Comprehensive Online Research Articles

My Journey: DFD (Data Flow Diagram) for Digital Planners and Travel Guide Applications in Indonesia

Tourism is one of the important aspects in terms of increasing income in an area as well as people's welfare. The presence of a well-managed tourism area will improve the welfare of the community. Indonesia has a region that is very rich in tourism, but it is unfortunate that in Indonesia there are still obstacles in the information system so that tourists have difficulty in finding tourist attractions and facilities located in the area. Although Indonesia already has a relatively comprehensive online search, Indonesia does not fully help with access, accommodation cost planning for traveling. This made us have the idea to create a My Journey application for travel planning and guidance . This application is very appropriate to be applied in this moment of the modern era because technological advancements require us to do everything through digital. Development of digital applications My Journey By using GPS and DFD (Data Flow Diagram) Design Method to facilitate the service of the application.The My Journey application is equipped with location routes and accommodation advice to get to tourist attractions, especially accommodation access using public transportation so that tourists can easily go to tourist attractions with the help of the My Journey application. In this, My Journey application will help the tourists in manage and arrange travel tour planning following the needs that are needed. In addition, this application also provides an online souvenir sales service for MSME development and ticket purchase as well as providing rental services for vehicles, equipment, and other things that support online in one application . With this application, it is expected that both local and international tourists will find it easy to get information about the tours visited, as well as a form of tourism promotion in Indonesia.

Perception of Prosody in Hearing-Impaired Individuals and Users of Hearing Assistive Devices: An Overview of Recent Advances.

Prosody perception is an essential component of speech communication and social interaction through which both linguistic and emotional information are conveyed. Considering the importance of the auditory system in processing prosody-related acoustic features, the aim of this review article is to review the effects of hearing impairment on prosody perception in children and adults. It also assesses the performance of hearing assistive devices in restoring prosodic perception. Following a comprehensive online database search, two lines of inquiry were targeted. The first summarizes recent attempts toward determining the effects of hearing loss and interacting factors such as age and cognitive resources on prosody perception. The second analyzes studies reporting beneficial or detrimental impacts of hearing aids, cochlear implants, and bimodal stimulation on prosodic abilities in people with hearing loss. The reviewed studies indicate that hearing-impaired individuals vary widely in perceiving affective and linguistic prosody, depending on factors such as hearing loss severity, chronological age, and cognitive status. In addition, most of the emerging information points to limitations of hearing assistive devices in processing and transmitting the acoustic features of prosody. The existing literature is incomplete in several respects, including the lack of a consensus on how and to what extent hearing prostheses affect prosody perception, especially the linguistic function of prosody, and a gap in assessing prosody under challenging listening situations such as noise. This review article proposes directions that future research could follow to provide a better understanding of prosody processing in those with hearing impairment, which may help health care professionals and designers of assistive technology to develop innovative diagnostic and rehabilitation tools. https://doi.org/10.23641/asha.21809772.

Prognostic value of NOX2 as a potential biomarker for lung adenocarcinoma using TCGA and clinical validation.

Lung adenocarcinoma (LUAD) is associated with high morbidity and mortality; therefore, effective biomarkers are essential. In recent years, a rapid increase in the efficiency of high‑throughput sequencing technologies and the continuous improvement of comprehensive online databases have facilitated the study of the genomic changes that affect tumor progression, including the identification of tumor biomarkers. Therefore, the identification of genes that may affect the progression and prognosis of LUAD is necessary. In the present study, the CIBERSORT and ESTIMATE bioinformatics packages were used to evaluate data from The Cancer Genome Atlas, including assessment of the proportion of tumor‑infiltrating immune cells in the tumor microenvironment, Cox regression analysis of differentially expressed genes and cross analysis of protein‑protein interaction networks. Myeloid cell NADPH oxidase isoform 2 (NOX2), an indispensable gene in the immune system, was demonstrated to serve a vital role in LUAD pathogenesis. Western blotting and immunohistochemistry confirmed that, at the protein level, NOX2 expression was increased in normal cells compared with cancer cells. Furthermore, reverse transcription‑quantitative PCR results at the mRNA level were consistent with these results, which confirmed that the abundance of NOX2 was significantly reduced in LUAD patients. NOX2 may be used as a novel marker and an independent prognostic indicator of LUAD. Its potential function was enriched in tumor immune and metabolic signaling pathways, which could provide clues for the study of the signaling pathways and molecular networks related to the disease progression of LUAD, which would be helpful for the assessment of prognosis in the clinical setting.

