Fulfillment Of Expectations Research Articles

The Influence of Previous Joint Arthroplasty on Fulfillment of Patients' Expectations of Subsequent Lumbar Surgery

Introduction: Hip, knee, and lumbar spine surgeries are prevalent with arthroplasty often preceding lumbar surgery. The objective of this analysis was to ascertain whether previous arthroplasty was associated with patients' postlumbar surgery fulfillment of expectations. Methods: Identical systematically acquired data were pooled from 3 prospective studies that included assessments of preoperative expectations of lumbar surgery and 2-year postoperative assessment of fulfillment of expectations using a valid survey with points assigned for amount of improvement expected for symptoms and function. The proportion of expectations fulfilled was defined as total points for improvement received postoperatively divided by total points for improvement expected preoperatively (range 0 [no expectations fulfilled] to >1 [expectations surpassed]). Enrollment data included the expectations survey, demographic/clinical characteristics, Oswestry Disability Index (ODI) scores, and previous hip/knee arthroplasty. Postoperative data included follow-up expectations survey, ODI scores, and any spine complications. The proportion was the dependent variable in multivariable linear regression with demographic/clinical independent variables. Results: 1137 patients were included (mean age 59 years, 51% male); 993 (87%) did not have previous arthroplasty, and 144 (13%) had arthroplasty (51 hip only, 77 knee only, 16 both hip/knee). Patients with any arthroplasty had similarly high expectations compared with patients with no arthroplasty but lower proportion of expectations fulfilled (0.69 versus 0.76, P = 0.03). In multivariable analysis, variables associated with a lower proportion of expectations fulfilled were greater preoperative expectations (P < 0.0001), not working (P < 0.0001), positive depression screen (P = 0.0002), previous lumbar surgery (P < 0.0001), previous arthroplasty (P = 0.03), surgery on ≥3 vertebrae (P = 0.007), less preoperative-to-postoperative ODI improvement (P < 0.0001), and postoperative complications (P < 0.0001). Conclusions: After accounting for a spectrum of highly associated covariates, patients with previous arthroplasty still had less fulfillment of expectations of subsequent lumbar surgery. For patients with previous arthroplasty, surgeons should discuss potential differences between arthroplasty and lumbar surgery during preoperative evaluations and during shared postoperative assessments of the outcome.

Investigation of Expectations and Satisfaction After Sinus Surgery for Chronic Rhinosinusitis.

To perform the first mixed-methods analysis of patient expectations and satisfaction after endoscopic sinus surgery (ESS). Semi-structured interviews of subjects undergoing ESS were performed to understand pre-operative expectations and 6-month post-operative satisfaction. Descriptive statistics, logistic regression, and mediation analyses were performed. Quantitative questions were followed by qualitative probes for subjects to expand on quantitative answers. Study sample size was determined by thematic saturation based on qualitative responses. Data visualization was used to triangulate quantitative and qualitative data wherein themes emerged. A total of 52 participants were included in the mixed-method analysis, and 110 were included in the mediation analysis. 56% of participants were male, with an average age of 55.7 (SD ± 2.18). Mean change in SNOT-22 was 20.8 (SD ± 3.74), and 25% of participants did not achieve a minimal clinically important difference (MCID). Of the participants who did not achieve MCID, 79% would still choose to have sinus surgery again. Qualitative interviews revealed multiple preliminary categories describing the patient experience with ESS. Regression analysis showed that the most important predictor of satisfaction was whether pre-operative expectations were met (OR = 3.8, p < 0.001). In mediation analysis, the effect of the clinical outcome on patient satisfaction was completely mediated by pre-operative expectations (indirect effect p = 0.009, direct effect p = 0.17). Patient expectations and satisfaction are important yet understudied measures in CRS and ESS. In ESS, satisfaction with outcome is driven by the fulfillment of pre-operative expectations. Aligning such expectations is the most important intervention a sinus surgeon can perform to maximize success. 4 Laryngoscope, 2024.

