Groups Of Respondents Research Articles

Sustainability challenges in airlines contemporary environmental management

Environmental concerns attract growing attention in aviation. Airlines and other aviation stakeholders are increasingly committed to more environmentally friendly operations. This paper aims to expand the understanding of the airlines' environmental attitudes and map best practices in the sector. To achieve this goal, the authors followed a two-stage analysis. Initially, a number of interviews were conducted with a focus group of key respondents from six Greek airlines, to draw the general picture of their environmental awareness. In the second stage, the authors studied the market's dominant airlines as a case to gain a deeper understanding of how an Environmental Management System (EMS) is deployed in practice and to allow for best practices to emerge. The research findings highlight the need for EMSs to become an integral part of airlines' operational strategy and the imperative for an articulate regulatory framework able to enhance the airlines' eco-path through concrete guidelines and knowledge exchange.

Students’ Perceived Learning Acquisition of the Enhanced Course for Digital Communication

The inevitable rapid transformation of technology has instantly defined the way of life people have today, particularly in the education sector, where academic experts are compelling to realign the curriculum and instructions with the existing technological trends. The study of the enhanced course for Digital Communication is presented in this undertaking to address the digital technology learning needs of Liberal Arts students in the new normal phenomena. Specifically, it examines the influence of students' perceived prior digital technology knowledge on their perceived cognitive learning and explores the differences in students' perceived learning acquisition. Data were generated from one hundred fifty-two (152) first-year Liberal Arts students of Rajamangala University of Technology Rattanakosin. Cronbach's Alpha coefficient confirmed the high internal consistency of the personalized and partly adopted questionnaire. The finding reveals that students' perceived prior digital technology knowledge has significantly influenced their perceived cognitive learning acquisition. The diminished data variability strengthens the evidence that students' performance has dramatically improved in hybrid and blended learning. Correspondingly, the three groups of respondents highly favored affective learning acquisition over cognitive and psychomotor. It conveys that learners profoundly engage with others using digital technologies as they grasp the meaning of the subject matter. This paper, therefore, substantiates that the enhanced course for Digital Communication was designed ergonomically for effective learning.

Relationship Between Empathy and Depression in Adolescents: The Mediating Role of Family Functioning

To investigate the effect of empathy on depressive symptoms in adolescents and to explore the potential mediating role of family functioning in the effect of empathy on depressive symptoms. The 2022 cross-sectional data from the Chengdu Positive Child Development (CPCD) cohort were analyzed in the study. A survey was conducted in Chengdu in June 2022, involving 3020 students in grades 5-8 from three randomly selected stratified schools. The Interpersonal Reactivity Index (IRI-C), the Chinese Family Assessment Instrument (C-FAI), and the Center for Epidemiologic Studies Depression Scale for Children (CES-DC) were used in the survey. Chi-square test or one-way analysis of variance was performed to examine the differences in various demographic characteristics (sex, grade, region, and total monthly household income) between groups of respondents, as well as the differences in family functioning, empathy, and depression. Pearson correlation coefficient was used to examine the correlation between family functioning, empathy, and depressive symptoms. Structural equation modeling and SPSS PROCESS component Model 4 were used to analyze whether family functioning played a mediating role in the effect of empathy on depressive symptoms in adolescents. The detection rate of depressive symptoms among survey respondents was 25.40%. The results of the difference analysis revealed significant differences in the detection rates of depressive symptoms among respondents of different grades, regions, and monthly household incomes (P<0.05). There was no significant difference in the detection rates of depressive symptoms between male and female students. There was a significant difference in the detection rate of depressive symptoms between respondents with different scores for family dysfunction and empathy ability (P<0.001). Correlation analysis results showed that empathy scores were negatively correlated with depression (r=-0.11, P<0.001), that family dysfunction was positively correlated with depression (r=0.29, P<0.001), and that empathy scores were negatively correlated with family functioning (r=-0.37, P<0.001). The mediating role of family dysfunction in the relationship between empathy and depressive symptoms was established, with the direct effect being 0.039 (95% confidence interval [CI]: 0.010-0.069, P<0.001) and the indirect effect value being -0.096 (95% CI: -0.115--0.079, P<0.001). The direct effect value accounted for 28.89% of the total effect value, while the mediation effect value accounted for 71.11% of the total effect value. The empathy ability of adolescents is correlated to depressive symptoms, and family functioning plays a mediating role between empathy and depressive symptoms in adolescents. It is suggested that adolescents' empathy ability and family functioning should be enhanced through multiple channels to reduce the occurrence of depressive symptoms.

