Characteristics Of Respondents Research Articles

Strategies for Identifying and Recruiting Women at High Risk for Breast Cancer for Research Outside of Clinical Settings: Observational Study.

Research is needed to understand and address barriers to risk management for women at high (≥20% lifetime) risk for breast cancer, but recruiting this population for research studies is challenging. This paper compares a variety of recruitment strategies used for a cross-sectional, observational study of high-risk women. Eligible participants were assigned female at birth, aged 25-85 years, English-speaking, living in the United States, and at high risk for breast cancer as defined by the American College of Radiology. Individuals were excluded if they had a personal history of breast cancer, prior bilateral mastectomy, medical contraindications for magnetic resonance imaging, or were not up-to-date on screening mammography per American College of Radiology guidelines. Participants were recruited from August 2020 to January 2021 using the following mechanisms: targeted Facebook advertisements, Twitter posts, ResearchMatch (a web-based research recruitment database), community partner promotions, paper flyers, and community outreach events. Interested individuals were directed to a secure website with eligibility screening questions. Participants self-reported method of recruitment during the eligibility screening. For each recruitment strategy, we calculated the rate of eligible respondents and completed surveys, costs per eligible participant, and participant demographics. We received 1566 unique responses to the eligibility screener. Participants most often reported recruitment via Facebook advertisements (724/1566, 46%) and ResearchMatch (646/1566, 41%). Community partner promotions resulted in the highest proportion of eligible respondents (24/46, 52%), while ResearchMatch had the lowest proportion of eligible respondents (73/646, 11%). Word of mouth was the most cost-effective recruitment strategy (US $4.66 per completed survey response) and paper flyers were the least cost-effective (US $1448.13 per completed survey response). The demographic characteristics of eligible respondents varied by recruitment strategy: Twitter posts and community outreach events resulted in the highest proportion of Hispanic or Latina women (1/4, 25% and 2/6, 33%, respectively), and community partner promotions resulted in the highest proportion of non-Hispanic Black women (4/24, 17%). Although recruitment strategies varied in their yield of study participants, results overall support the feasibility of identifying and recruiting women at high risk for breast cancer outside of clinical settings. Researchers must balance the associated costs and participant yield of various recruitment strategies in planning future studies focused on high-risk women.

Improving Pulmonary Tuberculosis Treatment Adherence: The role of patient knowledge in Cirebon, West Java, Indonesia

Background: With 10 million cases around the world, pulmonary tuberculosis (TB) has been classified as a highly contagious disease and mostly affecting low and middle countries. Having the second highest incident cases in West Java of Indonesia, Cirebon becomes a challenging city in order to reduce the number of TB cases in the country. Aims: This study aims to identify the patients’ knowledge and treatment phases, and how the two factors encourage patients to comply with their medication. Methods : This cross-sectional observational study was conducted among 91 new pulmonary tuberculosis patients at the Cirebon City Community Lung Health Centre, selected using random sampling. Not only respondent characteristics, but also data on the patients' knowledge levels, treatment phases, and medication adherence were collected using a questionnaire and medical records. To assess the relationship between these variables, the collected data was then analyzed using the Spearman Correlation test. Ethical clearance was obtained from the Health Research Ethics Commission, and informed consent was gathered from all participants. Results: This study reveals the most updated characteristics of the Tuberculosis patients at the Cirebon City Community Lung Health Center aged 15-64 years old with treatment duration ranged 1-6 months. The majority have insufficient knowledge about tuberculosis (45.1%), and 75.8% of patients adhered to their prescribed medication regimen, regardless of their knowledge level. The data indicates a significant positive correlation between knowledge level and medication adherence (p = 0.015), with 95% of patients with good knowledge adhering to treatment compared to only 34% with poor knowledge. Furthermore, there is a significant relationship between adherence and treatment duration (p = 0.002), as 85% of patients who adhered to treatment did so for more than two months. Conclusion: The study shows that patients with better knowledge of tuberculosis are more likely to stick to their medication, which also leads to longer treatment durations. Given the high incidence of TB in the region, these findings suggest the need for targeted educational programs to enhance patients' understanding of TB, thereby improving adherence to treatment protocols. Received: 20 May 2024, Reviewed: 09 June 2024, Revised: 26 August 2024, Accepted: 30 August 2024.

