High School Education Level Research Articles

The Long Slog Through the Virtual Swamp: Making a Wetland Podcast in Spanish

The Long Slog Through the Virtual Swamp: Making a Wetland Podcast in Spanish

Lung Cancer and Posttraumatic Stress Symptoms

Objective: Lung cancer is the most common cancer and the leading cause of cancer death worldwide. Research on the correlation between posttraumatic stress symptoms (PTSSs) and lung cancer is limited. In this study, we intended to study PTSS predictors in patients with lung cancer and their subgroups. Methods: Patients aged ≥ 20 years with lung cancer diagnosis were recruited. We collected information on demographic characteristics, depressive symptoms, and cognitive function, to examine the effect on PTSSs. With the Chinese version of the startle, physiological arousal, anger, and numbness questionnaire, we analyzed the variables to identify the independent correlates of PTSSs and to compare differences among treatment and cancer stage subgroups. Results: A total of 329 lung cancer patients were included with prominent male, below senior high school education level, married status, unemployment, smoking history, non-alcohol drinker, without psychiatric history and comorbid diabetes and hypertension. The correlates of PTSSs were significantly higher in education level (β = 0.197, p < 0.01), cognitive function (β = −0.269, p < 0.001), and depressive symptoms (β = 0.294, p < 0.001). In subgroup analysis, high education level was significantly correlated of PTSSs in different treatment groups surgery group (β = 0.266, p < 0.05), nonsurgery group (β = 0.204, p < 0.05), chemotherapy group (β = 0.189, p < 0.05), and nonchemotherapy group (β = 0.220, p < 0.05). Cognitive function was significantly correlated of PTSSs in different cancer stages in early stage (β = −0.401, p < 0.01) and advanced stage (β = −0.182, p < 0.05). Conclusion: Depressive symptoms, high education level, and the poor cognitive function were significantly associated with PTSSs in patients with lung cancer. Health professionals in oncology should consider psychological burden screening, cognitive function examination, and rehabilitation in clinical practice.

Evaluation of sleep quality and related factors in pregnant women

Objective: Although the pregnancy period is a physiological process, it can disrupt the sleep pattern and quality with some changes it causes. In this study, it was aimed to determine sleep quality, affecting factors and sleep problems, if any, in pregnant women who applied to our outpatient clinic for follow-up.
 Materials and Methods: This study, which was designed in a descriptive style, was conducted on 256 pregnant women who applied to the outpatient clinic. The data form included personal information, factors affecting sleep quality, sleep problems and Pittsburg Sleep Quality Index. In addition to descriptive statistics, Mann-Whitney U and Kruskal Wallis tests were used to evaluate the data uploaded to the SPSS program. The error level was set to 0.05. 
 Results: The mean age of the pregnant women was 28.55. It was observed that the mean total PUKI score was 6.27±3.94 (0-18) and the mean sleep duration was 7.5 hours (3-14). Sleep quality was poor in 49.6% of the pregnant women. It was found that the sleep quality of pregnant women was poor in younger than 35 years old (p=0.026), education level of high school and above (p=0.010), who has gender expectetion (p=0.041) and not socially supported (p=0.009). The median weight gain in the third trimester was higher in pregnant women with poor sleep quality (p=0.022). It was determined that musculoskeletal pain, discomfort, frequent urination, swelling in the feet, pain/cramp in the legs and burning in the stomach during pregnancy affected sleep quality negatively. In pregnant women with poor sleep quality; problems such as shortening of sleep duration, difficulty in falling asleep, frequent interruption of sleep, difficulty in falling asleep again, waking up tired in the morning and waking up too early involuntarily were observed more frequently.
 Conclusion: About half of the pregnant women have poor sleep quality; physical complaints are effective on sleep quality. Sleep quality should be evaluated in all pregnant women and recommendations should be made for sleep hygiene.

