Central Province Research Articles

Doğum Sonu Dönemdeki Kadınların Anne Olmak Kavramına İlişkin Algıları: Metaforik Bir Çalışma

Objective: The aim of this research is to discover postnatal women's conceptions of 'becoming a mother' using metaphors. Methods: The study was conducted using the phenomenological design, which is one of the qualitative research methods. The study's data were collected between 31 March 2023 and 29 June 2023 by utilizing a personal information form as well as a semi-structured interview form with 88 women living in Konya province, between 4-12 months postpartum, who voluntarily participated in the study. Each participant was asked to complete the sentence's blanks 'Being a mum.........because it's similar'. The data were analysed using qualitative (content analysis) and quantitative research methods. Ethics committee permission was obtained to conduct the research. Results: When the participants' sociodemographic data were investigated, it was discovered that the average age was 28.28±4.93, 40.9% were university graduates or above, 75% lived in the provincial centre, 71.6% has a medium income, and 60.2% had a cesarean section. The participants were found to have produced 65 analogies pertaining to the idea of "motherhood." 86.15% of the metaphors associated with the idea of motherhood were found to be conceptualized as opinions. Conclusions: It shows that women in the postpartum period perceive the role of motherhood as a social and individual role positively. It is suggestion that nurses and midwives should support and contribute to the development of women's maternal role.

Decreasing incidence of hospital diagnosed CKD/CKDu in North Central Province of Sri Lanka: is it related to provision of drinking water reverse osmosis plants?

BackgroundWe assessed the possible impact of provision of reverse osmosis (RO) water on the incidence of hospital diagnosed CKD/CKDu in North Central Province (NCP) of Sri Lanka.MethodsAn ecological study was conducted on data from 2010–2020 on the incidence of hospital diagnosed CKD/CKDu, CKD/CKDu screening and provision of drinking water RO plants in NCP. Analysis was conducted using descriptive statistics, ANOVA and chi-square test.ResultsThe annual incidence of hospital diagnosed CKD/CKDu (per 100 000 population) in 2010–2013, 2014–2016 and 2017–2020 periods in Anuradhapura district were 129.07, 331.06 and 185.57 (p = 0.002) while in Polonnaruwa district these were 149.29, 326.12 and 296.73 (p = 0.04) respectively. In NCP provision of RO plants commenced after 2011 and the decline in the incidence of hospital diagnosed CKD/CKDu was seen in 25 of the 29 Divisional Secretary Divisions when more than 20% of the families received access to drinking RO water projects.ConclusionsThe annual incidence of hospital diagnosed CKD/CKDu increased in NCP from 2010 to 2016 and continuously decreased thereafter. Continuous declining of CKD/CKDu incidence was seen after more than 20% of the families received access to drinking water RO plants.

Laboratory, Clinical, and Para-clinical Symptoms of Children with Covid-19: A Gender-based Cross-Sectional Study

Background Children show milder symptoms of COVID-19 with lower mortality rates. The manifestation of COVID-19 in the pediatric population is an understudied topic. Our aim was to investigate the clinical and para-clinical manifestations of SARS-CoV-2 in children in the Central province of Iran. Materials and Methods We investigated the clinical and para-clinical manifestations of children referred to all hospitals in the Central Province of Iran from March 2019 to June 2020. Results We surveyed 96 pediatric patients hospitalized in hospitals in the Central Province of Iran. The average age of the patients was 110 months. 53% of patients (51 people) were male. The analysis did not show a significant relationship between the laboratory results and the gender of the patients. Conclusion Male and female pediatric patients had the same condition in terms of clinical manifestations, laboratory results and antibiotic use.

Knowledge of Cervical Cancer and Screening Practices among Women in Bindura District, Mashonaland Central Province, Zimbabwe

Cervical cancer (CaCx) is the most common cancer among women and is also the major cause of death worldwide. It is the most common cancer among black Zimbabwean women accounting for 29.4% of the cases. The purpose of this study was to determine the knowledge of cervical cancer and screening practices among women in Bindura District, Zimbabwe. A descriptive cross–sectional research study was conducted. The study sample consisted of 100 consenting women who were selected from Bindura Hospital, Chipadze and Chiwaridzo Council Clinics using simple random sampling method. Data were collected by face-to-face interviews using a questionnaire as a guide. Data were processed using Statistical Package Social Sciences (SSPS) software version 20 and analyzed descriptively. Data revealed that knowledge of risks factors and preventive measures for cervical cancer was poor as only (31%) had high knowledge levels. Although the majority of the respondents (77%) had heard about cervical cancer screening only (22%) were screened, the major reason cited being lack of knowledge. Perception of risk for cervical cancer was poor as (58%) of the respondents did not perceive to be at risk of cervical cancer. The study revealed that cervical cancer knowledge level was very low and screening practices were very poor. Therefore, health care providers need to intensify awareness on cervical cancer through health education across women of all age groups. The government should also make cervical cancer screening available and accessible at most health care facilities.

