University-level Education Research Articles

Chronic Obstructive Pulmonary Disease Mortality in Bladder Cancer Patients: A SEER-Based Competing Risk Analysis.

This study was designed to evaluate risk of mortality from chronic obstructive pulmonary disease (COPD) in patients with bladder cancer (BC). Data on patients diagnosed with BC by pathology between 2000 and 2016 were collected from the Surveillance, Epidemiology, and End Results (SEER) database. Based on reference data from the general population, the standardized mortality rate (SMR) is calculated. Nelson-Aalen cumulative hazard curves were used for assessment of the risk of COPD mortality in BC patients. Multivariable competing risk models were conducted. The proportional hazards assumption was tested using Schoenfeld residuals, which were scaled and plotted over time for each risk factor. A total of 237,563 BC patients were identified for further analysis from the SEER database, 5,198 of these patients experienced COPD mortality; the overall SMR for COPD mortality in BC patients was 1.58 (95% CI: 1.54-1.63). Age, race, year of diagnosis, histologic type, summary stage, surgery, marital status, college education level, and median household income independently predicted COPD mortality in BC patients. In comparison to the general population, the risk of COPD mortality is significantly higher in patients with BC. Pre-identification of high-risk groups and respiratory care provisions are important measures to effectively improve survival in this group of patients.

The Extent to Which Applications of Ergonomics are Employed to Improve Students' Skill and Psychological Performance from the Point of View of Teachers of Physical Education

The study aimed to identify the extent to which applications of ergonomics were employed to improve students' skill and psychological performance from the point of view of teachers of physical education, The researcher used the descriptive methodology, The study sample consisted of 55 teachers of physical education in the Third directorate of Amman, who were chosen in probability sampling method. After statistical analysis, the results of the study indicated that the extent to which applications of ergonomics were employed to improve students' skill and psychological performance from the point of view of the physical education teachers under study was at a high level in all fields, and there were no statistically significant differences in the extent to which the applications of ergonomics are employed to improve students' skill and psychological performance from the point of view of teachers of physical education due to the variables of experience and academic level. The researcher recommended the need to identify the extent to which the applications of ergonomics are employed to improve the level of skill and psychological performance of students from the point of view of teachers of physical education in other directorates of education, the need to include the concepts and applications of ergonomics in the courses of physical education at various levels of university education, and the need to include ergonomics in the curricula of physical education.

Use Of Natural And Traditional Medicine In Cuba: Results From The National Health Survey 2018-2019.

Objective: To analyze the prevalence of Natural and Traditional Medicine (NTM) use in the last 12 months as per as the report from the National Health Survey (NHS), Cuba 2018-2019. Material-Method: It was an observational, descriptive cross-sectional study that was part of the referred NHS. Socio-demographic characteristics of the survey respondents were collected (living area, gender, age, skin color, marital status, educational level and occupation). The main variable selected for this study was the prevalence of NTM use by the Cuban population in the previous 12 months. Results: More than one out of five Cubans used NTM therapies in the previous 12 months to the NHS, Cuba 2018-2019, with a higher prevalence of use by people living in rural areas, females, the age group of 65-74 years old, a co-habited marital status, university educational level and those in retirement. Phytotherapy was the most reported NTM therapy. Conclusion: This study analyzed for the first time the prevalence of NTM use by the Cuban population. It demonstrated that more than one out of five Cubans used NTM therapies in the previous 12 months to the NHS, Cuba 2018-2019. The characteristics of the CNHS ensure the conditions to facilitate the development of NTM and the information from this study would contribute to strengthen the integration of these treatments with conventional medicine in Cuba.

The Application of Informatization Teaching and Flipped Classroom in the Teaching of Traditional Culture in College Languages

For the teaching of traditional Chinese culture in universities, fully utilizing existing resources for innovation is crucial to its teaching effectiveness. Hence, this study advocates for the utilization of information technology and the flipped classroom methodology in university-level traditional Chinese culture education. By thoroughly examining the fundamental goals of teaching traditional Chinese culture at universities, this paper suggests employing information technology to develop diverse educational scenarios. These scenarios encompass generating cultural contexts, simulating cultural experiences, enhancing interactive exchanges, and broadening the scope of educational materials, all aimed at enriching the pedagogical approach to traditional Chinese culture. In the stage of designing flipped classrooms for traditional Chinese culture teaching in universities, the ARCS theory was introduced. Guided by attention motivation, association motivation, confidence motivation, and satisfaction motivation, research was conducted on course content design, teaching methods and means, learning experience, feedback, and evaluation. Through the integrated application of information technology and flipped classroom strategies, our objective is to diversify the pedagogical approaches for traditional culture. This initiative is designed to boost students' comprehension and learning outcomes regarding traditional culture, foster their enthusiasm and knowledge depth in traditional Chinese cultural studies, and encourage the preservation and evolution of traditional cultural heritage.

