Descriptive Data Research Articles

Data-Driven Implementation Strategy to Optimise Clinician Behaviour Change at Scale in Complex Clinical Environments: A Multicentre Emergency Care Study.

To develop an evidence-driven, behaviour change focused strategy to maximise implementation and uptake of HIRAID (History including Infection risk, Red flags, Assessment, Interventions, Diagnostics, communication and reassessment) in 30 Australian rural, regional and metropolitan emergency departments. An embedded, mixed-methods study. This study is the first phase of a step-wedge cluster randomised control trial of HIRAID involving over 1300 emergency nurses. Concurrent quantitative and qualitative data were collected via an electronic survey sent to all nurses to identify preliminary barriers and enablers to HIRAID implementation. The survey was informed by the Theoretical Domains Framework, which is a synthesis of behavioural change theories that applies the science of intervention implementation in health care to effect change. Quantitative data were analysed using descriptive statistics and qualitative data with inductive content analysis. Data were then integrated to generate barriers and enablers to HIRAID implementation which were mapped to the Theoretical Domains Framework. Corresponding intervention functions and Behaviour Change techniques were selected and an overarching implementation strategy was developed through stakeholder consultation and application of the APEASE criteria (Affordability, Practicability, Effectiveness and cost-effectiveness, Acceptability, Side-effects/safety and Equity). Six barriers to HIRAID implementation were identified by 670 respondents (response rate ~58%) representing all 30 sites: (i) lack of knowledge about HIRAID; (ii) high workload, (iii) lack of belief anything would change; (iv) not suitable for workplace; (v), uncertainty about what to do and (vi) lack of support or time for education. The three enablers were as follows: (i) willingness to learn and adopt something new; (ii) recognition of the need for something new and (iii) wanting to do what is best for patient care. The 10 corresponding domains were mapped to seven intervention functions, 21 behaviour change techniques and 45 mechanisms. The major components of the implementation strategy were a scaffolded education programme, clinical support and environmental modifications. A systematic process guided by the behaviour change wheel resulted in the generation of a multifaceted implementation strategy to implement HIRAID across rural, regional and metropolitan emergency departments. Implementation fidelity, reach and impact now require evaluation. HIRAID emergency nursing assessment framework reduced clinical deterioration relating to emergency care and improved self-confidence and documentation in emergency departments in pilot studies. Successful implementation of any intervention in the emergency department is notoriously difficult due to workload unpredictability, the undifferentiated nature of patients and high staff turnover. Key barriers and enablers were identified, and a successful implementation strategy was developed. This study uses theoretical frameworks to identify barriers and enablers to develop a data-driven, behavioural-focused implementation strategy to optimise the uptake of HIRAID in geographically diverse emergency departments which can be used to inform future implementation efforts involving emergency nurses. The CROSS reporting method (Supporting Information S3) was used to adhere to EQUATOR guidelines. No Patient or Public Contribution. Australian New Zealand; Clinical Trials Registry (ANZCTR) number: ACTRN12621001456842, registered 25/10/2021.

Pupils’ reading comprehension: Basis for the development of reading instructional material

This study was conducted to assess the reading comprehension among the grade 4 pupils in an integrated school in the District of Tangalan, Philippines. The result of the study was the basis on the development of an instructional reading material during the School Year 2023-2024. The design based research was used in this study using IPO model. The participants were the 66 grade 4 pupils and 10 teacher experts. Reading Comprehension Test and Learning Material Evaluation Tool were the data gathering instruments. The data were analyzed and interpreted using descriptive and inferential data analysis. The reading comprehension in English of grade 4 pupils is “low”. Based on the result of the study, an instructional material was developed offering a variety of engaging activities, including word boxes, missing letter challenges, collaborative group activities, reading experiences, interactive games, and visual aids for descriptive analysis. The level of acceptability of the developed instructional material for grade 4 was “very highly acceptable” as to content, instructional quality, prints, design and layouts. The level of reading comprehension of grade 4 pupils before the intervention were “low” and after using the developed instructional material, it became “moderate”. Hence, there is a significant difference on the reading comprehension of grade 4 pupils before and after using the instructional material.

