Strong Factor Research Articles

The mediating effect of trust in meal-sharing platforms on individuals’ intention to experience local meals

ABSTRACT Thanks to meal-sharing apps, tourists can experience meals in the homes of local people in the cities they visit. In addition, it is also seen that they participate in various cooking workshops in the homes of local people or visit local markets with them and buy food and beverages. Therefore, meal sharing is also an important gastronomy experience. The aim is to examine the mediating effect of trust in meal-sharing applications on individuals’ intention to experience local meals within the scope of the theory of planned behavior by focusing on the local meal experience offered in sharing economic practices. Questionnaires were collected from 397 Turkish participants. It was found that the participants mostly used sharing economy applications for accommodation (Airbnb) and transportation (Uber), but some participants used meal-sharing applications, albeit on different platforms. The study found that attitudes toward digital meal-sharing platforms and subjective norms are the strongest factors in the intention to taste local meals. It is concluded that the trust factor has a partial mediating role in the relationship between intention, attitude, subjective norm, and perceived behavioral control.

Genetic Analyses on Transgender Individuals: Impact on Physician Attitudes and Surgical Decision-Making.

Genetic studies on the transgender and gender diverse (TGD) community have started to appear in the literature. However, there are limited studies on how genetic data will impact attitudes and perspectives toward TGD individuals. In this study, we investigated the impact of genetic alterations on physicians' attitudes toward TGD individuals and on physicians' decisions concerning gender confirmation surgery (GCS). In this context, we intended to highlight a number of strategies to reduce the inequalities that the TGD community is exposed to in accessing health-care services. An online survey including the Turkish version of the Attitudes Toward Transgendered Individuals Scale (ATTIS) was completed by 224 physicians from relevant specialties. Scheffé and least significant difference (LSD) post hoc analysis methods were used to determine physicians' perspectives on whether genetic findings would cause TGD individuals to feel validated/invalidated. Multivariate multinomial logistic regression analysis was employed to assess their responses concerning the decision to perform GCS when genetic alterations had been identified. More than half of the physicians expressed the view that genetic analyses for TGD individuals would confer benefits (67.1%). Those who thought that the presence of gender-diversity-related genetic alterations would have a "positive impact" on their GCS-related decision to operate were found to have less positive attitudes toward TGD individuals (Bonferroni corrected p < 0.001). Multivariate multinomial logistic regression analysis revealed that age, presenting the odds ratio as the strongest factor, distinguished the "no impact" group from the reference "positive impact" group, particularly among those aged ≤ 35 years (3.299, 95% CI: 1.355-8.033; p = 0.009). Although genetic analysis of TGD individuals is predicted to have a positive effect on physicians' attitudes toward them and on the GCS decision-making process, it should be emphasized that the benefits for TGD individuals must outweigh the potential harm. The results showed that physicians need "early and continuing education" to develop a comprehensive perspective on gender identity. The most appropriate approach for genetic testing would be to include the TGD community in decision-making processes and to develop guidelines for the interpretation of genetic data.