Clinical and socioeconomic determinants of survival in biliary tract adenocarcinomas.

Despite advances in detection and treatments, biliary tract cancers continue to have poor survival outcomes. Currently, there is limited data investigating the significance of socioeconomic status, race/ethnicity, and environmental factors in biliary tract cancer survival. To investigate how socioeconomic status and race/ethnicity are associated with survival. Data from the Surveillance, Epidemiology, and End Results database for biliary and gallbladder adenocarcinomas were extracted from 1975 to 2016. Socioeconomic data included smoking, poverty level, education, adjusted household income, and percentage of foreign-born persons and urban population. Survival was calculated with Cox proportional hazards models for death in the 5-year period following diagnosis. Our study included 15883 gallbladder, 11466 intrahepatic biliary, 12869 extrahepatic biliary and 7268 ampulla of Vater adenocarcinoma cases. When analyzing county-specific demographics, patients from counties with higher incomes were associated with higher survival rates [hazard ratio (HR) = 0.97, P <0.05]. Similarly, counties with a higher percentage of patients with a college level education and counties with a higher urban population had higher 5-year survival rates (HR = 0.96, P = 0.002 and HR = 0.97, P = 0.004, respectively). Worse survival outcomes were observed in lower income counties while higher income and education level were associated with higher 5-year overall survival among gallbladder and biliary malignancies.

Post-COVID-19 syndrome, who at risk and why: an insight from Qatar 2022.

Despite the recovery from the COVID-19 pandemic, many people experience post-COVID-19 syndrome, which negatively impacts their health and function. This condition has become a significant public health problem that requires immediate attention. To study the prevalence, clinical characteristics, and predictors of post-COVID-19 Syndrome in Qatar during 2022. An analytic cross-sectional study was conducted among COVID-19 confirmed cases from January 2022 to July 2022 in Qatar. A simple random sample was employed to include (n = 588) participants from the list of cases and invited to participate in a telephone survey. The World Health Organization's standard case definition for PCS was adopted. Out of 368, the prevalence of post-COVID-19 syndrome was 43.2% (n = 159). Most PCS cases were females (67.9%; n = 108), married (73.6%; n = 117), and university and higher educational level (83.6%; n = 133). However, 78.7% (n = 125) reported poor to moderate levels of social support. Only 30.2% (n = 48) of PCS patients had a history of chronic diseases, and 5.7% (n = 9) required hospital admission during acute illness. Among PCS cases, the most commonly reported symptoms were fatigue (75.5%), followed by anxiety (49.1%), forgetfulness (46.5%), mood alteration (45.3%), and general weakness (39.6%). The logistic regression revealed that female gender (AOR: 2.58 95%CI: 1.58-4.225, p < 0.0001), university and high educational level (AOR: 2.2, 95%CI: 1.256-3.98, p < 0.006), poor level of social support (AOR: 2.45; 95%CI: 1.55-4.13; p < 0.002), were significant predictors for PCS. Post-COVID-19 syndrome may go under-recognized. More efforts are needed to raise awareness and mobilize the resources to respond to this ongoing public health problem.

Zipf’s Law for Speech Acts in Spoken English

Statement of Retraction We, the Editors and Publisher of the Journal of Quantitative Linguistics, have retracted the following article: Zipf’s Law for Speech Acts in Spoken English by Da Qi and Hua Wang (DOI: 10.1080/09296174.2023.2202470). Since publication, concerns have been raised about the fact there is significant overlap in the discussion section and references of this article with the following article, published in Springer’s Psychonomic Bulletin & Review: Zipf’s Law Revisited: Spoken Dialog, Linguistic Units, Parameters, and the Principle of Least Effort, by Guido M. Linders and Max M. Louwerse (DOI: 10.3758/s13423-022-02142-9). This overlap has been verified by the journal Editorial team and as this is a breach of our Editorial Policies, we are retracting the article from the journal. However, given the originality of the authors’ core research idea is not in doubt, we have given the authors the option to submit a revised version of their article. The authors have been informed of this and they have agreed to retract the article. We have been informed in our decision-making by our policy on publishing ethics and integrity and the COPE guidelines on retractions. The retracted article will remain online to maintain the scholarly record, but it will be digitally watermarked on each page as ‘Retracted’.