The Relationship of Toxoplasma Gondii Infection with Men Infertility: A Serological and Molecular Study

Background and Aims: Toxoplasma gondii (T. gondii) is one of the most dangerous parasitic infections in immunocompromised patients. It may pass through the bloodstream to various organs, such as the reproductive organs of intermediate hosts, which may lead to male infertility. Therefore, this study aimed to determine the relationship between T. gondii infection and infertility in infertile men referred to the infertility center of Chaharmahal and Bakhtiari province.
 Materials and Methods: In this case-control study,129 men, including 67 infertile and 62 fertile men, participated, and specific anti-Toxoplasma antibodies of IgG and IgM were detected in the serum of all cases using enzyme-linked immunosorbent assay methods. Also, the presence of T.gondii DNA in the seminal fluid samples of these people was detected using the polymerase chain reaction method. Sperm analyses, including sperm count, morphology, motility, and viscosity, were also performed on the seminal fluid.
 Results: Based on the result of the IgG antibody, a significant difference was found in toxoplasmosis in two fertile and infertile groups. Its frequency was 16.1% in the fertile group and 40.3% in the infertile group. Also, Toxoplasma infection showed a relationship with sperm count and sperm morphology, so its frequency was 72.7% in the low sperm group and 24.6% in the high sperm group. The results of IgM and polymerase chain reaction showed, there was no significant relationship between the fertile and infertile groups with toxoplasmosis.
 Conclusion: The serum prevalence of the anti-Toxoplasma antibodies and molecular detection in infertile men is higher than the control group, and it seems that Toxoplasma may be an effective risk factor for causing male infertility and disruption of sperm parameters.

Marine Strontium Isotope Evolution at the Triassic‐Jurassic Transition Links Transient Changes in Continental Weathering to Volcanism of the Central Atlantic Magmatic Province

AbstractThe end‐Triassic extinction (ETE) is one of the most severe biotic crises in the Phanerozoic. This event was synchronous with volcanism of the Central Atlantic Magmatic Province (CAMP), the ultimate cause of the extinction and related environmental perturbations. However, the continental weathering response to CAMP‐induced warming remains poorly constrained. Strontium isotope stratigraphy is a powerful correlation tool that can also provide insights into the changes in weathering regime, but the scarcity of 87Sr/86Sr data across the Triassic‐Jurassic boundary (TJB) hindered the use of this method. Here we present new high‐resolution 87Sr/86Sr data from bulk carbonates at Csővár, a continuous marine section that spans 2.5 Myrs across the TJB. We document a continuing decrease in 87Sr/86Sr ratio from the late Rhaetian to the ETE, terminated by a 300 kyr interval of a flat trend and followed by a transient increase in the early Hettangian that levels off. We suggest that the first in the series of perturbations is linked to the influx of non‐radiogenic Sr from the weathering of freshly erupted CAMP basalts, leading to a delay in the radiogenic continental weathering response. The subsequent rise in 87Sr/86Sr after the TJB is explained by intensified continental crustal weathering from elevated CO2 levels and reduced mantle‐derived Sr flux. Using Sr flux modeling, we also find support for such multiphase, prolonged continental weathering scenarios. Aggregating the new data set with published records employing an astrochronological age model results in a highly resolved Sr isotope reference curve for an 8.5 Myr interval around the TJB.

Microorganism diversity and contamination risk in mosque rosaries and carpets.