Overstayed Migratory Bird Species on The Coast of Banda Aceh City, Aceh Province

Bird migration is a critical ecological phenomenon influenced by various factors such as temperature changes, food availability, and reproductive cycles. Understanding the dynamics of migratory bird populations within specific regions is essential for conservation efforts. This study aims to identify migratory bird species within Banda Aceh City, focusing on the phenomenon of overstaying migratory birds. Conducted between April and June 2022, data collection took place in several locations, employing the concentration count method. Descriptive data analysis was performed to catalog bird species, and the Shannon-Wiener index was utilized to assess biodiversity. Results revealed the presence of four shorebird species. The study underscores the importance of protecting migratory bird populations in urban environments and highlights the potential impacts of their loss or disruption. Joint conservation efforts are crucial to safeguarding these species, and favorable conditions may encourage some individuals from commonly migrating species to remain in urban areas.

Correlates of fentanyl preference among people who use drugs in Rhode Island

BackgroundFentanyl is increasingly pervasive in the unregulated drug supply and is a driver of drug overdose deaths in the United States. The aims of this study were to characterize and identify correlates of fentanyl preference among people who use drugs (PWUD) in Rhode Island (RI).MethodsUsing bivariate analysis, we examined associations between fentanyl preference and sociodemographic and psychosocial characteristics at baseline among participants enrolled in the RI Prescription Drug and Illicit Drug Study from August 2020-February 2023. Fentanyl preference was operationalized based on responses to a five-point Likert scale: “I prefer using fentanyl or drugs that have fentanyl in them.” Participants who responded that they “strongly disagree,” “disagree,” or were “neutral” with respect to this statement were classified as not preferring fentanyl, whereas participants who responded that they “agree” or “strongly agree” were classified as preferring fentanyl.ResultsAmong 506 PWUD eligible for inclusion in this analysis, 15% expressed a preference for fentanyl or drugs containing fentanyl as their drug of choice. In bivariate analyses, preference for fentanyl was positively associated with younger age, white race, lifetime history of overdose, history of injection drug use, past month enrollment in a substance use treatment program, past month treatment with medications for opioid use disorder, and preferences for heroin and crystal methamphetamine (all p < 0.05). Descriptive data yielded further insight into reasons for fentanyl preference, the predominant having to do with perceived effects of the drug and desire to avoid withdrawal symptoms.ConclusionsOnly a relatively small subset of study participants preferred drugs containing fentanyl. Given the increased prevalence of fentanyl contamination across substances within the unregulated drug market, the result for PWUD is increasingly less agency with respect to choice of drug; for example, people may be forced to use fentanyl due to restricted supply and the need to mitigate withdrawal symptoms, or may be using fentanyl without intending to do so. Novel and more effective interventions for PWUD, including increased access to age-appropriate harm reduction programs such as fentanyl test strips and overdose prevention centers, are needed to mitigate fentanyl-related harms.

Pattern of enuresis diagnosis and management by general practitioner in Indonesia

Background:General practitioners (GP) have a major role in diagnosing bedwetting, especially in primary care. Despite the high prevalence, the professional training of doctors in diagnosing and managing enuresis is often minimal, which can make patient care to be not optimal. This study aimed to describe the pattern of enuresis diagnosis and management at primary level by GPs In Indonesia. Methods:This study is a cross-sectional study conducted using an online survey distributed from March 2021 until September 2021. The inclusion criteria in this study are general practitioners registered in the Indonesian Doctor Association. The survey contains several questions describing the general practitioners’ general experience in treating pediatric patients and treating enuresis. The data was then compiled and presented as descriptive data. Result:Out of 584 GPs contacted, 183 responses were analyzed. The majority (70.49%) had less than five years of experience. Most GPs (95.08%) treated pediatric patients, with 44.26% having experience treating enuresis. Diagnosis primarily involved history taking and physical examination (70.37%). Only a minority used special questionnaires or bladder diaries. Treatment often involved lifestyle changes (42.05%), alarm therapy (23.86%), or referrals to specialists (50.82%). Conclusion:There are gaps in the diagnosis and management of enuresis among Indonesian GPs. Enhanced training and adherence to standardized guidelines could improve care for children with enuresis in Indonesia.