Tingkat Kepuasan Pasien terhadap Pelayanan Kefarmasian di Apotek Medika Usada

Patient satisfaction measures patients’ emotional responses towards pharmacists’ services. It is based on tangible aspects like the pharmacy’s appearance, reliability, responsiveness, assurance, and empathy. It is influenced by the fulfilment of patient expectations, the availability and completeness of medications, and the staff’s friendliness. This research uses descriptive research from 20 May to 4 June 2024. The satisfaction of prescription services is measured using a validated questionnaire. The sample used consists of 96 respondents who meet the inclusion criteria. The data obtained from the questionnaire results were then calculated to determine the percentage of patient satisfaction, which can subsequently be categorized as satisfied or dissatisfied based on the established percentages. The result indicates that patient satisfaction based on reliability is 74.21%, categorized as satisfied. Responsiveness is 74.58%, and it is categorized as satisfied. Assurance is 73.85%, categorized as satisfied. Empathy is 75.15%, categorized as satisfied, and Tangibles is 74.11%, categorized as satisfied. From the five dimensions, an average score of 74.38% was obtained, categorized as satisfied according to the percentage range of 61-80%, which indicates a satisfied rating. Based on the data analysis and discussion above regarding the patient satisfaction questionnaire related to pharmaceutical services at Medika Usada Pharmacy, it can be concluded that patients feel satisfied with the services provided.

Effect on the Antioxidant Properties of Native Chilean Endemic Honeys Treated with Ionizing Radiation to Remove American Foulbrood Spores.

In Chile, honey is produced from several native species with interesting biological properties. Accordingly, those attributes are present in Chilean honeys owing to the presence of phenolic compounds inherited from specific floral sources. In recent years, the exported volume of Chilean honeys has been increased, reaching new markets with demanding regulations directed toward the fulfilment of consumers' expectations. Accordingly, there are countries with special requirements referring to Paenibacillus larvae spore-free honeys. This microorganism is the pathogen responsible for American foulbrood disease in beehives; however, antibiotics are not allowed when an apiary tests positive for P. larvae. On the other hand, it is mandatory to have an accurate method to remove the potential presence of spores in bee products intended for export. Exposure to ionizing radiation can be an efficient way to achieve this goal. In this work, 54 honey samples harvested from northern, central and southern Chile were analyzed for physicochemical patterns, total phenols, antioxidant activity and antiradical activity. Honeys with and without spores were exposed to ionizing radiation at three levels of intensity. Afterwards, the presence of spores and the effect on phenol bioavailability, antiradical activity and antioxidant activity were measured again. This research presents results showing a positive correlation between the percentage of prevalence of native endemic species in the set of honeys analyzed and the capacity to resist this process, without altering their natural attributes determined before irradiation treatments.

Student satisfaction: Examining capacity development and environmental factors in higher education institutions

The success of universities is heavily dependent upon the efficient management of the learning environment. The students, who are the principal customers of these institutions, are the guarantors of their survival. In this context, students' satisfaction with their education experience is fundamental. To achieve success and maintain competitiveness, universities must identify the key aspects that are important to their students. In the literature, the importance of generic or transversal competence/capacity development in student satisfaction as a motivational factor, using Herzberg's theory has yet to be analysed. This study fills this gap by highlighting its importance. It represents an important advance in the investigation of the hygiene and motivational factors that affect student satisfaction and loyalty. The objective is to analyse the antecedents of the students' satisfaction, including the acquisition of competences, in a post-pandemic and energy-crisis scenario in which the teaching conditions must adapt to the environmental and human factors. The sample is comprised of 548 valid surveys taken from three Spanish public universities. SmartPLS software was used to analyse the results. Based on Herzberg's model, the results show that the acquisition of competences and capacity development, as a motivational factor, together with the teaching methods, the teaching staff involved, the course management and class facilities and infrastructure as hygiene factors are antecedent variables of student satisfaction. The fulfilment of students' expectations is also a predictor of student allegiance to the higher education institution where they study. All stated hypotheses are supported. It should be remembered that if the hygiene factors "work", the most you can hope for is not to let students down, not to lose them. In addition, for them to behave as prescribers and to have a full experience that is subsequently recommended, it is necessary to pay attention to motivational factors.