University-level entrepreneurship education: a bibliometric review using Tree of Science

Entrepreneurship education helps students build the skills, abilities, attitudes, and aptitudes they need to start a business. Universities play a key role in educating and transforming people. However, the academic literature in this area is fragmented. This article identifies the main areas in this field throughout its history based on a review of the literature. A scientometric study was conducted based on the results of a document search in Scopus. Using Tree of Science software, the most important documents were classified based on a network of citations. The results reveal three main perspectives: the impact of entrepreneurship education, entrepreneurship education methodologies, and new trends in entrepreneurship education. Researchers can use these results to propose ways to strengthen entrepreneurship education

Sleep disorders in patients with bipolar disorder: age and tobacco consumption correlates

IntroductionSleep disruptions are frequently observed in individuals with bipolar disorder and have been linked to various unfavorable consequences, such as an elevated risk of relapse and lower quality of life. Nonetheless, the impact of sociodemographic factors on the development and progression of these disruptions remains largely unexplored. Gaining insight into the relationship between sleep disruptions and sociodemographic factors is essential for designing effective interventions and enhancing clinical outcomes for individuals affected by bipolar disorderObjectivesThe objective of this study is to examine the association between sleep disorders in patients with bipolar disorder II (BDII) and sociodemographic characteristics.MethodsThis is a cross-sectional, descriptive, and analytical study that was conducted over a one-month period from October 1 to October 31, 2022, with patients attending the follow-up unit of the mental health department at Nabeul Hospital ,Tunisia.The study employed a questionnaire as a tool for data collection, and participants provided voluntary and informed consent before responding. The protection of participant confidentiality and anonymity was carefully observed during all stages of the study.ResultsIn this study, we enrolled patients who satisfied the following eligibility criteria: age range of 18 to 60 years, a confirmed diagnosis of type II bipolar disorder based on DSM V criteria, and psychiatric stability as demonstrated by no hospitalization within the preceding 6-month period.Our study included a sample of 40 male patients diagnosed with type II bipolar disorder. The participants had a mean age of 36 ± 13.2 years, and the majority were unmarried and living with their families or alone. Over two-thirds of the participants had attained a university level of education, while a large proportion of the patients, specifically 80%, reported being regular smokers.The results of the study revealed that the mean global score on the Pittsburgh Sleep Quality Index (PSQI) was 7.28 ± 3.35, indicating an overall low quality of sleep. The majority of the participants, that is 65% (26), had poor sleep quality scores (&gt; 5), while 45% (18) reported experiencing poor sleep (PSQI ≥ 8).Our analyses further demonstrated that there was a significant association between tobacco consumption and PSQI scores (p=0.003). Additionally, we found that participants who were above 40 years old had a higher likelihood of experiencing sleep disturbances (p=0.0017).ConclusionsAccording to the findings of our study, it appears that patients diagnosed with type II bipolar disorder may experience impaired sleep quality, which can be influenced by age and tobacco consumption. These results underscore the need for a holistic approach to patient care that addresses both the biological and sociodemographic factors that can impact sleep in this population.Disclosure of InterestNone Declared

Health-related Quality of Life of Omani Adult Patients with β-Thalassemia Major at Sultan Qaboos University Hospital.