The Psychometric Properties of the Turkish Version of the Olympic Value Scale and Investigation of the Society's Perceptions of Olympic Value

Araştırmada, Olimpik Değer Ölçeği’nin (Olympic Value Scale) Türkçe literatüre kazandırılması ve bu ölçme aracı kapsamında bireylerin değer algılarının incelenmesi amaçlanmıştır. İlk aşamada Olimpik Değer Ölçeği’nin psikometrik özellikleri değerlendirilerek, Türk kültüründe ölçeğin geçerliği ve güvenirliği 354 kişilik bir çalışma grubu ile test edilmiştir. 3 faktör, 12 maddeden oluşan ve 7’li likert tipinde derecelendirilen orijinal ölçek için öncelikle çeviri, sentez, geri çeviri, ön test ve uzman değerlendirmesi aşamaları uygulanmıştır. Ölçeğin Türk kültüründeki yapı geçerliği açımlayıcı faktör analizi (AFA) ile test edilmiş sonrasında doğrulayıcı faktör analizi (DFA) uygulanmıştır. Ölçeğin güvenirlik analizleri için Cronbach alfa katsayısı referans alınmış, maddelerin toplam test korelasyonları incelenmiştir. Olimpik Değer Ölçeği’nin orijinal ölçekle tutarlı bir yapıya işaret ettiği anlaşılmış ve Türk kültüründe de ölçeğin geçerli ve güvenilir bir yapı sağladığına kanaat getirilmiştir. Araştırmanın ikinci aşamasında, 1255 bireyin bazı sosyo-demografik özellikler kapsamında olimpiyatlara yönelik değer algıları incelenmiştir. “Başkaları ile Dostça İlişkiler” ve “Farklılıkların Takdiri’’ alt boyutlarında lisanslı sporculuk tecrübesi bulunan grubun lehine anlamlı düzeyde farklılık belirlenmiştir. Eğitim durumu değişkeni ele alındığında ise “Başkaları ile Dostça İlişkiler” ve “Rekabette Başarı” alt boyutlarında, lise ve altı eğitim seviyesine sahip katılımcıları lehine anlamlı düzeyde farklılık tespit edilmiştir.

SELF-EFFICACY and AFFECTING FACTORS in INDIVIDUALS with CARDIOVASCULAR DISEASE

This study was carried out to determine the factors affecting self efficacy and self efficacy in patients diagnosed with coronary artery disease. The study is analytical-cross-sectional. Patients who were hospitalized between 17.07.2017- 25.09.2017 in the cardiology services of the university and state hospitals constituted the universe of the study and 170 patients. The data collection form consists of 3 sections and was completed in 15-20 minutes by face-to-face interview method. “Cardiac efficacy scale” was used to determine self efficacy. The data obtained from the research were analyzed in SPSS 21 package program. Necessary legal permissions and ethics committee approval were obtained to conduct the research. 49.4% of the participants are aged 65 and over, and 54.1% are men. The average score obtained from the cardiac efficacy scale is 29.07 ± 8.67. Having a male, married and high school or higher education level is an important factor affecting the functioning subscale score of the cardiac self efficacy scale (p <0.05). Those who consume alcohol are significantly better than those who do not consume symptoms, exercise and knowledge about the disease is an important factor affecting self efficacy (p <0.05). Self efficacy of individuals with cardiovascular disease is moderate. Self efficacy of men, married, university graduates, exercisers, and those with knowledge of disease is high. They should take initiatives to increase the self-efficacy of patients to all healthcare professionals, especially nurses.

The Role of Islamic Rural Banks in the Development and Strengthening of Micro, Small and Medium Enterprises in the Agribusiness Sector in Riau Province

The problem of Micro, Small and Medium Enterprises in the agribusiness sector in Riau Province is business capital. This research aims to analyze the role of Islamic Rural Banks in the development and strengthening of Micro, Small and Medium Enterprises in the agribusiness sector in Riau Province. The method used in this research is empirical research. The results of the research explain that the average Micro, Small and Medium Enterprises in the agribusiness sector in Riau Province have characteristics in the age group of 38 to 43 years with junior high school level education and 1 to 7 years of business experience. There are two Sharia Rural Banks in Riau Province, namely BPRS Berkah Dana Fadhlillah and BPRS Hasanah. Bank service variables and types of financing products have a significant effect on the development and strengthening of Micro, Small and Medium Enterprises in the agribusiness sector in Riau Province. The strategy adopted by BPRS Berkah Dana Fadhlillah and BPRS Hasanah is a faster financing process so that they can compete with conventional banks as well as product innovation and affordable administrative costs.

