Descriptive Analysis Research Articles

Nursing Students’ Experience and Perception towards Online Education during Covid-19 Pandemic in Nepal

Background: The COVID-19 pandemic forced educational institutions worldwide to adapt swiftly. This study explorednursing students’ experiences and perceptions towards online education during the pandemic in Nepal.Method: Using a cross-sectional descriptive design, data were collected from 416 nursing students across the country usingnon probability convenient sampling technique via a google form questionnaire. Ethical approval was obtained from NHRCand for the data analysis, descriptive analysis was done by using appropriate statistical tools and SPSS version 20.Result: Key findings on online class experience, 93.5% participated in live online classes, 62.3% preferred a blend ofsubjective and objective evaluation methods and 58.9% favored pre- and post-classroom assignments. Similarly, regardingbenefits of online education 25.0% strongly agreed that technical skills (email, internet, apps) improved, 53.1% recognizedteachers’ facilitative role in student learning and 45.2% believed online classes reduced psychological stress. There werechallenges on theory classes and clinical practicum where 38.8% acknowledged skill gaps for effective online teaching and44.0% strongly agreed on curriculum redesign respectively.Conclusion: Online learning is crucial for a variety of reasons, including time savings and learning flexibility. Despite these,constrained technology infrastructures, connectivity issues and clinical practicum continued to be obstacles. Effective onlineeducation requires increased internet access, faculty and student digital training, and the support of regulatory authorities.

Cultural Adaptation and Validation of the Ambulatory Self-Confidence Questionnaire (ASCQ), Portuguese (European) Version

In a world where physical activity and social participation are fundamental pillars of a full and healthy life, confidence in walking has emerged as a fundamental aspect to assess, especially for older adults. Therefore, the purpose of this study was to develop a Portuguese (European) version of the Ambulatory Self-Confidence Questionnaire (ASCQ) that was both linguistically and psychometrically adapted. To do so, a translation method was used, followed by an assessment of its validity and reliability. The Portuguese version was completed by 173 older adults. To assess reliability, Cronbach’s alpha and intraclass correlation coefficients (ICCs) were used. For sociodemographic and clinical characterization, as well as questionnaire scoring, descriptive statistical analysis was used. Pearson’s correlation (r), Student’s t-test, and one-way ANOVA were used to analyze criterion and construction validity. The Portuguese interactions with ASCQ were effectively translated and adjusted, revealing exceptional internal consistency and test–retest reliability, as reflected in Cronbach’s alpha and ICC values of 0.95. No floor effect was observed; however, a ceiling effect was identified (3.5%). The criterion and construct validity were verified as all the correlations established were statistically significant. The adaptation of the ASCQ to Portuguese culture is adequate, making it valid for use within the Portuguese population.

Creative Environments for Sustainability in Organizations Promoting the Education of Vulnerable Groups

Developing creativity in socio-educational organizations facilitates progress towards sustainability, benefiting its professionals and users. The objective of this work is to analyze the creative climate in organizations that intervene with vulnerable groups to promote sustainability through Quality Education (SDG 4), Gender Equality (SDG 5), and Reduced Inequalities (SDG 10). A descriptive–correlational study was conducted with 203 professionals from associations, foundations, and social services councils. The CPPC-17 scale was applied, and the data were analyzed using descriptive statistics, nonparametric tests, and cluster analysis. The results showed that the professionals presented high levels of creative potential. The opportunity to participate in work groups and the freedom to perform tasks favored creativity in the organizations. The main obstacles to creativity were the lack of incentive to take risks and of rewards for creative ideas. The profile of professionals with high levels of creative climate was mainly composed of association workers and those trained in Education, Psychology, and Speech Therapy. Significant differences were obtained in variables related to the organization (e.g., typology) and in personal variables, such as the academic background of the trainers. These findings should be considered to improve the creative climate in these organizations with a view to providing quality, egalitarian, and equitable education.

Medical Chart Review to Explore Suicidal and Self-Harm Thoughts and Behavior Among Psychiatric Inpatients.

