Dimensions Of Health Research Articles

Eugenia pyriformis Cambess-Myrtaceae: An Unexplored Brazilian Species with Antimicrobial and Antioxidant Potential

Background: Eugenia pyriformis produces a round fruit with a sweet and aromatic flavor known as uvaia and contains a range of nutrients and bioactive compounds with potential for industrialization. Objective: This literature review addresses the nutritional composition, chemical and biological activities of uvaia (seeds and leaves), in addition to listing important factors for the post-harvest and industrialization of uvaia. Results: A wide range of studies describe the chemical and nutritional composition of fruits and seeds. Among these studies, one considers the residue after processing the fruit and two evaluate leaves. The pulp and peel have a high content of carbohydrates, fibers and sugars with low caloric value and high content of vitamin C. Fruits contain phenolics, flavonoids and carotenoids and the leaves have flavonoids, volatile compounds and tannins. Fruit can be eaten fresh; however, because it is highly perishable and difficult to handle postharvest, industrialization seems to be an interesting alternative to prolong shelf life. Conclusion: E. pyriformis fruits have excellent attributes for consumer health, but industrialization may be necessary to extend their shelf life. Fruits and leaves have a high antioxidant capacity and antimicrobial potential against bacteria, fungi and protozoa. Essential oils from leaves and trunks have antiproliferative, antileishmanial and anti-inflammatory potential. Mainly fruits and leaves have the potential for use in the pharmaceutical and food industry.

Health-related quality of life of adults with spinal muscular atrophy: insights from a nationwide patient registry in Germany.

Spinal muscular atrophy (SMA) is a rare, autosomal-recessive disease characterized by progressive muscular atrophy and weakness resulting in substantial disability and short life expectancy. The objective of this cross-sectional study was to assess health-related quality of life (HRQoL) of adults with SMA in Germany in the era of disease-modifying therapy. Adults with SMA were recruited via the German national TREAT-NMD SMA patient registry. HRQoL was measured using the EQ-5D-5L, the Health Utilities Index Mark III (HUI), and the Short Form (36) Health Survey (SF-36). Estimates were stratified by current best motor function of the lower limb and trunk (i.e., non-sitter, sitter, and walker) and SMA type (i.e., type I, II, and III). A total of 82 adults with SMA (mean age: 42years, 51% female) self-completed the study questionnaire. The mean EQ-5D-5L utility was estimated at 0.5135 (range across subgroups: 0.31-0.99), mean EQ-VAS at 69.71 (64.67-90.00), mean HUI-derived utility at 0.3171 ( - 0.02-0.96), mean SF-6D utility at 0.6308 (0.58-0.65), and mean SF-36 Physical Component Summary and Mental Health Component Summary scores at 33.78 (9.92-53.10) and 53.49 (21.02-72.25), respectively. We show that adults with SMA experience considerable impairment across a wide range of health dimensions, including mobility, dexterity, pain, and emotional well-being. However, our results exhibit non-trivial variability across clinical subgroups and HRQoL measures. These data contribute to our understanding of the subjective impact of living with a severely debilitating neuromuscular disease, such as SMA.

SIR+ models: accounting for interaction-dependent disease susceptibility in the planning of public health interventions

Avoiding physical contact is regarded as one of the safest and most advisable strategies to follow to reduce pathogen spread. The flip side of this approach is that a lack of social interactions may negatively affect other dimensions of health, like induction of immunosuppressive anxiety and depression or preventing interactions of importance with a diversity of microbes, which may be necessary to train our immune system or to maintain its normal levels of activity. These may in turn negatively affect a population’s susceptibility to infection and the incidence of severe disease. We suggest that future pandemic modelling may benefit from relying on ‘SIR+ models’: epidemiological models extended to account for the benefits of social interactions that affect immune resilience. We develop an SIR+ model and discuss which specific interventions may be more effective in balancing the trade-off between minimizing pathogen spread and maximizing other interaction-dependent health benefits. Our SIR+ model reflects the idea that health is not just the mere absence of disease, but rather a state of physical, mental and social well-being that can also be dependent on the same social connections that allow pathogen spread, and the modelling of public health interventions for future pandemics should account for this multidimensionality.