(Invited) Raman Spectroscopy for Epitaxial Silicon-Germanium-Tin Alloys

Raman spectroscopy is well established as a metrology tool and as a method for the investigation of materials. It is an all-optical method that requires little or no sample preparation. It measures the energy and strength of vibrational modes, connected to structural features such as crystal phase, strain, and disorder. By tuning the experimental parameters such as laser excitation wavelength and polarization, sample orientation, and temperature, it provides a deep understanding of sample properties that can be fruitfully complemented with other experimental and theoretical methods. In addition, sub-µm resolution mapping is possible to gain insight into devices.In this work, we present several facets of Raman spectroscopy for the characterization of SiGeSn alloys, focusing on the case of epitaxial layers of technological interest. The SiGeSn material system holds great promise for CMOS-compatible applications in electronics, optoelectronics, photonics, and thermoelectrics. Together with challenges in crystal growth and device design, reliable and informative characterization methods, such as Raman spectroscopy, are a prerequisite in the development of this technology.[1]The Raman spectrum of SiGeSn consists experimentally of several features, that have been associated with vibrations of pairs of the constituent atoms in a cubic crystal with random alloy ordering. The use of polarization-dependent Raman spectroscopy reveals a more complex landscape that can be successfully compared with atomistic simulations.[2] In GeSn, Ge-Ge pairs give rise to two vibrational modes with different energy and same symmetry, associated with the proximity of the pair to regions of locally higher or lower Sn concentration. This suggests that a short-range order configuration, different from a completely random alloy, dominates even at a low Sn content of around 10 at.%. In addition, modes with different symmetry can be attributed to the disorder rather than to specific pairs of atoms. Finally, this method allows a calibration of the linear dependence of the modes energy on the composition.Composition and epitaxial strain are the strongest factors in shifting the modes energy at a given temperature. As the temperature is varied, an additional shift occurs because of anharmonic coupling and differential thermal expansion in epitaxial layers.[3] Thus, the use of Raman spectroscopy for strain metrology needs to be reassessed. We present an analysis of these temperature-dependent mechanisms. Comparison with experimental data shows that the anharmonicity in GeSn with Sn content up to 15 at.% is not different from Ge, and that a reliable calibration can be obtained to measure strain in epitaxial GeSn at various temperatures. In this way, the strain distribution in microdevices can be obtained even at the cryogenic operating temperature.Finally, Raman spectroscopy for measurement of thermal properties is presented. [4] Knowing the dependence of the modes on temperature, the local heating of the sample surface by the laser excitation can be estimated. In combination with a model for heat conduction in layered structures, the thermal conductivity of GeSn layers grown on Ge is thus calculated. The conductivity decreases with increasing Sn content, and is controlled by alloy scattering. The measured low values of thermal conductivity, together with the knowledge of the band structure and electrical transport, allows an estimation of the thermoelectric figure of merit, indicating that GeSn may be successfully applied to energy harvesting around room temperature.[1] O. Moutanabbir, S. Assali, X. Gong, E. O’Reilly, C. A. Broderick, B. Marzban, J. Witzens, W. Du, S.-Q. Yu, A. Chelnokov, D. Buca, and D. Nam, Appl. Phys. Lett. 118, 110502 (2021).[2] A. A. Corley-Wiciak, S. Chen, O. Concepción, M. H. Zoellner, D. Grützmacher, D. Buca, T. Li, G. Capellini, and D. Spirito, Phys. Rev. Appl. 20, 024021 (2023).[3] A. A. Corley-Wiciak, D. Ryzhak, M. H. Zoellner, C. L. Manganelli, O. Concepción, O. Skibitzki, D. Grützmacher, D. Buca, G. Capellini, and D. Spirito, Phys. Rev. Mater. 8, 023801 (2024).[4] D. Spirito, N. von den Driesch, C. L. Manganelli, M. H. Zoellner, A. A. Corley-Wiciak, Z. Ikonic, T. Stoica, D. Grützmacher, D. Buca, and G. Capellini, ACS Appl. Energy Mater. 4, 7385 (2021).

Examining Possible Determinants of Kinesiology Students' Social Physique Anxiety:A Multiple Indicator Multiple Independent Cause Model.

In this study, we expanded on previous research by employing a Multiple Indicators, Multiple Independent Causes (MIMIC) model to investigate how gender, age, body mass index (BMI), and perceived stress may have collectively influenced social physique anxiety (SPA) among 593 college kinesiology students. Our MIMIC model revealed that perceived stress, gender, and BMI were significantly related to SPA scores, with perceived stress being the strongest factor. Moreover, the relationship between gender and kinesiology students' SPA scores was consistent across different ages. These findings broaden the spectrum of the current nomological network regarding predictors of SPA. Based on these findings, future researchers should extend the current MIMIC model by including more predictor variables (e.g., depression, mood, & mental toughness) to gain additional and perhaps deeper insights. Additionally, we advocate for the adoption of the MIMIC model of statistical analysis in future SPA research.