Eco-Innovation Method for Sustainable Development of Energy-Producing Products Considering Quality and Life Cycle Assessment (QLCA)

The sustainability of products remains a challenge, mainly due to the lack of consistent approaches for simultaneously taking into account the key criteria of the concept in the process. This research aims to develop an eco-innovative QLCA method to create new product solutions that integrate quality (customer satisfaction) and environmental impact assessment throughout the product life cycle. The QLCA method includes: (i) product prototyping according to quality and environmental criteria; (ii) prospective assessment of the quality of prototypes, taking into account customer requirements; (iii) prospective life cycle assessment of product prototypes using a cradle-to-grave approach in accordance with ISO 14040; and (iv) setting the direction of product development while taking into account the fulfilment of customer expectations and the need to care for the environment throughout the product life cycle. Owing to the lack of previous research in this area, as well as the popularity of photovoltaic (PV) panels in reducing greenhouse gases, an illustration was obtained and test of the method was carried out on the example of silicon photovoltaic panel modules (Crystalline Si PV Module). In accordance with the adopted assumptions, the results of the QLCA method test showed that the modelled PV prototypes will, in most cases, be satisfactory for customers, but they still require improvement actions to reduce carbon dioxide (CO2) emissions throughout their life cycle. These activities should be consistent so as to achieve quality that satisfies customers. The QLCA method can be used by designers, managers, and decision-makers at the early stages of design, but also during the product maturity phase for its sustainable development.

Analisis Kepuasan Petani Terhadap Atribut Benih Kentang (G2) Industri di Kabupaten Garut

Satisfaction is a product that is preferred to fulfill its desires. Potatoes are horticultural crops that have high carbohydrate content, adaptive business segments, clear markets, non-perishability, longer shelf life, and high economic value. Farmer satisfaction in assessing various attributes of seed potatoes is assessed from the fulfillment of expectations or expectations that are met, good performance, and perceived benefits. The purpose of this study is to measure farmers' satisfaction with industrial seed potatoes in Garut Regency. This study used a quantitative method with a descriptive analysis approach involving 100 respondents using the Customer Satisfaction Index (CSI) and Importance Performance Analysis (IPA) analysis tools. The research was conducted in two districts in Garut Regency. The results of the study show that the level of satisfaction of potato farmers is at a satisfied level, where the attributes of industrial potato seeds included in Quadrant I are pest-free potato seeds and ease of obtaining them, seed morphology that has resistance to pests, seed production calculated from productivity and the number of tubers, market convenience, tuber selling prices, and services in assisting the production process. While the attributes of industrial potato seeds included in Quadrant II are price and quality assurance of distributed seeds. Then, located in Quadrant III are the purchase price of seeds and the timeliness of delivery. The need for both farmers and the government to intensify the use of certified superior potato seeds in order to produce potato production and productivity in accordance with market demand.

Sexual satisfaction of postmenopausal women: An integrative review.

A prerequisite for interventions for sexual satisfaction in postmenopausal women is a clear, objective measurement of the concept. Despite the large number of studies on the sexual satisfaction of postmenopausal women, there is no clear definition of sexual satisfaction in menopause. This study was conducted to investigate the concept of sexual satisfaction in postmenopausal women. The present study was carried out using an integrated review of data obtained from secondary sources, utilizing Whittemore and Knafl's method of bibliographic search. A literature search was performed without any data limitations in journals and international databases. The primary inclusion criterion was relevance to sexual satisfaction in postmenopausal women. The full texts of all these articles were evaluated using the checklists of the MMAT and PRISMA. Data were analyzed using MAXQDA 10 software using a constant comparison method. Meaning units were identified and coded. The codes were classified into subgroups and categories according to the characteristics, antecedents, and consequences of sexual satisfaction in postmenopausal women. During the integrative review of the 62 articles and three books, 580 codes about sexual satisfaction in menopause were extracted. The codes were grouped into three main attributes, five main antecedents, and three main consequences of sexual satisfaction in postmenopausal women. Four attributes, symptoms, or components were identified for the concept. These attributes were as follows: Change in sexual objective and subjective dimensions of sexual satisfaction after menopause, conditional sexual consent, change in behavior, and sexual function. These dimensions distinguish sexual satisfaction in menopause from other conditions. The concept of sexual satisfaction in menopause is a subjective (emotional interaction) and objective (physical interaction) experience that is conditioned by the fulfillment of expectations and the reconstruction of sexual relations while also being influenced by the change in sexual capacity during menopause.