Inevitably, the floors of mosques are contaminated with microorganisms, and the risk of pathogen transmission is probably high between the many visitors, but the issue has been infrequently studied. Investigate microorganism variety and risk of contamination on commonly used carpets and rosaries (prayer beads). Cross-sectional. Mosques. This study was carried out in three different cities of Turkey in 2023, focusing on mosques located around hospitals. Forty mosques were included in the study and from each mosque 10 samples were collected from various parts of carpets and rosaries. The number of positive culture isolates were identified. Diversity and distribution of microorganisms isolated from mosque carpets and rosaries; methicillin-resistance rates in Staphylococci. 400 samples. Growth was observed in 368 (92%) of 400 samples examined. The microorganisms isolated in the highest number were methicillin-susceptible coagulase negative Staphylococci (MSCoNS) (59.8%), Microcooccus (41%) and diphtheroids (31.3%). The rates of total growth (P=.001), including diphtheroids (P=.018), methicillin-resistant coagulase negative Staphylococci (P=.001), Bacillus spp. (P=.036) and Aspergillus spp. (P=.002) rates were significantly higher in the rosary samples than carpet samples. At mosques in Tokat, a province center, 4 samples were positive for Acinetobacter baumannii, two samples were positive for Pseudomonas aeruginosa and one sample for methicillin-resistant Staphylococcus aureus (MRSA), and these were isolated from rosaries. 0.3% of Staphylococcus isolates were MRSA. As there is a high risk of contamination of carpets and prayer beads on the mosque floor with human flora, the use of appropriate hygiene practices is necessary. We also found some emerging bacteria in addition to the normal human flora. Our study was conducted in three provinces. Further studies might cover a wider geography.

Varanasi—The Making of a Smart Heritage City

One of the oldest cities in the world, Varanasi is home to more than one religion. It is an acclaimed centre of spirituality for Hindus and Buddhists while being equally sacred for Jains and Sikhs. The city is located along the river Ganga, which many believe is a celestial incarnation to grant salvation. Varanasi is a million-plus-population city; an increasingly important provincial metropolitan centre enshrined with the values of commerce, religion, ritual and tradition; and caught between the confluence and contestations of traditions and modernity. Since 2016, Varanasi has been incorporated under India’s Smart Cities Mission (SCM) to develop the city into a smart city with a strong focus on heritage and tourism. The present article is an attempt to trace the journey of the city that has developed as a palimpsest over centuries; it deliberates the contemporary urban landscape and maps out recent urban and infrastructure developments of the city and its concerns. This article also argues that Varanasi has focused on locally specific everyday urbanisms with heritage and culture and pivoted to making itself a Smart Heritage City.

Remote Sensing-Based Lithological Mapping of the Qena-Safaga Shear Zone Juxtaposing Northern and Central Tectonic Provinces of The Egyptian Nubian Shield

Remote Sensing-Based Lithological Mapping of the Qena-Safaga Shear Zone Juxtaposing Northern and Central Tectonic Provinces of The Egyptian Nubian Shield

Toxicity Study on Crude Alkaloid Extracts of Houttuyniae herba Based on Zebrafish and Mice.

Houttuyniae herba has a long history of medicinal and edible homology in China. It has the functions of clearing heat and detoxifying, reducing swelling and purulent discharge, diuresis, and relieving gonorrhea. It is mainly distributed in the central, southeastern, and southwestern provinces of China. Houttuyniae herba has been designated by the National Ministry of Health of China as a dual-use plant for both food and medicine. Comprising volatile oils, flavonoids, and alkaloids as its primary constituents, Houttuyniae herba harbors aristolactams, a prominent subclass of alkaloids. Notably, the structural affinity of aristolactams to aristolochic acids is discernible, the latter known for its explicit toxicological effects. Additionally, the safety study on Houttuyniae herba mainly focused on the ethanol, methanol, or aqueous extract. In this study, both zebrafish and mice were used to evaluate the acute toxicity of the total alkaloids extracts from Houttuyniae herba (HHTAE). The zebrafish experiment showed that a high concentration (0.1 mg/mL) of HHTAE had a lethal effect on zebrafish embryos. Furthermore, the mice experiment results showed that, even at a higher dose of 2000 mg/kg, HHTAE was not toxic. In conclusion, HHTAE was of low safety risk.

Spatial distribution of social vulnerability to flood disasters in Mejobo Sub-District, Kudus Regency, Indonesia

Central Java province has the highest disaster risk index (score 203) of 33 provinces in Indonesia. In 2022, the Province was most affected by floods with 203 incidents. Kudus Regency is one of the regencies in Central Java that is often affected by floods. Mejobo sub-district is the sub-district with the most flood events in the last 5 years. The frequent occurrence of floods triggers various emerging problems such as social vulnerability. Hence, the purpose of this study is to examine social vulnerability and population analysis in the Mejobo sub-district. The calculation of vulnerability classes uses 5 parameters, namely population density, people with disabilities, vulnerable age groups, poor people, and women. which is then scored for each parameter and classified into 3 vulnerability classes (low, middle, and high vulnerability). The results obtained for low vulnerability were found in 3 villages, namely Jojo, Temulus, and Tenggeles Villages. Moderate vulnerability is in the villages of Hadiwarno, Kirig, and Mejobo. In the high vulnerability class, there are 5 villages, namely Golantepus, Jepang, Gulang, Kesambi, and Payaman.