Expectations of and perceived need for civil war in the USA: findings from a 2023 nationally representative survey.

Surveys have found concerningly high levels of agreement that the United States will experience civil war soon. This study assesses variation in expectation of and perceived need for civil war with respondent sociopolitical characteristics, beliefs, firearm ownership, and willingness to engage in political violence. Findings are from Wave 2 of a nationally representative annual longitudinal survey of members of the Ipsos KnowledgePanel, conducted May 18-June 8, 2023. All respondents to 2022's Wave 1 who remained in KnowledgePanel were invited to participate. Outcomes are expressed as weighted proportions and adjusted prevalence differences, with p-values adjusted for the false discovery rate and reported as q-values. The completion rate was 84.2%; there were 9385 respondents. After weighting, half the sample was female (50.7%, 95% CI 49.4%, 52.1%); the weighted mean (± standard deviation) age was 48.5 (25.9) years. Approximately 1 respondent in 20 (5.7%, 95% CI 5.1%, 6.4%) agreed strongly or very strongly that "in the next few years, there will be civil war in the United States." About 1 in 25 (3.8%, 95% CI 3.2%, 4.4%), and nearly 40% (38.4%, 95% CI 32.3%, 44.5%) of those who strongly or very strongly agreed that civil war was coming, also agreed strongly or very strongly that "the United States needs a civil war to set things right." Expectation of and perceived need for civil war were higher among subsets of respondents who in Wave 1 were more willing than others to commit political violence, including MAGA Republicans, persons in strong agreement with racist beliefs or statements of the potential need for violence to effect social change, persons who strongly approved of specified extreme right-wing political organizations and movements, firearm owners who purchased firearms in 2020 or later, and firearm owners who carried firearms in public all or nearly all the time. In 2023, the expectation that civil war was likely and the belief that it was needed were uncommon but were higher among subsets of the population that had previously been associated with greater willingness to commit political violence. These findings can help guide prevention efforts.

Medicinal Plants Used in the Traditional Treatment of Cancer in the District of Bamako, Mali

Aims: This study goaled to enhance the value of traditional medicinal plants used in cancer treatment. Place and Duration of Study: An ethnobotanical survey was conducted in fifteen markets of Bamako district's, from February to August 2023. Methodology: The surveys involved the traditional medicine practitioners in Bamako based on a well semi-structured questionnaire. The information about the cancer and the plant species used to manage it, the mode of use and preparation in addition to the social characteristics of respondents were gathered. Results: A total of 172 traditional health practitioners were questioned in this study with a predominance of female (72.7%). Among the types of cancer known by the respondents, the breast cancer topped the list with 63.48%, followed by the cervical (21.34%) and prostate (8.42%) cancer. Twenty-seven (27) plant species belonged to 19 botanical families were used by these people to treat the cancer. Ximenia americana Linn, Cola acuminata F and Strychnos spinosa Lam were the most frequently cited species, with a frequency of 51.85%. The most represented botanical families were Fabaceae and Acanthaceae. The leaves (34%) were the most widely used medicinal plant parts, followed by leafy branches (20%) and roots (16%). For the preparation of medicinal recipes, 44.44% of the respondents recommended mainly the decoction (44.44%) and spraying (41.70%), These recipes are generally administered by oral route (32.69%) and specific bath (30.76%). Conclusion: These results constitute a preliminary step to the assessment of the anti-cancer properties of some of these registered plant species.

Harmonizing Heartbeats: The Mosaic of Cardiac Resynchronization Therapy Responders-A Comprehensive Exploration of Diverse Criteria and Predictors.

