather data.

This study aims to evaluate the potential of machine learning algorithms (Random Forest and Support Vector Machine) in predicting the open porosity of a general-use industrial mortar applied to different substrates based on the characteristics of both the mortar and substrates. For this purpose, an experimental database comprising 1592 samples of industrial mortar applied to five different substrates (hollowed ceramic brick, solid ceramic brick, concrete block, concrete slab, and lightweight concrete block) was generated by an experimental program. The samples were characterized by bulk density, open porosity, capillary water absorption coefficient, drying index, and compressive strength. This database was then used to train and test the machine learning algorithms to predict the open porosity of the mortar. The results indicate that it is possible to predict the open porosity of the mortar with good prediction accuracy and that both Random Forest (RF) and Support Vector Machine (SVM) algorithms (RF =0.880; SVM = 0.896) are suitable for this task. Regarding the main characteristics that influence the open porosity of the mortar, bulk density and the open porosity of the substrate are significant factors. Furthermore, the study employs a straightforward methodology with a machine learning no-code platform, enhancing the replicability of its findings for future research and practical implementations.

Given the high number of caregivers in Canada and the association between caregiving and financial and economic burden, this study investigates federal caregiver supports. Using annual tax data from Statistics Canada’s Longitudinal Administrative Databank (LAD), the paper employs descriptive statistics to calculate the uptake of these credits between 1998 and 2015 by socio-demographic subgroups of the sample tax filer population. It assesses if the rates of uptake match the profile of caregivers in Canada. On average, married, working-age, immigrant, 99th percentile earning males in large urban areas have the highest rates. We propose that caregiver-related tax policy would benefit from a campaign of better awareness among persons who are providing care to a family member or friend. In particular, those of lower socio-economic status would benefit from such a campaign given that credits are being claimed mostly by higher income tax filers.

Background: In recent years, computational aesthetics and neuroaesthetics have provided novel insights into understanding beauty. Building upon the findings of traditional aesthetics, this study aims to combine these two research methods to explore an interdisciplinary approach to studying aesthetics; Method: Abstract artworks were used as experimental materials. Based on traditional aesthetics and in combination, features of composition, tone, and texture were selected. Computational aesthetic methods were then employed to correspond these features to physical quantities: blank space, gray histogram, GLCM, LBP, and Gabor filters. An EEG experiment was carried out, in which participants conducted aesthetic evaluations of the experimental materials in different contexts (genuine, fake), and their EEG data was recorded to analyze the impact of various feature classes in the aesthetic evaluation process. Finally, a SVM was utilized to model the feature data, EEG data, context data, and subjective aesthetic evaluation data; Result: Behavioral data revealed that higher aesthetic ratings in the genuine context. EEG data indicated that genuine contexts elicited more negative deflections in the prefrontal lobes between 200-1000ms. Class II compositions demonstrated more positive deflections in the parietal lobes at 50-120ms, while Class I tones evoked more positive amplitudes in the occipital lobes at 200-300ms. Gabor features showed significant variations in the parieto-occipital area at an early stage. Class II LBP elicited a prefrontal negative wave with a larger amplitude. The results of the SVM models indicated that the model incorporating aesthetic subject and context data (ACC=0.76866) outperforms the model using only parameters of the aesthetic object (ACC=0.68657); Conclusion: A positive context tends to provide participants with a more positive aesthetic experience, but abstract artworks may not respond to this positivity. During aesthetic evaluation, the ERP data activated by different features show a trend from global to local. The SVM model based on multimodal data fusion effectively predicts aesthetics, further demonstrating the feasibility of the combined research approach of computational aesthetics and neuroaesthetics.

AI tools provide individualized learning experiences tailored to specific language learners' requirements. Artificial intelligence-driven programs can customize lessons, exercises, and feedback by evaluating a learner's progress and determining strengths and shortcomings. This individualized method aids students in concentrating on their areas of weakness, thus improving their total language competency. This narrative literature review aims to gather relevant literature discussing AI tools as supplementary support in aiding a learner's language acquisition. Relevant studies stated that there are a lot of chances to improve learning outcomes when AI tools are used in language acquisition. Teachers who want to give their students more resources and help should consider including these tools in their lessons. To preserve the interpersonal and cultural components of language learning, it is imperative to strike a balance between the application of AI and conventional teaching techniques. AI tools are always accessible, providing assistance to learners whenever needed. This is especially helpful for individuals with unpredictable schedules or restricted access to conventional language learning materials.

