Zelhendri Zen, Reflianto, Syamsuar, Farida Ariani
Academic achievement: the effect of project-based online learning method and student engagement
Heliyon
study utilizes national health nutrition examination survey nhanes 20172018 data explore relationship exposure perfluoroalkyl substances specifically perfluorooctanoic acid pfoa perfluorooctanesulfonic acid pfos metals lead pb mercury hg cadmium cd allostatic load hepatic disease markers including fatty liver index measure likelihood nonalcoholic fatty liver disease aspartate aminotransferase ast alanine aminotransferase alt alkaline phosphatase alp total bilirubin paper identified significant associations interaction effects employing descriptive statistics spearmans correlation analysis linear regression bayesian kernel machine regression bkmr descriptive statistics highlight sexspecific differences contaminant levels spearmans analysis underscores strong correlations among metals per polyfluoroalkyl substances pfas linear regression reveals significant impacts specific contaminants ast alt alp bilirubin levels adjusting age alcohol consumption bkmr results elucidate complex potentially synergistic relationships environmental exposures likelihood nonalcoholic fatty liver disease offering nuanced insights combined effects liver health findings emphasize intricate dynamics environmental exposures hepatic function advocating targeted public health interventions