Expectation of the Communication Mechanism and its Gap in Public Administration: Approaches to Communication between Local Government and Public

Background: The gap in public administration is exacerbated by ineffective communication, limiting accessibility, and hindering underrepresented groups. Conventional methods like press releases and meetings may not always effectively involve the public. Innovative participatory communication techniques can improve governance quality, strengthen constituent ties, and increase openness. This study examines local government communication methods with the public, revealing expectations for transparency, openness, and participation, identifying communication gaps, and exploring effective strategies for public-government communication. Methods: The study utilized a mixed-methods approach, involving 315 citizens, plus 6 staff, elected members, and local intellectuals in Ward No. 10 of Budhanilkantha municipality, using surveys and interviews. Results: While digital technology usage is moderate to high, fulfillment of public expectations for local government communication mechanisms was negative, with over 60% rating them negatively and 77.4% believing they were political. A majority of respondents (76.2%) received information from local governments or ward offices through social media, followed by man-to-man communication (54.6%) and mass media (52.7%). Ineffective communication can hinder citizen participation and challenge older adults and uneducated individuals. Key elements of successful communication include accuracy, efficiency, resourcefulness, immediate news flow, and technology use. Public recommendations include online feedback platforms, local government employees, and community outreach programs. Conclusion: The public expects open communication, digital tools, transparency, and freedom of politics. To foster trust and engage the public, frequent meetings, online discussions, local personnel recruiting, community outreach, trust development, and customized interaction are necessary. Novelty: The study could provide insights into a new approach to public-local government communication, emphasizing transparency, community concerns, and collaboration.

Study of The Factors That Influence Brand Loyalty Simpati Cards PT. Telkomsel Tbk

Customer loyalty is critical for success in today's saturated mobile telecommunications industry. However, maintaining allegiance remains challenging given technology advancements and intensifying competition. This study examines the determinants of loyalty towards Simpati, the prepaid brand of Indonesia's largest operator Telkomsel. A qualitative case study methodology was employed, comprising an extensive literature review on customer experience, satisfaction, trust, switching costs and their influence on brand loyalty in the mobile sector. Particular focus was placed on publications related to Telkomsel and its prepaid offerings. Customer data from secondary sources was also analyzed to identify patterns relating to the research objectives. The findings indicate that service quality is a key antecedent of customer experience and satisfaction. Superior fulfillment of expectations cultivates a positive brand image and drives attachment. Meanwhile, affective factors like emotional engagement and trust act as mediators reinforcing loyalty intentions over the long-term. Competitive pricing and targeted promotional campaigns also enhance perceived value. Additionally, high perceived switching costs curb defection propensity due to customers' sunk investments in the relationship.

A Study on the Impacts of ‘Youtube’ as an Earning Platform on the Motivation Factors of Generation Z in the Workplace

Motivation’ has been proposed as one of the significant and effective methods for handling employee related issues in an organization since the 18th century, when Industrial Revolution (IR) 1.0 transformed the livelihood of people. Human resource practitioners and scholars, through their past studies and research from different eras of time, have identified various factors that motivate the employees. As humans are complex, various motivation theories have been developed by the researchers to understand people’s motivation better from different perspectives including their needs. Studies have indicated that various employee-related issues including employee turnover, organizational commitment, employee retention have been resolved through implementing the recommended motivation factors. This whole scenario was effective enough for the prevailing generations including Baby boomers, Gen X and Gen Y, as in most of the cases, issues arise from either the employees or the management where there was a gap of expectation fulfillment between these two parties only. The key question is, apart from these two parties, how if an external environment factor (refers to social media – YouTube in this study), leave an impact on the motivation factors of employees, especially the Gen Z, who is the first generation stepped onto the globally connected world. The focus of this study is centered on exploring the impacts of ‘YouTube’ as an earning platform on the motivation factors of Gen Z in their workplace.