Phacoemulsification Plus Intraocular Lens Implantation with Gold Nanoparticles for Complicated Cataract Secondary to Uveitis: Efficacy Analysis

This study analyzes the efficacy of phacoemulsification (PE) plus intraocular lens implantation (IOLI) in patients with complicated cataracts secondary to uveitis. Nanostructured photothermal ring integrated (nano)-intraocular lens (IOLs) were developed to improve the biocompatibility and optical properties of IOLs. However, data on the safety profile and effectiveness of IOLI for patients with complicated cataracts secondary to uveitis are scarce, and studies have questioned the safety of PE in patients undergoing cataract surgery. We used gold nanoparticle (AuNP)-modified commercially available intraocular IOLs combined with PE technology to treat patients with complicated cataracts secondary to uveitis. First, we found that AuNP-modified IOLs were effective in reducing macrophage and bacterial adhesion and were biocompatible with the organism. Then, 64 patients with complicated cataracts secondary to uveitis were totally selected from February 2019 to February 2022, of which 33 cases were treated with PE+IOLI (test group) and 31 with conventional small-incision extracapsular cataract extraction (SIECCE) and IOLI (control group). Intergroup comparisons based on efficacy, safety, visual acuity (VA), aqueous humor protein levels before and after treatment, and quality of life (assessed with the Generic Quality of Life Inventory-74, GQOLI-74) revealed higher overall treatment efficacy and postoperative VA, as well as lower complication rate and postoperative aqueous humor protein levels, in the test group than the control group. Moreover, the test group had higher GQOLI-74 scores in the dimensions of physical function, mental health, psychological health, and social competence than the control group. Thus, PE+IOLI is more suitable for patients with complicated cataracts secondary to uveitis than conventional SIECCE+IOLI. PE+IOLI can improve treatment efficacy and safety, as well as patient VA and quality of life.

Metabarcoding analysis reveals an interaction among distinct groups of bacteria associated with three different varietals of grapes used for wine production in Brazil

Grapes are globally popular with wine production being one of the most well-known uses of grapes worldwide. Brazil has a growing wine industry, and the Serra Gaúcha region is a significant contributor to the country's wine production. Nonetheless, other states are increasing their relevance in this segment. Environmental factors and the soil microbiome (bacteria and fungi) heavily influence grape quality, shaping the crucial "terroir" for wines. Here, soil quality was assessed through nutrient analysis and bacteria microbial diversity, which could significantly impact grape health and final wine attributes. Soil samples from São Paulo's vineyards, focusing on Syrah, Malbec, and Cabernet Sauvignon, underwent chemical and microbial analysis via 16S rRNA metabarcoding and highlighted significant differences in soil composition between vineyards. Statistical analyses including PCA and CAP showcased region-based separation and intricate associations between microbiota, region, and grape variety. Correlation analysis pinpointed microbial genera linked to specific soil nutrients. Random Forest analysis identified abundant bacterial genera per grape variety and the Network analysis revealed varied co-occurrence patterns, with Cabernet Sauvignon exhibiting complex microbial interactions. This study unveils complex relationships between soil microbiota, nutrients, and diverse grape varieties in distinct vineyard regions. Understanding how these specific microorganisms are associated with grapes can improve vineyard management, grape quality, and wine production. It can also potentially optimize soil health, bolster grapevine resilience against pests and diseases, and contribute to the unique character of wines known as terroir.

Physicochemical and microbiological characterisation of a typical Italian raw ewe's milk cheese: Pecorino bagnolese

Pecorino Bagnolese is a typical Italian cheese made from raw ewe's milk in province of Avellino (southern Italy). The aim of this study was to evaluate the physicochemical and microbiological parameters during cheese-making and ripening (30, 90 and 180 d). Results showed that the cheese-making and ripening influenced the pH, water activity, moisture, fat content and levels of Enterobacteriaceae. Changes in the fatty acids profile of ripened cheeses compared to milk were observed, suggesting the influence of ripening on the fatty acids profile. Nutritional indices demonstrated positive health attributes. The concentration of malondialdehyde remained consistently low, while free fatty acids showed an increasing trend during ripening. Coagulase-positive staphylococci complied with the legislative threshold value, but colonies of Staphylococcus aureus were found. Pathogens were not detected. In conclusion, the data collected provided a better characterisation of this traditional cheese and can be used for broadening knowledge of raw ewe's milk cheeses.