Variability and sustainability in sisal production: a study in the Eastern Seridó Micro-Region of Paraibano

This study analyzes the production of sisal (Agave sisalana) in the Eastern Seridó Microregion of Paraíba from 2012 to 2022, considering variables such as planted area, harvested area, quantity produced, average yield and production value. Using data from the Brazilian Institute of Geography and Statistics (IBGE) and the Municipal Agricultural Production (PAM), the statistical analysis revealed significant variability in sisal production over the years. The planted area ranged from 3.500 to 4.200 hectares, while the harvested area varied between 3.300 and 4.000 hectares. The quantity produced ranged from 2.500 to 3.200 tons, with an average yield of approximately 794 kg/ha. The value of production varied significantly, with an increase of 5,92% in 2018, reflecting the sensitivity of the local economy to climatic, economic and technological factors. The methodology involved descriptive and inferential data analysis, using RStudio and Excel for data processing and MapChart for geographical visualization. The results suggest that improvements in management techniques and agricultural practices, as well as public policies and investments in technology, are essential to stabilize sisal production and promote economic and environmental sustainability in the region. This study provides a solid basis for future research and policy formulation that can improve sisal production and contribute to local development.

Using magnetic marketing tools to enhance the financial performance of the Iraqi general insurance company

The research aims to use magnetic marketing tools across its dimensions of (message, market, and media) to enhance the financial performance of the Iraqi General Insurance Company, as well as to identify the strengths and weaknesses in the company’s performance. Adopting the descriptive approach And Analytical Data and information were collected through the financial statements, annual reports and statistics of the company under study, relying on the annual reports issued by the Iraqi Insurance Bureau, as well as the performance evaluation indicators issued by the Federal Financial Supervision Bureau, represented by (the index of relative importance of insurance activity revenues, and production follow-up indicators) The fulfillment of plans, the development of production, the productivity of producers, the number of documents, and the loss rate) for the years (2018-2022). The research reached a set of results, the most important of which was that adopting magnetic marketing tools would enhance the revenues of insurance activity, reflected in the financial performance of the researched company.

The Role of Creative Communities in Supporting Development of Urban Heritage Tourism Kota Tua Jakarta

Kota Tua Jakarta or Jakarta’s Old City is a Cultural Heritage Area as well as a National Vital Object. This area is managed by the DKI Jakarta Provincial Government as a historical tourist destination. The increase in tourist visits to this area is caused by various things, one of which is the existence of tourist attractions developed by the local creative community. The role of the creative community has not been identified thoroughly. This study aims to explain the role of the creative community as a supporting tourist attraction in Kota Tua area. In addition, identifying this role is also important to help the government plan regulations that have an impact on optimizing tourism potential. This study was conducted using a qualitative method with descriptive data presentation. The results of the study show that the creative community also plays a role in developing tourism in Kota Tua ​​Jakarta. The role of the creative community is not only in providing new experiences, but also in being able to enliven the attractive atmosphere in the area of ​​cultural heritage sites that have developed into tourist destinations. The creative community has also become a tourism identity in the Kota Tua ​​Jakarta, apart from the physical side of the interesting colonial-style building architecture.

Temporal Trends in the Epidemiology of Lower Back Pain in the United States.

