Use Of Digital Devices Research Articles

Factors affecting outcome of acquired comitant esotropia with restricted use of digital devices: ACEDD Study 3.

The objective of this study is to investigate factors associated with outcomes after 3 months of instructed usage of hand-held digital devices (DD) in patients with acquired comitant esotropia (ACE). This prospective multicentre observational study included patients with ACE, aged 5-35 years, who used DD within 1 year of onset and were followed up for clinical findings and instructed use of DD. The outcomes were classified into four groups: cured, improved, unchanged and worsened. After the analysis of group differences in the clinical and DD use-related factors by univariate analysis, we used ordinal logistic regression models to identify factors associated with favourable outcomes. Of 156 patients (mean age (SD): 16.4 (7.4) years), 10 (6%), 58 (37%), 67 (43%) and 21 (14%) were classified into the cured, improved, unchanged, and worsened, respectively. In the univariate analysis, consultation within 3 months of onset, small-angle strabismus at distance and good stereoacuity were associated with good outcomes. Ordinal logistic regression analysis on adjusting for age with stereoacuity or successful DD-use time halving showed that small-angle strabismus at distance (OR: 1.02, 95% CI 1.00 to 1.03, p=0.023), good stereoacuity (OR: 1.31; 95% CI 1.10 to 1.56; p=0.003) and successful halving of DD-use time (OR: 0.63; 95% CI 0.43 to 0.92; p=0.016) influenced favourable outcomes. Patients with small-angle esotropia, good stereoacuity on consultation and success in halving DD-use time had a higher chance of recovery through instructional DD usage. Further studies using objectively measurable systems are needed to ensure the accuracy of DD-use time.

The role of digital device use on the risk of migraine: a univariable and multivariable Mendelian randomization study

BackgroundThe pervasive integration of digital devices into daily life has raised concerns about their potential health impacts. This study aimed to explore the causal relationships between digital device use and the risk of migraine using Mendelian randomization (MR).MethodsGenetic data on digital device use and migraines were sourced from large-scale genome-wide association studies conducted by the UK Biobank, the FinnGen study, and the International Headache Genetics Consortium. Univariable MR (UVMR), meta-analysis, and multivariable MR (MVMR) approaches were conducted to explore and verify the causal effects of digital device use (including mobile phone use, computer use, playing computer games, and watching television) on migraine risk. Sensitivity analyses were conducted using Cochran’s Q, MR-Egger intercept test, MR pleiotropy residual sum and outlier, MR Radial, MR Steiger, and leave-one-out methods.ResultsUVMR analyses revealed that genetically predicted mobile phone use was significantly associated with an increased risk of overall migraine (odds ratio [OR] = 2.39, p = 9.78e-5) and migraine without aura (MO) (OR = 2.25, p = 0.024). Additionally, there were significant positive associations between genetically predicted television watching and the risk of overall migraine (OR = 1.63, p = 2.12e-5) and MO (OR = 2.10, p = 4.98e-5). These results were further supported by the meta-analysis and MVMR analysis. Sensitivity analysis indicated no heterogeneity or pleiotropy.ConclusionThis comprehensive MR study provides preliminary evidence for the causal impact of mobile phone use and television watching on the risk of migraines. Further studies are needed to explore these associations across different populations.

Impact of increased screen-time on ocular health of professional college students during COVID-19: a cross-sectional study

Background: Digital Eye Strain (DES) or Computer Vision Syndrome (CVS) is a group of eye and vision related problems that result from prolonged use of digital devices. The usage of digital devices has gone up across the globe, since the declaration of the lockdown due to COVID-19. This study aimed to estimate the prevalence of digital eye strain (DES) due to increased screen time and to determine the factors associated with it, among undergraduate medical students during COVID-19. Methods: The study analyzed over 280 responses from undergraduate medical students having exposure to digital devices daily for a period more than 6 months during COVID 19 pandemic. A pre-validated questionnaire Computer Vision Syndrome Questionnaire (CVS-Q) which contains 16 symptoms associated with Digital Eye Strain (DES) was used to calculate the DES score. The frequency and intensity of these symptoms adds up to give a total score. A score ≥6 indicated the presence of DES. Data analysis was done using MS Excel and SPSS software. Results: Digital eye strain was found to be prevalent among 61% of the total respondents. It was seen that daily digital device usage increased to above 5 hours after commencement of pandemic (p=0·001). Headache was the most common symptom (83.92). DES has a female gender predominance (p=0.024). Conclusions: There is a high prevalence of digital eye strain among undergraduate medical students during pandemic. Awareness should be created among students about impact of DES on ocular health. Measures to reduce DES are recommended.