Suicide and self-harm events are elevated in psychiatric inpatient populations. In this study, health data were retrospectively collected from the medical records of 183 patients (97 civil and 86 forensic) who had resided in, or been admitted to, a public psychiatric hospital in Saskatchewan, Canada from April 1 to December 31, 2021. Descriptive and inferential analyses were conducted to estimate prevalence and correlates of (non-fatal) suicide and self-harm events, including recent and lifetime occurrences, according to patients' health information. Nearly two-thirds (62%) of patients had any record of non-fatal suicide or self-harm events, including a lifetime history of self-harm (42%) and suicidal behavior (37%) as well as recent self-harm (24%) and suicidal (31%) thoughts or behaviors. Forensic patients were significantly more likely to have a record of suicide and self-harm events. This study emphasizes the need for further research into the course of suicidality and self-harm in psychiatric inpatients.

Efficiency analysis of catfish (Pangasius sp) marketing channels Balai Benih Ikan (BBI) Terantang

This study aims to analyze farmer's share, marketing margins, profit ratio, and marketing channel efficiency of catifish (Pangasius sp.) BBI Terantang in Sukamara and Balairiam District. The research method is a survey method by conducting direct observations and interviews. The data used were primary data and secondary data collected during September 2022 to June 2023. The data obtained was then analyzed using qualitative and quantitative descriptive analysis. The results showed that there were three types of marketing channels for BBI Terantang catfish, namely I: BBI Terantang and consumers, II: BBI Terantang, retailers, and consumers, and III: BBI Terantang, collectors, retailers, and consumers. Marketing channel I has a farmer's share value of 100%. The highest marketing margin occurred in marketing channel III with a total margin of Rp. 7,500.00-/kg. The profit ratio in marketing channels II and III benefits retailers and collectors with ratios of 7 and 3.3. As for the marketing efficiency of fresh catfish, all marketing channels are effective.Keywords: Catfish; Farmer's Share; Marketing Efficiency; Marketing Margin; Profit Ratio.

Prevalence of early initiation of breastfeeding at Georgetown Public Hospital Corporation in Guyana

AbstractObjectiveTo assess the prevalence and factors associated with early initiation of breastfeeding at Georgetown Public Hospital Corporation (GPHC).MethodsThis study used data from an institution‐based cross‐sectional study conducted at GPHC from July to September 2022. A structured pretested questionnaire was used to collect the data. A total of 1276 mothers were interviewed and provided data on early initiation of breastfeeding. Early initiation of breastfeeding was defined as mothers who breastfed their babies within the first hour after birth. We performed descriptive analyses for both the outcome and the independent variables. Logistic regression and backward selection procedure were used to assess factors associated with early initiation of breastfeeding.ResultsThe prevalence of early breastfeeding at GPHC was 27.8% (95%CI: 25.4–30.3). Mothers who were primigravida (AOR: 0.52; 95%CI: 0.36–0.75), who had urinary tract infections during pregnancy (AOR: 0.72; 95%CI: 0.52–0.99), and who delivered by caesarean section (AOR: 0.06; 95%CI: 0.03–0.11) were less likely to breastfeed their babies in the first hour after birth. Likewise, babies who were diagnosed with any health problems after birth (AOR: 0.34; 95%CI: 0.21–0.54) had a lesser chance to receive breastfeeding in the first hour after birth, compared with their counterparts.ConclusionLess than one‐third of mothers who delivered at GPHC breastfed their babies within the first hour after birth. Targeted intervention focuses on promoting early initiation of breastfeeding, immediate skin‐to‐skin contact between mothers and babies, timely diagnosis and treatment of urinary tract infections during pregnancy are essential to improve the prevalence of early initiation of breastfeeding at GPHC.

Traditional Tolak Bala Ceremony in Tanah Bara Village, Aceh Singkil from an Islamic Law Perspective