The impact of beta-thalassemia major (β-TM) on health-related quality of life (HRQoL) in Oman is not yet known. Affected individuals suffer from a wide range of physical, mental, and social consequences due to the need for regular hospital visits for blood transfusions and complications related to iron overload. This study aimed to assess the HRQoL of adult patients with β-TM attending a single tertiary care center in Muscat, Oman, to identify factors influencing Omani patients' QoL for improved management and counseling. A cross-sectional study was conducted among adult patients (≥ 18 years) with β-TM at Sultan Qaboos University Hospital between September and November 2022. A validated Arabic version of the self-reported 36-item short-form health survey was used to determine HRQoL. A total of 78 patients with β-TM were enrolled in the study; 53.8% were male and the mean age was 26.0±0.8 years, ranging from 21-53 years. Most patients were from Al Batinah North governorate (n = 21; 26.9%) and Muscat (n = 20; 25.6%), unmarried (n = 44; 56.4%), did not have university-level education (n = 45; 57.7%), and were unemployed (n = 44; 56.4%). The HRQoL domain with the highest score was role limitations due to emotional problems (median score = 100), while general health and vitality received the lowest scores (mean scores were 60.2±15.9 and 59.1±20.5, respectively). Several variables were associated with better HRQoL in certain domains, including being married, having a high level of education, being employed, exercising regularly, and receiving family support (p < 0.05). However, iron overload and having ≥ 3 β-TM-related disease complications were associated with poorer general health scores (p = 0.031 and 0.038, respectively), while a history of mental issues was associated with poorer scores in six out of eight HRQoL domains (p < 0.05). Moreover, negative perceptions regarding the social impact of the disease including delayed marriage, workplace difficulties, and reduced academic achievement were associated with poorer HRQoL in various domains (p < 0.05). Although the studied sample reported generally good QoL, several factors were found to affect HRQoL in various domains. Healthcare providers should prioritize maintaining acceptable iron overload levels in Omani patients with β-TM to help avoid the development of disease-related complications, thereby ensuring better control of their clinical conditions and consequently improving their HRQoL.

Predictors of urinary heavy metal concentrations among pregnant women in Jinan, China

BackgroundToxic heavy metal exposure and insufficiency or excess of essential heavy metals may have negative effects on pregnant women’s health and fetal growth. To date, the predictors of pregnant women’s heavy metal exposure levels remain unclear and vary with different regions. The study intended to explore potential predictors of exposure to heavy metals individually and high co-exposure to heavy metal mixtures. MethodsWe recruited 298 pregnant women in first trimester from prenatal clinics in Jinan, Shandong Province, China, and collected spot urine samples and questionnaire data on their demographic characteristics, lifestyle habits, consumption of food and dietary supplement, and residential environment. All urine samples were analyzed for seven heavy metals: cobalt (Co), molybdenum (Mo), strontium (Sr), arsenic (As), cadmium (Cd), lead (Pb) and mercury (Hg). ResultsFactors associated with single heavy metal concentration were as follows: a) urinary As, Sr and Cd increased with women’s age respectively; b) pregnant women with higher monthly household income per capita had lower Sr and Mo levels; c) pregnant women with intermittent folic acid supplementation and those not taking tap water as domestic drinking water had lower Sr concentrations; d) Cd was positively linked with consumption frequency of rice; e) Hg was adversely related to consumption frequency of egg and the women who took purified water as domestic drinking water had lower Hg exposure. In addition, pregnant women’s age was positively associated with odds of high co-exposure to Co, As, Sr, Mo, Cd and Pb; while those with an educational level of college had lower odds of high exposure to such a metal mixture compared with those whose educational levels were lower than high school. ConclusionPredictors of single urinary heavy metal concentration included pregnant women’s age (As, Sr and Cd), monthly household income per capita (Sr and Mo), folic acid supplementation (Sr), rice consumption frequency (Cd), egg consumption frequency (Hg) and the type of domestic drinking water (Sr and Hg). Pregnant women with older age, lower educational level tended to have high co-exposure to Co, As, Sr, Mo, Cd and Pb.

Research on the Optimization of Postgraduate Education Management Path from the Perspective of Management by Objectives

With the continuous increase of the total number of graduate students in colleges and universities, optimizing the management of graduate education has become an urgent issue for colleges and universities to solve. Based on the theory of management by objectives, this paper discusses the practical application of management by objectives in the management of graduate education in colleges and universities by studying the current situation of the management path of graduate education in colleges and universities, analyzes the hierarchical goal system of the management of graduate education in colleges and universities, and puts forward targeted measures to optimize the management path of graduate education in colleges and universities from the perspective of management by objectives, so as to provide reference for improving the management level of graduate education in colleges and universities.