Reduction of screen induced myopia by parental interventions

Abstract Background Excessive use of digital devices, including smartphones and tablets, has been shown to increase the risk of myopia in children. Gaps persist in understanding parental attitudes towards handheld screen use and effective interventions guiding eye health policies. This study examined the associations between parental behavior related to myopia and children’s handheld screen use. Methods Data obtained from 395 parents of pre-adolescents (Mean age 10.63; SD 1.09) were used, collected from an online community panel. Parents reported on various behavioral determinants related to myopia and their child’s screen time: knowledge, attitude, risk perception and self-efficacy. They reported on their child’s frequency and amount of screen use. Logistic regression analysis was used to assess associations between variables, using parental efforts to reduce screens as outcome measure. Results Of the 395 participating 9-12 year-olds, 73.4% of the children spent up to two hours a day on recreational handheld screens, 26% more than two hours. Of the parents surveyed, 28.1% perceived the risk of screen-induced myopia as significant, prompting 62.6% of them to take active measures to minimize screen time. The more knowledge parents had on child myopia the more they attempted to reduce screen time (OR = 2.57; 95% CI [1.57-4.19], p = <.001). Moreover, a more negative attitude towards screens was significantly related to attempting to reduce screen time (OR = 1.26; 95% CI[1.17-1.35],p = <.001). Key messages • These findings emphasize a need to address parental knowledge and attitude towards myopia and screen time reduction. • We recommend increasing knowledge, influencing attitude and searching for alternatives as a part of behavioral change strategies.

Development of an assessment process for digital medical devices in Austria

Abstract Issue/problem Digital medical devices have experienced a rapid development in recent years and are playing an increasingly important role in healthcare. These devices offer numerous benefits and can improve patient care. However, despite their potential benefits, the use of digital medical devices also poses risks and regulation from governmental side is needed from a Public Health Perspective. This is why some countries already implemented assessment processes for Digital Medical Devices (e.g. Germany and France) leading to the question how such a process could be established in Austria too. Description of the problem While digital medical devices must fulfil requirements set by the medical device regulation to enter market, several other aspects are of interests when offering digital medical devices in routine care. These include e.g. medical effectiveness, data security and interoperability. The objective of the ongoing pilot project is to develop a process for the assessment of quality-assured digital medical devices in Austria in 2024. For this, a combination of literature research, interviews and workshops with relevant stakeholders is used in order to gain all necessary information. Process and assessment criteria will be tested and revised in a pilot phase with several digital medical devices. Results At the end of the project, an assessment framework as well as a potential evaluation process will be designed in accordance with relevant stakeholders. Moreover, legals aspects and the potential integration into the austrian health telematics infrastrucutur will be assessed. This will form a basis for implementing digital medical devices within the austrian healthcare system. Key messages • The result of this project aims to build the basis for implementing an evaluation process for digital medical devices in Austria. • The establishment of an evaluation process for digital medical devices supports the integration of quality assured digital medical devices in healthcare.

Audio-visual Media Instructional Use and Its Effect on Reading Competences among Grade Two Pupils in Tharaka Nithi County, Kenya