Prevalence of signs of professional burnout among medical workers involved in providing medical care for circulatory system diseases

BACKGROUND: Among 13 thousand doctors interviewed in 2021, 42% displayed signs of professional burnout. This phenomenon negatively affects the frequency of repeated hospitalizations, the number of adverse events, and increased employee turnover. However, studies concerning burnout in doctors are rare and do not focus on specialists who provide medical care for patients with circulatory system diseases (CSD). AIM: was to assess the level of burnout in medical workers involved in the provision of medical care for patients with CSD and to explore staff perceptions of its prevention. MATERIALS AND METHODS: A sociological survey (based on the standardized Maslach Burnout Inventory questionnaire) was conducted among medical personnel (women represented the majority of the sample — 76%, men — 24%). The sample is represented by doctors (n=89), nursing staff and auxillary nurses (NSAN) (n=128). The mean age for the whole group of respondents was 40.7±0.7, professional experience lasted 12.0±0.6 years. Standard methods of descriptive statistics were used for the data analysis. The age characteristics of the group had no significant differences by professional categories. Doctors had 39.0±1.2 years (min — 24, max — 63), NSAN had 41.0±0.6 years (min — 19, max — 67). Professional experience lasted differed doctors 39.0±1.2 years, in NSAN — 12.3±0.8. Men were characterized by a mean age of 36.7±1.6 years and professional experience lasted 10.0±1.2 years and women 42.0±0.7 years and 12.6±0.7 years, respectively. The character of distribution of quantitative data in the presented study was analyzed using the Kolmogorov–Smirnov and Shapiro–Wilk criterion. RESULTS: 80.2% of respondents presented with a high level of reduced professional accomplishments (RPA), 53.4% — a moderate average level of depersonalization. The emotional exhaustion was similar in all respondents, although average level of emotional exhaustion was the most prevalent (39.6%). 43.8% of doctors had an average level of emotional exhaustion, which is higher compared with NSAN — 37.5%. Clinical and paraclinical units are associated with a medium level of emotional exhaustion and a high RPA. At the same time, paraclinical units are characterized by a medium level of depersonalization, in contrast to clinical units, which are found to have a high level of this factor. According to the respondents, possible measures to prevent emotional burnout should include a set of measures including, rational distribution of responsibilities within departments, workload among the staff, as well as the formation of special skills to overcome stressful situations and optimization of activities with the help of digital solutions (support system for medical decisions, etc.). CONCLUSION: Working as medical staff and providing medical care for patients with CSD is strongly associated with a high level of reduced professional accomplishments (80.2% of respondents). Proper measures for the prevention of emotional burnout should primarily include organizational solutions focused on optimizing internal processes in medical staff’ work. According to the respondents, among the measures aimed at the prevention of emotional burnout, the most demanded may be: rational distribution of responsibilities within departments, workload among staff, as well as the formation of special skills to overcome stressful situations and optimization of activities with the help of digital solutions (medical decision support system, etc.).

Which Educational Topics and Smartphone App Functions Are Prioritized by US Patients With Rheumatic and Musculoskeletal Diseases? A Mixed-Methods Study.

We sought to identify (1) what types of information US adults with rheumatic and musculoskeletal diseases (RMD) perceive as most important to know about their disease, and (2) what functions they would use in an RMD-specific smartphone app. Nominal groups with patients with RMD were conducted using online tools to generate a list of needed educational topics. Based on nominal group results, a survey with final educational items was administered online, along with questions about desired functions of a smartphone app for RMD and wearable use, to patients within a large community rheumatology practice-based research network and the PatientSpot registry. Chi-square tests and multivariate regression models were used to determine differences in priorities between groups of respondents with rheumatic inflammatory conditions (RICs) and osteoarthritis (OA), and possible associations. At least 80% of respondents considered finding a rheumatologist, understanding tests and medications, and quickly recognizing and communicating symptoms to doctors as extremely important educational topics. The highest-ranked topic for both RIC and OA groups was "knowing when the medication is not working." The app functions that most respondents considered useful were viewing laboratory results, recording symptoms to share with their rheumatology provider, and recording symptoms (eg, pain, fatigue) or disease flares for health tracking over time. Approximately one-third of respondents owned and regularly used a wearable activity tracker. People with RMD prioritized information about laboratory test results, medications, and disease and symptom monitoring, which can be used to create educational and digital tools that support patients during their disease journey.