Evaluation of Health Literacy and COVID-19 Knowledge Levels of Candidate Soldiers: A Cross-sectional Study from Ankara, Turkey

people’s COVID-19 knowledge and HL levels are thought to be effective in managing the pandemic. This study aimed to evaluate candidate soldiers’ HL and COVID-19 knowledge levels in the Altındağ district of Ankara, Turkey.&#x0D; Material and Methods A questionnaire form containing socio-demographic characteristics, 16-item European HL Survey Questionnaire, and propositions about COVID-19 was applied to candidate soldiers Who were referred for COVID-19 PCR sampling to the Altindg District Health Directorate before enlistment between December 2021_April 2022.&#x0D; Results and Discussion The study was completed with 668 candidate soldiers, most of whom were young adults. HL level of 20.5% was inadequate. The frequency of those who had not been vaccinated against COVID-19 was 16.8%. The COVID-19 knowledge level of those vaccinated was higher (p=0.002). The propositions about COVID-19 symptoms and correct mask use were answered correctly at the highest rate in COVID-19 knowledge level questions. The COVID-19 knowledge level score was significantly higher in those with adequate HL levels, aged 25 and over, non-smokers, and who had university or higher education levels. There was a positive correlation between the COVID-19 knowledge level and HL levels (r=0.108; p&lt;0.001).&#x0D; Conclusion This study reveals the determination of HL and COVID-19 knowledge levels of candidate soldiers and related factors and supports the necessity of proactive participation of individuals with immediate action plans to increase HL and COVID-19 knowledge levels in young adults.&#x0D; Bangladesh Journal of Medical Science Vol. 23 No. 02 April’24 Page: 377-387

A Stochastic Production Frontier Analysis of Factors That Affect Productivity and Efficiency of Logging Businesses in Virginia

Abstract Understanding the effect of the relationship between timber harvesting attributes on loggers’ productivity and efficiency is crucial for the feasibility and expansion of sustainable forest management and logging. We applied a stochastic production frontier model to firm-level operational data collected from 202 loggers in Virginia, United States, in 2019. Logging equipment value, physiographic region, tract area, number of workers and crews in the woods, college education level, and harvest type statistically increase harvesting productivity. Harvesting productivity in the Coastal Plain was the greatest of all physiographic regions, and pine clearcut productivity was statistically greater than that of hardwood thinning. On the other hand, manual felling reduces harvesting productivity. We found an average efficiency rate of 67% among firms in our sample, which is similar to that found in the literature. The estimated values can show factors that improve forest harvest productivity through better planning and investments while improving the sustainable use of inputs and resources. Study Implications: We empirically analyzed factors affecting logging productivity and efficiency in the southern US state of Virginia. Increased productivity was associated with working in the Coastal Plain physiographic region, investing in logging equipment, increasing the number of workers and crews in the woods, increasing pine clearcut as opposed to hardwood thinning, choosing optimal harvesting tract size, and having a college education as opposed to no high school degree. Manual felling reduces harvesting productivity, and average BMP implementation time does not affect harvesting productivity. Our results can be used as a guide in planning future decisions to increase logging productivity.

Evaluating Mixed Reality as a Tool for Patient Education of Facial Fractures.

Background: Patients may be educated about facial fractures using two-dimensional computed tomography (2DCT); however, three-dimensional mixed reality (3DMR) goggles may improve patient education by delivering content in an immersive environment. Objective: To compare the effectiveness of 2DCT and 3DMR formats used for patient education on facial fractures, as measured by surveys. Methods: In this prospective, randomized, crossover study, video tutorials intended for facial fracture informed consent were created in 2DCT and 3DMR formats from a single CT data set of a zygomaticomaxillary complex (ZMC) fracture. Subjects were randomly assigned into two groups. Group 1 (n = 25) viewed the 2DCT tutorial, answered self-assessment and information recall surveys, viewed the 3DMR tutorial, repeated the prior surveys as well as a comparison survey. Group 2 (n = 25) followed the same sequence but viewed the 3DMR tutorial and then the 2DCT tutorial. Results: Participants (n = 50) had no differences in age (group 1-51.9 years/standard deviation [SD] 20.9; group 2-44.7 years/SD 17.6 years; p = 0.223), gender (group 1-10 male/15 female; group 2-11 male/14 female; p = 0.999), college education level (group 1-25 yes; group 2-25 yes; p = 0.844), or prior 2DCT or 3DMR experience (group 1-9 yes/16 no; group 2-13 yes/12 no; p = 0.393). The 3DMR format was preferred over 2DCT (p < 0.05), and it was reported to enhance understanding as compared to 2DCT (p < 0.05). No differences for information recall were noted (p = 0.753). Conclusion: In this study, participants preferred 3DMR goggles over 2DCT for a simulated ZMC fracture-informed consent.