This was an observational study. This study aims to explore sociodemographic and regional geographic variations in Lower back pain (LBP) incidence, prevalence, and burden in the United States (US from 2000-2019. LBP is a major contributor to lost wages and disability in the US. As LBP is associated with increasing age and sedentary lifestyle, the incidence of LBP is expected to rise. Due to LBP's multifactorial causes, US epidemiological trends lack sufficient data. Descriptive epidemiological data including disability-adjusted life years (DALYs), incidence, and prevalence per 100,000 population from 2000-2019 were collected from the Global Burden of Disease database. State-level data regarding poverty, insurance and employment status were obtained from the US Government Census Bureau and US Department of Labor. Statistical significance was indicated by P<0.05. From 2000-2019, the US demonstrated reductions in LBP incidence, prevalence, and DALYs. Regional analysis demonstrated the Midwest to have the greatest mean incidence, prevalence, and DALYs; with Midwestern females significantly more affected than females in other regions. Those aged 25-49 in the Midwest were impacted significantly more across all measures compared to age-matched populations in other regions. Nationally, there were no significant associations between unemployment and LBP. Poverty was inversely correlated with LBP incidence. Uninsured status was positively correlated with prevalence and DALYs. Although there has been progress in reducing the impact of LBP in the US, the Midwest region has greater rates for all measures compared to other US regions. Further, females and those aged 25-49 in the Midwest were more likely to be affected by LBP compared to counterparts in other regions. Future studies should identify specific factors contributing to elevated LBP rates in the Midwest in order to guide targeted interventions to reduce the incidence and burden of LBP there.

Representation Of Women In The Writing And Pictures Of The Back Of The Truck: An Analysis Of Sexist Language

Communication media has an essential role in shaping public perception of women. However, the representation of women in the media often has a negative impact. For example, the writing and pictures behind the truck often contain messages that demean women through objectifying diction and visuals. This study aims to analyze the representation of women in truck visual media and shows that the media reinforces gender stereotypes and limits women's potential in society. A qualitative research approach is applied to explore natural phenomena through triangulation techniques and inductive and descriptive data analysis. Identifying key informants is crucial in this method, with selection based on their level of involvement in the social situation being studied. The researcher conducted direct interviews with five informants who have relevant knowledge and experience, using the Critical Discourse Analysis theory that underlies this study to explore how women are represented in the tailgate of trucks in the form of writing and drawings. The findings of this study reveal that the sexist language in the tailgate of a car reflects the view that women are (1) sexual objects, (2) inanimate objects, (3) vulnerable figures who need sexual attention, and (4) weak figures. The representation of women in the writings and images on the back of the truck not only strengthens the patriarchal power structure in Indonesian society but also highlights the complexity of the interaction between language, culture, and power.

The European MAREGRAPH Project: Enhancing Marine Data Interoperability through Semantic Knowledge Graphs