ABSTRACT The main purpose of this study was to evaluate audio visual media instructional use and its effect on reading competences among grade two pupils in Maara sub county, Tharaka Nithi County, Kenya. The study sought to identify the audio-visual resources available for teaching and learning reading competences, investigate extent to which teachers use the available audio-visual media, examine the challenges faced by teachers and learners in use of audiovisual media in teaching and learning reading competences and assess the learners reading abilities. The French Bell system Theory and a descriptive survey design were adopted in this study. Simple random and purposive sampling techniques were used to select 330 learners, 30 head teachers and 30 teachers, making a sample size of 390 respondents. The research instruments were questionnaires, interviews schedules, reading examination for grade two learners and classroom observation. Piloting of the research instruments was done in one public primary schools. The reliability of the research instruments was measured using a Cronbach's Alpha statitistic. The collected data was analyzed using Statistical package for Social Sciences (SPSS) and presented using tables, percentages frequencies and other descriptive statistics. Descriptive statistics revealed that schools have limited computers (average 2.90 per school) with a low student-to-computer ratio (1:10). Tablets are more prevalent (average 19.17 per school), but functionality issues reduce their effectiveness. Projectors and mobile phones are more commonly available but are still not sufficiently utilized in classroom learning. The data on the competence of learners to read appears to be symmetrically distributed with the competence of learners tapering off at the tail ends. This implies that most of the learners on average could read between 21-69 words per minute. However, there are significant disparities in reading abilities among learners, with a notable percentage performing below expectations. This disparity highlights the need for targeted interventions to support learners who are struggling and to bridge the competence gap across different schools. The reliability statistics for variables testing on teacher’s attitude in the use of Audio-visual media, for variables testing on challenges in the use of audio-visual media and for variables testing on the classroom observation performance indicators, were 0.969, 0.981 and 0.944 respectively. The reliability statistics on all the research instruments was 0.990. A Cronbach's Alpha of 0.70 (70%) or higher reveals a strong internal consistency of a series of questions integrated to form a single scale measured by the coefficient. The study recommends the government to integrate digital learning in schools and ensure schools are fully equipped with an access to electricity and network connectivity. Ministry of Education to develop teachers’ capacity on the use of digital devices. The study also recommends the Kenya institute of Curriculum Development to develop a curriculum in line with competency based curriculum provided in digital devices. Lastly curriculum support officers and head teachers to support teachers to make use of available audio visual resources for teaching and learning.

Prevalence and Interrelationships of Screen Time, Visual Disorders, and Neck Pain Among University Students: A Cross-Sectional Study at Majmaah University.

Digital devices significantly contribute to vision-related problems. In addition, prolonged postural imbalance, owing to excessive use of digital devices, can lead to the tightening of head and neck muscles, resulting in neck pain, a common musculoskeletal discomfort that significantly affects individuals with poor vision. This study aimed to evaluate the prevalence and interrelationships of screen time, visual disorders, and neck pain among students at Majmaah University. A cross-sectional study was conducted at Majmaah University, Saudi Arabia, enrolling students aged 18 to 25 years. Exclusion criteria included neurological or musculoskeletal disorders. Demographic data and information on visual and neck pain symptoms were collected. The Neck Disability Index questionnaire was used to assess neck pain, and data were analyzed using SPSS version 24.0. Among 263 participants, 53.6% were female. Nearsightedness (38.0%) and dry/itchy eyes (49.0%) were the most common visual disorders and symptoms, respectively. Visual disorders were prevalent in 62.0% of students, while neck pain was reported by 79.5%. Females and those studying for more than 5 h using electronic screens daily reported higher neck disability index scores. A significant association was found between >5 h of study duration [screen time] and neck disability (OR 3.703, 95% CI 1.500-9.144, p = 0.005). The study highlights a relationship between visual problems and neck pain among university students, emphasizing the need for addressing vision-related issues to reduce neck discomfort. High screen time could substantially increase the odds of developing neck disability. However, authors warrant cautious interpretation in the light of following limitations: cross-sectional study, small sample size, lack of statistical power, and self-reported data.

Risks Analysis and Internet Perception Among Spanish University Students

<p style="text-align:justify"><span style="font-size:9.0pt">Digital competence entails the healthy, safe, and responsible use of digital technologies to take engage in society, to learn, work and to interact with. However, the use of digital devices is not exempt of risks. The objectives of this study were to analyze the mediating effect of fear of missing out (FoMO) on phubbing and nomophobia, and to explore the perception of the use of Internet-connected devices among 522 Spanish university students, with an average age of 27.11 years. The 80.8% are women and 68.2% study degrees related with Educational Sciences. A mixed-methods approach was used, combining bivariate correlation with structural equation modelling (SEM), and qualitative content analysis. SEM analysis revealed that FoMO had a significant effect on nomophobia and phubbing. Qualitative content analysis underlined that the time spent, problematic use, and sense of dependence were the main concerns for participants. It is emphasized that the plethora of ICT opportunities exposes individuals to risk contexts, necessitating media education to mitigate psychological and social consequences stemming from Internet risks.</span></p>

