11,356,787 papers found

PURPOSE: This article aims to explore the relationship between technology and quality management for enhancing Thai hospital service quality. DESIGN/METHODOLOGY/APPROACH: The paper presents the findings of an exploratory study that investigates service quality from the customer and service provider perception. In-dept…

Patients with schizophrenia demonstrate two dissociable impairments of pragmatic language comprehension: (1) an insensitivity to irony, which is associated with poor theory-of-mind (i.e. a difficulty with inferring other people's thoughts); and (2) poor recognition of metaphors, which may reflect degraded semantics. Th…

This paper reports findings from a qualitative study concerning the influence of implicit models of mental disorder on shared decision making within community-based mental health teams. One-hundred participants representing five distinct multi-agency groups: psychiatrists, community psychiatric nurses, approved social…

There is no gold-standard measurement for 'fetal asphyxia'; methods of fetal surveillance must therefore be evaluated in the context of a management program that includes clinical intervention when a diagnosis of 'fetal compromise' is made. The use of non-randomized comparison groups is prone to major bias which can on…

This report presents the design and methodological features of a double-blind, randomized, placebo-controlled, trial in 383 patients with coronary artery disease. The study's principal objective is to determine whether chronic treatment with a calcium entry blocker can retard the progression of coronary artery disease.…

Most mammalian species produce facial expressions. Historically, animal facial expressions have been considered inflexible and involuntary displays of emotional states rather than active attempts to communicate with others. In the current study, we aimed to test whether domestic dog facial expressions are subject to au…

This study's purpose was to develop a direct MRI-based, deep-learning semantic segmentation approach for computing global longitudinal strain (GLS), a known metric for detecting left-ventricular (LV) cardiotoxicity in breast cancer. Displacement Encoding with Stimulated Echoes cardiac image phases acquired from 30 brea…

Heavy metal lead (Pb2+) is a pollutant and causes severe toxicity when present in human tissues especially the nervous system. Recent reviews have suggested that Pb2+ can target Ca2+-related proteins within neurons and that Ca2+ channels might be a candidate for Pb2+ entry. This study's main aim was to identify the fun…

BACKGROUND: Alpha-1-Antitrypsin (A1AT) is a protease inhibitor encoded by the SERPINA1 gene. A1AT serves as the primary natural inhibitor of Proteinase 3 (PR3), an enzyme found in neutrophils. PR3 is an antigenic target of Anti-Neutrophil Cytoplasmic Antibodies (ANCA). While numerous studies have established a connecti…

BACKGROUND: Cervical cancer develops in the cells of the cervix, the lower part of the uterus that connects to the vagina. It is primarily caused by persistent infection with high-risk types of the human papillomavirus (HPV), a common sexually transmitted virus. Raising awareness about its symptoms, risk factors, and p…

BACKGROUND: With a diversity in midwifery education across the South-East Asia region, and with the knowledge about the lifesaving competency of the midwife profession, this study's aim is to describe facilitators of and barriers to providing high-quality midwifery education in South-East Asia. METHODS: Inspired by Wh…

BACKGROUND: The rate of mastectomy is much higher in Newfoundland and Labrador than in any other province in Canada, even for women diagnosed at an early stage. In this paper, we present qualitative data from women who have made a decision for surgical treatment and from breast surgeons in an effort to better explicate…

In the context of rising screen time, only a third of Canadian children are achieving adequate amounts of active play, an important source of physical activity. ParticipACTION, a national not-for-profit organization, created the "Make Room for Play" campaign targeting parents with television advertisements depicting ho…

The Commonwealth Fund Survey of Long-Term Care of Specialists was administered via the World Wide Web from September 2007 through March 2008. The primary purpose was to characterize the views of those with known or demonstrable experience and expertise with at least one aspect of long-term care. Among 2,577 potential r…

IMPORTANCE: Preterm birth remains a leading cause of perinatal mortality and lifelong morbidity worldwide. The cause of most preterm births is unknown, although several infectious processes have been implicated. OBJECTIVE: To assess whether human papillomavirus (HPV) infection, a frequent infection among women of chil…

Coronary heart disease (CHD) is the most prevalent cause of cardiovascular mortality in the world. It is well established that microRNAs (miRNAs) and their variants have an essential role in regulating the development of cardiovascular physiology, thus impacting the pathophysiology of heart diseases. This study was des…

BACKGROUND: Around 41% of Human Immunodeficiency Virus (HIV) cases in Nepal occur in seasonal migrant laborers. Dalit migrant laborers represent the largest proportion of reported HIV cases in the Far Western Region (Sudur Pashchimanchal, or Far West), Nepal. The study's objectives were to assess sexual behavior, condo…

Vitamin E is divided into two subgroups; tocopherols and tocotrienols. Both have protective roles in biological systems. The present study was conducted to compare the effect of short-term supplementation at 200 mg/d of either alpha-tocopherol or a tocotrienol-rich fraction (TRF) from palm oil on immune modulation and…

OBJECTIVE: The study’s purpose was to identify and synthesize research evidence regarding the effect of the environment on community participation of children with disabilities. METHODS: A scoping review of peer-reviewed studies published from 1990 to 2011 was performed. Two independent reviewers selected studi…

MOOCs as a flexible form of online education, have gained increasing popularity among EFL learners. However, the impact of cognitive load on learners' satisfaction has not been thoroughly explored. This study, grounded in Cognitive Load Theory and Expectation Confirmation Theory, empirically investigates the effects of…