This study aimed to elucidate the perception gap regarding instructional matters between special education teachers and vocational rehabilitation practitioners involved in transition support in Japan. To this end, 126 vocational support providers affiliated with the Employment and Life Support Centers for persons with disabilities, which are vocational rehabilitation institutions in Japan, and 129 special education teachers from schools for students with intellectual disabilities in Prefecture X, Japan, were surveyed. They were asked to respond on the importance of teaching skills that constitute vocational readiness by means of a questionnaire comprising 25 items across five layers: vocational aptitude, basic work habits, interpersonal skills, daily living management, and health management, both during school and after graduation. The results revealed a perception gap in each of the first layer, vocational aptitude, and second layer, work habits. Additionally, only in the second layer, work habits, did special education teachers recognize the importance of instruction more during the school period than after graduation. Moving forward, it is necessary for both institutions involved in transition support to collaborate, focusing on students with disabilities based on the identified gap.

Purpose: This study aims to investigate the role of blockchain technology in enhancing supply chain transparency in Italy.Design/Methodology/Approach: A quantitative research approach was employed, with data collected through a structured questionnaire distributed to 240 companies across various industries in Italy. The questionnaire focused on assessing blockchain adoption rates, interoperability standards, stakeholder collaboration, regulatory support, cost considerations, and perceived impacts on supply chain transparency.Findings: The findings reveal high levels of blockchain adoption among surveyed companies, with strong positive correlations observed between blockchain adoption and interoperability standards, stakeholder collaboration, and regulatory support. However, challenges such as cost considerations and potential trade-offs between interoperability and transparency were also identified. Overall, blockchain technology shows promise in improving supply chain transparency in Italy.Research Limitations/Implications: This study is limited by its focus on a specific geographical context (Italy) and the use of self-reported data. Future research could explore the dynamics of blockchain adoption in other regions and employ objective measures to assess supply chain transparency.Practical Implications: The findings offer practical insights for businesses and policymakers aiming to leverage blockchain technology to enhance supply chain transparency and efficiency.Social Implications: Blockchain adoption has the potential to foster greater trust and accountability within supply chains, benefiting various stakeholders including consumers, producers, and regulators.Originality/Value: This study contributes to the growing body of literature on blockchain technology in supply chain management, particularly within the Italian context, by providing empirical evidence on its adoption and impact on transparency.Limitations: Despite the robust methodology employed, limitations include the reliance on self-reported data and the exclusion of qualitative insights.

Abstract This study delved into the application of various machine learning (ML) models for the classification of lung cancer levels. Through meticulous monitoring of parameters such as minimum child weight and learning rate, efforts were made to mitigate overfitting while optimizing model performance. The Deep Neural Network (DNN) emerged as a standout performer, showcasing robust performance across training, validation, and testing stages. Ensemble methods like voting and bagging also demonstrated promising results. However, Support Vector Machine (SVM) models with the Sigmoid kernel faced challenges in achieving satisfactory performance. Overall, the investigation sheds light on the efficacy of different ML models in lung cancer level classification and underscores the importance of parameter tuning to address overfitting concerns.

The research fills the policy research gap for the women entrepreneurship and sustainability performance for examining key successful factors. Previous women entrepreneurship research fails to offer policy recommendations. The research purpose is to investigate these factors affect women entrepreneurship capabilities and sustainability performance by using SEM analysis and making policy recommendation. This research employs online and mail survey and obtains 175 women entrepreneur sample. The study finds that family support and motivation have positive effect on women entrepreneurship capabilities and sustainability performance. Barriers have no effect on performance. Hopefully, the research can provide the guidance to contribute to women’s entrepreneurship opportunities for achieving SDGs. Policy recommendation and managerial implication are discussed in the article.