Comprehensive Analysis of Radiologic Cancer-Free Status through Various Treatment Approaches in Advanced-Stage Hepatocellular Carcinoma

Introduction: In the realm of oncology, the pinnacle of therapeutic success is achieving a state where the patient is entirely free of cancer, i.e., “cancer free.” This benchmark should not only apply to early-stage malignancies but should also be the standard aim for advanced-stage diseases, including hepatocellular carcinoma (HCC). However, there is a glaring gap in the research landscape concerning the understanding of what cancer-free status truly means for advanced-stage HCC. Our study sheds light on the profound implications of reaching a cancer-free by radiologic assessments in patients with advanced-stage HCC. Methods: We established a database tracking the full clinical course of all patients with HCC (from 2003 to 2022). We identified the initial instances of macrovascular invasion or extrahepatic spread. We defined radiologic cancer-free (rCF) as cases in which no recurrence was observed for at least 2 months following curative treatment or complete response to systemic therapies. The frequency of achieving rCF status was investigated, categorized by patients’ background. Results: We identified 795 patients with advanced-stage HCC. The rCF rate was 8.7%. Patients who achieved rCF status had significantly better prognoses compared to those who did not (p < 0.001). In the decision tree analysis, the number of tumors ≥8 was the strongest factor, making it difficult to achieve rCF status. Analysis of stage progression patterns revealed varying background characteristics at the time of advanced-stage diagnosis, with discrepancies in rCF rates. Conclusions: Despite the low rate of achieving rCF status, the prognostic impact was significant. Patients with certain tumor characteristics had a higher likelihood of achieving rCF status. The distribution of tumor conditions varies based on the pattern of progression, which affects the likelihood of achieving an rCF status.

The Role of Mentoring in Shaping Educational Aspirations: A Theory of Planned Behavior Study of Hmong Students in Vietnam

This study examines the influence of mentorship on the desire to pursue higher education among Hmong ethnic minority students aged 12-15 in Lao Cai Province, Vietnam. Utilizing the Theory of Planned Behavior as a theoretical framework, the research investigates how cross-ethnic mentorship between Kinh majority mentors and Hmong minority mentees affects students' educational aspirations, using the Phieu Linh Educational Summer Camp as a case study. The study employed a quantitative approach, collecting survey data from 75 Hmong students participating in the summer camp. Five key aspects of mentorship were analyzed: quality, educational accessibility, clear educational outcomes, self-awareness, and cultural identity support, in relation to the components of the Theory of Planned Behavior. Results indicate that all mentorship aspects positively correlate with students' educational desires, with mentorship quality emerging as the strongest factor. Family support and household income were also found to significantly influence educational aspirations. The study reveals that culturally responsive mentorship can play a crucial role in shaping attitudes, subjective norms, and perceived behavioral control related to pursuing higher education among ethnic minority youth. This research contributes to the understanding of effective strategies for promoting educational equity in Vietnam's multicultural context. It offers insights for designing targeted interventions and policies to support the educational aspirations of ethnic minority students, potentially contributing to narrowing educational gaps among ethnic groups in Vietnam.

Risk factors analysis and risk prediction model for failed back surgery syndrome: a prospective cohort study

Introduction: With the growing number of posterior open surgery, the incidence of failed back surgery syndrome (FBSS) increases gradually. Currently, there is a lack of predictive systems and scientific evaluation in clinical practice. This study aimed to risk factors analysis of FBSS and develop a risk prediction model. Materials and Methods: Baseline data were collected from 512 patients. Patients were followed up for one year. Ultimately, 146 patients were classified in the FBSS group, with an incidence rate of 32.5%. Logistic regression was used to screen for independent risk factors influencing the occurrence of FBSS. The diagnostic power of model was evaluated using the receiver operating characteristic (ROC) curve. Findings: Age, smoking, type of pain, revision surgery, surgical technique, quality of life, and psychological status were significantly associated with the incidence of FBSS. The strongest factor in this model was the selected surgical technique, with an odds ratio of 0.095. The area under the ROC curve for the model's diagnostic and classification power was 0.852. Conclusion: The causes of FBSS can stem from underlying factors, lifestyle, surgical causes, and patients' psychological factors. Therefore, prevention and treatment for each individual should be based on their specific cause to achieve optimal results.