СИСТЕМА "АЛЬТРА" ДІАГНОСТУВАННЯ СТАНУ ІЗОЛЯЦІЇ ЕЛЕКТРИЧНОЇ МЕРЕЖІ ТА ЗАХИС-ТУ ЇЇ ВІД ОДНОФАЗНИХ ЗАМИКАНЬ

One of the problems in an electrical network with an isolated (compensated) neutral is the selective determina-tion of a damaged element during a single-phase earth fault. Taking into account the negative impact of single-phase earth faults on the equipment of electrical networks with an isolated or compensated neutral, as well as improving the electrical safety conditions of people and animals, it is necessary to install selective protections with the of turning off of damaged element. Selective operation of protections against such damage can be en-sured on the basis of the analysis of zero-sequence currents, phase voltages and zero-sequence voltage of the bus section from which these feeders are powered. As operational experience has shown, selective operation of pro-tection against single-phase earth faults in such networks can be ensured only with the use of digital devices. The work considers the "Altra" system, designed for diagnosing the state of insulation, protecting feeders of 6-35 kV from single-phase earth fault, recording analog and binary signals of electrical installations. Altra digital protec-tion simultaneously covers up to 28 feeders, which provides comprehensive protection against single-phase earth faults of all substation feeders. The working algorithm of the developed protection against single-phase earth faults is based on the analysis of the transient process immediately after the occurrence of damage, which provides selective identification of the damaged feeder both in networks with an isolated neutral and in networks with a compensated. The system organizes the recording of oscillograms of emergency processes and infor-mation about damage by "Altra" devices, followed by their transfer to the dispatcher's automated workplace. This makes it possible to carry out a detailed analysis of accidents and diagnose the insulation of the electrical net-work.

The Relationship Between Nurses' Digital Health Literacy and Their Educational Levels, Professional Roles, and Digital Attitudes: A Cluster Analysis Based on a Cross-Sectional Study.

The current study aimed to identify digital health literacy levels among nurses with respect to their education, role and attitude towards digital technologies. Cross-sectional study. Through convenience sampling, all Registered Nurses, managers/leaders and nurse researchers employed in Hospitals, University Hospitals and Districts were recruited and surveyed using an online questionnaire. The data collection tool assessed: (I) demographics, (II) Digital Health Literacy (DHL) with the Health Literacy Survey19 Digital (HLS19-DIGI) instrument including DHL dealing with digital health information (HL-DIGI), interaction with digital resources for health (HL-DIGI-INT) and use of digital devices for health (HL-DIGI-DD); (III) attitudes on the use of digital technologies in clinical practice. The multiple correspondence analysis was applied to identify three clusters for the education/professional role (A, B, C) and three for digital technologies' use (1, 2, 3). The one-way nonparametric analysis of variance (Kruskal-Wallis test) was applied to compare HL-DIGI, HL-DIGI-INT and the HL-DIGI-DD scores among clusters. Among 551 participants, the median scores of the HL-DIGI, the HL-DIGI-INT and the HL-DIGI-DD questionnaires were 70.2, 72 and 2.00, respectively. The distribution in the clusters 'educational/professional role' was A, (58.8%); B, (16.5%); and C, (24.7%). Nurses in a managerial or coordinator role and with a postgraduate degree used digital resources with greater frequency. The distribution in the clusters 'use of digital technologies' was: 1, (54.6%); 2, (12.2%); and 3, (33.2%). The HL-DIGI-DD and HL-DIGI scores of clusters 1, 2 and 3 differed significantly. DHL among nurses is strongly influenced by the education level, professional role, habits and attitude towards digital technologies. Nurses with coordinator roles used digital technologies with greater frequency and had a higher level of DHL. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines were used for reporting. No Patient or Public Contribution. Local Ethical Committee of the Polyclinic of Bari (code: DHL7454, date: 21/09/22).

Exploring Digital Proficiency Among Mothers of School-going Children in Kerala

Early exposure to social and digital media in this digital age greatly influences children’s lives, leading to an increasing number of parents and educators becoming concerned about the potential negative effects of excessive screen time. By investigating mothers’ digital competencies as informal educators, this study fills a significant research gap. The paper emphasises women as mentors, highlighting their responsibility to supervise and guide their children’s use of digital devices in an era of pervasive connectedness. Using a modified version of the DigCompEdu framework, the study focuses on two essential elements: empowering children; and fostering their understanding of digital competence areas. A thousand homemakers from two wards of the Kochi Corporation area in the Ernakulam district, Kerala, India are included in the study. Discriminant analysis is used to identify four important skill areas that demonstrate significant group differences – between Novice, Basic, Independent, and Proficient user groups. Results imply that tailoring digital literacy programs to mothers’ varying proficiency levels can enhance their ability to navigate digital parenting effectively. Additionally, integrating sociodemographic factors into interventions can ensure relevance and efficacy in addressing digital competence disparities among mothers.