Long before Islam came, local culture and beliefs of Animism and Dynamism were very close to the community. It was from here that the belief that disaster would occur because of something or a matter came into existence. Tolak bala in the big Indonesian dictionary is defined as an action to reject disaster; an effort to avoid danger; a series of activities carried out by a group of people to hold a kenduri tolak bala. Everyone certainly longs for safety and happiness, so that if a disaster threatens them, they try to ward it off. Islamic law has stipulated that only Allah is the source of salvation, a Muslim must believe that only Allah controls all good and harm, both those that have not yet befallen and those that have befallen. As in surah az-zumar verse 38; in other letters such as surah al-Baqarah verse 45 also emphasizes human dependence on Allah. This research was conducted in Tanah Bara village, Gunung Meriah District, Aceh Singkil Regency using a descriptive analysis method. The practice of tolak bala in Tanah Bara village on every Wednesday at the end of the month of Syafar. Various series are carried out such as, hajat prayer, dhikr and prayer to ward off disaster, bathing to ward off disaster using KASE and smearing betel water on the forehead of family members. There is no practice of ward off disaster in Tanah Bara Village that performs offerings such as throwing food into the river for offerings. The practice of ward off disaster as has been briefly described, is carried out only as an effort to keep away from danger. The practice of ward off disaster in Tanah Bara Village is legitimated by Islamic law, because it still reflects the spirit of Islamic law, meaning that it is permitted in Islamic law for the practice of ward off disaster in Tanah Bara Village. In the practice of ward off disaster that is carried out, there are no acts of idolatry committed, such as throwing offerings into the river, or throwing food with the aim of offerings. Only the essence of the practice of ward off disaster after using KASE, then diving by realizing it like the flow of water with the KASE, then all diseases disappear. This is the point of the problem of the practice of warding off disaster that the author wants to examine further to obtain legal legitimacy, whether it is permissible or not.

Analyzing Tanker Ship Berthing Delays at Pertamina Refinery Unit II Dumai Terminal

This research investigates the causes and mitigation strategies for tanker ship berthing delays at the PERTAMINA Refinery Unit II Dumai special terminal. The study identifies key issues including dock capacity limitations, adverse weather conditions, insufficient land tank storage, and restrictions on night-time berthing. Data were collected through qualitative research and descriptive analysis involving observations, interviews, and documentation from August 2023 to August 2024. Findings reveal that limited dock capacity and adverse weather significantly contribute to delays, while storage limitations and night-time restrictions further exacerbate the problem. The research highlights the need for dock capacity expansion, improved weather forecasting, enhanced storage management, and safe night-time operational practices. Recommendations include infrastructure upgrades, advanced technological investments, and flexible operational strategies to address these challenges. The study provides valuable insights for improving terminal efficiency and offers a foundation for future research and practical applications in maritime logistics

Feasibility of an innovative medical dental integration program to provide overdue adolescent vaccinations in a federally qualified health center.

To determine the feasibility of a medical dental integration program to provide overdue vaccinations to adolescents ages 9-17 and evaluate the facilitators and barriers to the process. The program was developed and implemented at one dental clinic co-located within a medical clinic at a federally qualified healthcare center in Denver, Colorado. Utilizing a shared electronic health record, human papillomavirus, meningococcal, and/or tetanus-diphtheria-acellular pertussis vaccines were recommended by dental providers and then administered by the medical team. Plan-do-study-act cycles informed implementation. Descriptive analyses of eligible patients were performed and run charts were used track process implementation outcomes. One hundred and sixty eligible adolescents were identified during a 6-month period. Overall, 29 patients (18%) received 41 vaccines. Process facilitators included staff buy-in and individual provider feedback and barriers included staff shortages and family vaccine refusal/preference to receive vaccines in the medical home. Many adolescents see dental providers more than their primary care providers, creating an opportunity to vaccinate adolescents overdue for immunizations during dental visits. A medical dental integration program to provide adolescent vaccinations was feasible in a federally qualified health center with co-located medical and dental services. Expansion to diverse healthcare settings is necessary to further explore implementation outcomes.

A cross-sectional study of musculoskeletal injuries related to exercise among gym members in Saudi Arabia in 2022: prevalence, common types, and predictor factors