A Comprehensive Assessment of Cleft Lip and Palate Websites and Patient Education Information.

The objective of this study is to evaluate online educational resources on cleft lip and palate teams. A Cross-Sectional Study. An International, Multi-Institutional Study. All American Cleft Palate and Craniofacial Association-approved teams with websites. None. Websites were assessed for patient education and support content. Affiliation between presence of materials and U.S. Newsweek Top 100 Hospitals was also assessed. 187 teams were included. Presence of educational videos were available in 29.4% of websites, educational infographics in 18.2%, written materials in 66.8%, perioperative instructions in 19.3%, diagnosis information in 34.8% and treatment information in 63.1%. Information on team members were available on 77.0% of websites, resources in languages other than English in 38.5%, and support group resources in 25.7%. Cleft lip and palate diagnosis information was significantly associated with geographic region, with the largest impact from the West region (P = .03). There was a significant difference between teams affiliated with U.S. Newsweek Top 100 hospitals: Top 100 hospitals had a higher presence of educational infographics, perioperative instructions, definitions, diagnosis, and treatment (P < .01). There was no significant difference between presence of educational videos (P = .37). While many websites had basic educational materials, very few included detailed information on peri-operative planning, as well as additional forms of information including videos, infographics, and non-English languages. Providing comprehensive patient education materials online is an important supplement for patients with cleft lip and palate and should be prioritized by cleft teams.

ZooPathWeb: a comprehensive web resource for zoonotic pathogens.

Zoonotic pathogens, such as viruses, bacteria, fungi and parasites, can be transmitted from animals to humans, causing a wide range of diseases that can vary from mild to life-threatening. These pathogens typically exhibit a broad host range, infecting domestic and/or wild animals, which serve as reservoirs of infection. Human infection can occur through direct contact with infected animals or their body fluids, consumption of contaminated food or water, or via bites from infected arthropod vectors. Understanding the epidemiological characteristics and population structure of zoonotic pathogens is of paramount importance for preventing and controlling the spread of zoonotic diseases. Here, we present ZooPathWeb, a comprehensive online resource for zoonotic pathogens. ZooPathWeb provides essential information on pathogens that are particularly relevant to public health and includes a literature collection organized by pathogen classification, such as lineage, host, country or region and publication year. Moreover, we have developed four web-based utility tools for this release: SeqNHandle, PaPhy-ML, TreeView and BLAST. These tools are specifically designed to facilitate the identification of population structure and adaptive evolution in relation to zoonotic pathogens. The ZooPathWeb website is accessed via http://lab.malab.cn/~hrs/zoopathweb/. The source code for AKINND, which is used for collecting pathogen-related literature, can be found at https://github.com/RuiSiHu/AKINND. Additionally, the source code for PaPhy-ML, utilized for phylogenetic analysis, can be found at https://github.com/RuiSiHu/PaPhy-ML. Supplementary data are available at Bioinformatics Advances online.

Free Consumer Web Resources on Immunization and Vaccination

Great advances in immunization have resulted in the eradication of multiple deadly diseases. Nevertheless, current sources of misinformation, such as social media, have led to growing vaccination hesitancy and refusal to vaccinate. It is the role of medical and information professionals to educate the general public about the importance of evaluating online information on immunization and to provide access to the most accurate, comprehensive, and high-quality online health-care resources. Numerous free, reputable websites created by government and health-care institutions should be recommended to patients to address questions about the safety of vaccines, importance of immunization, and vaccination schedules.