The changing role of ICT-coordinators in schools: a longitudinal study

ABSTRACT As schools become more digitalized, teachers need strong skills in teaching, learning, and administration. Some teachers, known as ICT coordinators, play a key role in promoting digital technology use, acting as liaisons between management and teaching. This study, based on a literature review and interviews with Norwegian ICT coordinators over five years, found increasing diversity in their tasks and roles. With the rise of one-to-one digital device use (e.g., Chromebooks, iPads), the ICT coordinator’s role is expected to grow in importance. The study highlights the complexity of this role and its future development.

Perceptions and Satisfaction With the Use of Digital Medical Services in Urban Older Adults of China: Mixed Methods Study.

In an aging and information-driven society, older adults have distinct perceptions of and specific demands for digital medical services. It is essential for society to understand these needs and develop a more thoughtful approach to digital health care. This study aims to evaluate the behavioral intention and satisfaction of older adults with digital medical services by identifying the perceived factors and the pathways through which these factors influence their behavior. This study used a mixed methods approach, combining qualitative and quantitative analyses. A focus group interview was conducted with 30 randomly selected older adults, and the interviews were transcribed verbatim and coded using grounded theory. In addition, 876 valid questionnaires were collected to describe older adults' perceptions of and satisfaction with digital medical care. Then, t tests and ANOVA were used to explore differences among various demographic groups, while hierarchical multiple regression was conducted to identify the factors most closely related to satisfaction. Structural equation modeling was used to identify multiple mediating effects. The qualitative study identified the core category of "medical service relief and transformation paths for older adults in the context of digital reform." Quantitative analysis revealed that more than half of the older adults were satisfied with digital medical services, and behavioral intentions were higher among those with higher incomes and education levels. Structural equation modeling confirmed that external variables, such as digital skills training, positively influenced perceived ease of use (β=.594, P<.001), perceived usefulness (β=.544, P<.001), and promoted digital medical behavioral intentions (β=.256, P<.001), while also reducing perceived risk (β=-.295, P<.001). Additionally, perceived ease of use (β=.168, P<.001) and perceived usefulness (β=.508, P<.001) positively impacted behavioral intention, whereas perceived risk (β=-.05, P=.037) exerted a negative influence. Furthermore, behavioral intention (β=.641, P<.001) significantly and positively affected older adults' satisfaction with digital medical care. The mediation test identified 4 significant paths: (1) external variables → perceived ease of use → behavioral intention (effect size of 13.9%); (2) external variables → perceived usefulness → behavioral intention (effect size of 38.4%); (3) external variables → perceived ease of use → perceived usefulness → behavioral intention (effect size of 10.1%); and (4) a direct effect (35.5%) from external variables to behavioral intention. Based on the study's findings, addressing the needs of older adults and enhancing perceived usefulness are the most effective ways to encourage the use of digital health care devices. Community support plays a crucial role in helping older adults integrate into digital health care, and adapting the design of services and products to suit their needs improves their perceptions of digital health care. This, in turn, promotes usage behavior and satisfaction, while the negative impact of perceived risk remains minimal.

The impact of digital devices on the mental and physical health of primary school children: systematic review

The use of digital technology has permeated the lives of elementary school children, affecting aspects of their mental and physical health. While these technologies offer various benefits, there are concerns about their negative impacts such as anxiety, sleep disturbances and decreased physical activity. This study aims to evaluate the impact of digital devices on primary school children's mental and physical health through a systematic review. Using the PRISMA method, literature from PubMed, and Scopus was selected based on quality, relevance, and completeness of data. Of the initial 150 publications, 7 articles were relevant after being pre-analyzed. The results showed that physical activity is important for the health of children who actively use digital devices. Some active apps and video games increase physical activity and emotional well-being, but excessive use may pose a risk for anxiety, depression and obesity. Digital device use affects the mental and physical health of primary school children. The conclusion of this study is that parents and educators should supervise the use of digital devices to reduce negative impacts and optimally utilize technology to support children's development. Keywords: Digital technology; Mental health; Physical health; Elementary school children

Smart working during the COVID-19 pandemic: the prevalence of musculoskeletal and visual disorders in administrative staff of a large international company.

