Prospect Park Hospital

The rapid expansion of the influencer marketing industry has diverted billions in advertising spend toward personal endorsements, creating a central tension between the rising demand for “authentic” relatability and the traditional success of aspirational perfection. The objective of this study is to examine the financial value of influencer authenticity, challenging the industry’s reliance on engagement rates by comparatively analyzing observational data with a randomized controlled experiment. The comparison specifies the limitations of engagement as a metric and analyzes the trade-offs between perceived authenticity and professionalism across the beauty, travel, and fitness industries. A two-part methodology was utilized: a novel randomized controlled experiment using AI-generated influencer feeds to measure hypothetical “willingness to spend,” supplemented by an observational analysis of real-world influencers using engagement rates as a proxy. The analysis emphasizes that in the beauty and travel sectors, “inauthentic” (highly polished) content, a style utilized by many top-tier influencers, offers far greater financial returns, generating more than double the stated “willingness to spend” from consumers. In contrast, the fitness industry model displays a neutralization of this effect, with no statistically significant difference in spending intent found between authentic and inauthentic stimuli. The conclusion is offered by outlining implications for firms’ influencer selection, making recommendations for strategic sponsorship decisions based on industry-specific audience expectations.

Abstract This study aims to measure and analyze the level of Community Satisfaction Index (CSI) among beneficiaries of the Corporate Social Responsibility (CSR) programs—KASIH BUMI and Ruang Tumbuh Kalisogo—organized by PT Perusahaan Gas Negara (PGN) OMM Region III in Sidoarjo Regency, East Java. The method employed is census (saturated sampling), with the CSI calculated using the weighted average value formula. The overall CSI result showed a value of 3.78 (Converted Value: 94.5), which places the program's performance in the "Very Good" category (Service Quality A).Out of ten assessment elements, nine elements (such as Requirements, Procedures, Implementation Time, and Environmental Impact) were found to be in the "Very Good" category. However, the element with the lowest score was the Economic Impact (U8), with a score of 3.39 (Converted Value: 84.75), which is categorized as "Good."In conclusion, although the CSR program of PT PGN OMM Region III has generally achieved a 'Very Good' satisfaction level (CSI 94.38), the indicator analysis reveals that the Economic Impact dimension still requires improvement. The program needs to enhance concrete and sustainable economic benefits for the beneficiaries.

El turismo sensorial en Ecuador se consolidó como una propuesta innovadora que enriqueció la vivencia de los visitantes mediante la activación de los cinco sentidos. Con el propósito de generar recuerdos más intensos y significativos, se implementaron diversas estrategias que incorporaron estímulos visuales, auditivos, táctiles, olfativos y gustativos en distintos entornos turísticos del país. Estos enfoques fueron aplicados en escenarios naturales, culturales y gastronómicos, proporcionando experiencias más envolventes y auténticas para los viajeros. Los prestadores de servicios turísticos diseñaron itinerarios que aprovecharon el impacto visual de los paisajes naturales y la arquitectura histórica, complementándolos con los sonidos característicos de la naturaleza y la música tradicional ecuatoriana. Asimismo, se integraron experiencias táctiles que permitieron a los turistas interactuar con artesanías, texturas de la biodiversidad local y tratamientos ancestrales, como los baños de lodo volcánico. El sentido del olfato se estimuló con recorridos por mercados de especias, plantaciones de café y cultivos de cacao, mientras que el gusto fue protagonista en degustaciones de la variada gastronomía ecuatoriana. La tecnología desempeñó un papel clave en la inmersión sensorial, a través de herramientas como la realidad aumentada y el sonido envolvente en museos y centros de interpretación. En definitiva, el turismo sensorial contribuyó a fortalecer la identidad cultural y a dinamizar la economía local, ofreciendo experiencias diferenciadas y adaptadas a las expectativas de los viajeros.

The paper introduces a Knowledge Retrieval-Based Intelligent Question and Answer Generation Framework for Education, leveraging Retrieval Augmented Generation (RAG) to enhance Large Language Models (LLMs) in producing high-quality, contextually relevant examination questions and answers across subjects. The framework addresses challenges in ensuring comprehensive subject coverage, educational standards, and evaluation metrics. Key components include Optical Character Recognition (OCR), data chunking, vectorization using multilingual BERT, and custom retrieval functions. The RAG system's effectiveness is evaluated using the RAGAs metric, covering metrics like faithfulness, answer relevancy, context recall, and context precision. Comparative results reveal OpenAI models surpassing Google's Gemini in coherence and context relevance due to differing architectures and training methods. Concluding, the paper highlights potential for both large and small language models in tailored educational applications, noting limitations such as hallucinations, high resource demands, and contextual drift.