Mastering Principles of Risk Management, Insurance, and Takaful: A Comprehensive UiTM Massive Open Online Course

The need to integrate technology into the education system has always been on the rise in the 21st century. The emergence of Coronavirus 2019 (COVID-19) has further increased the need for web-based education since educational institutions have to temporarily close to curb the spread of the virus. Universiti Teknologi MARA (UiTM) has also chosen to migrate its face-to-face classroom teaching and learning approach to open and distance learning (ODL). UFUTURE is a platform developed by UiTM for lecturers and students to have online learning through the development of massive online open courses (MOOCs) which can also be accessed by anyone who wants to self-learning. Principles of Risk Management, Insurance and Takaful course has also been transformed into MOOC to assist anyone especially UiTM students in learning this course remotely. This paper will discuss the design of ASC173 in the UFUTURE platform that implements various types of learning materials and evaluate the usability of the platform using the System Usability Scale (SUS) test among the students who took this course in the semester March 2022. The obtained SUS score 92/100 indicated that respondents were satisfied with the form of the proposed MOOC and it is acceptable to be implemented for anyone who wants to learn this course.

Abstract B045: Assessing knowledge and barriers at the primary care provider level that contribute to disparities in inflammatory breast cancer diagnosis and treatment

Abstract Background: Although recognized as the most lethal breast cancer, inflammatory breast cancer (IBC), a NCI designated rare cancer and a cancer health disparity, is severely understudied. Given the unique presentation of diffuse tumor spread without a solid mass, not easily detected by self-breast exams or mammograms, IBC patients often face delays in diagnosis and treatment leading to poor outcomes. Moreover, reproductive risk factors in IBC and high incidence in younger women, minoritized and marginalized populations highlight the significance of primary care providers (PCP) who are often the first point of contact when patients begin to notice symptoms. Methods: In this study, we evaluated the knowledge gaps and barriers amongst PCP (physicians, physician assistants, nurse practitioners) in their ability to recognize the signs and coordinate care effectively for IBC. To assess PCP experiences with IBC in their practices and overall breast cancer care during COVID, we first conducted semi-structured interviews (n=11) with providers selected from a convenience sample at Duke University and in the local clinics. Based on data from these interviews and additional cognitive interviews, we developed and disseminated a comprehensive online survey (n=78). Results: In this study, access to care was identified as the single most important barrier to treating rare cancers. Furthermore, majority of the PCPs in this cohort identified only a moderate ability to recognize IBC in patients (mean = 3.3, range 1-7), thereby limiting early diagnosis. From the semi-structured interviews, PCPs recognized that IBC is not likely to be part of typical differential diagnosis when patients present with mastitis or breast changes, and most had not seen IBC in their practice. Only 31% (n=78) reported ever suspecting IBC in a patient. Delays in referrals to specialized large clinical centers were also reported as a major barrier. In particular, 62.8% (n=49) reported some delay in referrals for diagnostic imaging. In addition, since the COVID-19 pandemic started, 33% reported diagnosing less breast cancer cases and 63% reported that they experienced breast cancer referral delays. When asked what methods providers would find most helpful to learn more about diagnosing and caring for patients with IBC, the top three modes of preferred education were online CME options (53%); lunchtime, or other in-service training (33%); and website for patients and providers (32%). Conclusions: We succeeded in developing a survey instrument and to our knowledge first mixed methods study to assess PCP knowledge gaps and barriers to timely diagnosis and care of IBC patients. Results underscore need to develop PCP training modules and care coordination tools to improve guideline-concordant care. This survey instrument also has the potential to serve as a blueprint to design, implement, and evaluate interventions for other rare cancers. Support: Duke Behavioral Health and Survey Research Core Award (GRD, ANT); Dept of Surgery (GRD); Duke Undergraduate Nakiyama Public Service Scholar (AB). Citation Format: Gayathri R. Devi, Laura J. Fish, Alexandra Bennion, Sarah Weaver, Gregory Sawin, Anh N. Tran. Assessing knowledge and barriers at the primary care provider level that contribute to disparities in inflammatory breast cancer diagnosis and treatment [abstract]. In: Proceedings of the 15th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2022 Sep 16-19; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr B045.