BackgroundDespite the importance of enhancing exercise, exercising can cause injuries that lead to disability and increase the load on the medical sector. This study aimed to estimate the prevalence of exercise-related injuries among gym members in the Kingdom of Saudi Arabia (KSA) and evaluate the more common types of such injuries. It also investigated the association between injury prevalence and the factors selected.MethodsA cross-sectional study with a self-reported survey was conducted targeting members of Fitness Time gyms across the KSA. The survey consisted of three parts: part one concerns participant demographic data and part two contains four questions regarding the participants’ training experience. Part three contains ten questions targeting those with a history of injury. Descriptive statistical analysis was performed using frequencies and percentages for categorical variables. Crosstabs and chi-squared tests were used to assess the prevalence of exercise-related injuries when appropriate. Binary logistic regression was employed to investigate the association between injury prevalence and the potential associated factors. Odds ratios and their 95% confidence intervals were calculated and the threshold for statistical significance was set at p ≤ 0.05.ResultsA total of 713 subjects participated in the study. The mean age was 36.5 ± 11.2 years and (n = 422, 59.2%) of the participants were female. The study found a prevalence of injury among gym members of about (n = 404, ~57%). The most commonly reported types of injuries were muscle strain (n = 126, 37%) and bruising (n = 45, 13%). The most prevalent anatomical location of injury was the knee (n = 287, 84.3%), followed by the shoulder (n = 283, 83.3%), and the least common was the head/neck (n = 7, 2.1%). The present study suggests some factors associated with exercise-related injury. A significant statistical association (p < 0.5) was found between injury prevalence and age, gender, educational level, period of training, and presence of a trainer. However, no association was detected between injury prevalence and Body Mass Index (BMI), place of residence, or source of advice.ConclusionOver half of the participants of this study reported at least one exercise-related injury. This study identifies factors associated with injury prevalence related to exercise among gym participants. Promoting safety and minimizing the incidence of injuries are crucial.

Pattern of substance abuse among patients in a rehabilitation center

Background: Substance use disorders have profound implications for individuals, their families, and society as a whole. At present, drug trafficking and addiction have ensnared every corner of the globe, impacting millions of individuals worldwide. This pressing issue of drug abuse is concerning due to the underlying conditions fueling it, including shifting cultural values, increasing economic stress, and weakened social support networks. Aims and Objectives: This study aimed to identify the trends in drug abuse and its influencing factors among patients undergoing treatment for addiction in rehabilitation centers in Telangana. Materials and Methods: The study, a descriptive cross-sectional analysis, involved 222 individuals grappling with drug addiction at the primary rehabilitation center for drug addiction treatment in Telangana. Information was gathered using a pre-tested, structured questionnaire between September and December 2022 under the Department of Pharmacology. Results: Among the respondents, 95% were male and 5% were female, with a majority falling in the 21–30 age brackets. The religious breakdown comprised 151 Hindus, 32 Muslims, and 30 Christians, while 41% hailed from tribal regions. Injection emerged as the most prevalent method of substance abuse among 194 participants. The onset of drug abuse mostly occurred between ages 11 and 20, primarily driven by self or peer pressure. Notably, 89% of participants reported being compelled to consume substances. Conclusion: The study found a significant correlation between male gender and drug consumption (P&lt;0.05), as well as between the 21 and 30 age group and drug intake (P&lt;0.05). Additionally, the research highlighted a high prevalence of drug dependence among educated individuals, with familial conflicts and peer pressure being cited as common triggers for various forms of substance abuse.

Comparative Analysis of Adaptations Progress in VO2max, Leg Power, and Agility among Male and Female Sports Science Students

