The purpose of this study is to investigate customer satisfaction with quality of service known as SERVQUAL improvement or service quality competitiveness in emerging markets. Using Indonesian government medical care as an example the author examines the satisfaction of patients. Information and data were collected through a survey of 399 BPJS users in Indonesia. All data were analyzed using Smart PLS. This study demonstrates that there is a negative value associated with the five-dimensional gap. As a result, the care provided to BPJS patients is below par. Specifically, the sensitivity dimension has the largest disparity at 0.15, while the physical evidence dimension has the smallest at 0.49. In order to raise the level of service provided, it may be necessary to take direct measures or examine tangible evidence. This study develops the relationship between different quality service models. There appears to be a substantial increase in the body of literature in the area of service quality, allowing for constant updates and the incorporation of the lessons learned from the experiences of the departed. These revised guidelines are intended to aid SERVQUAL study participants. The study gives practical support to academics and practitioners in directing service quality improvement through the use of data collected from large-scale surveys of patients and medical professionals as doctors in Indonesia.

Dong brocade, a fabric renowned for its intricate patterns and ethnic symbolism, has been woven by the Dong people for generations, showcasing their cultural significance. Traditional plant dyeing technology is one of the main aspects of Dong brocade but the documentation and understanding of this is still rather limited. With regard to the use of plant dye in Dong brocade, it is not as well explored as it should be since it has a traditional aspect. The main purpose is to investigate and apply the traditional plant dyeing technique to Dong brocade for the improvement of that sustainable concept and the preservation of cultural assets. Therefore, 121 Dong villagers were interviewed to elicit their awareness regarding prehistoric plant dyeing. By observing the dyeing conditions, this study provided accurate perception and learned how to differentiate between natural and synthetic mordants through ethnobotanical perception. The strategy is intended to integrate sustainable products into Dong brocade, employing orthogonal array development to find the right dyeing conditions for corresponding plant dyes. Research revealed that 8 genera of plants which include 7 species are used in dyeing Dong brocade. The findings presented in this work prove the effectiveness of the use of plant dyes in Dong brocade, showing its advantages with 30% of frequency and CI (Color Index) indices, 8% of them being cultural. 5 for ethnic cultural sustainment, developmental and bio-diversity reasons respectively. The unique integration between the traditional dyeing technique in Dong brocade and the utilization of sustainable resources is very promising for the improvement of identity enhancement and embodiment, and the preservation of the environment.

To save patients’ lives, it is important to go for an early diagnosis of intracranial hemorrhage (ICH). For diagnosing ICH, the widely used method is non-contrast computed tomography (NCCT). It has fast acquisition and availability in medical emergency facilities. To predict hematoma progression and mortality, it is important to estimate the volume of intracranial hemorrhage. Radiologists can manually delineate the ICH region to estimate the hematoma volume. This process takes time and undergoes inter-rater variability. In this research paper, we develop and discuss a fine segmentation model and a coarse model for intracranial hemorrhage segmentations. Basically, two different models are discussed for intracranial hemorrhage segmentation. We trained a 2DDensNet in the first model for coarse segmentation and cascaded the coarse segmentation mask output in the fine segmentation model along with input training samples. A nnUNet model is trained in the second fine stage and will use the segmentation labels of the coarse model with true labels for intracranial hemorrhage segmentation. An optimal performance for intracranial hemorrhage segmentation solution is obtained.

In China, ideological and political education is currently the hot direction of teaching reform in various colleges and universities, yet the development of appropriate teaching evaluation methods needs to catch up. This study addresses the pressing need for a preliminary investigation into the complex relationships among ideological and political education, the students’ learning satisfaction and teaching quality. This research examines the influence of teaching and ideological and political education quality on students’ satisfactions by designing a set of scales, collecting about 3800 questionnaires. Utilizing Structural Equation Modeling (SEM) and qualitative interviews, this study reveals that the teaching quality directly affects students’ learning satisfaction and ideological and political education. Notably, ideological and political education can also affect students’ learning satisfaction. The findings underscore the importance of including ideological and political education assessments in evaluating courses. This research contributes to the ongoing dialogue on effective teaching evaluation methods in the context of evolving educational practices.

This study examines the spatial distribution of consumption competitiveness and carrying capacity across regions, exploring their interrelationship and implications for sustainable regional development. An evaluation index system is constructed for both consumption competitiveness and carrying capacity using a range of economic, social, and environmental indicators. We apply this framework to regional data in China and analyze the resultant spatial patterns. The findings reveal significant regional disparities: areas with strong consumption competitiveness are often concentrated in economically developed regions, while high carrying capacity is notable in less populated or resource-rich areas. Notably, a mismatch emerges in some regions—high consumer demand is not always supported by adequate carrying capacity, and vice versa. These disparities highlight potential sustainability challenges and opportunities. In the discussion, we address reasons behind the spatial mismatch and propose policy implications to better align consumer market growth with regional resource and environmental capacity. The paper concludes that integrating consumption-driven growth strategies with carrying capacity considerations is essential for balanced and sustainable regional development.

This work aimed to evaluate the effects of using three different substrates in the semi-hydroponic culture of lettuce (Lactuca sativa L.) using two different nutrient solutions. A first trial was performed with a nutrient solution rich in macronutrients and micronutrients suitable for lettuce culture, and a second trial with a nutrient solution with pretreated wastewater from effluents of a cheese factory. The experimental design was in randomized blocks with three repetitions and three substrates were used: perlite, coconut fiber, and expanded clay, in both trials. The following parameters were observed: number of leaves, diameter of the cabbage, fresh and dry weight of the aerial part, chlorophyll index and mineral composition of the lettuce. For the first trial, the highest result for the number of leaves (20 leaves), fresh weight (142.0 g) and dry weight (7.2 g) of the aerial part was obtained in the plants growing on perlite. In the second trial, the highest result for the number of leaves (28 leaves), diameter of cabbage (26.7 cm), fresh weight (118.8 g) and dry weight (9.5 g) of the aerial part were achieved by the plants that were grown in coconut fiber. The nutrient solutions were analyzed after each irrigation cycle to verify the possibility of their discharge into the environment. Several parameters were analyzed: pH, conductivity, redox potential, nitrates, nitrites, ammoniacal nitrogen, chlorides, hardness, calcium, phosphates, sodium, potassium, chemical oxygen demand (COD) and magnesium. Ammoniacal nitrogen was found to be the only nutrient that can limits the discharge of nutrient solutions into the environment. It was also proven that the plants, besides obtaining the nutrients necessary for their development in the semi-hydroponic system with the nutrient solution with pre-treated residual water, also functioned as a purification system, allowing the said nutrient solution to be discharged into the environment at the end of each cycle.