The production activities of the home-based tempeh industry generate liquid and solid waste, which disrupts community activities, particularly in the urban slum area of Plaju Ulu Subdistrict, Plaju District, Palembang City. The dense residential areas, combined with the accumulation of household waste, result in an uncomfortable living environment, health issues, and social conflicts. Various sectors have collaborated to address the problems of slum settlements in Plaju Ulu Subdistrict, including the Tempeh Artisans Group, the Melati Women's Farmers Group, the Plaju Ulu Subdistrict government, and PT Kilang Pertamina International Refinery Unit III Plaju through environmental management initiatives, particularly in RW 01 and RW 02. This study aims to map the issues, potential impact, and outcomes of environmental management innovations in Plaju Ulu Subdistrict. Several innovations have emerged, including the management and utilization of waste for value-added products, the use of unproductive area for medicinal plants (TOGA), the adoption of innovative tools, and energy conversion supporting eco-friendly business processes. Positive impacts have resulted from the implementation of these innovations, including a reduction in BOD pollution by 12.1209 tons/year, a reduction in COD pollution by 51.215 tons/year, a decrease in TSS pollution by 18.10 tons/year, and water savings for yard plant use through hydroponic methods amounting to 97.2 liters/year. The utilization of liquid tempeh waste through fermentation and the mixing of EM4, containing essential nutrients such as N 1.24%, P2O5 5.54%, KO 1.34% (NPK), and C-Organic 5.803%, is crucial for plant growth. This initiative has increased productive area of 0.012 hectares in RW 01 and RW 02, with a total of 1,500 plant units. Meanwhile, the hygienic drum innovation, which has been in place until 2024, has reduced emissions impacts by 30.804 kg CO2 eq for 20 tempeh production houses or home industries.

This study investigated the effects of rising temperatures spurred by climate change on tennis performance metrics during major tournaments, such as the Australian Open and the US Open. Analyzing data on serve performance metrics—percentage of aces, percentage of double faults, and percentage of first serves won—the research identified how higher temperatures correlate with both enhanced serve power and increased error rates. Gender-specific analyses were also conducted to investigate how temperature impacted tennis performance metrics differently among male and female players. While warmer conditions were found to boost certain aspects of serve performance, they also exacerbated fatigue and increased the probability of errors during match play. Additionally, this study analyzed exhaustion in relation to temperature to assess which factor more significantly influenced performance metrics; finding that temperature was generally the more effectual factor, with some exceptions such as double faults under high exhaustion. This study highlights the trade-offs between improved serve metrics and the key impact on player performance, emphasizing the need for strategic adaptations in tournament planning and player preparation to mitigate the challenges posed by increasing global temperatures.

The prevalence of pediatric constipation ranges from 0.7 to 29.6% across different countries. Functional constipation accounts for 95% of pediatric constipation, and the efficacy of pharmacotherapy is limited, with a success rate of 60%. Several randomized controlled trials (RCTs) have shown the benefits of probiotic supplements in treating this condition. However, the reported strains of probiotics varied among the RCTs. We aimed to compare the efficacy and acceptability of different probiotic supplements for pediatric functional constipation. The current frequentist model–based network meta-analysis (NMA) included RCTs of probiotic supplements for functional constipation in children. The primary outcome was changes in bowel movement or stool frequency; acceptability outcome was all-cause discontinuation. Nine RCTs were included (N = 710; mean age = 5.5 years; 49.4% girls). Most probiotic products, used either alone or combined with laxatives, were associated with significantly better improvement in bowel movement or stool frequency than placebo/control. Protexin plus laxatives (standardized mean difference (SMD) = 1.87, 95% confidence interval (95% CI) = 0.85 to 2.90) were associated with the greatest improvement in bowel movement or stool frequency among all the investigated probiotic products. For the single probiotic interventions, only Lactobacillus casei rhamnosus Lcr35 was associated with significant efficacy compared to placebo/control treatments (SMD = 1.37, 95% CI: 0.32 to 2.43). All the investigated probiotic products had fecal incontinence and patient drop-out rates similar to those of placebo/control treatments. Conclusion: The results of our NMA support the application of an advanced combination of probiotics and laxatives for pediatric functional constipation if there is no concurrent contraindication. Registration: PROSPERO (CRD42022298724).What is Known:• Despite of the high prevalence of pediatric constipation, which ranges from 0.7% to 29.6%, the efficacy of pharmacotherapy is limited, with a success rate of 60%. Several randomized controlled trials (RCTs) have shown the benefits of probiotic supplements in treating this condition. However, the reported strains of probiotics varied among the RCTs. The widely heterogeneous strains of probiotics let the traditional meta-analysis, which pooled all different strains into one group, be nonsense and insignificant.What is New:• By conducting a comprehensive network meta-analysis, we aimed to compare the efficacy and acceptability of different strains of probiotic supplements for pediatric functional constipation. Network meta-analysis of nine randomized controlled trials revealed that the most probiotic products, used either alone or combined with laxatives, were associated with significantly better improvement in bowel movement or stool frequency than placebo/control. Protexin plus laxatives was associated with the greatest improvement in bowel movement or stool frequency among all the investigated probiotic products. For the single probiotic interventions, only Lactobacillus casei rhamnosus Lcr35 was associated with significant efficacy compared to placebo/control treatments. All the investigated probiotic products had fecal incontinence and patient drop-out rates similar to those of placebo/control treatments.

Climate change is a problem that must be taken seriously. Climate change is also caused by the presence of waste that continues to grow. The majority of waste sources in Indonesia come from household waste. Waste management can be carried out directly at the source by processing it through groups in the community, as is done by TPST Masa Sejati and PETRATONIK. This study uses a qualitative descriptive method to explain community-based organic waste management which has an impact on climate change mitigation at PT Kilang Pertamina Internasional RU V Balikpapan. Efforts to handle waste are carried out by processing organic waste into compost using the Takakura method and bioconversion of waste through BSF. Besides being useful for reducing waste, this handling activity also provides added value to the community's income. The results of this study show that the CSR program carried out by PT Pertamina Internasional RU V Balikpapan Refinery enables the community to process organic waste in their environment (the source) into something of economic value and has implications for reducing methane gas, which is one of the greenhouse gases that is released into the atmosphere. This CSR program is able to reduce 3.3% of methane gas produced by total waste in Balikpapan City.