Seroprevalence of peste des petits ruminants disease in Indonesian buffaloes may be an emerging threat to small ruminants

Background and Aim: The peste des petit ruminants (PPR) is a disaster-class virus that causes catastrophic drawbacks to small ruminant industries in affected countries. As PPR disease has been reported in neighboring countries, Indonesia, which has a large population of sheep and goats, has become prone to the emerging threat of infection. Because the virus can also infect other animals with subclinical manifestations, large ruminants, such as buffaloes, may play an important role in spreading the virus in the environment. Therefore, the main objective of this study was to identify PPR seroprevalence in the buffalo population of Indonesia. Materials and Methods: A competitive enzyme-linked immunosorbent assay was performed to identify the specific antibody for PPR viruses in the buffalo population using serum bank collection from the National Research and Innovation Agency, Indonesia. Results: PPR virus seroprevalence was detected in buffalo from Central Java, East Java, and East Nusa Tenggara Province in Indonesia. Although seroprevalence was low in the population, the antibody titer was relatively high in the positive samples. Sex and age were identified as determinant factors in the seroprevalence distribution of the buffalo population. Conclusion: The presence of antibodies against the PPR virus in buffaloes may indicate that PPR virus is circulating in the buffalo population of Indonesia. Keywords: antibody, buffalo, Indonesia, peste des petit ruminants, seroprevalence.

Clinical practice guidelines for prevention and treatment of postoperative gastrointestinal disorder with Integrated Traditional Chinese and Western Medicine (2023).

Postoperative gastrointestinal disorder (POGD) was a common complication after surgery under anesthesia. Strategies in combination with Traditional Chinese Medicine and Western medicine showed some distinct effects but standardized clinical practice guidelines were not available. Thus, a multidisciplinary expert team from various professional bodies including the Perioperative and Anesthesia Professional Committees of the Chinese Association of Integrative Medicine (CAIM), jointly with Gansu Province Clinical Research Center of Integrative Anesthesiology/Anesthesia and Pain Medical Center of Gansu Provincial Hospital of Traditional Chinese Medicine and WHO Collaborating Center for Guideline Implementation and Knowledge Translation/Chinese Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) Center/Gansu Provincial Center for Medical Guideline Industry Technology/Evidence-based Medicine Center of Lanzhou University, was established to develop evidence-based guidelines. Clinical questions (7 background and 12 clinical questions) were identified through literature reviews and expert consensus meetings. Based on systematic reviews/meta-analyses, evidence quality was analyzed and the advantages and disadvantages of interventional measures were weighed with input from patients' preferences. Finally, 20 recommendations were developed through the Delphi-based consensus meetings. These recommendations included disease definitions, etiologies, pathogenesis, syndrome differentiation, diagnosis, and perioperative prevention and treatment.

Rice Terraces Enhanced the Hydrological Stability of Small Watershed with LUCC—A Case Study of Xinhua Basin

Rice terraces are crucial for agriculture in China’s southern mountainous regions. Land use and land cover change (LUCC) in these areas impact hydrology, but our understanding is limited. In this study, we applied the hydrological assessment tool SWAT to a selected small watershed in the rice terrace-dense area of central Hunan province, China. This study covered four LUCC periods over the past 40 years and was simulated at annual and monthly scales. The results showed that from 1980 to 2020, the areas of paddy fields and drylands decreased by 4.19% and 5.76%, respectively, while the areas of forests and construction land increased by 1.14% and 92.48%, respectively. During the past period, LUCC led to a decrease of 1.77% and 2.49% in runoff and infiltration, respectively, and an increase of 1.03% in ET. However, the water yield remained almost unchanged, indicating that the rice terrace plays a positive role in maintaining stable watershed water yield under LUCC. The results of the sub-basin analysis indicated that the transformation of paddy fields and forests directly determines the trend of hydrological changes. Land use type had the most significant impact on the runoff of the rice-terrace watershed, with the proportions of paddy fields and forests being the most influential factors. Paddy fields significantly influenced the stability of runoff at the watershed scale, suggesting that a high paddy field ratio doesn’t ensure sustainability. This study offers valuable insights for managing small watershed terraces, land use planning, and achieving sustainable development in the watershed.