Immunological reactivity and natural resistance in patients with tuberculosis, toxocariasis and tuberculosis associated with toxocariasis

Introduction. Parasitic diseases continue to affect the population of many countries of the world. About 2 billion people on the planet are infected with helminths, including Toxocara canis. Invasion with Toxocara canis represents a strong endogenous factor in the formation of the regulatory imbalance of the immune system. The integral evaluation of these indices serves as an important criterion in the diagnosis of toxocarosis and the effectiveness of the applied therapy. In the context of the above, information about research on immune reactivity and natural resistance of tuberculosis patients in association with toxocariasis is of interest. Material and methods. This article is a systematic review of the relevant literature between the year 2001 and 2022. The material for the study was electronic sources published through the web Medline, EMBASE, Global Health, Scopus and Web of science; PubMed; crossref; Google Scholar and others. The following keywords were used “immunological reactivity”, “natural resistance”, “parasitic diseases”, “toxocara canis”, “tuberculosis and toxocariasis”, “immunity”, “helminthiasis”, “toxocariasis”. Bibliographic resources have been systematized by subject and content. The results were grouped and systematized according to the relevant criteria and the level of scientific evidence. Results. Parasites, in particular, Toxocara canis and M. tuberculosis use different mechanisms to alter the immune response, but these mechanisms can interact with significant consequences for the immunological reactivity of each infection. Chronic helminthic infection causes a wide range of changes in the immune system. Conclusion. The immune reactivity and natural resistance of tuberculosis patients in association with toxocarosis is insufficiently elucidated.

Flawed Fatherhoods in the Cinema of Jaime Rosales: The Father’s Unmet Gaze

Since his beginnings, Jaime Rosales has directed seven feature films: The Hours of the Day (2003), Solitary Fragments (2007), Tiro en la cabeza (A Shot in the Head) (2008), Dream and Silence (2011), Beautiful Youth (2014), Petra (2018) and Wild Flowers (2022). In his films, the maternal-filial bond becomes the strongest factor in the lives of his characters, but in almost all of his films this bond is treated in parallel with paternal-filial relationships –which this research focuses on. Rosales portrays various models of fatherhood, some clearly failed and others in the light of positive construction. This study aims to analyse, through qualitative and filmic analysis, the design and evolution of these characters, to search for a pattern of fatherhood with common characteristics, to determine if it is a personal theme in the films of Rosales, and to investigate cinematographic resources that specifically make an original portrait of fatherhood. In this sense, we discover that in Rosales’ cinema, the father’s gaze hardly meets that of the son, daughter, or couple, and for this, the director uses various visual strategies such as polyvision, the subjective shot, or panoramic shots to ensure that these gazes, in fact, almost never meet.

Risk factors and recurrence of hyperemesis gravidarum: A population-based record linkage cohort study.

There are limited contemporary population-based studies on the risk factors for hyperemesis gravidarum (HG), a severe type of nausea and vomiting in pregnancy. This study aimed to determine the prevalence and trend of HG over time, identify risk factors for any and multiple HG health service visits during pregnancy, and investigate HG recurrence across pregnancies. This population-based record linkage cohort study featured births in New South Wales, Australia from 2010 to 2019. Hospital and emergency data collections were used to identify health service visits for HG using relevant diagnosis codes and were linked to the corresponding pregnancy on the birth data set. Outcomes included any HG and multiple HG visits during pregnancy, and HG recurrence across pregnancies. Annual HG prevalence was calculated, and negative binomial regression was used to examine standardized prevalence trends. Risk factors for any HG and multiple HG visits within a pregnancy were examined using Robust Poisson models with generalized estimating equations and Prentice-Williams-Peterson Gap Time models, respectively. Rates and risk of recurrence were calculated for women with a second and third pregnancy. Of the 955 107 pregnancies, 21 702 (2.3%) were classified as HG. There was an average annual increase of 6.8% (95% CI 5.3-8.3) in HG prevalence. Younger maternal age, multiple pregnancies, and selected preexisting conditions were associated with an increased risk of HG, with the strongest factor being HG in any previous pregnancy (risk ratio 8.92, 99% CI 8.43-9.44). Hyperemesis gravidarum recurrence at the second (28.9%) and third (54.7%) pregnancies was high. Hyperemesis gravidarum history is the strongest risk factor for HG, which has implications for counseling and care that women receive around pregnancy.

Fracture predictions in impact three-point bending test of European beech

Hardwood has become widespread in European forests. The strongest factor is climate change and damage to conifers by the bark beetle. The effort to study hardwoods grows with increasing volume of applications. Therefore, European beech wood was investigated under two impact loads in two material directions, resulting in four unique combinations supplemented by the measurement of the friction coefficient. Then, it was computationally simulated to reproduce the cracking, while the material model reflected the orthotropic behaviour in elasticity, plasticity and failure. The model was coded using the user subroutine in Abaqus to initiate and propagate the crack using the element deletion. The resulting reaction forces were in good agreement with those from the experiments. Cracking was numerically simulated in three of four cases as experimentally observed, however, upon larger deflections. Therefore, the model is applicable for further investigations.