Evaluating the association between effort-reward imbalance and suboptimal health status among hospital nurses: a cross-sectional study.

Occupational stress is a common complaint in nurses, who perceived more sense of effort-reward imbalance (ERI). Suboptimal health status (SHS) is a state between health and disease. However, the correlation between ERI and SHS is unclear. Therefore, the aim of this study was to examine the prevalence of SHS and ERI and evaluate the relationship between ERI and SHS in clinical nurses by a cross-sectional study. The current cross-sectional study was conducted through an online survey at Dongping People's Hospital in China. A total of 633 completed surveys were received. Effort-reward imbalance was measured by subscales of the ERI questionnaire. SHS was measured by the Suboptimal Health Status Questionnaire - 25 (SHSQ-25). The relationship between ERI and SHS in nurses was subsequently assessed by Spearman's correlation coefficient and logistic regression model. The mean age of the optimal health status (OHS) group (M±SD 26.3±7.3 years) was younger than the SHS group (M±SD 30.3±6.9 years). The prevalence of SHS was 54.5% (345/633). Female nurses aged ≥30 years, a junior college or university graduate educational level, smokers, and nurses without regular exercise were at a higher risk of SHS. In Spearman's correlation analysis, ERI reflected by the effort-reward ratio was correlated with SHSQ-25 score (r = 0.662, p < 0.001). In logistic regression, ERI was strongly associated with SHS after potential confounding factors adjusting (OR 27.924, 95% CI 22.845-34.132). The prevalence of SHS was significantly high in clinical nurses. Administrators should pay more attention to health status of female nurses aged ≥30 years, with a junior college or bachelor's degree, smoking, and without regular exercise to reduce the SHS and ERI. Int J Occup Med Environ Health. 2024;37(2):166-75.

Growth mindset and english language learning efficacy among junior high school students at Sulu State College – Laboratory High School

This study assessed the level of students’ growth mindset and English language learning efficacy of junior high school students at Sulu State College– Laboratory High School during the School Year 2022-2023 using descriptive-correlational study. With 100 samples taken through non-probability sampling method via purposive sampling, and with the use of weighted mean, standard deviation, t-test for independent samples, One-way ANOVA, and Pearson’s r, this study reveals the following findings: 1) Out of 100 student-respondents, mostly are female, within the range of 20 years old &amp; below, whose parents have college level of education, whose parents’ monthly earning pegged at 10,000 &amp; below, and grade level from 7 to 10 are equally represented. 2) On the average, students moderately believe that their own intelligence allows them to embrace and overcome difficulties in learning English language. 3) On the average, students have high ability and efficacy in learning English language through self-efficacy in listening, speaking, reading, and writing. 4) Generally, students’ demographic profiles in terms of Age, Average Monthly Family Income, and Grade Level do significantly mediate in ways how they assessed the Growth Mindset. 5) Generally, students’ demographic profiles do not significantly mediate in ways how they assessed English language learning efficacy. 6) The junior high school students at Sulu State College- Laboratory High School who assessed the level of Growth Mindset as Moderate Level are most probably the same group of junior high school students who assessed the English Language Learning efficacy with High Level, respectively. 7) This study seems to support Bandura’s (1986) Social Cognitive Framework which espouses that the triadic interaction between personal, behavioral and environmental factors is central to the social cognitive theory. Accordingly, human beings have cognitive abilities to self-organize, selfreflect, and self-regulate according to the changes in the environment and determine their own social destiny. In order to do so, people have to be proactive in their development and make things happen through their own efforts.

A comparative analysis of COVID-19 pandemic effects on students’ academic performance in higher education sector