Background: Heart failure (HF) remains a challenging healthcare issue necessitating innovative therapies like cardiac resynchronization-defibrillation therapy (CRT-D). However, the definition of a CRT-D response lacks uniformity, impeding effective clinical evaluation. This study explores diverse CRT-D responder definitions encompassing functional, echocardiographic and laboratory criteria. Materials & Methods: A single-center study involving 132 CRT-D patients scrutinized responder criteria including NYHA stage, LVEF increase and proBNP decrease. Statistical analyses such as Kaplan-Meier curves and Cox hazard regression were employed to evaluate responder characteristics and survival outcomes. Results: Responder rates varied across criteria, revealing nuanced patient profiles. CRT-D responders defined by NYHA decrease, LVEF increase or proBNP decrease exhibit improved survival rates after 2 and 3 years (p < 0.050). Young age, absence of recent myocardial infarction and normal right ventricular echocardiographic parameters emerge as predictors for positive response. In part, drug-based HF therapy correlates with increased responder rates. Cox regression identified LVEF ≥ 5% and proBNP decrease ≥ 25% as independent predictors of extended survival. Conclusions: CRT-D responder definitions exhibit considerable variability, emphasizing the need for a nuanced patient-centered approach. Factors like right ventricular function, drug therapy, atrial fibrillation and renal function influence responses. This study enriches our understanding of CRT-D response and contributes to the foundation for personalized HF management.

Stress and Coping among Nursing Students

Background: Student at the university level experience high level of stress, related to worry about successes, availability of time and engagement in patient care. Coping mechanisms are essential when trying to deal with the stress and anxiety that nursing students face on a daily basis. The objectives of this study was to find out the level of stress and coping among nursing students and to find out the association between level of stress and coping with selected socio demographic variables. Materials and Methods: A descriptive cross sectional research design was adopted for the study. Non probability total enumerative sampling technique was used in the study. A structured questionnaire consisting of 5 points Likert scale was used for assessing the stress whereas Brief cope scale was used for assessing the coping among nursing students. Data was analyzed by using descriptive and inferential statistics. Results: The result depicts that out 107 respondents, more than two third (68.2%) of the respondents had high level of stress whereas more than half (60.7%) of the respondents had average coping. There was statically significant association between the age of the respondents with the level of stress whereas there was no statically significant association between coping with the socio demographic characteristics of respondents. Conclusion: The study concluded that, more than two third respondents had high level of stress with average coping. So, there is further need of nursing educators to provide stress management technique educational program to nursing students.

Adult child educational attainment and older parents’ psychosocial outcomes during the COVID-19 pandemic

BackgroundOlder adults’ psychosocial outcomes during the COVID-19 pandemic have been inequitable by socio-economic status (SES). However, studies have focused solely on own SES, ignoring emerging evidence of the relationship between adult child SES and late-life health. We evaluated whether adult child educational attainment – a core marker of SES – is associated with older parents’ psychosocial outcomes during the pandemic.MethodsWe used data from the Survey of Health, Aging, and Retirement in Europe (SHARE) 2004–2018 and the SHARE Corona Surveys (SCS) 2020 and 2021. We included 40,392 respondents ≥ 65 years who had pre-pandemic information on adult child educational attainment and self-reported psychosocial outcomes during the pandemic, including self-assessments of worsened psychosocial outcomes compared to the pre-pandemic period. We used generalized estimating equations with a Poisson distribution and a log link, adjusted for respondent and family-level characteristics, including respondents’ own educational attainment.ResultsOlder adults whose adult children averaged levels of educational attainment at or above (vs. below) their country-specific mean had a lower prevalence of feeling nervous (Prevalence Ratio [PR]: 0.94, 95% Confidence Interval [CI]: 0.90, 0.97), sad or depressed (PR: 0.94, 95% CI: 0.91, 0.98), and having sleep problems (PR: 0.94, 95% CI: 0.90, 0.97) during the pandemic. Additionally, higher adult child educational attainment was associated with a lower risk of perceiving worsened feelings of nervousness (PR: 0.95, 95% CI: 0.90, 1.01) and worsened sleep problems (PR: 0.91, 95% CI: 0.82, 1.01) as compared to the pre-pandemic. In stratified models, protective associations were observed only in countries experiencing “high” levels of COVID-19 intensity at the time of the survey. All of these results are derived from adjusted models.ConclusionsAdult child SES may have “upward” spillover effects on the psychosocial wellbeing of older parents during periods of societal duress like the pandemic.