The availability of accurate and up-to-date information on marine species—ranging from nomenclature and taxonomy to species occurrences—is fundamental for several stakeholders, from marine scientists to policymakers. Today, this information is provided by well-known authoritative systems, including the World Register of Marine Species (WoRMS*1), a comprehensive register of names of marine organisms and related information; Marine Regions*2, a register of georeferenced information on marine place names and areas; and the European Ocean Biogeographic Information System (EurOBIS*3), where species occurrences in European waters are recorded. These platforms ensure marine biodiversity data is accessible and interoperable, supporting various applications and use cases for fostering advancements in taxonomy, marine biology, ecology and environmental science. The MAREGRAPH project*4 has the ambition to further increase the findability, accessibility, interoperability and reusability of these foundational high-value datasets, by creating and publishing an open knowledge graph (KG) on marine biodiversity data through the semantic uplifting of the involved datasets, relying on the Semantic Web stack and its standards (Fig. 1). This requires: the definition and publication of a network of formal, reusable and extensible ontologies and controlled vocabularies for representing and linking together marine biodiversity information, as a basis for semantic interoperability; the set up of a cost-effective, flexible and scalable data architecture to publish the data as Linked Open Data and provide access through standard APIs, from a SPARQL endpoint to Linked Data Event Streams (LDES), enabling technical interoperability and serving various use cases and data access needs. the definition and publication of a network of formal, reusable and extensible ontologies and controlled vocabularies for representing and linking together marine biodiversity information, as a basis for semantic interoperability; the set up of a cost-effective, flexible and scalable data architecture to publish the data as Linked Open Data and provide access through standard APIs, from a SPARQL endpoint to Linked Data Event Streams (LDES), enabling technical interoperability and serving various use cases and data access needs. The methodology adopted for defining and publishing the KG combines the consolidated principles of the Open Standards for Linked Organisations (OSLO) framework—which defines the governance structure and a open process for developing semantic data standards—with the well-established agile and collaborative ontology development workflow of the eXtreme Design methodology (Presutti 2009), based on ontology design patterns (ODPs). Also leveraging the experience gained in defining the Marine Regions Ontology and publishing the Marine Regions gazetteer as LDES (Lonneville 2021), we are iteratively defining the ontologies for representing: marine species, whose description is rooted in the definition of taxa and their scientific names, and extends to geographic distribution, scientific literature, ecological traits and other biological information as represented in WoRMS; species observations, describing the occurrence of species in space and time, with associated descriptive data as well as biological and environmental measurements, as recorded in EurOBIS. marine species, whose description is rooted in the definition of taxa and their scientific names, and extends to geographic distribution, scientific literature, ecological traits and other biological information as represented in WoRMS; species observations, describing the occurrence of species in space and time, with associated descriptive data as well as biological and environmental measurements, as recorded in EurOBIS. Our approach to ontology design is driven by the identification of use cases and competency questions, as well as by existing models and data, also involving the community through workshops, webinars and co-creation sessions. Existing domain ontologies and reference data models, such as Biodiversity Information Standards' (TDWG) Darwin Core, the Taxonomic Concept Schema, Bioschema's profiles for taxa and taxon names, the OpenBioDiv ontology, and the Catalogue of Life Data Package (CoLDP), were considered for the identification of ODPs and reuse, particularly through ontology semantic alignments. As fostering consensus on data semantics is a critical step toward broad acceptance and adoption, semantic assets are incrementally published on a dedicated GitHub repository*5, involving again the community through public review processes. MAREGRAPH will then enable the production of linked open datasets where the data from WoRMS, Marine Regions and EurOBIS are seamlessly integrated and interlinked in a unified KG that can be further enriched and linked with data from other initiatives where marine biodiversity is the focus.

Assessing the Availability of Digital Learning Infrastructures in NGO-Sponsored and Non-Sponsored Public Primary Schools in Buuri and Isiolo Sub-Counties

Purpose: To assess the availability of digital learning infrastructures in NGO-sponsored and non-sponsored public primary schools in Buuri and Isiolo sub-counties. Methodology: The study used deductive reasoning and adopted the descriptive survey research design. The study targeted 79 public primary schools in the 2 sub-counties, 79 headteachers, 79 ICT teachers, 2,192 Grade 6 learners, and their 79 Grade 6 class teachers. The researcher selected a 20% sample to get 16 schools, 16 headteachers, 16 ICT teachers, and 16 class teachers. Purposive sampling techniques were used to select 11 schools with NGO sponsorship while simple random sampling was used to select 5 schools without sponsorship for the comparative sample. Systematic random sampling was used to get a 15% sample from the learners – 329 Grade 6 learners. Data was collected using questionnaires, interview schedules, and observation checklists. Descriptive data was analyzed using percentages, mean, and standard deviation scores, while data from interviews was organized into themes and reported using quotes and narration and reported alongside the findings from descriptive data. Results: The results of the questionnaire revealed that 79.9% of learners in sponsored schools strongly agreed that their classrooms were built with robust materials compared to only 62.0% in non-sponsored schools. 70.0% of teachers in sponsored schools confirmed these findings strongly agreeing that their classrooms were built of concrete stones with metal doors and windows, compared to 60.0% in non-sponsored schools. This indicates a significant difference in infrastructure quality, with sponsored schools showing better construction (97.4% vs. 70.5%). Simple regression analysis showed that NGO-sponsored schools had lower p-values (p ≤ 0.01 for power availability and digital hardware, p = 0.05 for adequate gadgets) compared to non-sponsored schools (p = 0.05, 0.05, and 0.10 respectively). These results indicate significant differences in infrastructure availability, supporting the rejection of the null hypothesis. Conclusion: The conclusion made was that NGO-sponsored schools possess significantly superior digital learning infrastructures compared to their non-sponsored counterparts. The robust construction of classrooms, reliable electricity supply, and the availability of essential wiring and power sockets collectively create an environment that is highly conducive to effective digital literacy programs. This enhanced infrastructure provides a stable foundation for the integration and use of digital technologies in the school. The study recommends that efforts be made to increase NGO sponsorship in public primary schools to increase the chances of learners attending the schools getting access to essential digital skills. This could involve intentional efforts by the Ministry of Education to reach out to NGOs and pursue partnership opportunities in this direction

Development of a nomogram for fetal Evans Index.