ANXIETY, DEPRESSION, STRESS, AND COPING STRATEGIES, IN ROMANIAN STUDENTS AFTER THE OUTBREAK OF THE COVID-19 PANDEMIC

Objectives. The outbreak of the SarsCov-2 virus pandemic in March 2020, produced essential changes in the way of life for students in different countries. Each person has developed their own personal coping systems to adapt to the times. The purpose was to assess the magnitude of impact produced in behavioral and emotional life dimensions at the beginning of the COVID-19 lockdown. Material and methods. Collecting data was based on a comprehensive online questionnaire, addressed to 19-25 years old, master’s, and bachelor’s students in Romania. The questionnaire includes standard psychological evaluation tools such as Depression, Anxiety, and Stress Scales, DASS – 21R, Cognitive-Emotional Coping Assessment Questionnaire (CERQ), and Strategic Approaches to Coping Scale (SACS), but also a series of demographic indicators. Statistic analyse was based on ANOVA, Levene Test, T-Test, and Pearson Correlations. Results. The results revealed some differences between coping strategies male participants would choose, and those preferred by female participants, and small variances between age groups. The most commonly found coping strategy was social support. Maladaptive and passive coping strategies positively correlated to all mental health indicators. Self-blame (p&lt;.001), rumination, catastrophizing (p&lt;.001), and blaming others correlate positively with all DASS-21R subscales, depression, anxiety, and stress as well. Positive refocus negatively correlated to depression (p=.020), anxiety (p=.009), and stress (p=.004). Conclusions. At the beginning of the COVID-19 lockdown most of the participants have chosen prosocial coping strategies. The impact of the pandemic on Romanian students was rather mild. Active coping strategies predict more adaptive behavior and feelings. The findings of the current study can be expanded (to some extent) to non-pandemic situations also. Keywords: SarsCov2 pandemic, coping, depression, anxiety, stress.

Innovative Research on Evaluation System for College English Listening Course Entirely Based on Internet

This study attempts to introduce the diagnostic, formative and Summative evaluation system into college English listening course (CELC), adjusting the structure of the evaluation system of college English listening course, enriching the evaluation content, building a reasonable and effective internet-based college English listening course evaluation system so as to improve students’ learning enthusiasm and listening performance, imporove teachers’ teaching ability and improve the teaching quality of college English listening course. In addition, the designed evaluation systeme is entirely based on internet. In this way, it can also play an important role in the comprehensive online teaching under the impact of public health emergencies and other emergencies.

Educational needs in diagnosing rare diseases: A multinational, multispecialty clinician survey

PurposeRecognizing rare diseases (RDs) and initiating appropriate investigation and referral is critical for timely diagnosis. Unfortunately, patients with RDs experience significant diagnostic delays, potentially leading to inappropriate or harmful testing or treatment and disease progression. MethodsA 14-question survey assessing clinician knowledge, experience, and educational needs in RDs was emailed to US and European Union Medscape member clinicians. The survey was available from April 1, 2021, through August 2, 2021. ResultsThe respondents included 978 clinicians across 16 specialties. Two-thirds of the respondents considered RDs to be 50 to 500 times rarer than standard European Union or US definitions, and despite a point prevalence of 3.5% to 5.9%, 59% said they never or rarely (1× or 2× per year) see patients with RDs. Although 87% have been involved in an RD diagnosis, only 19% were mostly or very confident in making a diagnosis. In addition, 38% to 44% reported diagnostic barriers such as knowledge of signs/symptoms, time to investigate, guideline availability, test access, and referrals. Highest RD education preferences included a comprehensive online learning platform with current education and resources and case-based, text-based, and short formats (≤15 minutes) taught by world-renowned clinicians. ConclusionThis research study identified RD knowledge gaps, highlighting the need for education to shorten the diagnostic odyssey, which can enable earlier referral and treatment.

Remote Learning Satisfaction during Pandemic Covid-19: Non-Technical Students’ Experience

The higher education landscape had changed drastically during the pandemic COVID-19. Implementation of emergency remote learning in higher education context resulted in mixed feelings, motivation, perception, and satisfaction. Despite the challenges of technical and technological barriers faced by students worldwide, understanding their satisfaction with remote learning during pandemics offers an opportunity for higher education authorities to plan a comprehensive online learning ecosystem. This study aims to examine how final-year students perceived remote learning effectiveness, preference, and time management and how these factors subsequently affect their remote learning satisfaction. This study is quantitative in nature and based on a cross-sectional setting using an online survey. Most measures were adapted from past studies and mainly in the 5-Likert scale. The study among 152 final-year students in a management-based program revealed that remote learning effectiveness and time management affect students’ satisfaction with remote learning. Remote learning preference was statistically insignificant toward remote learning satisfaction. Theoretically, this study contributes to the new literature on emergency remote learning satisfaction specifically among non-technical and final-year students that experienced both traditional and remote learning during their studies at the university. Practically, in designing an online learning ecosystem, university management should consider the different need and capability of the students that ensure students had adequate time to review the course material before and after the class which subsequently affect their remote learning satisfaction. Future studies should consider a larger sample and different predictors.