Analysis of HIV transmission hotspots and characteristics of cross-regional transmission in Guangxi Zhuang Autonomous Region based on molecular network

Objective: To analyze HIV transmission hotspots and characteristics of cross-regional transmission in Guangxi Zhuang autonomous region (Guangxi) based on the molecular network analysis, and provide evidence for optimization of precise AIDS prevention and control strategies. Methods: A total of 5 996 HIV pol sequences sampled from Guangxi between 1997 and 2020 were analyzed together with 165 534 published HIV pol sequences sampled from other regions. HIV-TRACE was used to construct molecular network in a pairwise genetic distance threshold of 0.5%. Results: The proportion of HIV sequences entering the molecular network of HIV transmission hotspots in Guangxi was 31.5% (1 886/5 996). In the molecular network of HIV cross-regional transmission, the links within Guangxi accounted for 51.6% (2 613/5 062), the links between Guangxi and other provinces in China accounted for 48.0% (2 430/5 062), and the links between Guangxi and other countries accounted for 0.4% (19/5 062). The main regions which had cross-regional linked with Guangxi were Guangdong (49.5%, 1 212/2 449), Beijing (17.5%, 430/2 449), Shanghai (6.9%, 168/2 449), Sichuan (5.7%, 140/2 449), Yunnan (4.2%, 102/2 449), Shaanxi (3.8%, 93/2 449), Zhejiang (2.8%, 69/2 449), Hainan (2.0%, 49/2 449), Anhui (1.5%, 37/2 449), Jiangsu (1.3%, 33/2 449), and other regions (each one <1.0%), respectively. The risk factors of entering the molecular network of HIV transmission hotspots in Guangxi included being aged ≥50 years (compared with being aged 25-49 years, aOR=1.68,95%CI:1.46-1.95), males (compared with females, aOR=1.21,95%CI:1.05-1.40), being single (compared with being married, aOR=1.18,95%CI:1.00-1.39), having education level of high school or above (compared with having education level of junior high school or below, aOR=1.21,95%CI:1.04-1.42), acquired HIV through homosexual intercourse (compared with acquired with HIV through heterosexual intercourse, aOR=1.77, 95%CI:1.48-2.12). The risk factors of cross-regional transmission included males (compared with females, aOR=1.74,95%CI:1.13-2.75), having education level of high school or above (compared with having education level of junior high school or below, aOR=1.96,95%CI:1.43-2.69), being freelancer/unemployed/retired (compared with being farmers, aOR=1.50,95%CI:1.07-2.11), acquired HIV through homosexual intercourse (compared with acquired with HIV through heterosexual intercourse, aOR=3.28,95%CI:2.30-4.72). Conclusion: There are HIV transmission hotspots in Guangxi. Guangxi and other provinces in China form a complex cross-regional transmission network. Future studies should carry out social network surveys in high-risk populations inferred from the molecular network analysis for the timely identification of hidden transmission chains and reduction of the second-generation transmission of HIV.

Quality of life, perceived stress and nutrition of patients with irritable bowel syndrome: A descriptive study

Background: Irritable Bowel Syndrome (IBS) is a chronic and common functional bowel disorder that currently has no definite treatment. Depending on the type and severity of the individual's symptoms, medication, diet, and/or lifestyle changes are recommended. Aims: This study aimed to determine the relationship between the quality of life, perceived stress levels, and nutrition of individuals diagnosed with IBS. Subjects and Methods: Between March 2020 and March 2021, 340 patients with IBS volunteered for this study. The demographic information questionnaire, Irritable Bowel Syndrome Quality of Life (IBS-QOL) scale, Perceived Stress Scale-14 (PSS-14), and Food Frequency Questionnaire were applied via an online form. Results: From the 340 patients, 230 were eligible. Out of them, 27% followed a special diet for IBS. When the IBS-QOL scores of men were compared according to their educational status, the scores of those with a high school or higher education level (109.7±32.8) were found to be higher than those with a lower education level than high school (95.4±17.5) (p=0.008), while the educational status of women did not affect the IBS-QOL scores (p&gt;0.05). The mean IBS-QOL score of men was 44.8 ± 20.1 and lower than women (50.9±21.7) (p=0.030). The mean IBS-QOL score of women following an IBS-specific diet was 57.6 ± 22.6 and higher than women who did not follow an IBS-specific diet (48.2±20.9) (p=0.023). The IBS-QOL scores of women with gluten or lactose intolerance were lower than women without any intolerances (p=0.004). The mean IBS-QOL score for women with lactose intolerance was higher than those with gluten intolerance (p=0.004). When the IBS-QOL scores were evaluated according to the frequency of food consumption, no significant differences were found in the food groups (p&gt;0.05). In this study, no significant correlation was found between IBS-QOL scores and PSS-14 scores (p&gt;0.05). Conclusions: The prediction equations developed for healthy populations are not accurate enough to determine the energy requirements in SCD. Keywords: Irritable bowel syndrome, nutrition, stress, quality of life, patients.