Entrepreneurship under patriarchy: the intersecting forces characterising everyday life for Nigeria’s women entrepreneurs

PurposeNigeria presents something of an entrepreneurial paradox. Women in entrepreneurship dominate the economy, yet patriarchal structures dominate society. This article investigates how patriarchal factors impact entrepreneurial processes, in turn, creating unequal expectations of entrepreneurial opportunity.Design/methodology/approachThe study adopts an intersectionality lens to explore how patriarchy is manifest for entrepreneurs. The reflective narratives of 30 entrepreneurs are analysed, provided through semi-structured interviews. An inductive qualitative approach accesses the gendered discourse of entrepreneurship as constructed by entrepreneurs. Within this discourse, the factors of patriarchy are exposed.FindingsFindings reveal a multi-faceted patriarchy, with the informing factors of entrepreneurial gender roles, class and religion. The study explains how the interaction of these factors reinforce patriarchal ideals and create a variety of gendered images of what is acceptable entrepreneurial activity in Nigeria, and for whom.Originality/valueThis study contributes to growing insight on entrepreneurship in Africa and challenges linear arguments of entrepreneurship-as-emancipation for women. In complex and multidimensional contexts, entrepreneurs must navigate the intersection of factors sensitively, ensuring acceptance and fulfilment of societal expectations. The power of intersectionality as a theory of contextualisation is discussed.

Defining minimal clinically important difference, patient acceptable symptomatic state and substantial clinical benefit for the visual analog scale pain score after arthroscopic rotator cuff repair

IntroductionPatient satisfaction after arthroscopic rotator cuff repair (RCR) is commonly assessed with patient-reported outcome measures (PROMs), and there is an increased need to establish clinical relevance within these measures. The purpose of this study was to (1) define minimal clinically important difference (MCID), patient acceptable symptomatic state (PASS), and substantial clinical benefit (SCB) for the visual analog scale (VAS) pain score in patients undergoing arthroscopic RCR, and (2) identify preoperative predictors of achieving each of these threshold values. MethodsData from consecutive patients who underwent primary arthroscopic rotator cuff repair study between 2010 and 2016 were prospectively collected. Baseline data and VAS pain scores were collected preoperatively and at 1 year and 2 years postoperatively. MCID, PASS and SCB were determined using an anchor-based approach, with anchor questions assessing postoperative satisfaction and expectation fulfillment. Multivariate logistic regression analysis was also used to identify preoperative predictors for achieving MCID, PASS, and SCB. ResultsA total of 286 patients were included in the final analysis, with an average age of 60.2 ​± ​10.4 and the majority being female (61.2%). The values for the VAS pain score identified to represent MCID, PASS, and SCB, respectively, at 1-year postoperatively were: 5, 2, and 1. The rates of achieving clinically significant improvement based on VAS were 60.5%, 63.3%, and 57.2%, respectively. A higher preoperative VAS was predictive for achieving MCID (odds ratio [OR], 1.84; P ​< ​0.01). ConclusionThis study identified threshold VAS pain scores of 5, 2, and 1 for achieving MCID, PASS, and SCB, respectively, at 1-year follow-up after arthroscopic rotator cuff repair. A higher preoperative VAS pain score was also identified as a statistically significant predictor of attaining MCID after arthroscopic rotator cuff repair. Level of EvidenceII.

ARE WE MEETING PATIENTS’ EXPECTATIONS FOLLOWING REVISION TOTAL HIP ARTHROPLASTY?