Farming assistance web service

The Farming Assistance Web Service aims to revolutionize the agricultural sector by providing a comprehensive online platform to help farmers optimize their crop cultivation and overall farming practices. This web service leverages technology to offer a range of tools, information, and services accessible through web browsers or mobile devices. This innovative platform makes it possible for suppliers, retailers, and farmers to communicate effectively. Farmers can also contact the right merchants, and the farmers are notified through SMS when dealers submit an advertisement or an offer. This system uses Firebase to allow for push notifications to be sent to users across platforms (iOS, Android, and web) to engage and re-engage with the app's audience and also to utilize their farmer login to register their complaints with the proper dealers or authorities, and the authorities will regularly access that page using their login ids and passwords. Additionally, it offers seamless integration of data, including access to agricultural information, crop suggestions, pest control guidance, and weather forecasts.

A survey on big data-enabled innovative online education systems during the COVID-19 pandemic

With the spread of COVID-19 around the world, the education industry faces enormous challenges. Some colleges and universities have launched online teaching. Comprehensive online teaching and student health checkups help students complete the set teaching content and return to school as soon as possible. With the development of big data, combined with the epidemic risk we are facing, the rational use of big data and the internet for innovative online education has become a mainstream teaching method. Colleges and universities are not yet familiar with the development prospects and future of online education. Through the research of this paper, we can understand the combination of online education and the development of big data and promote its application in colleges and universities. Not only have innovative online education platforms such as MOOC and DingTalk been widely used, but innovative online education methods such as virtual classrooms also have been created. Based on the current epidemic background, this paper analyzes the development of online education, introduces the impact of the combination of online education and big data, and introduces innovative online education technologies and their effects. It helps online education under the influence of the new coronavirus epidemic, operating big data technology to analyze the current prospects and development of online education, showing the combination of big data technology and online education through the analysis of big data technology, and ending with more expectations on other aspects of the use of big data, which affects the online education industry as well as other industries. Finally, we summarize the combination of big data and innovative online education since the emergence of COVID-19 and introduce the concepts and methods of combining online education and big data technology in detail. The online education platform also makes a reasonable introduction. The thesis can be used to understand the problems and challenges faced by innovative online education in the context of the new coronavirus epidemic and look forward to the future on this basis.

Anatomic Depth Estimation and 3-Dimensional Reconstruction of Microsurgical Anatomy Using Monoscopic High-Definition Photogrammetry and Machine Learning.

Immersive anatomic environments offer an alternative when anatomic laboratory access is limited, but current three-dimensional (3D) renderings are not able to simulate the anatomic detail and surgical perspectives needed for microsurgical education. To perform a proof-of-concept study of a novel photogrammetry 3D reconstruction technique, converting high-definition (monoscopic) microsurgical images into a navigable, interactive, immersive anatomy simulation. Images were acquired from cadaveric dissections and from an open-access comprehensive online microsurgical anatomic image database. A pretrained neural network capable of depth estimation from a single image was used to create depth maps (pixelated images containing distance information that could be used for spatial reprojection and 3D rendering). Virtual reality (VR) experience was assessed using a VR headset, and augmented reality was assessed using a quick response code-based application and a tablet camera. Significant correlation was found between processed image depth estimations and neuronavigation-defined coordinates at different levels of magnification. Immersive anatomic models were created from dissection images captured in the authors' laboratory and from images retrieved from the Rhoton Collection. Interactive visualization and magnification allowed multiple perspectives for an enhanced experience in VR. The quick response code offered a convenient method for importing anatomic models into the real world for rehearsal and for comparing other anatomic preparations side by side. This proof-of-concept study validated the use of machine learning to render 3D reconstructions from 2-dimensional microsurgical images through depth estimation. This spatial information can be used to develop convenient, realistic, and immersive anatomy image models.