Relationship Between Type of Treatment And Resilience In Breast Cancer Patients

The high number of cancer patients indicates the need for breast cancer disease control. Various types of treatment include surgery, chemotherapy, radiotherapy, and hormone therapy. Good resilience in cancer patients demonstrates their ability to adapt well to the ongoing treatment effects. Resilience refers to an individual's capacity to manage and overcome problems. The purpose of this study is to investigate the connection between different types of treatment and resilience in breast cancer patients. The research employs a quantitative, cross-sectional approach. Sample calculation used the Lemeshow proportion estimation formula, resulting in 112 respondents at RSUP Persahabatan, selected using purposive sampling based on inclusion and exclusion criteria. Respondent characteristics were assessed using observation sheets, and resilience was measured using the Connor-Davidson Resilience Scale 25 (CD-RISC 25) with a Cronbach Alpha reliability coefficient of 0.892. All variables in this study are categorical; thus, chi-square analysis and, for contingency tables larger than 2x2 with predicted frequencies less than 5, Fisher's exact test were applied. Bivariate analysis results showed a significant relationship between the type of treatment and resilience in breast cancer patients, with a p-value of 0.002 (&lt;0.05). Similarly, one of the respondent characteristics based on cancer stage showed a significant relationship with resilience, with a p-value of 0.016 (&lt;0.05). The resilience of breast cancer patients undergoing treatment is very high, at 25.0%.

Swipe Left on Sexual Harassment: Understanding and Addressing Technology-Facilitated Sexual Violence on Dating Apps.

Dating violence is a pervasive issue that has become increasingly complex to address as technologies mediating interpersonal connections become more widely utilized. The incidence and ways in which violence manifests through digital media are not fully understood. This study aimed to better understand the relationship between geolocational dating apps like Tinder, Bumble, and Grindr and technology-facilitated sexual violence (TFSV) among university students. An anonymous survey was electronically administered to a convenience sample of 1,000 undergraduates at a large private university in the southeastern United States. Participants indicated their dating app usage and the frequency of specific TFSV experiences they had encountered. Chi-square tests were conducted to identify relationships between demographic characteristics and experiences of TFSV. Multivariate logistic regression was conducted to predict TFSV based on respondent characteristics. A total of 910 respondents completed the survey, with more than half (54%) of respondents reporting some type of TFSV while using dating apps. Women and non-heterosexual students experience significantly more TFSV than male and heterosexual students. While participants' academic year (first-year through senior) and participation in extracurricular activities were not associated with TFSV, dating app selection was a significant predictor of the likelihood to report TFSV, with Grindr users being significantly more likely to report. Major Implications Due to the near-ubiquitous use of dating apps in this population, interventions to address campus social norms, comprehensive sexuality education, and consent education, and improved regulation of TFSV by technology companies should be implemented- especially for cisgender, heterosexual women, and gender and sexual minorities.

Efektifitas Pemberian Rebusan Jahe Dan Madu Terhadap Mual Muntah Pada Ibu Hamil Trimester I Di PMB F Wancimekar Periode Januari