Value-Based Market Segmentation of West Asian Medical Tourism Market: A Case of Iran

Background: Identifying different groups of customers and their preferences and needs enable countries to gain a competitive advantage in the medical tourism market. We aimed to segment medical tourists from West Asian countries seeking medical services in Iran. Methods: This cross-sectional study was conducted on 596 medical tourists who sought medical services in Iran in 2021. Data were collected using a valid questionnaire. Segmentation was performed based on medical tourism attributes (medical, destination, and tourism attributes), using cluster analysis methods; wards, and K means. The segments ' evaluation and profiling were conducted using discriminant analysis, chi-square, and one-way ANOVA tests. Results: Our study divided the market into five segments: health seekers (3.8%), health and destination seekers (8.9%), tourism seekers (17.8%), infrastructure seekers (10.23%), and perfectionism (59.45%). In all segments, the health attributes were of high importance. The perfectionism segment registered the highest score in all three attributes (more than 5 of 6). Conclusion: Improving health attributes and offering luxurious medical services can be the main strategy for Iran to attract the most medical tourists and achieve a good position in this marketplace. The implication of this study is policymaking for targeting the most profitable segment of this marketplace.

Linking patient-reported oral and general health-related quality of life.

The relationship between oral and overall health is of interest to health care professionals and patients alike. This study investigated the correlation between oral health-related quality of life (OHRQoL) and health-related quality of life (HRQoL) in a general adult population. This cross-sectional study used a convenience sample of adult participants (N = 607) attending the 2022 Minnesota County and State fairs in USA, the 5-item Oral Health Impact Profile (OHIP-5) assessed OHRQoL, and the 10-item PROMIS v.1.2 Global Health Instrument assessed HRQoL. Spearman and Pearson correlations were used to summarize the bivariable relationship between OHRQoL and HRQoL (both physical and mental health dimensions). A structural equation model determined OHRQoL-HRQoL correlations (r). Correlations' magnitude was interpreted according to Cohen's guidelines (r = 0.10, 0.30, and 0.50 to demarcate "small," "medium," and "large" effects, respectively). OHRQoL and HRQoL correlated with r = 0.52 (95% confidence interval, CI: [0.50-0.55]), indicating that the two constructs shared 27% of their information. According to Cohen, this was a "large" effect. OHRQoL, and the physical and mental HRQoL dimensions correlated with r = 0.55 (95% CI: [0.50-0.59]) and r = 0.43 (95% CI: [0.40-0.46]), respectively, indicating a "large" and a "medium" effect. OHRQoL and HRQoL were substantially correlated in an adult population. Using OHIP-5 to assess their dental patients' oral health impact allows dental professionals to gain insights into patients' overall health-related wellbeing.

Leading Stressors and Coping Strategies Associated With Maternal Physical and Mental Health During the Extended Postpartum Period.

A critical gap exists in understanding stressors and coping that affect women's health beyond 6 weeks postpartum. Using new stressor and coping scales tailored to postpartum women, we examined the relationship of postpartum-specific stressors and coping to women's physical and mental health between 2 to 22 months after childbirth. A total of 361 women of diverse race, ethnicity, and functional abilities recruited through clinical and online methods completed online surveys that included Sources of Stress-Revised subscales, such as overload, changes after pregnancy, and low support resources; Postpartum Coping Scale subscales, such as self-regulation, self-care, and health promotion; Patient-Reported Outcomes Measurement Information System Global Health, covering physical and mental health dimensions; and social demographic items. Analyses included hierarchical linear regression models adjusted for social factors. Education and employment were the only social factors associated with physical and mental health, respectively. After adjusting for social factors, overload (P <.001) and coping through health promotion (P =.020) were the only additional variables associated with physical health. After adjusting for social factors, overload (P <.001) and low support resources (P =.002) and coping through self-care (P =.036) were the only additional variables associated with mental health. Thus, being overloaded was the key stressor associated with decreases in physical and mental health. Health promotion was associated with increases in physical health, and self-care was associated with increases in mental health. These findings point to directions for health care and community interventions to promote health for postpartum women under stress. Strengths of our study include application of stress and coping scales tailored to postpartum women, whereas a limitation is use of a cross-sectional design.