Education of Factors Affecting the Decision to Purchase Handwoven Plastic Products as Community Souvenirs for Long Life Learning by the Na Prong Ma Duea Weaving Housewives Group to Promote Community Enterprises

Background and Aim: This study has three primary objectives: (1) to analyze the demographic factors influencing the purchasing behavior of local souvenirs, specifically plastic woven products crafted by housewives engaged in basketry at Ban Na Phrong Maduea, to promote community business development; (2) to examine the factors related to perceived value that affect the purchasing behavior of these local souvenirs; and (3) to explore the influence of social opinions on the purchasing decisions of plastic woven products from the same group of artisans. Materials and Methods: The research adopts a quantitative methodology, targeting Thai tourists who have traveled in the lower central provinces of Thailand. A sample size of 400 respondents was determined using the Taro Yamane method, with a margin of error set at 0.05. Simple random sampling was applied. A questionnaire served as the primary research tool and the collected data were analyzed using descriptive statistics such as percentages, means, and standard deviations. To further assess factors influencing purchasing decisions, a binomial logistic regression model (Logit model) was employed. Results: The key findings are: (1) The majority of respondents were female, aged 31–40, with a bachelor's degree and a monthly income between 20,000 and 30,000 Baht. (2) The perceived value of plastic woven souvenir products and the influence of social opinions were highly rated, with social media being the most frequent information source. (3) Demographic factors, such as gender, age, and income, along with perceived value and social opinions, were statistically significant (p < 0.05) in affecting the decision to purchase plastic woven souvenirs. Conclusion: This study demonstrates that demographic factors, perceived value, and social opinions significantly influence purchasing decisions for plastic woven products. The findings suggest that promoting these products through social media and emphasizing their cultural and economic value can enhance community business development. Further research may explore more diverse product categories and broader geographical regions.

Climatic niche modelling and genetic analyses highlight conservation priorities for the Spotted Softshell Turtle (Pelodiscus variegatus)

The Spotted Softshell Turtle (Pelodiscus variegatus) has been recognised since 2019 from Vietnam and Hainan Island, China, but little information about its population status and distribution range is currently available. The species has been provisionally listed as Critically Endangered by the Turtle and Tortoise Working Group, although the status has not been officially accepted by the IUCN, due to the threats the species is facing, including habitat loss and degradation, overexploitation for food, competition with other non-native softshell turtles and pollution. To identify conservation priority sites for P. variegatus in mainland Indochina, this study combines molecular analyses and species distribution modelling. Our results show that, in Vietnam, Phong Nha-Ke Bang National Park has the largest suitable area and high probability of species occurrence, followed by Vu Quang National Park and Song Thanh and Ke Go Nature Reserves. In addition, the central provinces, from Thanh Hoa to Thua Thien Hue in Vietnam, constitute a key part of the species distribution and should be prioritised for conservation actions. According to the study’s findings, although P. variegatus is possibly found in Laos, the probability decreases sharply at the border between both countries and there is also a gap in the occurrence of wetlands, arguing for strong natural barriers. Unfortunately, to date, only part of the species potential distribution is protected, while no records are known from protected areas, highlighting the need for extended or even new reserves. To recover natural populations of the species and following the IUCN’s One Plan Approach to Conservation, breeding programmes have been established in Vietnam with a potential to expand to other facilities in the country and abroad. Once suitable sites are identified, offspring can be released into the protected areas to improve the current conservation status of this highly-threatened softshell turtle.

Competition and Coordination: Regional Dynamics in the Rise of China’s New Energy Vehicle Industry

Studies on China’s success in the electric vehicle industry overlook the role of regional clustering and regional electric vehicle policies in supporting sustainable production and consumption. This paper adopts a mixed-method policy inventory and analysis to examine the rise of the new energy vehicle (NEV) industry in China’s Greater Bay Area. It also systematically analyses the policies implemented by the central government, province, and cities in building a sustainable regional industry. A core dilemma is that cities are competing with one another for NEV development, yet regional industrial development requires coordination and cooperation. Examining the four policy areas of production, consumption, infrastructure support, and pollution suppression reveals that the competition among cities can be a driving force for the adoption of sustainable technology when supported by regional policy coordination.

