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Many individuals visit rural telemedicine centres to obtain safe and effective health remedies for their physical and emotional illnesses. This study investigates the antecedents of patients’ satisfaction relating to telemedicine adoption in rural public hospitals settings in Bangladesh through the adaptation of Expectation Disconfirmation Theory extended by Social Cognitive Theory. This research advances a theoretically sustained prediction model forecasting patients’ satisfaction with telemedicine to enable informed decision making. A research model explores four potential antecedents: expectations, performance, disconfirmation, and enjoyment; that significantly contribute to predicting patients’ satisfaction concerning telemedicine adoption in Bangladesh. This model is validated using two-staged structural equation modeling and artificial neural network approaches. The findings demonstrate the determinants of patients’ satisfaction with telemedicine. The presented model will assist medical practitioners, academics, and information systems practitioners to develop high-quality decisions in the future application of telemedicine. Pertinent implications, limitations and future research directions are endorsed securing long-term telemedicine sustainability.

Purpose Drawing on the job demands-resources (JD-R) model, the authors examine how working in the hybrid workplace model (telework and flexible work) affects job performance via the intervening role of work engagement. Design/methodology/approach The authors adopted a quantitative approach and collected data from 277 employees working in universities in Nigeria. Partial least square structural equation modelling was used to analyse the data and test the hypotheses. Findings The findings reveal that flexible work, not telework, has a significant and positive effect on job performance. It also emerges that flexible work positively affects work engagement, and work engagement significantly mediates the relationship between flexible work and job performance. However, the findings do not support the effect of telework on work engagement and the mediating role of work engagement in the proposed relation between telework and job performance. Originality/value The paper provides fresh insights by linking the components of the hybrid workplace model with job performance and employee work engagement and extending the JD-R model to the hybrid workplace setting. The practitioners can benefit from the findings of this study by factoring in the importance of the hybrid workplace model in designing policies and procedures to promote job performance.

Despite modern treatment, infertility remains one of the most common gynecologic diseases causing severe health effects worldwide. The clinical and epidemiological data have shown that several cancerous risk factors are strongly linked to Female Infertility (FI) development, but the exact causes remain unknown. Understanding how these risk factors affect FI-affected cell pathways might pave the door for the discovery of critical signaling pathways and hub proteins that may be targeted for therapeutic intervention. To deal with this, we have used a bioinformatics pipeline to build a transcriptome study of FI with four carcinogenic risk factors: Endometrial Cancer (EC), Ovarian Cancer (OC), Cervical Cancer (CC), and Thyroid Cancer (TC). We identified FI sharing 97, 211, 87 and 33 differentially expressed genes (DEGs) with EC, OC, CC, and TC, respectively. We have built gene-disease association networks from the identified genes based on the multilayer network and neighbour-based benchmarking. Identified TNF signalling pathways, ovarian infertility genes, cholesterol metabolic process, and cellular response to cytokine stimulus were significant molecular and GO pathways, both of which improved our understanding the fundamental molecular mechanisms of cancers associated with FI progression. For therapeutic intervention, we have targeted the two most significant hub proteins VEGFA and PIK3R1, out of ten proteins based on Maximal Clique Centrality (MCC) value of cytoscape and literature analysis for molecular docking with 27 phytoestrogenic compounds. Among them, sesamin, galangin and coumestrol showed the highest binding affinity for VEGFA and PIK3R1 proteins together with favourable ADMET properties. We recommended that our identified pathway, hub proteins and phytocompounds may be served as new targets and therapeutic interventions for accurate diagnosis and treatment of multiple diseases.

One of the primary drawbacks associated with natural fiber reinforced composites is their relatively poor mechanical properties. One potential approach to overcome this challenge is to augment the fiber loading, thereby improving the interfacial characteristics and hybridization. In this study, hybrid polyester composite structures reinforced with jute/hemp fibers were fabricated via the hand layup process, with fiber loadings varying between 30%, 50%, and 70% by volume. Fibers were subjected to alkali solutions (NaOH) containing 3% and 5% alkali in advance of the composites' formation. The impact, flexural, and tensile characteristics of hybrid jute/hemp reinforced polyester composites were investigated via laboratory studies. The composite materials that underwent testing with a 50 vol% fiber loading and 3% NaOH exhibited the maximum tensile strength (26.6 MPa), tensile modulus (733.56 MPa), flexural strength (62.7 MPa), and flexural modulus (3.04 GPa). Highlights Hybrid polyester composite structures reinforced with jute/hemp fibers were fabricated. Hand layup method used with various fiber loadings (30%, 50%, and 70% by volume). Highest mechanical properties were obtained for 3% NaOH treatment and 50% fiber loading. Fiber reinforced polymer composites.