Aging Population Challenges and the Role of Thai Adolescents in Caring for the Elderly: A Cross-Sectional Study.

This cross-sectional study aimed to investigate the perspective and caregiving practices of Thai adolescents towards the elderly in the Northeastern region of Thailand. The study was carried out during July 1st to September 30th, 2023 among 1,551 participants in grades 4-6 from eight randomly selected schools. The analyzing using descriptive statistics. The results found that the average age was 15.30±1.66 years old, 62.4% were female, and most lived with their parents and relatives. About 36.4% of parents have experienced either widowhood or separation, 69.4% of families had a monthly income less than 15,000 THB. While 33.7% had an elderly person in the family, 1.6% lived with bedridden patients, and 40.3% required assistance in daily activities such as cooking, mobility, while 58.7% had diabetes and high blood pressure. 59.3% did not have a primary caregiver in the family, only parents or relatives usually taking on this role. Adolescent grandchildren spent the majority of their time on education. Almost one of three rarely took care of the elderly, even though their parents and teachers taught about moral responsibility. Regarding the belief in the merit that would arise from taking care of the elderly, one of five was indifferent or did not believe, while half of them believed to some extent. From self-assessment of their ability to take care of the elderly, most were in the moderate and low levels, despite receiving information from family, teachers, or various media. The predominant perspective is that caregiving is perceived as the responsibility of parents or health professionals, and the belief that the elderly is captious and irksome. Therefore, it is advisable to present policy-oriented information across education, health, and societal dimensions to support children and young people to learn about elderly individuals and instilling their responsibility within families and societies, fostering a sustainable and well-being-oriented community.

Public Health Expenditure and Sustainable Health Outcomes in 45 Sub-Saharan African Countries: Does Government Effectiveness Matter?

This paper examines the interaction between health expenditure and health outcomes with due consideration for government effectiveness across developing African economies. The rich data for this study draw from forty-five Sub-Saharan African (SSA) countries covering the period 1960 to 2022. The analysis follows a country-specific comparative manner using the Autoregressive Distributed Lag (ARDL) model as the major estimation technique. The results indicate that poor health outcomes are not due to inadequate budgetary allocations alone. Specifically, this study found a cointegrating relationship and strong adjustment of health outcomes deriving from the shocks and dynamics of not just health expenditures, but also government effectiveness. It is therefore recommended that strong institutions and safety nets be created to guard against corruption and leakages that derail the beneficial impact of public health spending. Also, government expenditures should be focused more on cottage and primary health dimensions to better mitigate adverse health conditions in SSA countries.

A typology of internationally qualified dentists in the United Kingdom

IntroductionThe Global Strategy for Human Resources for Health 2030, requires member states to half their dependency on an international workforce by 2030. In order to design policies towards that goal, country-specific research on migration motivations of the health workforce is required. The United Kingdom (UK) is a net importer of health professionals and whilst there is a body of research on doctors’ and nurses’ migration, there is no research on the migration motivations of migrant dentists in the UK. This research explored the migration motivations of internationally qualified dentists (IQDs) in the UK and presents a typology to understand the global migration of dentists in the context of oral health workforce. MethodsThe paper presents qualitative data from semi-structured interviews conducted between August 2014 and October 2017, of IQDs working in the United Kingdom. The topic guide for interviews was informed by the literature, with new themes added inductively. A phenomenological approach involving an epistemological stance of interpretivism, was used with framework analysis. ResultsA total of 38 internationally qualified dentists (M = 18, F = 20), migrating from the five World Health Organization regions, and working in general practice, NHS hospitals and in community dental services across the four nations of the UK were interviewed. Seven types of internationally qualified dentists were identified working in the UK. They were livelihood migrants, career-orientated migrants, dependant migrants, backpacker migrants, commuter migrants, undocumented migrants, and education-tourist migrant. The categories were based on their migration motivations, which were complex, multifactorial, and included personal, professional, national, and international drivers. The typology, based on their migration motivations, offered a structured, comprehensive understanding of the migrant dental workforce. This typology involving dentists provides additional dimensions to commuter and undocumented migrants described in the context of other health professionals. The education-tourist migrant is a new category proposed as an extension to existing typology in health professional migration. ConclusionsThe typology of internationally qualified dentists has congruency with other health professionals’ typology in categories previously described and demonstrates that each of these categories are complex, fluid and change in response to policy changes. The new category of education-tourist migrant along with oral health dimensions of commuter and undocumented migrants adds to the existing typology in health professional migration.