EFEKTIVITAS PEMBELAJARAN DARING MENGGUNAKAN MOODLE PADA MATA PELAJARAN MATEMATIKA SELAMA MASA PANDEMI COVID-19 DI SMP

The Covid-19 pandemic has affected almost all aspects of human life. To break the chain of transmission of the virus, many restrictions have been put in place by the government, including the Indonesian government. The use of multimedia and internet technology can change the style in transferring knowledge which is an alternative to learning in conventional classes. The purpose of this study is to provide an overview of the implementation of Learning from Home at the Junior High School Education Level during the Corona Virus Disease 19 (Covid-19) Pandemic. Based on data processing and analysis of student responses, online learning carried out by teachers in online mathematics learning using Moodle was carried out well with positive student responses in the implementation of online learning, material understanding and effectiveness in the application of online learning using Moodle.

Meta Analisis: Problem Based Learning (PBL)

The purpose of this study is to improve the mathematical problem solving ability of students who are taught by applying a problem based learning model that is taught by a direct learning model. Problem Based Learning (PBL) approach can be used as a solution in learning mathematics. The research method used is a quasi-experimental research in the form of a posttest and there is an experimental class and a control class. This research method is a meta-analysis with a sample of 5 articles in Sinta 3-6 accredited national journals from 2017 to 2021 with the research subject being junior high and high school education levels. Meta-analysis research shows that the effect of Problem Based Learning (PBL) learning approach is effective on problem solving abilities. The research data were collected through the provision of instruments in the form of a mathematical problem solving ability test in the form of description questions and observation sheets. The data analysis technique used descriptive statistics and inferential statistics. Based on the results of the study, it was concluded that there was a significant effect of the Problem Based Learning model on mathematical problem solving abilities.

A comparison of burden of care in caregivers of patients with schizophrenia and obsessive-compulsive disorder

Background: Schizophrenia and obsessive-compulsive disorder (OCD) are two common and chronic psychiatric illnesses known to be associated with a considerable burden of caregiving. Various sociodemographic and clinical variables can influence the caregiving experience of the caregivers of these patients. Aim and Objectives: The present study aims to assess the burden of care, with the help of a well-standardized tool, and its relationship with different factors related to the caregivers. Materials and Methods: After obtaining the ethical approval from the Institutional Ethical Committee, a total of 50 adult caregivers with their patients with OCD as well as 50 caregivers with their patients with schizophrenia were enrolled on the study. The burden assessment schedule (BAS) was the principal tool to assess the burden of care in the caregivers of both patient groups. Results: The majority of the caregivers were male in both study groups. Both the study groups were comparable in terms of all sociodemographic variables except education and occupation. An education level of high school and above was found in a significantly higher number of the caregivers of patients with the OCD than those with schizophrenia (76% vs. 34%; χ2= 25.76; P&lt;0.001). A significantly higher number (70% vs. 42%, χ2=8.227, P&lt;0.05) of caregivers of patients with schizophrenia were unemployed. Both groups were comparable in terms of the overall burden of care (i.e., total BAS score), but the caregivers of patients with schizophrenia had a significantly higher mean score of the burden in the domain “caregiver’s routine” (8.92±1.82 vs. 8.08±1.85; t=2.291; P&lt;0.05) and in the domain “taking responsibility” (11.0±0.50 vs. 10.08±0.94; t=6.103; P&lt;0.001) than the caregivers of patients with OCD. Conclusion: The burden of care in the caregivers of patients with the OCD was not less than that in patients with schizophrenia in almost all of its domains except the burden of caregiver’s routines and taking responsibilities which were higher than the caregivers of patients with schizophrenia. There is a need for the development of educational inputs and support programs for these caregivers based on their local needs.