FACTORS INFLUENCING INTENTION TO ADOPT E-WALLET DURING COVID-19 PANDEMIC

The e-wallet feature allows consumers to make payment by transferring digital money into their virtual wallets for in-application online payments or through Quick Response (QR) codes for physical purchases. This study examines the average usage, transaction size and factors influencing the intention to adopt e-wallet among consumers during the Covid-19 pandemic. A total of 153 responses were collected and analysed using Statistical Package for Social Sciences (SPSS) to determine descriptive statistics and conduct multiple regression analysis to verify that performance expectancy, social influence, facilitating conditions, and perceived security influence the intention to use e-wallets during the Covid-19 pandemic among consumers. Performance expectancy is the strongest factor while effort expectancy is the only factor that has no influence on the intention to use e-wallets during the Covid-19 pandemic. Additionally, this study reveals that due to the current situation, consumers are pushed to adopt e-wallets despite their security concerns, and they are willing to learn to use the platforms without considering the possibilities and risks. However, the usage of e-wallets as a medium of transaction is still low due to the lack of awareness and knowledge. The outcomes of this study to provided practical contributions for policymakers and service providers on the current acceptance of e-wallets in Malaysia and to help the e-wallet industry develop more reasonable business strategies.

FACTORS AFFECTING THE INTENTION OF MUSLIM CONSUMERS TO BUY MUSLIM PRODUCTS IN JOHOR BAHRU

Muslim consumers are often associated with halal toyyiban in fulfilling the conditions set by sharia. Consumers need to identify and be clear that every product and item produced by a manufacturer is not all from a Muslim manufacturer or company. Halal related issues often occur in the market, so that consumers are increasingly confused with the products being marketed and raise doubts to consumers. Most consumers are turning to Muslim goods that are more guaranteed of halal quality and authenticity. This study was conducted to analyse the elements of consumer intentions through the purchase of Muslim products of the category of daily necessities in the local market. The research methodology through quantitative methods was used to analyse 384 respondents through simple random sampling and analysed using SPSS version 27. Three variables were used in this study namely attitudes, subjective norms and perceptions of behavioural control. The findings showed that all variables showed significant values and the attitude variable was the strongest factor (0.000*). It therefore clearly shows that consumer intentions are the result of self -motivation i.e. attitude. It is hoped that this study can help consumers in increasing their confidence to choose and use Muslim goods in the local market.

High Quality Product, Good Services, and Competitive Pricing of Local Coffee Shop to Increase Consumer Satisfaction and Loyalty

The objective of this work is to analyze the effect of service quality, product quality and price on the consumer satisfaction and loyalty of “Beli Kopi” at Baureno Village. This research used Structural Equation Modeling (SEM) analysis with a sample of 50 respondents. The results show that most customers were highly educated with high income and women as the main consumers. Service quality, product quality and price have a significant contribution to consumer satisfaction and loyalty. The research model is valid with outer loading &gt; 0.706 and reliable with AVE &gt; 0.874 and improving service quality, product quality and prices in line with consumer values will increase consumer satisfaction and loyalty. It is hoped that this research can provide theoretical and practical contributions in increasing consumer satisfaction and loyalty at “Beli Kopi” Baureno Village. The research also showed that service quality, product and price influence consumer satisfaction. Product quality is the strongest factor. Consumer satisfaction also has a strong influence on loyalty. To increase sales, research suggests that “Beli Kopi” improve service, maintain product quality at appropriate prices, and create attractive promotions. Keywords: Coffee, Price, Product quality, Service quality, SEM (Structural Equation Modeling).

The Relationship Between Fatigue and Quality of Life in the Turkish Mothers of Children with Autism Spectrum Disorder.

