The consumption of dietary supplements among the elderly is on the rise. Despite the potential benefits, a comprehensive understanding of the decision-making processes leading to the consumption is lacking. This study explores the conditions influencing the decision-making and behavioral patterns of older adults related to dietary supplement consumption. Using a qualitative approach, in-depth interviews were conducted with 21 elderly participants from a seniors’ club in Bangkok, Thailand, who had consistently consumed dietary supplements for at least one year. The behavior was classified into five primary categories: enduring use of identical dietary supplements, insufficient regard for health compatibility, replacing medications with supplements, not verifying before consumption, and opting for supplements over medical treatments. These patterns are aligned with the core constructs of the Theory of Planned Behavior (attitude, subjective norm, and perceived behavioral control). Many individuals perceive supplements as pivotal health investments, while others view them as a direct route to robust health. Trusted advice from friends and television significantly influence their choices, with a prevailing sentiment that dietary supplements are generally safe. The high price tag on supplements is often associated with superior quality. The findings highlight the multifaceted nature of dietary supplement consumption decisions among the Thai elderly, suggesting the need for interventions to promote safer and more informed choices.

The PPP scholarly work has effectively explored the material values attached to PPPs such as efficiency of services, value for money and productivity, but little attention has been paid to procedural public values. This paper aims to address this gap by exploring how Enfidha Airport in Tunisia failed to achieve both financial and procedural values that were expected from delivering the airport via the PPP route, and what coping strategies the public and private sectors deployed to ameliorate any resultant value conflicts. Based on the analysis of Enfidha Airport, it is argued that PPP projects are likely to fail to deliver financial and procedural values when the broader institutional context is not supportive of PPP arrangements, and when political and security risks are not adequately counted for during the bidding process.

The provision of infrastructure and related services in developing Asia via public–private partnership (PPP) increased rapidly during the late 1990s. Theoretical arguments support the potential economic benefits of PPPs, but empirical evidence is thin. This paper develops a framework identifying channels through which economic gains can be derived from PPP arrangement. The framework helps derive an empirically tractable specification that examines how PPPs affect the aggregate economy. Empirical results suggest that increasing the ratio of PPP investment to GDP improves access to and quality of infrastructure services, and economic growth will potentially be higher. But this optimism is conditional, especially on the region’s efforts to further upgrade its technical and institutional capacity to handle complex PPP contracts.

The hydroclimatological monitoring network in Haiti was inadequate before 2010 due to a lack of meteorological stations and inconsistent data recording. In the aftermath of the January 2010 earthquake, the monitoring network was reconstructed. In light of the prevailing circumstances and the mounting necessity for hydroclimatological data for water resource management at the national level, it is of paramount importance to leverage and optimize the limited available data to the greatest extent possible. The objective of this research is to develop regional equations that facilitate the transfer of climatic data from climatological stations to locations with limited or absent data. Physiographic and climatological characteristics are used to construct the hydrologic information transfer equations for sites with limited or no data. The validity of the regionalization techniques was assessed using cross-validation. The results enable estimation of hydrological events through the specific patterns of behavior of each region of the country, identified in cartography of homogeneous zones.

Life experience and moral practice are the most important ways of moral learning and moral implementation. In the teaching of lower grade morality and rule of law courses, the students are connected with the reality of life, and the teaching content is carefully designed, starting from the students' life experience and learning interests, to explore and provide time and space for students to explore and experience independently, and to guide students through exploration and learning. Interaction, experience and perception, to obtain their own emotional experience. At the same time, it deepens students' intimacy to the learning content, inspires students' curiosity, and exerts students' subjective initiative, so as to determine students' dominant position in the classroom.

The possibility of preoperative prediction of pathologic complete response in rectal cancer has been studied in order to identify patients who would respond to neoadjuvant therapy and to individualize therapeutic strategies. Endoscopic ultrasound of the rectum is an accurate method for the evaluation of local tumor and lymph node invasion. Objective: To evaluate the potential of endoscopic ultrasound as a predictor of complete pathological response to neoadjuvant treatment in patients with locally advanced rectal cancer. Material and methods: Retrospective study of patients with rectal cancer from January 2014 to December 2016. Results: We obtained a statistical association between T stage by endoscopic ultrasound and complete pathological response (p = 0.015). It is not so for N, sphincter involvement, circumferential involvement and maximum tumor thickness (p = 0.723, p = 0.510, p = 0.233 and p = 0.114, respectively). When multivariate logistic regression analysis was applied to assess the degree of influence of the predictor variables on pathologic response, none of these variables was associated with complete pathologic response. Conclusion: Prediction of pathologic complete response in rectal cancer has been considered as the crucial point upon which treatments for rectal cancer could be individualized. So far, no imaging method has been able to demonstrate efficacy in predicting complete pathologic response, and in turn there is no direct association between any endosonographic finding that can accurately predict it.