Objective: Diabetes disproportionately affects African Americans leading to higher morbidity and mortality. This study explores the experiences of African Americans adults who successfully self-manage their type 2 diabetes (called Peer Ambassadors) and provided phone-based peer support in a 6-month culturally tailored diabetes self-management program for African Americans guided by the Information-Motivation-Behavioral skills model. Design: A group discussion using a semi-structured discussion guide was conducted. Qualitative content analysis was used to identify the facilitators and barriers to completing the role of a Peer Ambassador, and to develop strategies for overcoming possible challenges in the future. Setting: Key informant discussions were conducted in a community location to gain insights into Ambassadors’ motivations and challenges in delivering peer support. Participants: Three Peer Ambassadors completed ethics training, peer mentor training and received a phone call guide before providing support to their peers. Results: There were four core themes related to Peer Ambassador experiences: (1) Motivation to be a Peer Ambassador, (2) Program elements that supported Peer Ambassador role, (3) Key elements of achieving engagement, and (4) Challenges related to being a Peer Ambassador. Conclusions: This study showed Peer Ambassadors in a culturally tailored peer-supported self-management program found fulfillment in sharing experiences and supporting peers. They highly valued educational group sessions for knowledge updates and sustaining their health-related goals, suggesting the potential benefits of recognizing milestones or providing advanced training for future program sustainability. Findings suggest the importance of recruiting motivated patients and providing effective facilitation for peer support roles, including addressing barriers such as time commitment and lack of socialization opportunities.

In this project the EEG – electroencephalogram - channel(s) will be characterized to diagnose PTSD – Post-traumatic stress disorder – cases. For this aim, we applied boosting methods including a combination of K-mean and Support Vector Machine (SVM) models to find the feature weights to detect the PTSD cases. We classified 32 channels of 12 subjects including 6 PTSD and 6 healthy controls using a 6-mean classifier. The linear SVM found the weights of distinguished channels within each subject for each cluster. It was found that the significant SVM weights of F4, F8, and Pz are smaller in PTSD than in healthy subjects. This new method can be used as a tool to better understand the interaction of EEG signals and diagnosis.

The complex and interconnected challenges of climate change, water stress, disasters, and health crises have far-reaching implications for sustainable development and global sustainability agendas, such as the Sustainable Development Goals (SDGs). However, one critical issue that has been overlooked is the nexus between climate change impacts and mental health (CCMH). Recognizing and addressing the negative emotions associated with this global phenomenon is essential to fostering a holistic approach to climate action planning and building long-term resilience. In this assessment, we present a set of narratives to argue that CCMH research requires a collaborative, transdisciplinary approach that integrates socio-economic and socio-cultural complexities. For this assessment, we used a case study approach to elucidate that the mental health impacts of climate change are unequally distributed, disproportionately affecting vulnerable groups based on age, gender, race, and socioeconomic status. The assessment presented in this study concluded that adequate mental health support programs are limited due to sociocultural stigmas and limited socioeconomic resources in some regions. Existing climate-related mental health services mechanisms lack coordination and specific action plans, leaving affected populations underserved. Unlike traditional understandings of the climate-health nexus, this research calls for experts from multiple fields to work together and for enhanced attention to and investment in CCMH research to bridge the gap between scientific knowledge and practical solutions. Such solutions will lead to scalable and lasting change as communities can implement research findings to support those in need and enhance disaster resilience. Furthermore, by collectively recognizing the climate and mental health nexus, global commitments such as the SDGs and the Paris Declaration can advance awareness and action in climate-related mental health, ultimately promoting a healthier relationship between humanity and nature.

Pregnant women have been considered a high-risk group for SARS-CoV-2 infection; the impact of the disease on the health of a mother and her child is still being studied. The emotional impact of the pandemic on pregnant women has been extensively studied. Emotional distress is proposed as a perspective to explain the emotional manifestations of women during this stage as something common rather than pathological. The objective of this study was to know the emotional experience of women who tested positive for SARS-CoV-2 towards the end of their pregnancy, during the first and second waves of COVID in Mexico. A qualitative study was carried out: 18 pregnant women with COVID were interviewed. A thematic analysis of the data was performed, resulting in three main themes and 14 subthemes. The COVID-infected mothers-to-be experienced mild to moderate emotional distress. It was more intense for those with comorbidities. This distress was aggravated during obstetrical complications and comorbidities, as well as during COVID and postpartum. The emotional distress was appeased by both the perception of medical care and social support. The emotional distress of pregnant women with COVID requires emotional accompaniment to reduce its impact.