Introduction: Hyperemesis gravidarum reaches 10-20%, based on data from TPMB F pregnant women in the first trimester 30 pregnant women experience nausea and vomiting. Nausea and vomiting often occur in the morning, which is called morning sickness. Emesis gravidarum disrupts activity, and decreases appetite and dehydration, if not overcome it will have an impact on hyperemesis gravidarum. Emesis gravidarum can be overcome with non-pharmacological therapy, one of which is ginger. Methods: The research design used pre-experiment (pre-experimental design). The study population was first-trimester pregnant women who experienced nausea and vomiting at TPMB F during January-March 2023 which is 30 cases. The research sample amounted to 30 respondents. The sampling technique used total sampling. The dependent variable is Emesis Gravidarum. The independent variable is ginger and honey decoction. Data collection using observation sheets. Data processing techniques using Editing, Coding, Tabulating, univariate analysis including respondent characteristics, bivariate analysis statistical test using Wilcoxon Test. Results: The results of the study showed that based on the Wilcoxon range list the Sig value (2-tailed) p &lt; 0,005; which means that there is a difference in giving ginger and honey decoction to emesis gravidarum in first-trimester pregnant women at TPMB F in 2023. Discussion: This study concludes that ginger and honey decoction is effective on the frequency of Emesis Gravidarum in first-trimester pregnant women. Suggestions in this study are for educational institutions, research sites, respondents, and further researchers.

The Evaluation of human papillomavirus vaccination coverage for school aged girls in Badung District, Bali, Indonesia, 2016 – 2018

Background and purpose: Since 2016, Badung District, Bali has implemented a free HPV vaccination program for school children, with vaccination coverage reported to be over 90% in 2016-2018. This study aims to objectively assess the coverage of HPV vaccination among school children in Badung District. Methods: This survey used a cross-sectional design that conducted between March and June 2019. Sample selection was done by systematic random sampling, following the WHO guidelines. A total of 216 families met the sample criteria, with a total of 249 children from all families. Respondents in this study were eligible girls' mothers or families who knew the child's vaccination history. Variables of this study were sociodemographic characteristics of respondents and children, HPV vaccination recall and HPV child vaccination validation. The data collected were analyzed descriptively to calculate the coverage of recall and validation of HPV vaccination. Results: The majority of respondents were mothers (70.83%) with a high school education (51.85%). The median age was 43 years (IQR=8 years). Each family had a mean of 1.15 eligible children (SD=0.39). Of the 249 children, most were aged 16-19 years (43.37%), with age at vaccination mostly ≤12 years (46.52%). HPV vaccination coverage by recall was 82.32% (95%CI: 77.56-87.09), with HPV vaccination coverage by validation was 76.59% (95%CI: 70.74-82.43). Conclusion: After validation, vaccination coverage was lower than vaccination coverage by recall. The health office needs to improve the vaccination registration system, in particular the uniformity of registration and record keeping to ensure proper traceability of vaccination history.

Evaluasi Kualitas Hidup Pasien Diabetes Mellitus Tipe 2 Dengan Kombinasi Anti Diabetik Oral-Oral Di RSUD Provinsi NTB

Background: based on data from the Ministry of Health NTB, the prevalence of Diabetes Mellitus in West Nusa Tenggara in 2020 is around 59,606 people divided into 10 regencies and cities. The highest prevalence of diabetes is type 2 diabetes mellitus (DMT2). One way to assess the success of T2DM therapy is to measure quality of life using Quessionnair's Diabetic Quality Of Life Clinical Trial (DQLCTQ) questionnaire. The purpose of the study: to evaluate the quality of life of DMT2 patients who received oral-oral antidiabetic combination at West Nusa Tenggara Provincial Hospital. Method: observational analytic with Cross Sectional design with Concurrent patient data collection. Samples: 56 T2DM patients. The results of the study: on the characteristics of respondents there was no difference in quality of life on gender, age, occupation and length of suffering from T2DM. Patients who received the combination of metformin and glimepiride had a quality of life score of 71.84, while patients who received the combination of metformin and glimepiride 74.77. Research conclusion: statistical test with independent sample t-test showed no significant difference between the two groups (p = 0.268).

Associations between 24/7 workforce coverage, organizational challenges, and well-being of emergency radiologists: a national survey.