Exploring the Relationship between Student Mental Health and Social Trust: A Case Study of Kabul Education University

Ensuring mental health is one of the basic issues of any organization. On the other hand, social trust is one of the foundations of social participation between society members. Therefore, this research was conducted with the aim of investigating the role of mental health dimensions in predicting the social trust of Kabul Education University students. The research method was descriptive and correlational. The statistical population included all the male students of Kabul Education University, whose total number reached (2054), and out of them, using Cochran's formula, a sample size of (324) was considered. To select the samples, systematic random sampling and stratified sampling methods were used. Required data were collected using two standardized questionnaires: a general health questionnaire and a social trust questionnaire. The validity of the questionnaires was calculated using the item analysis method and their reliability was calculated using Cronbach's alpha scale, and the alpha coefficient was obtained (0.793) for the questionnaire of general health and (0.803) for the questionnaire of social trust. The questionnaires were sent to (324) people, of whom (311) responded. The collected data were analyzed using one-sample t-test and multiple regression analysis and IBM SPSS 23 statistical software. The results of data analysis showed that; 1) The level of mental health of students is lower than the low level (Q1=2). 2) The prevalence of social trust among students has been obtained slightly lower than average level (Q2=3) with mean of (2.87). 3) Students' mental health in dimensions of "physical symptoms" and "social function" is a positive and significant predictor of their social trust. Therefore, it can be concluded that enhancing the level of mental health of students, especially in terms of "physical symptoms" and "social function" can be a suitable strategy to improve their social trust.

Harnessing Health Education: An Overview of Strategies and Impact During the COVID-19 Era

ABSTRACT Background The COVID-19 pandemic, a multifaceted crisis, affected all dimensions of human health, necessitating a multifaceted intervention to direct and modify public behavior. Purpose This study aimed to explore the role of health education in achieving this goal during the pandemic. Methods We conducted a Rapid Narrative Review using a quantitative lens to evaluate the impact of health education research and modeling in the context of the COVID-19 crisis. Five databases – PubMed, Web of Science, Science Direct, SCOPI, and MEDLINE – were searched for articles published from 2019 to 2022. Results Throughout the pandemic, Certified Health Education Specialists (CHES) have been pivotal, dynamically adjusting their roles to the evolving situation. Their contributions can be divided into three main phases: the initial outbreak, the vaccine development period, and the post-pandemic recovery stage. The Health Belief Model (HBM) emerged as the predominant theory employed to encourage preventive behaviors. Discussion In the face of global threats such as the COVID-19 pandemic, health education is a critical ally to other medical and clinical disciplines, providing vital leadership and guidance. Translation to Health Education Practice This study provides valuable insights for health educators, helping them select more effective models and strategies for their intervention programs.

Planning for Urban Sustainability through Residents’ Wellbeing: The Effects of Nature Interactions, Social Capital, and Socio-Demographic Factors

The COVID-19 pandemic provided a unique opportunity to examine how varied environmental and social factors in urban environments affect human wellbeing, which is an important dimension of urban sustainability. Past research has focused on individual dimensions of health and isolated nature interactions, limiting knowledge about how different environmental and social factors affect distinct aspects of residents’ wellbeing. Through quantitative analyses of social survey and environmental data in metropolitan Phoenix, Arizona (USA), we explored how distinct nature recreation activities—along with nature satisfaction and social capital—affected residents’ subjective, mental, and physical wellbeing across diverse neighborhoods during the COVID-19 pandemic, controlling for socio-demographics. Results reveal how distinct drivers shape different dimensions of wellbeing. Perceived social and environmental attributes of neighborhoods and proximity to nature preserves were associated with subjective wellbeing, while park visitation was linked to physical health. Nature interactions largely were unrelated to mental health. Changes in nature recreation during the COVID-19 pandemic did not significantly impact any dimension of wellbeing. Our research suggests that multiple local environmental and social features should be considered when designing healthy communities for urban sustainability.