Increasing the loading density of nanoparticles on carbon support is essential for making Pt-alloy/C catalysts practical in H2-air fuel cells. The challenge lies in increasing the load-ing while suppressing the sintering of Pt-alloy nanoparticles. This work presents a 40% Pt-weighted sub-3 nm PtCo/C alloy catalysts via a simple incipient wetness impregnation method. By carefully optimizing the synthetic conditions such as Pt/Co ratios, calcination temperature and time, the size of supported PtCo alloy nanoparticles is successfully con-trolled below 3 nm, and a high electrochemical surface area achieves of 94 m2/g is achieved, which is 2.8 times of commercial PtCo/C-TKK catalysts. Demonstrated by elec-trochemical oxygen reduction reaction, PtCo/C alloy catalysts present an enhanced mass activity of 0.45 A/mg at 0.9 V vs. RHE, which is 1.7 times that of PtCo/C-TKK catalyst. Therefore, the developed PtCo/C alloy catalyst can potentially be a highly practical cata-lyst for H2-air fuel cells.

Prosocial behavior is vital for positive social development among adolescents, contributing to improved peer relationships, emotional well-being, and social competence. Gratitude, a positive emotion arising from recognizing and appreciating benefits received from others, has been identified as a potential contributor to adolescent prosocial behavior. This study aimed to investigate the mediating roles of social support and basic psychological needs in the relationship between gratitude and prosocial behavior among adolescents. A total of 390 middle school students participated in a longitudinal study, completing questionnaires assessing gratitude, social support, basic psychological needs, and prosocial behavior at two time points with a six-month interval. The results indicated that gratitude positively correlated with social support, basic psychological needs, and prosocial behavior. Structural equation modeling revealed that social support and basic psychological needs partially mediated the relationship between gratitude and adolescent prosocial behavior. Moreover, a chain-like mediation effect was observed, wherein social support influenced basic psychological needs, which in turn predicted prosocial behavior. These findings emphasize the importance of gratitude in fostering prosocial behavior among adolescents and highlight the mediating roles of social support and basic psychological needs in this relationship.

Background: The diagnosis of phenylketonuria (PKU) in an infant is a devastating and overwhelming event for their parents. Providing appropriate information and support is paramount, especially at the beginning of a child’s life. Investigating if parents are receiving the right support is important for their continued care. Methodology: An online survey was distributed to explore parents’ perceptions of current support and information provided by their healthcare provider and to rate sources of other support (n=169 participants). Results: Dietitians received the highest (85%) rate of “very helpful” support. Overall, parents found Facebook to be helpful for support, but had mixed reactions when asked if healthcare professionals (HCPs) should provide advice as part of the groups. When rating the most effective learning methods, the top three were: 1:1 sessions (n=109, 70%), picture books (n=73, 50%) and written handouts (n=70, 46%). Conclusion: Most parents were happy with the support and information they received from their dietitian, but required more support from other HCPs. Facebook groups provide parents with the social support that HCPs and their family may be unable to offer, suggesting a place for social media in future PKU care.