This study aims to investigate the fetal Evans Index and establish a nomogram for fetuses without any additional fetal anomalies detected during the prenatal period. We conducted our research at Ankara City Hospital, including 894 patients who were admitted and evaluated between gestational weeks 16-40. These patients had no fetal anomalies detected in subsequent gestational weeks. Descriptive data, such as age, gravidity, parity, and body mass index (BMI), were recorded. Gestational week and Evans Index (mean, median, standard deviation, minimum, maximum, and percentile) were also documented. The Evans index was calculated as the ratio between the maximal width of the frontal horns and the maximal width of the inner diameter of the cranium. We evaluated 894 fetuses in pregnant women had no fetal anomalies detected throughout the pregnancy. The evaluation took place at different gestational weeks, and a nomogram for the Evans Index was created. It is relevant for clinicians and researchers to be aware of the range of fetal Evans Index values across different gestational weeks as a prognostic criterion.

Pengaruh Model Pembelajaran Problem Based Learning Berbasis Kurikulum Merdeka terhadap Peningkatan Motivasi Belajar Pendidikan Agama Kristen dan Budi Pekerti Siswa Kelas X SMA Negeri 1 Pematang Siantar Tahun Ajaran 2023/2024

The purpose of this study was to determine the positive and significant influence between the Influence of the Problem Based Learning Model Based on the Independent Curriculum on Increasing Motivation to Learn Christian Religious Education and Character Education of Class X Students of SMA Negeri 1 Pematang Siantar in the 2023/2024 Academic Year. The research method used is a quantitative method with descriptive inferential data analysis. The population is all students of class X SMA Negeri 1 Pematang Siantar who are Protestant Christians, totaling 372 people and a sample of 52 people is determined using the sample random sampling technique. Data were collected using a closed questionnaire of 44 items, namely 22 items for variable X and 22 items for variable Y. The results of the data analysis showed that there was a positive and significant influence of the Problem Based Learning Model Based on the Independent Curriculum on Increasing Motivation to Learn Christian Religious Education and Character Education of Class X Students of SMA Negeri 1 Pematang Siantar in the 2023/2024 Academic Year, as evidenced by the following data analysis: 1) Analysis requirements test: a) positive relationship test obtained rxy value = 0.612&gt; rtable (a=0,05,n=52) = 0.297. b) Significant relationship test obtained tcount value = 5.600&gt; ttable (a=0,05,dk=n-2=50)= 2.000. 2) Influence test: a) Regression equation test, obtained regression equation Y ̂="36.60" + 0.45X. b) Test of regression determination coefficient (r2) = 38.5%. 3) Hypothesis test using F test obtained Fcount &gt; Ftable = =(a=0,05,dk numerator k=33,dk denominator t=n-2=52-2=50) which is 31.29 &gt; 1.51. Thus Ha is accepted and H0 is rejected.

Correlation between personal characteristics and intention to perform bystander Cardiopulmonary Resuscitation