The strength and conditioning program has emerged as a widely adopted, structured exercise intervention aimed at enhancing muscle strength, endurance, speed, power, flexibility, and physical function, all while mitigating the risk of injuries. Several studies, however, have assessed strength and conditioning interventions in general for sports science students at the university. Objectives: Therefore, this study aims to explore the differential effects of a strength and conditioning program incorporating a combination of Continuous Run (CR) and Circuit Training (CT) methods on VO2max, leg power, and agility applied to male and female sports science students. Material and Methods: Utilizing a quasi-experimental design with a one-group pretest-posttest setup spanning from July to October 2022, the study consisted of 8 microcycles (8 weeks) comprising 24 sessions, where each microcycle included 2 active rest days (recovery run). A total of 63 students with bachelor’s degrees in sports science who have recently enrolled as freshmen in the Faculty of Sports Science (n = 39 men; n = 24 women; aged = 18-20 years; mass (kg) man and women = 60 ± 7 and 51 ± 6, Height (cm) men and women = 172 ± 4 and 158 ± 3, and not trained athletes) were selected through purposive sampling and provided informed consent in the present study. Pre- and post-measurements were conducted using the Multi-Stage Fitness Test (MSFT), standing broad jump test, and the Illinois agility run test. Descriptive and inferential data analyses (differential pre and post-test using the Wilcoxon test) were performed using SPSS 25 software. Results: Our findings reveal significant improvements in VO2max and leg power following the implementation of a strength and conditioning program that combines circuit training with continuous running for males (from 35.76±5.94 to 41.99±5.35 and 2.175±0.23 to 2.30±0.25, respectively: P&lt;0.05). Meanwhile, for females, (25.97 ± 2.78 to 31.10 ± 3.09; 1.66±0.24 to 1.72±0.17; P&lt;0.05). However, the study does not identify a significant improvement in agility for both male and female participants (17.90±0.95 to 17.69±0.87; P&gt;0.05 and 20.13 ± 1.17 to 19.89 ± 1.19; P&gt;0.05). Conclusions: This investigation provides valuable insights into the effectiveness of an integrated strength and conditioning program using a combination of Continuous Run (CR) and Circuit Training (CT) methods on VO2max and Leg power, for both males and females. Although there were no significant improvements in agility for either males or females, there was an increase in overall averages. The results offer implications for optimizing physical performance and refining training protocols. Therefore, the combination of Continuous Run (CR), circuit training (CT), and Circuit Resistance Training (CRT) has proven to be a practical strategy for enhancing VO2max and leg power. This is particularly relevant for coaches seeking to diversify exercise variations that can be applied to sports science students in the future Keywords: Strength and Conditioning, Circuit Training, Continuous Run, VO2max, Leg Power, Agility, Sports Science Students

Review of Therapeutic Care for Survivors of Online Sexual Exploitation in the Philippines

ABSTRACT Background In studies and reports conducted on online sexual exploitation and abuse of children (OSAEC), identified gaps include understanding programmes and services for victim-survivors. In the Philippines, care services consist of a blend of programmes specifically tailored for OSAEC and more generalised therapies for trauma. However, there is a lack of documentation regarding the variety of programmes available and the experiences of service providers during implementation. This qualitative study aims to provide a comprehensive description and critical analysis of these existing programmes and services. Methods Twenty-two in-depth interviews were conducted with key informants from selected government agencies and non-government organisations involved in providing services for the case management of victim-survivors of OSAEC in identified hotspots. Results A thematic analysis of the interviews revealed that a range of programmes and services are offered to address the needs of the survivors in various aspects of their lives, encompassing psychological, medical, educational, spiritual, and even the recreation of home life. A trauma-informed approach was commonly employed, with care often tailored based on age and gender. Challenges and facilitating factors in providing care were also identified, including limited evaluation of existing programmes and services. The findings carry implications for the ongoing implementation of these programmes, the development of new services and programmes, and the formulation of further policies and laws addressing OSAEC and broader issues concerning child protection and wellbeing.

Mathematics Teachers' Perceptions the Steam Approach: Science, Technology, Engineering, Arts, and Mathematics and Its Relationship with Some Variables

This paper aimed to investigate the perceptions of mathematics teachers in Saudi Arabia regarding the STEAM (Science, Technology, Engineering, Arts, and Mathematics) approach. A sample of 350 teachers from the Eastern Province completed a 40-item survey on their STEAM perceptions and teaching requirements. Descriptive and inferential statistical analyses revealed overall positive perspectives, with 78.6% strongly agreeing that STEAM transforms classrooms into creative environments. However, just 58.4% felt it enabled active learning, and 67.4% were unsure about systemic support. Significant differences emerged based on teacher gender and qualifications, but not experience levels or stages. While largely optimistic attitudes exist toward STEAM's value, persistent resourcing, competency, and policy barriers likely impede classroom adoption. Recommendations encompass boosting investments in STEAM infrastructure, aligned teacher professional development, specialized materials and tools, and integration support across subjects. Further research incorporating mixed methods, expanded samples, and longitudinal tracking can delineate evidence-based strategies to catalyze effective STEAM adoption. The study recommended enhancing the effectiveness of the STEAM approach in education, especially in mathematics.

Fracture rate and risk factors associated with the fracture of narrow diameter implants: A long-term retrospective analysis.