This study aimed to investigate the different effects of fatigue and health-related quality of life in the Turkish mothers of children with autism spectrum disorder (ASD) through comparisons with mothers of typically developing children, and to evaluate the relationship between different aspects of maternal fatigue, depression, and maternal health-related quality of life. The study included a total of 103 mothers, comprising 60 mothers of children with ASD and 43 mothers of typically developing children. The Nottingham Health Profile and Quality of Life in Autism Questionnaire-Parent Version were used to assess the health-related quality of life. Fatigue was assessed comprehensively with the Fatigue Impact Scale and the Fatigue Severity Scale. The Nottingham Health Profile total and physical mobility domain and the quality of life were the strongest factors, explaining with a variance of 66.7% the fatigue impact on cognitive function. The mothers' quality of life accounted for 64.8% of the variance in factors that explained fatigue. Physical mobility, social isolation and quality of life were associated with the physical impact of fatigue and were explained with a variance of 52.4%. Emotional reactions and quality of life were explained with a variance of 52.7% in the fatigue of psychosocial function. The current study has highlighted that the fatigue of Turkish mothers of children with ASD has a greater impact on cognitive, physical and psychosocial functions. Furthermore, the quality of life, physical mobility, social isolation, and emotional reactions of mothers have a significant impact on maternal fatigue.

Anticholinergic load: A commonly neglected and preventable risk to cognition during schizophrenia treatment?

BackgroundCognitive impairment is a widespread feature of schizophrenia, affecting nearly 80 % of patients. Prior research has linked the anticholinergic burden of psychiatric medications to these cognitive deficits. However, the impact of the anticholinergic burden from medications for physical morbidity remains underexplored. This study aimed to evaluate the anticholinergic burden of psychiatric and physical medications in patients with schizophrenia and assess its impact on cognitive function. MethodsA total of 178 patients with schizophrenia were recruited. The assessments included an ad hoc questionnaire for collecting demographic and clinical data. Anticholinergic burden was evaluated using the cumulative Drug Burden Index (cDBI) for each participant, and cognitive function was assessed using MATRICS. Psychopathology was measured using the PANSS, CDSS, CAINS, and the CGI-S. Statistical analysis included Student's t-tests, ANOVA, Pearson correlations, and multiple linear regressions. ResultsThe average cDBI was 1.3 (SD = 0.9). The model developed explained 40.80 % of the variance. The variable with the greatest weight was the cDBI (B = −11.148, p = 0.010). Negative-expression (B = -2.740, p = 0.011) and negative-experiential (B = −1.175, p = 0.030) symptoms were also associated with lower global cognitive score. However, more years of education (B = 5.140, p < 0.001) and cigarettes per day (B = 1.331, p < 0.001) predicted a better global cognitive score. ConclusionThis study identified specific predictors of global cognition in schizophrenia, with anticholinergic burden emerging as the strongest factor. Our findings underscore the importance of considering the anticholinergic burden of treatments, in addition to negative symptoms, when designing interventions to optimize or maintain cognitive function in patients with schizophrenia.

HYPERTENSION RELATED NETOSIS IS STRONGLY DEPENDENT ON NIGHTTIME BLOOD PRESSURE IN A COHORT OF NEWLY DIAGNOSED, TREATMENT NAÏVE HYPERTENSIVE PATIENTS

Objective: Over the last years, accumulating evidence has highlighted the key role of immunity in the inflammatory environment of essential hypertension (EH). Neutrophil extracellular traps (NETs) formation represents a protective innate immune mechanism of the neutrophils. However, excessive release of NETs (NETosis) has been shown to exert a potent pro-inflammatory and pro-thrombotic effect. Even though NETosis is increasingly implicated in the thrombo-inflammatory environment of cardiovascular disease, experimental and clinical data regarding the association between NETs and EH are scarce. Design and method: We recruited newly diagnosed, untreated hypertensives (UHTs) without overt cardiovascular disease and healthy, normotensive individuals (NTs). Office BP was measured according to guidelines. Ambulatory and central BP parameters were measured with the Mobil-O-Graph device. Plasma levels of NETs including myeloperoxidase (MPO)-DNA were determined by ELISA. Results: A total of 139 individuals including 99 UHTs and 40 NTs were included in the study. Levels of MPO-DNA were increased in UHTs compared to NTs (p&lt;0.001). In multivariate analysis after adjustment for confounding variables (body mass index, hemoglobin, uric acid, high sensitivity c-reactive protein), hypertension was the strongest independent predictor of incident NETosis (p&lt;0.001). Among the ambulatory BP indices, peripheral nighttime systolic BP (F:5.937; p=0.016) and central nighttime diastolic BP (F:4.751; p=0.031) were the strongest prognosticators of hypertension related NETosis (Optimal Scaling ANOVA; p=0.028). Conclusions: In a cohort of newly diagnosed, treatment-naïve hypertensive patients, nighttime BP indices are the strongest factors that can predict, independently, an increased NETosis, adding to the superior significance of nocturnal BP in cardiovascular prognosis. Further research is needed to clarify the association of NETs with hypertension as well as hypertension-mediated target organ damage.