Groundwater is a vital source of safe drinking water in Bangladesh and most South Asian countries. The study aimed to identify the sources and assess the contamination of Fe, Mn, and Pb in groundwater. The study considered published articles, reports, and data repositories of concerned departments over the past two decades using various search engines, including Web of Science, Scopus, Science Direct, Google Scholar, etc. The study results showed the concentrations of Fe, Mn, and Pb in groundwater exceeded 55.93, 75.44, and 37.50%, respectively, of different standards, including the World Health Organization and United Nations Environmental Protection Agency. The concentrations of Fe, Mn, and Pb ranged from 0.003 to 16.6, 0.00063 to 3.11, and 0.0006 to 5.01 mg/L, respectively, and followed the order Fe > Mn > Pb in the groundwater of Bangladesh. Sources of Fe and Mn in groundwater are mostly geogenic in origin, while Pb contamination in groundwater is anthropogenic and derives from industry dust piles, vehicle exhaust discharge, lead pipes, faucets, fixtures, and batteries. The higher levels of heavy metals in groundwater cause health and environmental hazards. The study recommended that the higher concentrations of Fe, Mn, and Pb in groundwater make it unsuitable for drinking purposes and should be treated before consumption.

Background The high incidence of low birth weight (LBW) is associated with an increased risk of infant mortality, adverse pregnancy outcomes for mothers, and a decline in overall health and well-being. The current study aimed to identify the various determinants of LBW and its effect on adverse health and nutritional outcomes of children aged 0–23 months in Bangladesh. Methods Bangladesh Demography and Health Survey (BDHS) 2017-18 data was used. A chi-square test and multivariable logistic regression analysis were used to find out the associations between independent variables and outcomes (e.g., LBW, child illness and undernutrition). Results The overall prevalence of LBW among was 16.3%. Mother with no formal education (AOR = 2.64, 95% CI = 0.55–3.30, p  = 0.01), female child (AOR = 1.31, 95% CI = 1.04–1.65, p  = 0.023); and poorest economic status (AOR = 1.69, 95% CI = 1.13–2.51, p  = 0.010), were identified significant determinants of LBW. Of home environment and hygiene factors, unimproved toilet facilities (AOR = 1.38, 95% CI = 1.03–1.84, p  = 0.030) had a significant effect on LBW. In addition, children born with LBW were more likely to suffer fever (AOR = 1.26, 95% CI = 1.05–1.60, p  = 0.050), stunting (AOR = 2.42, 95% CI = 1.86–3.15, p = < 0.001), wasting (AOR = 1.47, 95% CI = 1.02–2.25 p  = 0.049), and underweight (AOR = 3.19, 95% CI = 2.40–4.23, p = < 0.001). Conclusion One out of five children was LBW in Bangladesh. Maternal education, sex of child, wealth index, and toilet facilities had significant effects on LBW. In addition, LWB contributed to children’s poor health and nutritional outcomes. Enhancing maternal pregnancy, and child health outcomes necessitates policies addressing poverty, gender inequality, and social disparities. Key strategies include promoting regular prenatal care, early medical intervention, reproductive health education, and safe hygiene practices. To combat the negative impacts of LBW, a comprehensive strategy is vital, encompassing exclusive breastfeeding, nutritional support, growth monitoring, accessible healthcare, and caregiver education.

Enzymes are biological molecules that act as catalysts and speed up the biochemical reactions. The world’s biotechnological ventures are development of enzyme productiveness, and advancement of novel techniques for thriving their shelf existence. Nowadays, the most burning questions in enzyme technology are how to improve the enzyme productivity and reuse them. The immobilization of enzymes provides an excellent scope to reuse the enzymes several times to increase productivity. The main aim of the present study is the establishment of an immobilized multi-enzyme bio-system engineering process for the production of High-fructose corn syrup (HFCS) with an industrial focus. In this study, multi-enzyme such as α-amylase, glucoamylase and glucose isomerase were immobilized in various support matrices like sodium alginate, sawdust, sugarcane bagasse, rice bran and combination of alginate with cellulosic materials. The activities of the immobilized multi-enzyme system for the production of HFCS from the starch solution were determined. The multi-enzyme immobilized in sodium alginate shows better fructose conversion than free enzyme. Among the support matrices, multi-enzyme immobilized in sawdust produced total 80.74 mg/mL of fructose from starch solution and it was able to be used in several production cycles. On the other hand, multi-enzyme immobilized in combination of sodium alginate and sawdust produced the maximum amount of fructose (total 84.82 mg/mL). The free enzyme produced 17.25 mg/mL of fructose from the starch solution in only a single cycle. In this study a new fixed bed immobilized multi-enzyme bioreactor system was developed for the production of HFCS directly from starch. This finding will create a new opportunity for the application of immobilized multi-enzyme systems in many sectors of industrial biotechnology.