Background Globally the average age of the worlds’ population of older persons continues to upsurge and social support becomes increasingly relevant. Overall, in Malaysia, social support and networking prevalence was found to be lower among older persons at 30.76%. In view of the scarce data on social support and its association with smoking status and its associated factors among the older Malaysian population this study was conducted. Methods Data from the National Health and Morbidity (NHMS) 2018 survey on health of older Malaysian adults was analyzed. This was a cross sectional population-based study using a two-stage stratified random sampling design. Elderly population aged 60 years and above was selected. Data were collected were sociodemographic characteristics, smoking status, and social support. A validated Malay language, interviewer-administered questionnaire of 11-item Duke Social Support Index was applied for assessing social support among the elderly. A complex sampling design analysis was used for the descriptive statistics. The associated risk factors for social support were identified using Multiple Logistic Regression analysis. Results A total of 3923 elderly respondents participated in the study. The prevalence of good social support was significantly higher among the 60-69 years old respondents compared to the > 80 years old (73.1%, 95% CI :69.3% -76.5% vs 50.1 %, 95% CI:41.7 %- 58.6%).Multivariate logistic regression analysis showed that the odds of poor social support were 1.7 times (aOR: 1.72 % ,95%CI: 1.19 -2.48) higher for the respondents aged > 80 years old, than those aged 60-69 years. Respondents with no formal education were 1.93 higher odds of poor social support than the respondents with tertiary education (aOR: 1.93%, 95%CI: 1.13,3.30). Respondents with income < RM 1000 were 1.94 times more likely to have poor social support compared to respondents with income > RM 3000 (aOR: 1.94, 95% CI : 1.21 -3.13). Former smokers have good social support compared to current smokers (73.6% ,95% CI: 67.7-78.7 vs 65.1 %, 95%CI:58.4 -71.2). For current smokers, the odds of poor social support were 42.0% higher than for non-smokers (aOR: 1.42, 95% CI: 1.05 -1.91. Conclusion There is poor social support among the older persons who are current smokers, advancing age, no formal education and low income However, further longitudinal studies are needed to determine the exact effects of the studied variables. These findings could assist the policymakers to develop strategies at the national level to enhance social support among the older smokers to ensure cessation of smoking.

Children under two years old are at risk for anemia because young children have an increased need for iron for their physical growth and brain development. The purpose of this study was designed to evaluate the effects of a caregiver potential support program on anemia prevention in children six months to two years old attending the subdistrict health-promoting hospital in Thasala District, Nakhon Si Thammarat Province. This study was quasi-experimental. The sample included children aged six months to two years old and their caregivers, who were selected by random sampling and allocated to either the experimental or control group, with 40 pairs per group. The experimental group received a potential support program, while the control group received regular care. Both groups were followed for 12 weeks. The instruments used were the potential caregiver assessment, children’s anemia assessment, and a program to support the potential of primary caregivers. Descriptive statistics, chi-square, and t-tests were used to analyze the data. The results revealed that 11.4% of the children had anemia, and a hematocrit count of less than 33% (range = 30-40, M = 34.89, SD = 1.97). The mean scores of knowledge about anemia and iron supplementation after using the program in the experimental group and control group were significantly different (p < 0.001). The mean scores of knowledge about anemia in the experimental and control group were 15.75, SD = 0.54, and 13.28, SD = 1.43 respectively. The mean scores of knowledge about iron supplementation in the experimental and control group were 10.75, SD = 0.49, and 8.15, SD = 1.54 respectively. It was found that the experimental group had a higher mean score on food care behaviors than the control group for 6-11 months and 1-2 years, with statistical significance. The experimental group also had a higher mean score of care behaviors concerning children’s consumption of medicine than the control group (M = 58.20, SD = 4.05; M = 45.78, SD = 9.66, respectively), (p < 0.001). The mean score of the hematocrit level for the experimental group was found to be higher than the control group after receiving the program (M = 35.80, SD = 1.55; M = 34.83, SD = 2.14, respectively), (p < 0.05). Therefore, healthcare providers should support caregivers' capacity to provide continued care for children to prevent anemia.

Intracranial hemorrhage is a serious medical problem that requires rapid and often intensive medical care. Identifying the location and type of any hemorrhage present is a critical step in the treatment of the patient. Diagnosis requires an urgent procedure, and the detection of hemorrhage is a difficult and time-consuming process for human experts. In this paper, we propose methods based on EfficientDet’s deep-learning technology that can be applied to the diagnosis of hemorrhages and thus become a decision-support system. Our proposal is two-fold. On the one hand, the proposed technique classifies slices of computed tomography scans for the presence hemorrhage or its lack, achieving 92.7% accuracy and 0.978 ROC-AUC. On the other hand, our methodology provides visual explanations of the classification chosen using the Grad-CAM methodology.