Relationship between smartphone addiction, loneliness, and depression in adolescents: A correlational structural equation modeling study

PurposeThis study was aimed to investigate the relationship between smartphone addiction, loneliness, and depression in adolescents. Design and methodsThis study was designed in a correlational-cross-sectional-descriptive model and was conducted with 1041 adolescents attending high schools in a provincial center in Eastern Turkey. The data were collected through face-to-face interviews using a personal information form, Smartphone Addiction Scale-Short Version for Adolescents, UCLA Loneliness Scale, and Kutcher Adolescent Depression Scale. ResultsThe average scores for smartphone addiction were found to be higher among females, individuals with low academic success, and those with a high-income level. Similarly, the average scores for loneliness were higher among individuals residing in broken families and those with parents who have limited literacy. Additionally, the mean scores for depression were higher among individuals with low academic success and those with a high-income level. Furthermore, a significant positive correlation was observed between the duration of smartphone use and levels of smartphone addiction, loneliness, and depression. ConclusionSmartphone addiction, loneliness, and depression were found to be prevalent above the moderate level in adolescents. Additionally, a significant positive correlation was observed between the depression and loneliness scores of adolescents. Practice implicationsPediatric and school nurses should assess children's phone use. Nurses are well-positioned to establish a follow-up program aimed at monitoring adolescents' efforts in managing smartphone use, offering continuous support, and providing guidance when necessary. The implementation of such programs enables prompt intervention in addressing any arising issues.

Incidence and case fatality rates of cardiovascular diseases in urban and rural community-dwelling populations in eastern, central and western regions of China

Objective: To evaluate the incidence and case fatality rate of cardiovascular disease (CVD) among populations in urban and rural communities in eastern, central and western regions of China. Methods: The present study was based on the data of the Prospective Urban and Rural Epidemiology (PURE)-China cohort, which enrolled participants who had at least one follow-up visit and complete information on age and sex. Information on baseline demographics, cardiovascular risk factors, and prevention and treatment for CVD were collected. CVD and mortality events were documented using the standardized case report form of the PURE Global Study to assess the incidence and case fatality rate of CVD among populations in urban and rural communities in eastern, central and western China. Results: This study included a total of 47 262 community-dwelling participants (age: (51.1±9.6) years; female, n=27 529, 58.2%) from 115 urban and rural communities in 12 provinces across the eastern, central, and western regions of China. Over a follow-up period of 11.9 (9.5, 12.6) years, 2 686 deaths and 5 873 cardiovascular events were documented. The incidence of CVD was 11.90 (95%CI: 11.60-12.21)/1 000 person-years. A significant difference in CVD incidence was observed across regions (Ptrend<0.001), which was highest in the western provinces (13.99 (95%CI: 13.33-14.65)/1 000 person-years), intermediate in the eastern provinces (11.92 (95%CI: 11.52-12.33)/1 000 person-years), and lowest in the central provinces (8.87 (95%CI: 8.25-9.50)/1 000 person-years). The 1-year case fatality rate of CVD demonstrated an increasing trend from eastern to western regions (eastern: 10.20% (95%CI: 6.95-14.73); central: 13.50% (95%CI: 9.90-18.14); western: 18.62% (95%CI: 14.95-22.94); Ptrend<0.001). Moreover, the incidence of major CVD was consistently higher in rural areas compared with urban areas across eastern (P<0.001), central (P=0.01) and western (P<0.001)_regions, respectively. The 1-year case fatality rate in rural areas was also significantly higher compared with that in urban areas in both eastern (P<0.001) and western regions (P=0.02). Conclusions: The incidence and case fatality rate of CVD were high among middle-aged population in China, especially those in western regions with low socioeconomic levels and in rural areas.

Pengaruh Penggunaan Sistem Informasi Akuntansi E-Kasir Dan Keahlian Pemakai Terhadap Kualitas Laporan Keuangan Pada UMKM Di Provinsi Jawa Tengah

This research aims to examine the effect of implementing an E-cashier accounting information system and user expertise on the quality of financial reports for MSMEs in Central Java. The population used in this research is all MSMEs in Central Java, totaling 183,181 units in the first quarter of 2023. The data used in this research is primary data obtained directly from MSME actors. The research sampling technique used the purposive sampling method. The data analysis used is the Structural Equation Model (SEM). The findings of the empirical analysis show that the e-cashier accounting information system has a positive effect on the quality of MSME financial reports in Central Java province, while user knowledge and user skills have no effect on the quality of MSME financial reports in Central Java Province.&#x0D; Keywords: E-Cashier, Financial Reports, MSMEs