1443P Intimate partner violence in cancer patients: An SOS call

Intimate partner violence (IPV) is a critical problem worldwide. The subject remains a taboo especially in Arab countries were reported IPV prevalence ranged from 6% to 59%. Data about the combination of IPV and cancer is missing. The aim of the present study was to measure the frequency and types of IPV among patients with cancer and evaluate risk factors. The study was a cross sectional, questionnaire-based study, conducted between January and April 2022, including 141 patients treated with cancer regardless of gender, site, or stage. We developed the study questionnaire by adapting items from the “WHO multi-country questionnaire on violence against women” and “The Women’s Experiences with Battering Scale”. Odds ratio (OR) and Spearman tests were performed to assess the impact of several factors associated with the reported IPV. Median age was 50.8 yo, 38.3% were male cancer patients. Patient reported to have a highschool or university educational level (EL) in 76% and a stable job at the moment of the study in 49%. IPV prevalence was 24.8%, we observed 5 cases of torture (3%). The most common forms of violence were: placing severe restriction on certain types of food in 21% of cases, psychological violence (absence of kindness and critsism) in 20%, exposing intimate information about the patient health status in 17%, ignoring and not speaking to the patient in 13.5%, putting restrictions on visiting relatives in 9.2%, verbal assault in 9.2%, physical violence in 7.9%. There was no difference in the incidence of IPV neither in the forms of violence between man and women. The only difference of reported IPV forms between man and women was “divorce threats”, observed in 9% of women vs 0% in man (p=0.02). We observed a significant correlation between IPV prevalence and disease stage (34.6% M1 vs 19.1% M0, p=0,04, OR=2.2 [1-4.8]), patient’s EL (48.5% none-primary school vs 17.6%, p=0.01, OR= 4.4 [1.8-10.2]) and being under cancer therapy (30.9% vs 11.4%, p=0.013, OR=3.4 [1.2-9.7]). Patients were shown to be victims of several forms of IPV regardless of gender and highly correlated with a low educational level and disease stage. Implementation of both; intervention strategies to take care of victims and preventive strategies supporting patients and their partners is needed.

The Impact of Online Learning among Adolescents during the COVID-19 Pandemic: A Qualitative Study of Mothers' Perspectives.

The COVID-19 pandemic changed the educational system from conventional learning in schools to online learning. The use of the internet as a learning medium can have positive and negative impacts on adolescents and cause concern for mothers. In this study, mothers' perspectives were explored with the phenomenological approach to assess their experience of the effect on line learning during the COVID-19 pandemic among adolescents. The qualitative study design: phenomenology was conducted on mothers with children at senior high school education levels. The data were collected using in-depth interviews from June to November 2020 in West Java, Indonesia. A total of 13 mothers were recruited using the purposive sampling technique. Data analysis was performed using the Colaizzi method and NVIVO software for managing the coding process. We obtained four themes, namely (1) formation of adolescent behavior with the internet, (2) prevention of internet addiction, (3) disturbance of cognitive development, and (4) negative effect of online learning. The usage of the internet cannot be avoided. By guiding adolescents, the negative effects of the internet could be prevented. Developing learning programs, media, and online learning strategies according to students' needs should be promoted.

Prevalence, correlates, and behavioral outcomes of alcohol gifting in China

IntroductionAlcohol gifting is a very common practice in China. However, little is known about the potentially adverse consequences of alcohol gifting. This study aimed to investigate the prevalence of, and factors associated with, alcohol gifting, and explore whether drinking and tobacco use were associated with alcohol gifting.MethodsUsing a cross-sectional multi-stage survey, a sample of 982 household heads from Guangdong Province and 530 household heads from Shaanxi Province was collected online from 30 April to 30 July 2020 in China. Participants completed questionnaires regarding socio-demographic characteristics, social capital, drinking status, and gifting alcohol behavior. Chi-square analysis and multiple logistic regression analysis were used to identify the factors associated with alcohol gifting, and to identify its relationship with alcohol and cigarette use status.ResultsMultiple logistic regression analysis showed that age, gender, household annual income, province, drinking status, and social participation were prominent correlates of both offering and receiving alcohol. Participants who were married, had an education level of junior high school, or had a large social network had higher odds of receiving alcohol. When both alcohol gifting behaviors were included in the models, participants who offered alcohol had 2.15 (95% CI: 1.63–2.85) times higher odds of current drinking than those who didn’t offer alcohol and participants who received alcohol had 1.87 (95% CI: 1.45–2.41) times higher odds of current drinking than those who did not receive alcohol. Those who received alcohol had significantly higher odds of current smoking (AOR = 1.64; 95% CI: 1.25–2.14), while those who offered alcohol had significantly lower odds of current smoking (AOR = 0.71;95% CI:0.53–0.95).ConclusionsSocial participation is an important correlate of alcohol gifting. Alcohol receiving behaviors were significantly associated with both current alcohol and tobacco use. These associations can be used to inform alcohol gifting interventions in China.