The number of revision total hip arthroplasties (THA) is increasing. This procedure is associated with a higher complication rate than primary THA, and so it is important for patients to have realistic expectations. The aim of this systematic review was to gather and summarise the available evidence on patients’ expectations following revision THA.A literature search was conducted in PubMed, PsycINFO, Cochrane, Google Scholar and Web of Science from inception to December 2021. Methodological quality was assessed by two independent reviewers using the National Heart, Lung and Blood Institute (NIH) study quality assessment tool for observational cohort and cross-sectional studies.The search strategy generated 3132 references of which 4 articles met the inclusion criteria. Methodological quality scores ranged from 7–10. Patients have high expectations concerning future walking ability, pain and implant longevity. Implant longevity expectations vary according to the longevity of the primary implant. A significant positive correlation was found between fulfilled expectations of pain and walking ability and patient satisfaction (r = .46 – .47). Only one study assessed fulfilment of patient expectations. Great variability was seen in operationalisation and assessment of expectations.Patients undergoing revision THA appear to have high expectations with regards to future outcomes. Whilst results are promising, there is a paucity of high-quality data in this area. Further research is needed, which places emphasis on developing a sound theoretical framework for expectations, allowing for the consistent implementation of valid measurement tools.

Patients undergoing robotic arm-assisted total knee arthroplasty have a greater improvement in knee-specific pain but not in function.

The aim was to assess whether robotic-assisted total knee arthroplasty (rTKA) had greater knee-specific outcomes, improved fulfilment of expectations, health-related quality of life (HRQoL), and patient satisfaction when compared with manual TKA (mTKA). A randomized controlled trial was undertaken (May 2019 to December 2021), and patients were allocated to either mTKA or rTKA. A total of 100 patients were randomized, 50 to each group, of whom 43 rTKA and 38 mTKA patients were available for review at 12 months following surgery. There were no statistically significant preoperative differences between the groups. The minimal clinically important difference in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain score was defined as 7.5 points. There were no clinically or statistically significant differences between the knee-specific measures (WOMAC, Oxford Knee Score (OKS), Forgotten Joint Score (FJS)) or HRQoL measures (EuroQol five-dimension questionnaire (EQ-5D) and EuroQol visual analogue scale (EQ-VAS)) at 12 months between the groups. However, the rTKA group had significantly (p = 0.029) greater improvements in the WOMAC pain component (mean difference 9.7, 95% confidence interval (CI) 1.0 to 18.4) over the postoperative period (two, six, and 12 months), which was clinically meaningful. This was not observed for function (p = 0.248) or total (p = 0.147) WOMAC scores. The rTKA group was significantly (p = 0.039) more likely to have expectation of 'Relief of daytime pain in the joint' when compared with the mTKA group. There were no other significant differences in expectations met between the groups. There was no significant difference in patient satisfaction with their knee (p = 0.464), return to work (p = 0.464), activities (p = 0.293), or pain (p = 0.701). Patients undergoing rTKA had a clinically meaningful greater improvement in their knee pain over the first 12 months, and were more likely to have fulfilment of their expectation of daytime pain relief compared with patients undergoing mTKA. However, rTKA was not associated with a clinically significant greater knee-specific function or HRQoL, according to current definitions.

Involving user representatives in the evaluation of the quality of social services – from a pilot to a large-scale project in Slovakia

ABSTRACT Across Europe, stronger involvement of users in social services, especially in the evaluation of their quality, is seen across Europe as a ‘good thing’ in terms of human rights, social justice and improving the outcomes of social services. The study presents the main results of the qualitative research aimed at exploring the current Slovak approach to involving user representatives in the system of evaluating the quality of social services. The pilot project implemented in the years 2019–2021 indicated the fulfilment of the initial expectations of its actors and that the involvement of user representatives brings added value (a different perspective) to quality evaluation. However, the question of selecting a ‘representative’ user for evaluation purposes, as well as more precisely clarifying their roles in evaluation teams, remained open. Initial discussions about the ongoing large-scale project use the framework and rules of new legislation on inspections in social affairs. Social work has proven to be a crucial integrating factor for initiating, designing, implementing and evaluating national initiatives in this field in accordance with its essence as a human rights discipline.