Catalyst with high catalytic activity and good stability are desirable in the electrocatalytic oxidation of glucose. Herein, Pt concave nanocubes with high-index facets (HIFs) supported by carbon black (Pt CNC/CB) are prepared through a hydrothermal method. The experimental results demonstrate that the peak current densities in different potential regions on the Pt CNC/CB anode are 0.22, 0.20, and 0.60 mA cm−2, respectively. The glucose oxidation reaction shows superior performances in basic and neutral conditions than in acid conditions. Better stability is achieved by Pt CNC/CB than Pt concave nanocubes (Pt CNCs). Abundant surface defects with low-coordinated atom numbers, such as the steps, kinks, and edges, are served as active sites in the electrocatalytic oxidation of glucose. With the addition of carbon black, the catalytic activity can be improved by facilitating the full exposure of the active surface defects on the HIFs of Pt CNCs. Moreover, to address the aggregation of Pt CNCs, caused by the high surface energy of HIFs, the introduction of carbon material is an effective way to preserve the HIFs, and thus enhance the stability of the catalyst. Hence, the prepared Pt CNC/CB electrocatalyst has great potential to be applied in the electrooxidation of glucose.

Background: Some developing countries, such as China, population is aging rapidly, meanwhile, the average years of schooling for residents is constantly increasing. However, the question of whether adult children’s education has an effect on the longevity of older parents, remains inadequately studied. Methods: This paper uses China Health and Retirement Longitudinal Survey (CHARLS) data to estimate the causal impact of adult children's education on their parents' longevity. Identification is achieved by using the truncated regression model and using historical education data as instrument variables for adult children’s education. Results: For every unit increase in adult children’s education, the father’s and mother’s longevity increased by 0.89 years and 0.75 years, respectively. Mechanism analysis shows that adult children's education has a significant positive impact on parents' emotional support, financial support and self-reported health. Further evidence shows that for every unit increase in adult children’s education, the father-in-law’s and mother-in-law’s longevity increased by 0.40 years and 0.46 years, respectively. Conclusions: It is conclusion that improving the level of adult children’s education can increase parents’ and parents-in-law’s longevity. Adult children’s education might contribute to the longevity of older parents by three channels that providing emotional, economic support and affecting parents’ health.

The introduction of social commerce ushered in a new era in business-consumer interaction. As a result, more power has passed from the vendor to the buyer, primarily fueling e-commerce acceptance. As a result, understanding consumer behaviour in the context of social commerce adoption has become essential for businesses looking to persuade customers by using the power of social ties and support.Furthermore, such social ties will facilitate trust as the most promising benefit while reducing perceived risk, which has always been a critical problem with online commerce. This study proposes a paradigm for understanding the impact of social commerce on the stages of the consumer decision-making process: need recognition, information search, alternative evaluation, purchase decision, and post-purchase behaviour, with a focus on social support. In this respect, relevant literature in the subject of social commerce either (1) lacks an adequate explanatory model, (2) has a solid theoretical base, or (3) contains practically complex theories with insufficient empirical data. The research model applies the Social Commerce Constructs (SCC): recommendations and referrals, forums and communities, and ratings and reviews to study the respective influence on the consumer decision-making process phases. This paper aims to understand the influence of social commerce on an integrative model that incorporates all customer choice phases while expecting new knowledge. Furthermore, it is advised that this conceptual model be empirically verified to evaluate the practical consequences.

During operation, the support bracket is the main part to withstand the axial loads of the pumped storage unit. Moreover, the effects of axial loads including the hydraulic thrust of runner flow and the weight of runner body may cause the support bracket deformation and fatigue damage. For the safe and stable operation, the simulation of the axial force and the structural analysis of the support bracket of a pumped storage unit was carried out in this paper. The CFD simulation result has revealed the variation rule of the axial force in different operating conditions. Using ANSYS Mechanical, the static stresses and deformation of support bracket with axial loads were calculated. The results release the location and variations of maximum stress and maximum deformation caused by the axial loads. By comparing the predicted maximum axial force with the admission force calculated by the structural analysis, it is found that the axial force of the researched machine is within the safe range. This study provides the reference for the safety and stable operation of the pumped storage unit.