Did teachers' digital literacy levels affect distance education during the covid-19 pandemic in Türkiye?

Aim: This study, it is aimed to examine the attitudes of teachers in Türkiye towards distance education applications, which have become a critical need during the pandemic process, and the effect of their digital literacy levels on this situation. &#x0D; Materials and Methods: The research is a cross-sectional - analytical type of observational study. The research universe consists of teachers working at pre-school, primary, secondary, and high school education levels in Türkiye. The data were collected online via 'Google forms', with an online questionnaire with a total of 43 questions about distance education, including the Digital Literacy Scale. &#x0D; Results: It was carried out with 748 teachers, 451 women and 297 men. According to the results of multivariate regression and path analysis, the increase in teachers' digital literacy levels and age increases the distance education attitude level. In addition, the distance education attitude levels of teachers working in high schools were found to be lower. &#x0D; Conclusion: The trainings to be given to improve the digital literacy levels of teachers will increase their adaptation to distance education.

Assessment of prenatal exposure to alcohol and gestational consumption by EtG testing in neonatal meconium and maternal hair and neonatal: First Italian national survey

Use of alcohol during pregnancy and subsequent fetal exposure can cause multiple perinatal disorders (prematurity at birth, withdrawal syndromes, tremors, hyperreflexia) and impaired physical and mental development in the later stages of life, known as fetal alcohol spectrum disorders (FADS) including as major expression of impairment fetal alcohol syndrome (FAS). Gestational drinking is usually, worldwide reported by questionnaires filled during antenatal visits, but international studies demonstrated their inconsistency for under-reporting or misreporting of toxic habits. Information concerning the true prevalence of alcohol consumption during pregnancy and consequent prenatal exposure to this teratogen is essentially lacking in Italy. To assess objective gestational consumption to alcohol and fetal exposure to it, we measured one of the most specific ethyl alcohol metabolites, ethylglucuronide (EtG), in maternal hair and neonatal meconium involving delivering mothers and newborns along the whole National Italian territory. Non-paired twenty delivering women and twenty newborns per city from hospitals of the National Health system located in the North, Centre and South Italy (including islands) were enrolled in the project. Maternal hair, 8 cm as maximum length, was collected at the end of pregnancy and analyzed as entire strand and neonatal meconium was collected within the first 24 hours after birth. Ethylglucuronide was quantified in both biological matrices through a validated gas chromatography–tandem mass spectrometry methodology. Hair EtG concentrations below 5 pg/mg hair were attributed to abstinent women, those > 5 pg/mg and below 30 pg/mg were attributed to women consuming “some” alcohol during pregnancy and ≥ 30 pg/mg were attributed to excessive drinkers. Furthermore, according to previous studies from our research group, maternal hair EtG above 11 pg/mg was shown to correspond with high probability to a neonatal meconium with EtG > 30 ng/g. Hence, it was considered as a “cut-off” matching to fetal exposure to alcohol. Up to now, 781 maternal hair and 642 meconium samples have been analyzed. Only one woman out of 781(0.1%) presented chronic excessive ethanol consumption with EtG concentration > 30 pg/mg, while the 8.2% of maternal hair presented EtG concentrations > 5 pg/mg with 1.4% > 11 pg/mg. Four newborns (0.6%) resulted prenatally exposed to ethanol with meconium EtG concentration > 30 ng/g. The highest percentage of women involved in the study (mean age + SD 34 + 5.1 years) were Italian (88%) and employed (69%). With regard to educational level, 44% had a university degree and 39% high-school education level. The four exposed newborns did not present at birth any sign of evident disability or malformation. These preliminary findings, obtained in separate cohorts of pregnant and delivering mothers and newborns showed that, currently, a negligible amount of Italian women drink during pregnancy and that a minute percentage of newborns are prenatally exposed to alcohol. The policies applied by health Italian women have acquired awareness about risks associated with drinking during pregnancy.

Role of satisfaction in mediating the effect of perceived ease of use and perceived usefulness on purchase intention

The purpose of this study is to examine and explain the role of satisfaction in mediating the effect of perceived ease of use and perceived usefulness on the repurchase intention of Bukalapak marketplace users in Bali. The research subjects were users of the Bukalapak marketplace with a total sample of 140 respondents who had the criteria of having a high school/vocational high school education level, domiciled in Bali, and had shopped using the Bukalapak marketplace. The data were analyzed using the SEM-PLS technique with the Smart PLS version 3.0 application. The results show that all research hypotheses are supported. Practical implications based on research findings show that among the three variables that influence repurchase intention, the satisfaction variable has the highest path coefficient which can be a reference for Bukalapak management in making marketing strategies to increase repurchase intention in Bukalapak customers by increasing satisfaction.