Microbial electrolysis cells (MECs) present a viable platform for sustainable hydrogen generation from organic waste, but their scalability is limited by cathode performance, cost, and durability. This study evaluates three hybrid carbon nanotube (CNT) cathodes—acid-washed CNT (AW-CNT), thin layer non-acid-washed CNT (TN-NAW-CNT), and thick layer non-acid-washed CNT (TK-NAW-CNT)—each composed of stainless-steel-supported CNTs coated with molybdenum phosphide (MoP). These were benchmarked against woven carbon cloth (WCC) under varied operational conditions. A custom multi-channel reactor operated for 341 days, testing cathode performance across applied voltages (0.7–1.2 V), buffer types (phosphate vs. bicarbonate), pH (7.0 and 8.5), buffer concentrations (10–200 mM), and substrates including acetate, lactate, and treated acid whey. CNT-based cathodes consistently showed higher current densities than WCC across most conditions with significant difference found at higher applied voltages. TK-NAW-CNT achieved peak current densities of 259 A m−2 at 1.2 V and maintained >41 A m−2 in real-waste conditions with no added buffer. Long-term performance losses were minimal: 4.5% (TN-NAW-CNT), 0.1% (TK-NAW-CNT), 10.8% (AW-CNT), and 6.8% (WCC). CNT cathodes showed improved performance from reduced resistance and greater electrochemical stability, while proton transfer improvements benefited all materials due to buffer type and pH conditions. These results highlight CNT-based cathodes as promising, scalable alternatives to WCC for energy-positive wastewater treatment.

Background Sexual intercourse is integral part of physical well-being health especially in married couple's life. Unhappiness and life dissatisfaction can be positively influenced by sexual inactivity (SI). Sexual inactivity was defined as no sexual frequency among reproductive married women in the last month. This study aimed to assess the prevalence of sexual inactivity and its associated risk factors among Bangladeshi reproductive married women. Method Cross-sectional study design data from the most recent Bangladesh Health and Demographic Survey conducted in 2022 was utilized. The analysis included 14,650 reproductive heterosexual married women (RHMA). The associations between sexual inactivity and exposure variables were evaluated using Pearson’s Chi-square test, and the prediction model considered the multivariable logistic regression. Results The prevalence of sexual inactivity among RHMA in Bangladesh was 6.72% (95% CI 0.93–0.94). This study shows that in Bangladesh, reproductive heterosexual married women from the Dhaka region, Khulna region, and Sylhet region, who have a height below < 164 cm, who have a husband aged 30–40 years, are more likely to be sexually inactive. The odds of sexual inactivity were lower among RHMA who household heads were, who were aged ≥ 40 years, and whose husbands were unemployed. All these factors were statistically significant ( p  < 0.05). Conclusion Women's age significantly affect sexual inactivity among the women in their reproductive age in Bangladesh. To overcome SI problem government and nongovernmental organization must take effective measures to improve women education level, reproductive health-care service, including sexual health of childbearing age.

Parkinson’s disease (PD) is a neurodegenerative disorder responsible for shaking, rigidity, and trouble in walking and patients’ coordination ability and physical stability deteriorate day by day. Bipolar disorder (BD) is a psychiatric disorder which is the reason behind extreme shiftiness in mood, and frequent mood inversion may reach too high called mania. People with BD have a greater chance of developing PD during the follow-up period. A lot of work has been done to understand the key factors for developing these 2 diseases. But the molecular functionalities that trigger the development of PD in people with BD are not clear yet. In our study, we are intended to identify the molecular biomarkers and pathways shared between BD and PD. We have investigated the RNA-Seq gene expression data sets of PD and BD. A total of 45 common unique genes (32 up-regulated and 13 down-regulated) abnormally expressed in both PD and BD were identified by applying statistical methods on the GEO data sets. Gene ontology (GO) and BioCarta, KEGG, and Reactome pathways analysis of these 45 common dysregulated genes identified numerous altered molecular pathways such as mineral absorption, Epstein-Barr virus infection, HTLV-I infection, antigen processing, and presentation. Analysis of protein-protein interactions revealed 9 significant hub-proteins, namely RPL21, RPL34, CKS2, B2M, TNFRSF10A, DTX2, HLA-B, ATP2A3, and TAPBP. Significant transcription factors (IRF8, SPI1, RUNX1, and FOXA1) and posttranscriptional regulator microRNAs (hsa-miR-491-3p and hsa-miR-1246) are also found by analyzing gene-transcription factors and gene-miRNAs interactions, respectively. Protein-drug interaction analysis revealed hub-protein B2M’s interaction with molecular drug candidates like N-formylmethionine, 3-indolebutyric acid, and doxycycline. Finally, a link between pathological processes of PD and BD is identified at transcriptional level. This study may help us to predict the development of PD among the people suffering from BD and gives some clue to understand significant pathological mechanisms.