Out-of-hospital cardiac arrest is a major problem globally characterized by poor survival rates, particularly in residential settings. A delay in administering Cardiopulmonary Resuscitation (CPR) can reduce the survival rate, which is currently at 1 in 10. The chance of survival is influenced by several factors, including patient, population, and health system, particularly the actions of bystanders due to the need for immediate administration of CPR. Although the role of bystanders is very important in increasing the survival rate of cardiac arrest, not all individuals present at the scene are willing to carry out CPR due to personal characteristics. Therefore, this research aimed to explore the potential correlation between personal characteristics and the intention (willingness) to provide basic life support.The investigation was carried out in Malang City using descriptive correlation design and data were collected with questionnaires distributed through Google Forms. The sample consisted of residents of Malang City, with inclusion criteria comprising individuals aged between 17-65 years, not health workers or health students, and the ability to fill in data using Google Forms. After collection, the data obtained were processed descriptively using the SPSS 23 version.The results showed that among 283 respondents, 80.6% were in the early adult age range, 64% were female, 57.6% had the last education level SMA/SMK, and 65.4% were students. Furthermore, the analysis showed that the intentions of the majority of respondents were in the moderate range, accounting for 64.7%. Correlation analysis showed a significant association between personal characteristics and intention, where age, gender, level of education, occupation status, and experience had correlation scores of -0.089, 0.054, 0.107, 0.104, and -0.261.In conclusion, this research showed correlation strength for all characteristics ranging from very low to low, emphasizing the need to enhance the intention to perform bystander CPR across all levels. This is due to the very low correlation between community characteristics and intention. To overcome this challenge, a strategy that has been proven effective in increasing intention is educating the public regarding cardiac arrest assistance.

Employment Decisions of Newly Graduated Occupational Therapists.

Introduction. Employment decision-making is essential for understanding workforce trends. Current occupational therapy workforce research describes distribution disparities of occupational therapists within geographic locations, services such as acute care or community health, and private or public sectors. New graduates of occupational therapy programs are critical to meeting the demand and distribution disparities of occupational therapy services in British Columbia. However, recent employment decision-making of new occupational therapy graduates has not been well studied. Purpose. This study aimed to examine factors that influence newly graduated occupational therapists' employment decisions. Methods. This descriptive study sampled 122 occupational therapists who were registered in one province and graduated from a Canadian occupational therapy program between 2017 and 2022. Data was collected through an online survey about intrinsic factors, extrinsic factors, and past fieldwork experiences that affected participants' employment decision-making. Descriptive data analysis was used to organize participants' responses. Findings. Results identified that work-life balance and mentorship were the highest rated factors that influenced participants' current and first employment respectively. Participants agreed that the variety and number of placements they had as students were more influential to their employment decisions than the length of the fieldwork education. Conclusion. This study identified the intrinsic and extrinsic factors in employment choices that may influence recruitment, retention, and workplace planning of new graduates.

Perception of Transaction Ease, Security and Trust on Customer Satisfaction in Using BSI Mobile Banking to Generation Z Customers in Jabodetabek

Problems faced by Bank Syariah Indonesia (BSI) regarding the development of digital banking technology in banking. Especially for BSI users mobile banking namely: (1) the percentage of use of BSI services is still low Mobile compared to service mobile banking other banks (2) review users who are still not satisfied with the ease of transactions (3) there are information security threats such as cases ransomware on BSI Mobile which causes a decrease in customer trust (4) internet use which is relatively high in generation Z, is not yet commensurate with usage mobile banking in generation Z which is still relatively low. The purpose of this research is to determine and analyze the influence of perceptions of convenience, security, trust and which variables have the greatest influence on customer satisfaction in using BSI mobile banking for Generation Z customers in Jabodetabek. The analytical method for testing customer satisfaction is carried out via google form, in this research using quantitative data with a sample of 350 generation Z customers in Jabodetabek using techniques purposive sampling. The analytical tool used is software SmartPLS version 4.1.0.3. Data analysis uses PLS-SEM analysis. This research data consists of descriptive data, outer model (test instrument) and inner model (hypothesis testing). The research results show that perceived ease of transactions and trust influence customer satisfaction in using BSI Mobile Banking for generation Z customers in Jabodetabek. Meanwhile, security has no effect on customer satisfaction in using BSI Mobile Banking for generation Z customers in Jabodetabek. The perception of ease of transactions has a greater influence compared to security and trust.