During the COVID-19 Pandemic, the use of digital devices during work activities has increased with important re-percussions on the psychological and physical well-being of the employees. The aim of this study was to investigate the prevalence of musculoskeletal and visual disorders related to the use of computers and home workstation. The study is a cross-sectional study. A checklist, from the National Institute of Health, was administered to white collar workers of a large international pharmaceutical company based in Italy. Our study showed that postural breaks have a protective effect on neck/shoulder pain (OR 0.32, CI 0.16-0.62), back and lower extremity pain (OR 0.35, CI 0.18-0.69), and eye burning (OR 0.50, CI 0.27-0.94) of study participants. The research recommends that remote employees who often change their workstations should establish a suitable work environment and obtaining enough risk training from an occupational physician. This is essential for maintaining their mental and physical well-being.

Perspective of Private Kindergarten Teachers on Pre-Coding Program in Early Childhood Education / Pandangan Guru Tadika Swasta Terhadap Program Pre-Coding dalam Pendidikan Awal Kanak-Kanak

Nowadays, learning coding has become a highly demanded teaching method to apply basic skills such as programming and computational thinking (CT) in line with current technological developments. Malaysia also takes this issue into account by introducing a pre-coding program for early childhood education. Pre-coding is an activity that teaches the concept of coding which is looking at computational thinking (CT) such as problem solving, logical thinking and creative thinking without involving the use of digital devices. This is because pre-coding is seen as more appropriate to be implemented for children in line with their developmental level who are in dire need of exploring the real world through physical activity. Therefore, this study aims to identify the views of private kindergarten teachers on pre-coding in early childhood education. This teacher's view is seen from the aspects of knowledge, awareness, interest and acceptance of the teacher about the pre-coding program in early childhood education. This study uses a quantitative research design with a cross-sectional survey method. A total of 144 private kindergarten teachers around the states of Perak, Selangor and Putrajaya were selected as the study sample. The research instrument uses a set of questionnaires to answer the research objectives by looking at the median value for each aspect. The findings of the study show that the median value is high for the aspects of knowledge, awareness, interest and acceptance of teachers about pre-coding for children. The study found that the median value of all four aspects is equal to a value of 4. Therefore, the implementation of the pre-coding program is very important to be introduced and implemented in the early teaching and learning of children to help children acquire new basic skills in line with the development of the world of technology.

Health Information Seeking on the Internet Among Patients With and Without Cancer in a Region Affected by the 2011 Fukushima Triple Disaster: Cross-Sectional Study.

Health information seeking via the internet among patients with cancer in disaster-affected areas is underresearched. This study aims not only to assess the extent and means of web-based health information seeking among patients with cancer living in the disaster-affected area of the 2011 Fukushima triple disaster but also to compare these patterns with those without cancer, identifying distinct and shared factors influencing their web-based health information behaviors. We surveyed 404 patients (263 with and 141 without cancer) from the surgery department outpatient office at Minamisoma Municipal General Hospital, from October 2016 to January 2017. The survey included self-administered questions on internet and digital device use. Descriptive analyses were performed to examine the use patterns of digital devices and the internet and their impact on health information seeking across different age groups of patients with and without cancer. Multivariable logistic regression was used to examine factors associated with web-based health information seeking, stratifying by cancer diagnosis. The proportion of participants who sought health information on the internet was comparable between patients with cancer and patients without cancer (19% vs 17.4%; P=.71). Digital device use varied significantly with age, with peak smartphone use occurring among the youngest cohorts for both groups. Multivariable logistic regression revealed that patients with cancer using smartphones or tablets daily were significantly more likely to gather web-based health information (odds ratio [OR] for smartphones 3.73, 95% CI 1.58-8.80; OR for tablets 5.08, 95% CI 1.27-20.35). Trust in institutional websites also significantly influenced web-based health information gathering among patients with cancer (OR 2.87, 95% CI 1.13-7.25). Conversely, among patients without cancer, unemployment was associated with a lower likelihood of seeking web-based health information (OR 0.26, 95% CI 0.08-0.85), whereas trust in both institutional and personal websites significantly increased this likelihood (OR for institutional websites 6.76, 95% CI 2.19-20.88; OR for personal websites 6.97, 95% CI 1.49-32.58). This study reveals that a small proportion of both patients with cancer and patients without cancer engage in health information seeking via the internet, influenced by age, digital device use, and trust in institutional websites. Given the growing prevalence of digital literacy, strategies to enhance accessible and reliable web-based health information should be developed, particularly for patients with cancer in postdisaster settings. Future efforts should focus on tailored health communication strategies that address the unique needs of these populations.