1292. Accessible Antibiotic Stewardship: Development of an Open-Source, Interactive Online Curriculum

Abstract Background Significant gaps exist at all levels of medical training with regards to knowledge and confidence in antimicrobial prescribing and stewardship. Studies of antimicrobial prescribing perceptions have also noted that trainees and physicians desire further education on antibiotics and antimicrobial stewardship. Although courses in antimicrobial stewardship exist, these have generally been limited in scope and accessibility. Methods We first performed a needs assessment by reviewing all existing online antibiotic curricula. We then developed an open-source, comprehensive online antibiotic curriculum comprising educational modules for adult clinical learners to build expertise at their own pace, without financial burden. We based the curriculum on a previously validated framework for learning principles of antibiotics and drew on cognitive-load theory. Our intended learners were medical students, medical and surgical residents, and advanced practice provider trainees. Results There are 24 currently accessible online antibiotic learning materials, 4% of which are comprehensive, 25% of which include interactive content, and &amp;gt;40% of which include inaccuracies. We designed a curriculum to address these gaps. Our curriculum consists of 22 modules including videos lasting 8 minutes or less and accompanied by activities to apply and reinforce content. We partnered with a student in graphic design to create visually appealing and memorable animated videos. The modules reinforce the “3Ps and 3Ds”: 1) from what place is the infection coming, 2) what pathogens tend to live in the place of the infection and should be empirically covered with antibiotics, 3) are there patient-specific factors that affect antibiotic choice, and ) what are the drug, dose, and duration of antibiotic therapy. Conclusion To our knowledge, this would be the first open-source, comprehensive online curriculum targeting appropriate antibiotic selection using a novel framework for choosing antimicrobials: the “3Ps and 3Ds”. Our antibiotic curriculum is also novel in that we have built short, interactive learner-friendly modules that incorporate microbiology concepts as well as fundamentals of antimicrobial stewardship to facilitate antibiotic learning. Disclosures Kathleen Degnan, MD, Gilead: Grant/Research Support.

An initial trial of OPT-In-Early: An online training program for caregivers of autistic children.

Early intervention can help children learn language and improve social communication. However, many barriers, including the expense of services and an insufficient number of providers, prohibit families from accessing services when their children are young. We developed a comprehensive online program for caregivers of autistic children. The program, Online Parent Training in Early Behavioral Intervention (OPT-In-Early), uses text and video demonstrations to teach caregivers effective methods for improving their children's language, social, and adaptive skills (e.g. using utensils, toilet training), and reducing their children's disruptive behavior. Sixty-three parents from three states participated in the study. Half of the parents received access to the OPT-In-Early program. After 4 months, parents who had access to the OPT-In-Early program learned more effective intervention strategies, and started using these strategies during interactions with their children, than parents who did not receive access to the program. Parent participation in OPT-In-Early did not significantly influence children's social communication compared to children whose parents did not have access to OPT-In-Early. A longer duration of parents using learned intervention skills with their children may be needed for children's social communication skills to improve.

Evaluation of a leadership development impact assessment toolkit: a comparative case study of experts’ perspectives in three Canadian provinces

PurposeThis paper aims to explore users' perceptions of whether the Leadership Development Impact Assessment (LDI) Toolkit is valid, reliable, simple to use and cost-effective as a guide to its quality improvement.Design/methodology/approachThe Canadian Health Leadership Network codesigned and codeveloped the LDI Toolkit as a theory-driven and evidence-informed resource that aims to assist health-care organizational development practitioners to evaluate various programs at five levels of impact: reaction, learning, application, impact and return on investment (ROI) and intangible benefits. A comparative evaluative case study was conducted using online questionnaires and semistructured telephone interviews with three health organizations where robust leadership development programs were in place. A total of seven leadership consultants and specialists participated from three Canadian provinces. Data were analyzed sequentially in two stages involving descriptive statistical analysis augmented with a qualitative content analysis of key themes.FindingsUsers perceived the toolkit as cost-effective in terms of direct costs, indirect costs and intangibles; they found it easy-to-use in terms of clarity, logic and structure, ease of navigation with a coherent layout; and they assessed the sources of the evidence-informed tools and guides as appropriate. Users rated the toolkit highly on their perceptions of its validity and reliability. The analysis also informed the refinement of the toolkit.Originality/valueThe refined LDI Toolkit is a comprehensive online collection of various tools to support health organizations to evaluate the leadership development investments effectively and efficiently at five impact levels including ROI.