The last decade has seen a surge in the demand for imaging exams in emergency radiology (ER), necessitating an evolution in organizational systems for departments offering round-the-clock care, while safeguarding patient care quality and physician well-being to prevent burnout. To develop a nationwide overview of ER organizations in France and identify structures that promote job satisfaction. Two surveys were sent to 709 radiological centers across France from March to June 2022, inquiring about organizational aspects and quality of life (QOL), incorporating four validated QOL questionnaires. The organization of each center was mapped, and correlations between respondent characteristics and mental health were analyzed using Pearson's and Wilcoxon tests. A total of 284 centers answered the organizational survey, with a response rate of about 41.6%. Among them, there were 32 university hospitals, 208 general hospitals, 2 teaching army hospitals, and 42 private facilities. Of these, night-time operations showed 14% on-site coverage, 12% on-call from home, 69% utilized external teleradiology, and 4% used in-house teleradiology. These trends persisted over weekends and holidays. Regarding the quality of working life, academic, general, and private radiologists are more satisfied with their practice compared to trainees. Depersonalization, part of the three dimensions of burnout, was high in every class, at 60% (n = 210/350). Outside of university hospitals, most radiology centers in France no longer have on-site radiologists during off hours. Residents are prone to lower job satisfaction and quality of life than more experienced radiologists. The survey illustrates how French ER is structured, pointing out the escalating significance of teleradiology and noting that radiologists generally experience high job satisfaction while also confronting typical organizational challenges. The need for continuous radiology coverage comes with unique logistical challenges, especially in ER. Night shifts show a significant reliance on teleradiology services, especially by external companies. Pay, shift patterns, and seniority affect the well-being of emergency radiologists, particularly the residents.

Analysis of Factors Influencing Interest in Purchasing Porang Rice Using The Extended Theory of Planned Behavior (E-TPB)

Porang rice, as imitation rice made from porang tubers, can be used as a substitute for white rice because it contains low calories and high fiber. In Indonesia, the marketing of porang rice and related research is still limited. This research aims to determine the characteristics of respondents and the factors that influence interest in buying porang rice, as well as recommendations for marketing strategies based on the research results. Data were analyzed using descriptive statistics, chi-square test, and SEM-PLS. The sample used was selected using a non-probability sampling method using a purposive sampling technique. The number of respondents obtained was 112 respondents. The research results found that the knowledge and status of respondents who were on a calorie diet were the main characteristics of respondents regarding their interest in buying porang rice. Subjective norms and perceived behavioral control directly influence interest in buying porang rice. Product availability indirectly influences interest in buying porang rice through perceived behavioral control. Recommendations for manufacturers' marketing strategies include providing information about low calories and high fiber on their packaging and promotional media, expanding their partner network with retail stores that are frequently visited by the public, and maximizing sales using e-commerce.

Knowledge, attitudes and practices toward female genital schistosomiasis among community women and healthcare professionals in Kimpese region, Democratic Republic of Congo.

Chronic infection with Schistosoma haematobium causes female genital schistosomiasis (FGS), which leads to diverse lesions in the female genital tract and several complications, including infertility and a higher risk for HIV transmission. This study aims to understand the knowledge, attitudes, and practices (KAP) toward FGS and associated factors among women and health professionals in the schistosomiasis endemic focus of Kimpese, western Democratic Republic of Congo (DRC). In January 2022, two semi-quantitative questionnaires were administered to 201 randomly selected community women in Kifua II village, and to purposely selected health professionals (20 nurses and 41 doctors) from Kimpese Health Zone. KAP statements were coded using Likert scale, summarized as frequencies and percentages, and assessed for internal reliability using Cronbach's alpha. Associations between the socio-demographic characteristics of respondents and the KAP variables were assessed using Pearson chi-square (χ2) test, Cramer's V (φ) and gamma (γ) coefficients. Overall, respondents had high knowledge of schistosomiasis in general but low FGS-specific knowledge (91% versus 45%). Misconceptions concerned the disease transmission, with 30.3% of women and 25% of the nurses believing that FGS is transmitted by drinking untreated water, while 26.8% of the doctors mentioned sexual contact as a mode of FGS transmission. Negative attitudes included considering FGS not a very serious disease (34.8%), feeling uncomfortable during gynaecological examination (35.3%), difficulties avoiding risky water contact (72.1%) and open defecation/urination (41.3%), not intending to share FGS status with their husbands (38.3%) and loved ones (63.6%), and believing that husbands would leave them if they were infertile (31.8%). Regarding practices, 77.6% of women engaged daily in activities involving contact with water. Practices of health professionals were hampered by the lack of equipment and specialized knowledge for FGS diagnosis with only 57% of healthcare workers having a microscope in their facilities. Women's KAPs varied by age, education, marital status, occupation and monthly income. This study highlights insufficient knowledge, existing negative attitudes, at risk practices towards FGS by women, and limitations of FGS management by health professionals. These findings can help for tailored health education and WASH strategies, and call for health professional's capacities reinforcement.