Building Information Modeling (BIM) for Construction Project Schedule Management: A Review

Nowadays, the implementation and application of the BIM process in construction project management is a pressing need. This aligns with the global development trends in the construction sector and project information management in general. Numerous scholars and companies are actively engaged in learning, understanding, and investigating various aspects of BIM to stay up-to-date and meet the inevitable developmental requirements. This study focuses on the role and application of BIM, intending to identify limitations that hinder its fulfillment of expectations in project schedule management. In addition, it explores studies that show how other countries have effectively employed BIM in project management and progress tracking throughout the project lifecycle. The study aims to address three main objectives: (a) comprehensively examine and provide evidence related to the concept of BIM in project schedule management, (b) present the benefits of applying BIM in comparison to traditional methods in project management and operation, and (c) identify limitations stemming from various factors that may pose challenges in the application of BIM in project schedule management.

Attractiveness of the doctor’s office – results of a mixed-methods survey on expectations and aspects of the current digitalisation policy in Germany

The demographic development in Germany will ensure an increasing demand and a decreasing supply of medical services in the outpatient sector in the next ten years. Attractiveness and expectations with regard to the branch office were surveyed with the help of an online survey in a mixed-methods design. The quantitative analysis included a descriptive presentation of the results and a stepwise multiple linear regression on the dependent variable of job satisfaction. The qualitative analysis was carried out by means of a content-structured qualitative content analysis according to Kuckartz. 121 doctors answered the online questionnaire. The fulfilment of expectations of the Doctor‘s office in the sum score was just over 50% (mean 15.42/30, SD 4.63). The regression model for job satisfaction was significant (&lt;0.001; R² 0.241). Job satisfaction increases significantly when expectations of flexible working hours and autonomous working are met. In particular, the bureaucratic effort in the Doctors‘s office and the perceived pressure to act were misjudged.

A Perceptual Model-Based Approach to Plausible Authoring of Vibration for the Haptic Metaverse.

Haptic virtual reality is often misunderstood as being solely a physically identical copy of real environments. Thus, a perfect recording and reproduction of vibration that is indistinguishable in an A:B comparison is often the aim. However, in most virtual reality applications the real environment is not available for direct comparison. Instead, when judging the plausibility of a presented scene, the user compares the vibration to his expectations shaped by the audiovisual context. Therefore, it should be sufficient to find any vibration that the user expects to potentially occur in the given context. Such a vibration needs to elicit a perceptual profile with a minimal distance to an expected profile in the sensory tactile perceptual space. Building onto this formalization, this article demonstrates a novel generative model-based approach to authoring vibrations. First, users quantify expectations as tactile profiles consisting of ratings of six sensory tactile attributes without the presence of vibrations. Subsequently, the model predicts vibration parameters from such profiles. This ensures the fulfillment of user expectations and thus high plausibility. Furthermore, it eliminates the necessity of recordings, infeasible for scenes with no real counterpart and opens the door to crowdsourcing the authoring process with laypersons for the haptic metaverse.

A Tempered Rationalism for a Tempered Yuck Factor—Using Disgust in Bioethics

When it comes to invasive manipulation of animals on the biological level, reactions of disgust are common and often influential on people’s moral judgments. As a case in point, the Belgian Blue, a breed of hyper-enhanced cattle which will serve as a case study for the present article, has historically been met with revulsion. Traditionally, in bio- and animal ethics, this ‘yuck factor,’ has been denied any productive role in proper moral justification, since rationalism is still a dominant paradigm in those disciplines. This is not surprising since rationalism offers the fulfilment of certain expectations we have of morality, like universality, intersubjective communicability, and objectivity. Increasingly, however, the preconceptions of rationalism have been brought into question, both through empirical as well as philosophical insights. In this paper, we will explore a way in which researchers who are, accordingly, critical of rationalism, and who wish to take seriously the role disgust plays in the formation of moral judgments when it comes to biological manipulation of animals, can do so without abandoning those virtues of rationalism which make it such an appealing position. We will do so by offering what we call a ‘tempered’ kind of rationalism, that is, one which conceives of rationality in the terms of Mary Midgley, not as distinct from, but as a possible function of, well-ordered emotion.