Pakistani secondary students’ learning performance and satisfaction amidst COVID-19 outbreak: Sequential explanatory research

The COVID-19 outbreak has affected educational system and left some implications for the world of education, one of which is online learning activity. However, as a new habit of learning in post COVID-19 era nowadays, online learning should be taken as a serious consideration for conducting an effective learning environment, particularly in the context of secondary schools in Pakistan. Addressing this issue, the present study aims to explore Pakistani secondary students’ performance and satisfaction toward the practice of online learning activity in post COVID-19 era. Creswell’s Sequential explanatory research, in which qualitative data were gathered to support the finding of quantitative data, was adopted in this study. A set of questionnaires measured using five-point Likert scale and three open-ended questions were employed to collect the data from 335 secondary students in Federal Government Schools of Wah Cantt, a district in Punjab province Pakistan. The data were further analyzed using descriptive statistics by means of SPSS version 24 and thematic analysis. The results depicted that the outbreak of COVID-19 has extremely affected the students’ academic performance during the online learning activity. In terms of satisfaction, the results further demonstrated that the students possessed low level of satisfaction toward the online learning activity. Notwithstanding this fact, a strong positive correlation was proven between students’ academic performance and the level of learning satisfaction toward online learning in post COVID-19 era. Drawing on the results, this study provides implication that teachers and education stakeholders should offer dynamic and comprehensive online services, as well as supportive assistance and offensive feedback to enhance students’ performance and satisfaction toward online learning activity.

Qualitative Evaluation of A Comprehensive Online Wellness Program Among People with Spinal Cord Injury

<h3>Research Objectives</h3> To investigate the perceptions of people with SCI who participated in an eight-week, group-based telewellness program (MENTOR – Mindfulness, Exercise, and Nutrition To Optimize Resilience). <h3>Design</h3> This was a retrospective, qualitative program evaluation conducted via telephone interviews. <h3>Setting</h3> Participants who completed MENTOR were contacted via telephone to participate in a program evaluation interview. Participants were located in several cities across the U.S. <h3>Participants</h3> 14 individuals with SCI who completed a free, home-based telewellness program. Eligibility criteria included: 1) 18 to 70 years of age; 2) internet access; and 3) ability to access the program materials independently. <h3>Interventions</h3> The entire MENTOR program was conducted remotely and included no in-person interactions. Several months after completing MENTOR, participants were contacted via telephone to participate in a program evaluation interview. The interview lasted no longer than 30 minutes and included approximately 10 questions. The questions were semi-structured and asked participants about their overall thoughts of the program, likes/dislikes, potential benefits, and general questions pertaining to the 3 core components of the program (exercise, mindfulness, and nutrition). <h3>Main Outcome Measures</h3> Inductive thematic analysis was used to analyze qualitative data. Codes were generated iteratively across each transcription. In consideration of the small sample size of the study, the coders aimed to generate a small number of rich themes with only one code level per theme to enhance the likelihood of saturation. <h3>Results</h3> Qualitative analysis yielded 5 themes: 1) MENTOR provided an intimate online community for personal growth through peer support; 2) socialization, relationship building, and the program's holistic nature were enjoyable aspects of MENTOR; 3) tailored approaches from knowledgeable, personable coaches contributed to high program quality; 4) program components facilitated maintenance of health decision-making behaviors; and 5) improved psychological wellbeing related to the mindfulness classes. <h3>Conclusions</h3> MENTOR appears to benefit the physical and mental health of people with SCI. As a government-sponsored program, there is significant opportunity to continue building from these preliminary findings in future iterations of the program. <h3>Author(s) Disclosures</h3> The authors report no conflicts of interest.