Prevalence and Associations Between Metabolic Syndrome Components and Hyperuricemia by Race: Findings From US Population, 2011-2020.

We explored the trend in prevalence of hyperuricemia and metabolic syndrome in US populations and investigated associations between components of metabolic syndrome and hyperuricemia by race. We analyzed data from the four most recent National Health and Nutrition Examination Survey (NHANES) cycles (2011 to March 2020), comprising 10,175 participants. Hyperuricemia is defined as serum urate >7.0 mg/dL (men) or >5.7 mg/dL (women), following the NHANES-III guideline. The definition of metabolic syndrome follows the National Cholesterol Education Program's Adult Treatment Panel III guideline. We estimated the prevalence of metabolic syndrome and hyperuricemia in each cycle and performed subgroup analyses with logistic regression to investigate the patterns of associated components of metabolic syndrome with hyperuricemia. In the most recent cycle (2017 to March 2020), the prevalence of metabolic syndrome was 45.9% and that of hyperuricemia was 20.7%. Over the 2011 to 2020 period, a significant rise in metabolic syndrome prevalence was observed among Hispanic and Asian populations, and the prevalence of hyperuricemia has increased significantly only in the Hispanic population. After adjustment for confounding factors, patients with metabolic syndrome exhibited a higher hyperuricemia in women than in men. Elevated blood pressure was the strongest factor with hyperuricemia. The association was the weakest in the Asian population. Waist circumference was the only significant factor associated with hyperuricemia in the Asian population. The prevalence of metabolic syndrome has an increasing pattern, but there was no specific decadal trend in prevalence of hyperuricemia. There is an ethnicity-specific association of metabolic syndrome and hyperuricemia, especially among Asians.

The Effect of Bangun-Bangun Leaf Juice on Hemoglobin Levels for Postpartum Mother in The Working Area of Puskesmas Talun Kenas

During the puerperium, anemia can occurs in mothers who had lower than nor-mal hemoblobin levels. This condition could caused iron loss, onterfere with the lactatio process, anda cause the uterus to fail to contract because not enough blood enters oxygen to the uterus. The strongest factor causing post partum ane-mia was blood loss during delivery, both moderate and large. Events that cause the mother to lose moderate to large amounts of blood, nameli interventions dur-ing labor such as episiotomy, delivery using a vacuum; third or fourth degree perineal laceration; and caesarean section. The provision of non-drug therapy that can be given to increase hemoglobin levels was to provide iron containing nutrients. The research aim to determine the effect of bangun-bangun leaf juice on hemoglobin levels for postpartum mother in the Working area of Puskesmas Talun Kenas. This research was a type of quantitative research that is quasi-experiment. The population of this study is all postpartummothers in the work area of Puskesmas Talun Kenas. The samples obtained were 25 people with accidental sampling technique. The statistical test used was the paired sample t test, with a 95% confidence level (? = 0,05). The results of this study indicate that there is an effect of bangun-bangun leaf juice on hemoglobin levels in postpartum mothersin the working area of Puskesmas Talun Kenas (p vaue 0,000). So it was expected that the health center could informed the mother about the benefits of bangun-bangun leaf juice in increasing maternal hemoglobin levels during the postpartum period which can informed during antenatal care visits or during home visits for postpartum mother.

The social stratification of older people in online shopping

The internet is important for the proper functioning of modern economies and societies. However, studies show the presence of an age-related digital divide with older people as unequal participants. This research investigates the social factors promoting or limiting the behaviour of older people in online shopping, and if older users/non-users of online shopping can be stratified based on these social factors. Following a survey with a sample size of 320 older people, we use a correlation and cluster approach to analyse the data. The results show that the strongest factor in determining if older people belong to a higher social stratum in online shopping is their place of residence or if they live in rural or urban areas.