Cyberbullying Menurunkan Dua Kali Motivasi Belajar Siswa

Motivation to learn is a critical factor for achieving academic success. Low motivation can lead to serious issues such as school dropout and involvement in criminal activities. This study aims to explore the factors that influence student learning motivation. A cross-sectional design was employed, involving 198 junior and senior high school students selected through convenience sampling. The study was conducted in April and May 2024. Data were collected via questionnaires distributed through the g-form platform and shared via social media. Bivariate analysis was performed using chi-square and t-tests. Meanwhile a multivariable logistic regression was used to examine the association of cyberbullying and other factors to learning motivation. Results indicated that cyberbullying (p = 0.013), school bullying (p = 0.032), and school type (p = 0.041) significantly influenced student learning motivation (p 0.05). Our multivariate analysis revealed that incidents of cyberbullying were the most influential factor, reducing student learning motivation by a factor of two (AOR = 2.10; 95% CI = 1.16-3.82). These findings highlight the need for preventive efforts against cyberbullying through educational programs and campaigns promoting the responsible use of digital devices, as well as increased parental supervision.

Acute acquired comitant esotropia associated with Lhermitte–Duclos disease: a case report

BackgroundAcute acquired comitant esotropia caused by prolonged near work, such as the use of digital devices, has been frequently reported in recent years. However, intracranial examination is necessary even for patients with nonparalytic comitant esotropia. Lhermitte–Duclos disease is a rare tumor that grows in layers in the cerebellum. Among those with this disease, cases of esotropia have been reported due to abduction limitation of the eye, but there have been no reports of comitant esotropia. Here, we report the case of a young woman with acute acquired comitant esotropia who was found to have Lhermitte–Duclos disease.Case presentationA 16-year-old Japanese female patient, whose ethnicity was Asian, was referred to our hospital for acute acquired comitant esotropia. Fundus examination revealed papilledema in both eyes, and magnetic resonance imaging of the head revealed a cerebellar tumor in the right cerebellum with obstructive hydrocephalus. She underwent partial tumor resection, and a histopathological diagnosis of Lhermitte–Duclos disease was obtained. However, comitant esotropia status remained unchanged, and she underwent strabismus surgery. Finally, diplopia disappeared completely.ConclusionNeurological and intracranial imaging examinations are essential when acute acquired comitant esotropia is observed. Acute acquired comitant esotropia by Lhermitte–Duclos disease did not improve with partial tumor resection and required strabismus surgery, but good surgical results were obtained.

Building Strong Digital Foundations: Digital Fluency-focused Partnerships among Early Childhood Education Service Providers and Public Libraries in Aotearoa New Zealand

ABSTRACT Digital fluency is part of the early childhood curriculum in Aotearoa New Zealand but there is evidence that early childhood kaiako (teachers) lack confidence in this area of their work. Although many public library services maintain ongoing partnerships with early childhood education (ECE) providers, the extent to which these collaborations support digital fluency remains unclear. This research investigates the extent and nature of public library partnerships with ECE providers with a specific focus on collaboration on digital fluency. It explores the benefits and challenges associated with these partnerships in supporting the digital fluency curriculum in Aotearoa. A questionnaire consisting of multiple choice and open-form questions was sent to all public library services in Aotearoa gathering data on the types of programmes public libraries currently offer to ECE services, any focus on digital fluency, the benefits and challenges of the current partnerships, and plans and strategies for future collaboration. The findings reveal that most participating libraries have established partnerships, offering learning opportunities through storytimes, makerspaces, and various other activities. The use of digital devices, apps, and websites to support learning is evident, suggesting significant potential for public libraries to collaborate more extensively with ECE providers in fostering young children's digital fluency.