Possible alterations of maternal immune function due to psychological stress may reflect immunoactive factor levels in breast milk. This study aimed to assess the association between maternal distress and breast milk levels of secretory IgA (SIgA), IgM, IgG, and lactoferrin (LF). We hypothesized this association is moderated by maternal social support achieved from others during lactation. The study group included 103 lactating mothers and their healthy 5-months-old infants. Maternal distress was determined based on the State Anxiety Inventory and the level of salivary cortisol. Social support was assessed using Berlin Social Support Scales. Breast milk samples were collected to test for SIgA, IgM, IgG, and LF using the ELISA method. Milk immunoactive factors were regressed against maternal anxiety, social support, salivary cortisol, and infant gestational age using the general regression model. Maternal anxiety was negatively associated with milk levels of LF (β=-0.22, p<0.05) and SIgA (β=-0.29, p<0.01), while social support was positively associated with milk IgG (β=0.25, p<0.05). Neither anxiety nor social support was related to milk IgM. No association was found between the level of maternal salivary cortisol and immunoactive factors in milk. Our results suggest that maternal psychological well-being and social support may affect milk immune properties.

Background: Breast cancer is the second type of cancer diagnosed in women and is the first cancer in women worldwide. Breast cancer also causes high morbidity and mortality in women and becomes a heavy burden due to the incidence of disability due to the disease. Purpose: This literature review aims to examine how social support affects anxiety, depression and quality of life in breast cancer sufferers. Method: The data were obtained by searching for reputable and trustworthy journals. have high quality criteria, namely Scopus, Proquest, Science Direct, Elsevier, Pubmed. Journals or articles used in this review literature are searched using keywords and Boolean operators (AND, OR NOT, or AND NOT). Keywords in this review literature are as follows: social support OR family support, quality of life OR Quality, anxiety OR depression, AND Cancer OR cancer treatment OR Chronic disease. Results: The results of this literature review show that there is a significant influence between the social support received by breast cancer patients on the improvement of their quality of life. The social support provided is also able to reduce anxiety and depression in breast cancer sufferersConclusion: Social support given to breast cancer patients is proven to have an effect on improving the quality of life, reducing anxiety and depression.

The color and NIR spectrum are key to build an oil estimation model, thus it requires individual olives clustering before the Sohlext oil extraction method can be applied. The objective was to analyze an OC estimation model of individual olives, based on cluster of similar color and NIR spectrum in different combination of the first and/or the second season. This study was performed with Chilean Arbequina olives in 2016 and 2017. The descriptor of the cluster consisted of the 3 color channels of c1, c2, c3 color model plus 11 reflectance points between 1710 and 1735 nm of each olive, normalized with the Z-score index. Clusters of similar color and NIR spectrum were formed with the k-means++ algorithm, leaving a sufficient amount of olives to be able to perform the Sohlext analysis of OC, as reference value. The estimation models were based on the Support Vector Machine. The test was carried out with the Leave One-Out Cross Validation in different training-testing combinations. The best model predicted the OC with 6% and 13%deviation respect to the real value in one season by itself and when one season tested with another season, respectively. The use of clustering in estimation model is discussed.

(1) To analyse the potential association between school social support CECSCE and school social climate CASSS and experiences of dating violence among adolescents in Europe; (2) Cross-sectional design. We recruited 1,555 participants age 13-16 from secondary schools in Spain, Italy, Romania, Portugal, Poland and UK. The analysis in this text concerns student with dating experience (n=993) (57.2% of girls and 66.5% of boys). The association of the exposure to physical and/ or sexual dating violence, control dating violence and fear was measured by calculating the prevalence ratios (PR) and their 95% confidence intervals (CI), estimated by Poisson regression models with robust variance. All the models were adjusted by country and by sociodemografic variables; (3) The results show that the average values of all types of social support are significantly lower in young people who have suffered any type of dating violence or were scared of their partner. The likelihood of suffering physical and/or sexual dating violence decreased when CECSCE increased [PR (CI95%): 0.96 (0.92; 0.99)]. In the same way, the likelihood of fear decreased when CASSS classmates increased [PR (CI95%): 0.98 (0.96; 0.99)]; (4) There is an association between school social support and school social climate and experiences of dating violence among adolescents in Europe. Our results suggest that in the prevention of dating violence, building a supportive climate at schools and building / using the support of peers and teachers should be important.