Pedagogical and didactic skills of accounting faculty members and the intention and use of educational technologies in the teaching-learning process

The present study aimed to identify the didactic-pedagogical competencies of Accounting faculty members and their intention to use educational technologies in the teaching-learning process. To achieve this, a descriptive study with a quantitative methodology was conducted, involving the administration of a questionnaire to a sample of 258 Accounting faculty members across Brazil. The study aimed to define respondent characteristics, quantify teaching competencies following Zabalza's (2003) framework, and measure the adoption of technologies in the teaching-learning process using the Unified Theory of Acceptance and Use of Technology (UTAUT) model. The data demonstrated that faculty members understand the functioning and importance of virtual learning environments, and they express interest in integrating technologies into the teaching process to improve outcomes. However, reports indicate that some educational institutions do not provide adequate support for the use of technological tools. These findings provide a foundation for academic administrators to assess the technical support and technological qualifications necessary to enhance faculty development and, consequently, education as a whole.

Multimorbidity and patient experience with general practice: A national cross-sectional survey in Norway

BackgroundPatient experience is an important indicator of the quality of healthcare. Patients with multimorbidity often face adverse health outcomes and increased healthcare utilisation. General practitioners play a crucial role in managing these patients. The main aim of our study was to perform an in-depth assessment of differences in patient-reported experience with general practice between patients living with chronic conditions and multimorbidity, and those with no chronic conditions.MethodsWe performed secondary analyses of a national survey of patient experience with general practice in 2021 (response rate 41.9%, n = 7,912). We described the characteristics of all survey respondents with no, one, two, and three or more self-reported chronic conditions. We assessed patient experience using four scales from the Norwegian patient experience with GP questionnaire (PEQ-GP). These scales were used as dependent variables in bivariate and multivariate analyses and for testing the measurement model, including confirmatory factor analysis and a multigroup CFA to assess measurement invariance. Sentiment and content analysis of free-text comments was also performed.ResultsPatients with chronic conditions consistently reported lower scores on the GP and GP practice experience scales, compared to those without chronic conditions. This pattern persisted even after adjustment for patient background variables. The strongest associations were found for the scale of “Enablement”, followed by the scales of “GP” and “Practice”. The subscale “Accessibility” did not correlate statistically significantly with any number of chronic conditions. The analysis of free-text comments echoed the quantitative results. Patients with multimorbidity stressed the importance of time spent on consultations, meeting the same GP, follow-up and relationship more often than patients with no chronic conditions. Our study also confirmed measurement invariance across patients with no chronic conditions and patients with multimorbidity, indicating that the observed differences in patient experience were a result of true differences, rather than artifacts of measurement bias.ConclusionsThe findings highlight the need for the healthcare system to provide customised support for patients with chronic conditions and multimorbidity. Addressing the specific needs of patients with multimorbidity is a critical step towards enhancing patient experience and the quality of care in general practice.