The objective of this long-term retrospective study was to evaluate the fracture rate and the risk factors associated with the fracture of 3.3 mm narrow diameter implants (NDIs). A total of 524 records of patients rehabilitated with 3.3 mm NDIs between 1997 and 2015 were assessed. Data on patients, implants, and prostheses were collected, and descriptive analysis of the variables was performed. NDIs were separated into 2 groups: "fractured" and "non-fractured", and a multilevel logistic regression model was applied to identify the risk factors associated with NDI fracture. Eighty-four patients were removed from the analysis for interrupting follow-up or presenting failures other than fractures. Of the 440 patients included (64.66 ± 13.4 years), 272 were females (61.8%), and 168 males (38.2%), and mean follow-up time was 129 ± 47.1 months. Of the 1428 NDIs, 15 (1.05%) in 9 patients (2.04%) fractured during the studied period. Ten fractures (66.66%) happened in 6 patients (66.66%) showing signs of parafunction. NDI with modified sandblasted, large grit, acid-etched surface was the only implant variable to show a protective statistical significance (p = .0439). NDI fracture was a rare event in the studied sample. NDIs manufactured with modified sandblasted, large grit, acid-etched surface may provide extra protection against NDI fracture. Patient-specific factors and implant characteristics should be carefully considered to limit the risk of fracture of 3.3 mm NDIs.

A descriptive analysis of drug-drug interactions and corresponding adverse drug reactions in multimorbid older inpatients: findings from the SENATOR trial.

Drug-drug interactions (DDIs) are prevalent among multimorbid and polymedicated older adults and can increase the risk of adverse drug reactions (ADRs), hospital admissions, and mortality. This study describes the incidence and prevalence of 66 clinically relevant DDIs and analyses the occurrence of 12 corresponding predefined ADRs in older inpatients enrolled in the SENATOR trial. The sub-study of the SENATOR trial that involved 1537 multimorbid older inpatients, recruited from 2016 to 2018 in six academic teaching hospitals in Belgium, Iceland, Ireland, Italy, Scotland, and Spain respectively, and analysed 66 potentially clinically significant DDIs. Descriptive analysis determined DDI and corresponding ADR prevalence/incidence. At baseline (median age: 78 [72, 84], 52.8% male), the prevalence of patients with DDIs was high (50.9%), increased during hospitalisation (55.2%) and reduced to 49.7% after 12weeks. The most common DDIs were: ≥ 2potassium reducing drugs (17.1%), ≥ 3centrally acting drugs (9.0%), and SSRI + loop/thiazide diuretic (7.2%). Of all participants, one-third experienced a prevalent (36.6%)/incident (35.8%) ADR. Major serum electrolyte disturbance had the highest incidence (10.7%)/prevalence (11.5%). Incident ADRs were more common in patients with DDIs (p = 0.013). A higher prevalence of new onset falls (p = 0.013), major constipation (p = 0.004), and major serum electrolyte disturbances (p = 0.006) was observed in patients with related and thus potentially causal DDIs. Clinicians should, be aware of DDIs and the involved drug classes that can lead to an increased rate of ADRs in older multimorbid inpatients. Regularly reevaluating the appropriateness of the frequently prescribed drug classesand initiating judicious deprescribing is recommended.

Unmasking caries risk: a multi-regional study in Saudi Arabia

BackgroundDental caries are common and troublesome and may affect individuals’ health conditions. It is crucial to comprehend the caries experience for prevention, management, and enhancing oral health. Techniques such as CAMBRA can help assess an individual’s risk factors for caries lesions. This study aims to assess the caries risk in five distinct regions of Saudi Arabia, utilizing the CAMBRA methodology.MethodsThis multiregional cross-sectional study was conducted at university dental clinics across the five regions of Saudi Arabia, using a Caries Management by Risk Assessment (CAMBRA) tool. This study used binary logistic regression analysis, the Pearson Chi-square test, and descriptive analysis as statistical methods.ResultsA total of 551 respondents participated in the study, with 59.7% being male and 40.3% being female. The age group with the highest proportion was 20–29, making up 31.6% of the participants. All participants exhibited at least one caries lesion (100%), with white spots (66.4%) and enamel lesions (56.1%) being the most prevalent. The moderate-risk category encompassed the largest proportion of participants, accounting for 60% of the total. High caries risk had a significant association with age group (P < 0.001), education (P < 0.001), profession (P < 0.001), and socio-economic status (P < 0.001). Furthermore, only age and socio-economic status showed a significant relationship with high caries risk in the multiple logistic regression.ConclusionThe CAMBRA tool indicates a high prevalence of moderate risk across the five regions of Saudi Arabia, identifying age and socio-economic status as significant predictors of caries risk.