Neuromuscular disorders cause progressive muscular weakness, which limits upper extremity mobility and performance during activities of daily life. A dynamic arm support can improve mobility and quality of life. However, their use is often discontinued over time for unclear reasons. This study aimed to evaluate whether users of dynamic arm supports demonstrate and perceive quantifiable mobility benefits over a period of two months. Nine users of dynamic arm supports were included in this observational study. They had different neuromuscular disorders and collectively used four different arm supports. They were observed for three consecutive weeks during which they were equipped with a multi-sensor network of accelerometers to assess the actual use of the arm support and they were asked to provide self-reports on the perceived benefits of the devices. Benefits were experienced mainly during anti-gravity activities and the measured use did not change over time. The self-reports provided contextual information in domains such as participation to social life, in addition to the sensor system. However self-reports overestimated the actual use by up to three-fold compared to the accelerometer measures. A combination of objective and subjective methods is recommended for meaningful and quantifiable mobility benefits during activities of daily life.

This current research follows up on Greenleaf’s oft-quoted best test of servant leadership that calls for employees to be better off financially, emotionally, physically, psychologically, etc. because of the time spent with the servant leader. While oft-quoted, little empirical work exists to see if this is true. In this study, 170 participants provided their perception of their supervisors’ level of servant leadership, their perception of the organization’s support, and their self-report of their general well-being. Gender and age bracket information described the participants, and there were no significant differences between gender or age brackets for participants’ perception of their supervisors’ servant leadership. The analysis showed that there was a moderate positive correlation between servant leadership, perceived organizational support, and general well-being. A modification of an existing general well-being instrument provided a new eight-item general well-being scale with a Cronbach’s alpha of 0.956.

Machine learning (ML) methodologies have been looked upon recently as a potential candidate for mitigating nonlinearity issues in optical communications. In this paper, we experimentally demonstrate a 40-Gb/s 256-quadrature amplitude modulation (QAM) signal-based Radio over Fiber (RoF) system for 50 km of standard single mode fiber length which utilizes support vector machine (SVM) decision method to indicate an effective nonlinearity mitigation. The influence of different impairments in the system is evaluated that includes the influences of Mach-Zehnder Modulator nonlinearities, in-phase and quadrature phase skew of the modulator. By utilizing SVM, the results demonstrated in terms of bit error rate and eye linearity suggest that impairments are significantly reduced and licit input signal power span of 5dBs is enlarged to 15 dBs.

Small business sector around the world is regarded as a catalyst of employment for the largest number of people. To reduce massive unemployment and inequality in the country, the Government of South Africa introduced various initiatives to stimulate and support small businesses, the Expanded Public Works Programme (EPWP) is one of such initiatives. The enterprise development approach, is one of the delivery mechanisms of the EPWP, which seeks to transfer income to poor households in the short to medium-term. This study critically assess the impact and effectiveness of training and support interventions provided to small businesses through the EPWP. The study employs a quantitative research method and due to the size, availability and ease of access to the participants, the entire population of twenty (20) small businesses supported by the EPWP in Pretoria Region was sampled. A questionnaire-based survey was conducted. The study demonstrates that the training intervention provided through the EPWP is making positive impact and achieving its intended goals of enhancing business management skills to participants. It also reveals an interesting outcome that the majority of the participants are women. The study also identified some weaknesses in the programme which leads to the recommendation that long-term support mechanisms are essential to ensure sustainability of emerging enterprises.

Manufacturing organizations shall recognize sustainability as a business occasion to capitalize on, rather than an undesirable pressing situation. Still, empirical evidence shows that this opportunity is hard to capture and communicate in global strategic decisions, through planning by tactical management, to daily operational activities. This paper systematically reviews the modeling challenges at the crossroad of value and sustainability decisions making, spotlighting methods and tools proposed in literature to link sustainability to customer value creation at strategic, tactical and operational level. While statistical results show that the topic of sustainability and value modeling is trending in literature, findings from content analysis reveal that recent attempts to promote a value-based view in the sustainability discussion remain at a strategic level, with most of the proposed indicators being suited for managerial decision-making. The lack of support at operational level points to the opportunity of cross-pollinating sustainability research with value-centered methodologies originating from the aerospace sector. The Value Driven Design framework is proposed as main hub from which to derive models supporting engineers and technology developers in the identification of win-win-win situations, where sustainable improvements are aligned with business advantages.