Insight into the interaction and binding mechanism of a natural nonnutritive sweetener mogroside V with soybean protein isolates based on multi-spectroscopic techniques and computational simulations

As a natural low-calorie sweetener, Mogroside V (Mog-V) has gradually become one of the alternatives to sucrose with superior health attributes. However, Mog-V will bring unpleasant aftertastes when exceeding a threshold concentration. To investigate the possibility of soy protein isolates (SPIs), namely β-conglycinin (7S), and glycinin (11S) as flavor-improving agents of Mog-V, the binding mechanism between Mog-V and SPIs was explored through multi-spectroscopy, particle size, zeta potential, and computational simulation. The results of the multi-spectroscopic experiments indicated that Mog-V enhanced the fluorescence of 7S/11S protein in a static mode. The binding affinity of 7S-Mog-V was greater compared with 11S-Mog-V. Particle size and zeta potential analysis revealed that the interaction could promote aggregation of 7S/11S protein with different stability. Furthermore, computational simulations further confirmed that Mog-V could interact with the 7S/11S protein in different ways. This research provides a theoretical foundation for the development and application of SPI to improve the flavor of Mog-V, opening a new avenue for further expanding the market demand for Mog-V.

The relationship between dental anxiety and oral health literacy with oral health-related quality of life

Background and AimDental anxiety is a prevalent issue in society, characterized by an uneasy sensation and anticipation of negative experiences in dental settings. In essence, dental anxiety, oral health literacy, and quality of life may have a relationship with each other, however, there is a shortage of evidence examining the interplay between these factors. Therefore, this study aimed to assess the relationship between dental anxiety and oral health literacy (OHL) with oral health-related quality of life (OHRQOL).MethodsThis is an analytical cross-sectional study conducted on 155 patients referred to the Department of Oromaxillofacial Diseases. Three questionnaires consisting of dental anxiety scale, oral health impact profile- 14, and oral health literacy adult questionnaire were used to measure anxiety, health literacy, and the quality of life-related to oral health. Scores were recorded and analyzed by IBM SPSS 24 software using independent samples T-test and ANOVA. Besides, the confirmatory modeling through the goodness of fit index of the model was applied.ResultsThis study involved 155 participants, with a mean age of 38.44 ± 14 years. The majority were females, comprising 99 individuals (63.9%). In this study, 89 patients (57.4%) had dental anxiety. The mean OHL score in the examined participants was 9.88 ± 3.97. Both factors of anxiety (p < 0.001) and OHL (p = 0.012) had a significant effect on the OHRQOL. There was no significant difference in the mean OHRQOL among the three categories of OHL (p = 0.085). The confirmatory modeling showed that only the fourth (p = 0.065) and fifth (p = 0.146) questions of the OHL questionnaire had no significant effect on the total score of OHL. Besides, both factors of anxiety (p < 0.001) and OHL (p = 0.012) had a significant effect on OHRQOL. With an increase of one unit in anxiety, the OHRQOL score increases by 0.31 and for a one-unit increase in the OHL score, the OHRQOL score decreases by 0.66 units.ConclusionIn conclusion, it seems that considering various dimensions of oral and dental health can help patients to have reduced psychological anxiety. Notably, further multicenter studies assessing diverse variables related to dental anxiety, OHL, and OHRQOL, and considering more comprehensive study designs with longitudinal follow-up could help provide insights into how changes in dental anxiety and OHL over time affect OHRQOL.