Increasing the Capacity of Mothers of Toddlers in Early Detection of Stunting in Quality Family Village, Bengkayang Regency

Introduction: Stunting is one of the serious nutritional problems experienced by toddlers in the world as well as toddlers in Indonesia. Stunting has a negative impact on the quality of life in the future because it can interfere with the growth and development of toddlers, and can affect children's learning abilities. One of the factors causing stunting is the lack of parental knowledge about the importance of nutritional status in children. Meanwhile, the problems found in the field are errors and inaccuracies in the use of anthropometric tools used by posyandu cadres. One of the efforts to detect early stunting can involve the participation of parents, especially mothers, an activity is needed that aims to improve mothers' skills by providing anthropometric training and stunting prevention education. Objective: Increase the knowledge capacity and skills of mothers of toddlers in efforts to detect early stunting with anthropometric measurement training and stunting prevention education in Quality Family Village, Bengkayang Regency. Method: This research is a quantitative study conducted directly with a Quasy experimental design of one group pre-test and post-test. The research was conducted in the Quality Family Village of Bengkayang Regency. The research sample was mothers who had toddlers who met the inclusion criteria. Samples were taken by purposive sampling. Data collection was carried out through direct interviews regarding the characteristics of respondents, taking anthropometric measurements on toddlers, filling out pre-test and post-test research questionnaires by mothers. Result: This study showed that there was a change in the mother's knowledge score before and after education was given. The pre-test score obtained was 3.87%. Meanwhile, the post-test score obtained was 5.78%. The results of measuring the mother's skill level score in conducting early detection of stunting. The mean value obtained was 1.70% before the intervention and then obtained a value of 4.98% after the intervention. Conclusion: This study concluded that there was an effect on the level of knowledge and skills of mothers before and after being given an intervention on early detection of stunting in the Quality Family Village (Kampung KB) Bengkayang Regency.

Quarter-Life Crisis: Dealing with a Reality that Doesn't Align with Expectations and Aspirations

Quarter life crisis occurs when a person reaches the age of 18 to 29 years. A person will begin to find it difficult to face the world, find it difficult to control their emotions, and begin to question whether the life they are living is the right life. So there is a need for more information about the quarter life crisis. One solution that can be considered is to provide information and disseminate it so that individuals recognize and understand how to respond to the quarter life crisis by using posters. The research method used in this research is qualitative with a survey of Instagram posts with the characteristics of respondents, namely people aged 20 years and over who have Instagram and see posts that researchers have posted on the Instagram page. The instrument used was in the form of an Instagram post containing the meaning, characteristics and factors causing the quarter life crisis which were then analyzed using descriptive analysis. The results of this research show that the majority of respondents are experiencing a quarter life crisis. It is hoped that with this post about the quarter life crisis, they will be able to realize that they are experiencing a quarter life crisis and can face the appropriate measures

Study of the millennial generation’s preferences for the development of local food products processed by sago noodles

Abstract Preference is one part of consumer response in determining the choice of product to be used. This study aims to determine millennials’ preferences for processed sago noodle products using natural colors from dragon fruit, turmeric, and moringa leaves. The research method uses quantitative descriptive analysis data. Data was collected using questionnaires. The data observed in this study are the characteristics of respondents, color, aroma, taste, and texture of sago noodles. The collected data was analyzed descriptively and through chi-square analysis. The results showed the response of the millennial generation in taking part in trials of processed sago products is very high. This is proven by the willingness of 72% of respondents in the age range of 19 – 24 years, included in the millennial generation category, and only 4% of respondents who are in the age range of more than 50 years. As many as 44% of respondents had consumed processed sago bagea (traditional cake), followed by 36% kapurung (traditional food), 4% sago meatballs, and 4% sago noodles. Processed sago products are no longer foreign to the millennial generation. Only 4% of respondents had ever consumed sago noodles because sago noodles are a new food in South Sulawesi. The millennial generation’s preference for developing local food products processed from sago is very high, both newly developed products such as sago noodles, and old processed products such as bagea, kapurung and sago meatballs. From the organoleptic results of sago noodles from several treatments with the addition of natural coloring, it is known that sago noodles using coloring from dragon fruit extract are the most preferred, followed by real sago noodles, then sago noodles using turmeric coloring and finally sago noodles using colouring from moringa leaf extract.