Purpose This study aims to focus on exploring the impact of the COVID-19 pandemic on the students’ academic performance in Jordanian higher education during the outbreak of the pandemic, evaluating the e-learning education and evaluating online education in practical lessons during the pandemic according to the university type, educational level, academic year and different specializations or faculty. Design/methodology/approach This study provides quantitative and qualitative analysis on the students’ e-learning performance during the pandemic. It presents the analysis of online learning preference of 424 questionnaires and 85 structured interviews with the university’s students and examines whether there is significant impact of the COVID-19 pandemic on their academic performance. Findings The findings of this study present evidence of students’ improvement in their academic performance and lend credence to the notion that organizational characteristics may play a role in the adaptation of emergency remote teaching. This was evident that more scientific-based faculties (engineering, pharmaceutical and medicine) faced more challenges during the pandemic, and it negatively influenced students’ performance. This was justifiable to the need for a more practical one-to-one interaction and integration. Originality/value The findings of this research present evidence of students’ improvement in their academic performance and lend credence to the notion that organizational characteristics may play a role in the adaptation of emergency remote teaching. This was evident that more scientific-based faculties (engineering, pharmaceutical and medicine) faced more challenges during the pandemic and it negatively influenced students’ performance. This was justifiable to the need for a more practical one-to-one interaction and integration.

The Effectiveness of Artificial Intelligence in Assisting Mothers with Assessing Infant Stool Consistency in a Breastfeeding Cohort Study in China.

Breastfeeding is widely recognized as the gold standard for infant nutrition, benefitting infants' gastrointestinal tracts. Stool analysis helps in understanding pediatric gastrointestinal health, but the effectiveness of automated fecal consistency evaluation by parents of breastfeeding infants has not been investigated. Photographs of one-month-old infants' feces on diapers were taken via a smartphone app and independently categorized by Artificial Intelligence (AI), parents, and researchers. The accuracy of the evaluations of the AI and the parents was assessed and compared. The factors contributing to assessment bias and app user characteristics were also explored. A total of 98 mother-infant pairs contributed 905 fecal images, 94.0% of which were identified as loose feces. AI and standard scores agreed in 95.8% of cases, demonstrating good agreement (intraclass correlation coefficient (ICC) = 0.782, Kendall's coefficient of concordance W (Kendall's W) = 0.840, Kendall's tau = 0.690), whereas only 66.9% of parental scores agreed with standard scores, demonstrating low agreement (ICC = 0.070, Kendall's W = 0.523, Kendall's tau = 0.058). The more often a mother had one or more of the following characteristics, unemployment, education level of junior college or below, cesarean section, and risk for postpartum depression (PPD), the more her appraisal tended to be inaccurate (p < 0.05). Each point increase in the Edinburgh Postnatal Depression Scale (EPDS) score increased the deviation by 0.023 points (p < 0.05), which was significant only in employed or cesarean section mothers (p < 0.05). An AI-based stool evaluation service has the potential to assist mothers in assessing infant stool consistency by providing an accurate, automated, and objective assessment, thereby helping to monitor and ensure the well-being of infants.

A Survey on the Knowledge and Awareness of Testicular Cancer and Testicular Self-Examination Among Men in Saudi Arabia.

Objectives The aim of the study was to assess the knowledge and awareness of testicular cancer (TC) and testicular self-examination (TSE) and to identify the associated factors in men in Saudi Arabia. Methods An online questionnaire-based study was conducted in Saudi Arabia with a representative sample of 794 participants. The questionnaire comprised knowledge, awareness and attitude questions regarding TC and TSE in addition to signs/symptoms and risk factors.Multivariate logistic regression analysis was conducted to identify the significant variables associated with knowledge of TC and TSE. Results Around 43% (n=340) of the participants had inadequate knowledge of TC, whereas 26% (n=205) had heard about TSEand only 65 (8.2%) performed TSE. The first model for knowledge found that participants with a low level of education [2.75 (1.18, 6.42)]; no past history of a testicular problem [2.20 (1.22, 3.95)] and those who had not heard about TSE [1.79 (1.24, 2.57)] were at higher odds for inadequate knowledge, whereas those whose mothers had received college-level education [0.39 (0.19, 0.79)] and those who received information from school/college [0.61 (0.37, 0.97)] were more likely to have adequate knowledge about TC. The secondmodel for TSE found that a low level of education 5.24 (1.34, 20.52) was associated with not performing TSE. Receiving information from social media [0.08 (0.03, 0.17)], school/college [0.06 (0.02, 0.13)], family and friends [0.17 (0.05, 0.57)] and medical staff [0.08 (0.03, 0.17)] were associated with higher odds of performing TSE. Conclusion The majority of Saudi males have knowledge about TC. On the contrary, only a small percentage of the respondents have heard of or performed TSE as a screening technique. Educated sources of information can be a reliable way of giving correct knowledge on sensitive topicslike TSE.