Support for a Single Underlying Dimension of Self-Reported Health in a Sample of Adults with Low Back Pain in the United States

AbstractThere is increasing interest in measuring “whole person” health and deriving an overall summary score. Underlying physical and mental health dimensions have been found consistently in prior studies of self-reported health, but it is unclear whether a single underlying health factor is supported across health domains. We examine the dimensionality of nine domains from the Patient-Reported Outcomes Measurement Information System (PROMIS®)-29 + 2 profile measure, the PROMIS social isolation scale, the Personal Wellbeing Index, and the EQ-5D-5L preference score in a sample of 1256 adults with back pain in the United States: mean age was 55 (range 18–94), 52% female, 74% non-Hispanic White, 61% were married or living with a spouse, and the highest level of education completed for 35% of the sample was a high school degree or general education diploma. The sample reported substantially more pain intensity, pain interference, and worse physical function than the U.S. general population. Product-moment correlations among the measures ranged from 0.25 to 0.83 (median correlation = 0.52). A bifactor model showed that a general health factor accounted for most of the covariation among measures, but physical function, pain interference, and pain intensity loaded slightly more on the physical health group factor than on the general health factor. The study provides some support for combining multiple aspects of self-reported health into an overall indicator of whole-person health.

ATHLETES’ SATISFACTION TOWARDS SPORT TRAINING: AN INITIAL INVESTIGATION AND DEVELOPMENT OF QUESTIONNAIRE

&lt;p&gt;This study aims to investigate and develop a questionnaire to measure athletes’ satisfaction towards sports training. This quantitative research used a structural equating modeling (SEM) approach with the help of Smart-PLS. The population of this study consisted of athletes from Yogyakarta Province, Riau Province, and South Kalimantan Province. The sample was 806 athletes from 27 sports (Table 1) who will compete at the National Sports Week (PON) 2024. PON is a multi-event tournament held every four years in Indonesia, so athletes who will compete have high experience and performance. Athletes who participated in this research were aged 22.6±8.3 years, and they had 10.3±4.7 years of training experience. Instrument preparation is done by reviewing the literature and focus group discussions (FGD) involving sports coaching lecturers and nationally licensed coaches. The results of this study are that the outer loading value is &amp;gt;0.7, and the discriminant validity value (Fornell-Larcker Criteria) is &amp;gt;0.7. Cronbach Alpha Reliability and Composite Reliability also showed &amp;gt; 0.7. Goodness of Fit (GoF) shows an SRMR value of 0.076&amp;lt;0.10 or &amp;lt;0.08, so the model fits the data. The predictive relevance test or Q Square is 0.9&amp;gt;0, so this study has a good observation value. Based on the results, the questionnaire consisted of 16 items divided into four dimensions (Appendix 1), namely the dimensions of training quality, mental and emotional health, competitive performance, and competitive experience. In conclusion, a questionnaire can measure athletes’ satisfaction towards sports training. From the results of this study, it is recommended that athletes’ sports training satisfaction variable be tested on indirect influences as mediating or intervening variables. It can also be used as a variable that strengthens or weakens (moderator). Then, it is combined with other independent and dependent variables in management, psychology, society, education, and sports. So that in the future, it can produce more comprehensive research.&lt;/p&gt;&lt;p&gt; &lt;/p&gt;&lt;p&gt;&lt;strong&gt; Article visualizations:&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;img src="/-counters-/soc/0711/a.php" alt="Hit counter" /&gt;&lt;/p&gt;

Team- and Problem-Based Learning in Health Services: A Systematic Literature Review of Recent Initiatives in the United States

The COVID-19 pandemic caused a sudden shift to virtual platforms. Physical distance and limited experience with both synchronous and asynchronous teamwork at work and school hampered problem-solving and the development of critical thinking skills. Under these circumstances, the implementation of team-based and problem-based learning (TBL, PBL, respectively) required a reevaluation of how teams collaborate and engage in problem-solving remotely. The research team conducted a systematic review to identify health services studies, themes, and attributes of learning initiatives associated with the success of TBL and PBL conducted during the COVID-19 pandemic. This systematic review was conducted using the preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines. The review results identified three themes associated with TBL and PBL learning initiatives in health services: (1) TBL and PBL have transformed health services education with modified TBL (mTBL) and modified PBL (mPBL) as the new norms; (2) the amplification of age-appropriate principles for professional motivation in healthcare; and (3) active learning impacts practical abilities for professional success and future leadership roles. The pandemic underscored the importance of flexibility, resilience, and innovation in TBL and PBL approaches in health services education. Despite the superiority of mPBL and mTBL, the barriers to implementation and student acceptance of active learning include inadequate resource and space allocation, and student preferences for passive, traditional lecture. Further, online learning required increased facilitator training, administration time, and time to provide feedback.