ANALISIS DESKRIPSI DISPOSISI PRODUKTIF SISWA PADA PEMBELAJARAN MATEMATIKA DITINJAU DARI GENDER

Productive disposition is the tendency, attitude, or mental state of a person towards a thing or situation. For example, in mathematics, students' attitudes and tendencies towards mathematics, such as belief in the value of mathematics, motivation in learning mathematics, or confidence in their ability to understand mathematical concepts. This study aims to describe students' productive disposition in learning mathematics in terms of gender. This research uses quantitative descriptive data analysis with survey method. This research was conducted on class X students in 30 students divided into 15 males and 15 females of SMAN 5 West Karawang selected through purposive sampling method. The data collection technique used was the distribution of a productive disposition questionnaire consisting of 20 statements and measuring against seven indicators. The results showed that productive disposition in mathematics learning was in the good category with a percentage of 52%, this was supported by the amount of activeness of female students 27% compared to male students who were only 25%.

Exploring the Potential to Identify Early Development Pre-Atherosclerotic Disease in Pediatric Carotid Arteries

Objective: The aim of these analyses was to determine the potential development of increased carotid intima-media thickness (cIMT) and spectral Doppler velocity in a cohort of children who were eligible for federal nutrition support services. Materials and Methods: A secondary data analysis was conducted based on data collected during a larger randomized clinical trial. Data were pulled on 108 children, ages 8 to 11 years, who had both cIMT measures, as well as spectral Doppler data, at the level of measured intimae. Additional data such as vessel geometry, body mass index (BMI), and blood pressure (BP) were added to the analysis to provide additional descriptive data. Results: The posterior cIMT data provided the best visualization and measurements to assess the presence of early risk for atherosclerosis. In this cohort of 8- to 11-year-olds, the median spectral Doppler values did not exceed the published values for these ages, nor did their systolic blood pressure. In this group, 77 (71%) were classified as having a healthy BMI. However, the posterior cIMT data were compared to published measures of pediatric cIMT values and 60 children (55%) exceeded the expected mean thickness of 0.38 mm + 0.04 on the right and 58 (53%) on the left. Conclusion: The use of spectral Doppler to assess the risk of developing atherosclerosis may not be the best diagnostic tool, based on this cohort. The measurement of cIMT has the most promise to proper classify healthy appearing 8- to 11-year-olds, for early signs of diminished cardiovascular health.

Dengue vaccine endgame: why has the global response to exponential demand in the tropics been so slow?

IntroductionThere has been a dramatic global surge in dengue fever (DF) in recent years, with a projected 100-400 million cases annually and large outbreaks expected every 3-4 years. This concerning scenario is in sharp contrast to the very low availability of dengue vaccines to meet this spiraling demand, particularly affecting developing countries in Latin America and Africa. In our study, we aim to identify current vaccine development constraints, from a technological perspective, based on clinical trials and patent landscape data.MethodsThis study was conducted in a two-step methodology. First, candidates and launched products and methods used in the development or as part of DF vaccines were identified from the Cortellis Drug Discovery Intelligence (CDDI) platform. Second, the Derwent Innovation database was used to retrieve patent documents related to dengue vaccines. Data were collected in the period 2014-2024 (to identify the candidate and or launched vaccines) and 2018-2022 (to identify patent documents) with claims involving applications for dengue vaccine development. We presented these descriptive data in the following format: quantitative and qualitative assessments describing the vaccine development scenario and the claimed vaccine technologies.ResultsOur study indicated that 65% of dengue vaccines are still in phase 1 of development. The few current dengue vaccines that have reached phase 3 (1) and launched (2) have shown limited levels of individual protection for one or more dengue serotypes and there is an anemic pipeline of the next generation of more effective tetravalent dengue vaccines. Although the intelligent use of multiple dengue vaccine formulations in immunization campaigns can result in effective protection against all serotypes at the population level, the implementation of this is complex and challenging. The results of our study thus provide evidence of a worrisome global situation regarding the development of new dengue vaccine candidates.ConclusionTo reverse this scenario, there is an urgent need to implement new knowledge governance approaches and business models to stimulate an exponential increase in global vaccine development funding for dengue and several other vaccines.