PENINGKATAN PENGETAHUAN DAN PEMERIKSAAN TEKANAN DARAH SEBAGAI SKRINING HIPERTENSI

Hypertension is a silent killer where the symptoms can vary in each individual and are almost the same as the symptoms of other diseases. The purpose of this activity is to find out the increase in knowledge about hypertension and blood tests as a screening for hypertension. The service uses the lecture method on hypertension, direct examination of the respondent's blood pressure at the activity site. The results of the service show that the data from the blood pressure test found that three men aged over 40 years suffered from high blood pressure, each with a junior high school education level and two high school students. While the female sex as many as two people suffer from high blood pressure in college and junior high school. In addition, there was an increase in knowledge and there were several cases of high blood pressure or hypertension at the service location. The findings of these activities can be used as a reference or management of hypertension for sufferers so that they can reduce other adverse effects that accompany hypertension.Keywords: hypertension; symptoms; blood pressure; management; screening

The level of anxiety in pregnant women in COVID-19 pandemic: a cross-sectional study.

We aimed to determine the COVID-19 anxiety level in pregnant women who presented to an outpatient clinic during the COVID-19 pandemic. This is a descriptive cross-sectional study including 203 of 310 pregnant women who presented to the outpatient clinic of a training and research hospital of the Ministry of Health between 29 September-1 October, 2020. The level of anxiety was assessed with the COVID-19 Anxiety Inventory (CAS) using a face-to-face survey method. The mean age of the patients was 28.15±5.95 years. In the study, while 6.2% of women over 30 years old was identified to have psychological problems, 0.7% of those under 30 years old had such problems. The rate of diagnosis of COVID-19 in the family/acquaintances of those with an educational level of high school or higher was 56.9%, and those who had an educational level under high school had a corresponding rate of 39.5%. The rate of COVID-19 diagnosis in the family/acquaintances of those with an educational level of high school or higher was significantly higher (p<0.05). The mean COVID-19 anxiety scale score was 0.18±0.47; COVID-19 anxiety was not observed in pregnant women. This study detected no anxiety in pregnant women. Therefore, it can be said that pregnant women do not need immediate psycho-social support.

Satisfaction in Social Roles and Physical Function in Immune-mediated Inflammatory Diseases: A Cross-Sectional Study.

Although mood disorders have been well characterized in Immune-mediated inflammatory diseases, physical function and satisfaction in social roles have not yet been defined as independent domains. The study aims to assess satisfaction in social roles and physical function alterations in an Immune-mediated inflammatory diseases population and identify associated characteristics. Physical function and social roles satisfaction were evaluated through the Patient-Reported Outcomes Measurement System. Besides comparisons between groups, univariate and multivariable logistic regression were performed to identify independent predictors. Two hundred sixty-five Immune-mediated Inflammatory Diseases patients and 206 controls were recruited. Compared with controls, Inflammatory Bowel Diseases patients had impaired physical function (p<0.001), while Inflammatory Arthritis patients reported impairment in both domains (p<0.001, each). In the univariate logistic regression, gender, high school educational level, physical activity and occupation were positively associated with physical function and social role satisfaction (p<0.001; p=0.001; p<0.001; p=0.001 and p<0.001; p=0.012; p=0.008; p=0.004, respectively). Active disease and steroids were inversely associated with physical function and social roles satisfaction (p=0.033; p=0.022 and p=0.002; p=0.038, respectively). Further associations were found between age and physical function (p=0.002); biological treatment and ESR with social roles satisfaction (p<0.001; p=0.043; respectively). In the multivariable regression, gender remained associated with physical function (p<0.001) and social roles satisfaction (p=0.003). Negatively associated factors were biological treatment for satisfaction in social roles (p<0.001) and steroids for physical function (p=0.021) and social roles satisfaction (p=0.018). Immune-mediated Inflammatory diseases determine alterations in physical function and social life satisfaction. Gender and treatment are independent associated factors. Patient-Reported Outcomes should be considered in clinical management to define patients' real needs.