Using Göbeklitepe, the Zero Point of History, in Cultural Heritage Education

Cultural heritage education plays a crucial role in sparking curiosity about historical cultural elements, preserving and evolving cultural traditions, strengthening national identity, and cultivating engaged citizens. In light of this, this study aims to determine the educational outcomes of incorporating Göbeklitepe, a historical site, into the cultural heritage education component of the fifth grade Social Studies course. In this research, the most common type of qualitative research, the basic interpretive research approach, was preferred. The study group, comprising 22 fifth-grade students from a middle school, was selected through the use of criterion sampling, case sampling, and purposeful sampling. The data collection tools employed in the study included clay studies, talking object worksheets, student diaries, a Göbeklitepe newspaper, and a self-assessment form. The data were subjected to content analysis and descriptive statistical analysis. The findings of the study indicated that engagement in cultural heritage activities enhanced students' comprehension of the historical development of Göbeklitepe. They acquired knowledge about the historical trajectory of the site and were able to contextualize this process within the broader historical context of Şanlıurfa. In accordance with the nature of history, it was determined that students realized the impossibility of acquiring exhaustive knowledge about Göbeklitepe. In their diaries, students proposed the implementation of further research, excavations, and the utilization of knowledgeable individuals to elucidate the enigma of Göbeklitepe's history. However, it was determined that students encountered challenges in applying the skills of perceiving change and continuity.

Follow-up analysis and research of very low-risk and low-risk gastrointestinal stromal tumors after endoscopic resection

Currently, due to limited long-term evidence, there remains some controversy surrounding the recommended postoperative monitoring strategy for primary low-risk gastrointestinal stromal tumors (GISTs). This study recruited a total of 532 patients diagnosed with very low-risk and low-risk GISTs who underwent endoscopic resection from 2015 to 2021, including 460 very low-risk patients and 72 low-risk patients. Descriptive statistical analysis was used to evaluate the clinical and pathological characteristics of GIST patients, and Kaplan–Meier methods were employed for survival analysis. The results showed that the 5-year recurrence-free survival rates for very low-risk and low-risk patients were 98.5% and 95.9%, respectively. The 5-year disease-specific survival rates for both groups were 100%. Additionally, the 5-year overall survival rates were 99.7% for very low-risk patients and 100% for low-risk patients (P = 0.69). Therefore, it is suggested that routine follow-up monitoring, including endoscopic surveillance and imaging, may not be necessary for very low-risk and low-risk GISTs after endoscopic resection.

Implementing a real-time patient experience feedback in inpatient rehabilitation: Process evaluation informed by the normalisation process theory.

Near real-time patient experience feedback (NRTPEF) can enable a patient-centric, immediate service recovery but has not been widely used in inpatient rehabilitation. We 1) assess the utility, feasibility, and acceptability of implementing a new NRTPEF, perceived by patients and providers; and 2) understand how the NRTPEF became embedded into routine provider practices. Mixed methods process evaluation of the 8-month implementation of an innovative NRTPEF in an inpatient rehabilitation unit, using interviews and focus groups with all the service-unit leaders and interviews with a randomised sample of patients. Beyond descriptive statistics and content analysis, the Normalisation Process Theory (NPT) informed a framework analysis. Patients and service-unit leaders perceived high utility in the NRTPEF (median: 9 for both; 0-10 scale) and qualitative comments emphasised the value of providing/obtaining timely feedback. The system was found feasible and acceptable for patients (median: 9.5), but with an improvement margin for providers (median: 7.3). Suggestions include strengthening the data-relay format. Even in the pilot form, providers found the NRTPEF became embedded into practice (median 10; average: 8.6). The analysis based on the NPT shows how providers saw differential value, engaged with, and used the patient feedback into reconfigured practices. An innovative NRTPEF was found useful, feasible and acceptable, but with refinement opportunities before scale-up.