TOLERANT AND INTOLERANT CONTENT OF ASSESSMENTS BY UKRAINIAN STUDENTS OF SUBJECTS SOCIAL AND POLITICAL LIFE

Relevance. The study focuses on the problem of the attitude of Ukrainians to "good Russians" under the influence of the Russia-Ukraine war. The opinion of student youth is of particular importance. Depending on the holding of a certain personal position, young respondents largely evaluate modern military and political phenomena and processes. Methodology. The task of the online survey of 2,202 students of 35 universities from different regions of Ukraine, conducted in the spring of 2022, was to assess the degree of guilt and effectiveness of the actions of agents of social, in particular, military and political processes. The questionnaire used 5-point scales of semantic differential and subjective scaling. According to the content of the evaluations of the crimes of the Russians and the Russian authorities before Ukrainians, four groups of respondents were distinguished. Their attitudes towards various social and ethno-political subjects are compared. Results. It was found that anti-Russian attitudes significantly prevail in students' evaluations of Russians and the Russian government. A relatively small part of the sample consisted of anti-Ukrainian, neutral and tolerant views towards Russians. The anti-Russian majority most clearly accuses subjects to whom it attributes signs of attraction to the "Russian world". The anti-Ukrainian minority evaluates them positively, but tends to blame Ukrainian society and the Ukrainian authorities. However, the positions of the anti-Russian majority and the anti-Ukrainian minority turned out to be close in their high assessment of the effectiveness of the Ukrainian government and the command of the Armed Forces. Respondents who try to choose neutral assessments partly avoid a clear choice, and partly hide their pro-Russian sentiments. "Tolerant" respondents, who condemn the Russian authorities, but do not condemn Russians, tend to blame all those in power and to excuse "ordinary people" regardless of their nationality or citizenship.

FEATURES OF COPING STRATEGIES IN CONDITIONS OF UNCERTAINTY OF WARTIME

Relevance. The purpose of this article is to empirically investigate the discrepancies in the selection of coping strategies among groups of people during war under various conditions of uncertainty. Methodology. The sample consists of 186 residents of Ukrainian cities who live under various conditions of uncertainty. Methods: author’s questionnaire, methods: «Test for psychological diagnostics of coping mechanisms (E. Heim)», «The Intolerance of Uncertainty Scale (IUS-12) (N. Carleton, adaptation by H. Gromova)»; mathematical methods for processing empirical data using the IBM SPSS Statistics 26 package. Results. Respondent groups, based on their location relative to the front line, show statistically significant discrepancies in cognitive and behavioral coping strategies. The empirical study’s analysis showed that individuals living in the front and near-front zones often compare their problems with others and downplay their difficulties more frequently (41,94%) than those living further from the front line (21.94%). Furthermore, individuals closer to the front line show a higher tendency to employ the adaptive coping strategy «altruism» (19.35%), that is, they offer help to others in overcoming difficulties more often than those living further from the front line (6.45%). Both groups predominantly employ relatively adaptive coping strategies. However, a divergence in problem-solving approaches exists: individuals in the front and near-front zones typically avoid problem-solving by engaging in a favorite activity, whereas the other group tends to evade problem-solving by resorting to alcohol, medicines, sedatives, or indulging in tasty food. The study did not identify statistically significant differences between groups regarding intolerance to uncertainty.

Patients, healthcare providers, and general population preferences for hemodialysis vascular access: a discrete choice experiment.

A patient-centered dialysis treatment option requires an understanding of patient preferences for alternative vascular accesses and nephrologists often face difficulties when recommending vascular access to end-stage kidney disease (ESKD) patients. We aimed to quantify the relative importance of various vascular access characteristics to patients, healthcare providers and general population, and how they affect acceptability for patients and healthcare providers. In a discrete choice experiment, patients with maintenance hemodialysis (MHD), healthcare providers, and individuals from the general population were invited to respond to a series of hypothetical vascular access scenarios that differed in five attributes: cumulative patency, infection rate, thrombosis rate, cost, and time to maturation. We estimated the respondents' preference heterogeneity and relative importance of the attributes with a mixed logit model (MXL) and predicted the willingness to pay (WTP) of respondents via a multinomial logit model (MNL). Healthcare providers (n = 316) and the general population (n = 268) exhibited a favorable inclination toward longer cumulative patency, lower access infection rate and lower access thrombosis rate. In contrast, the patients (n = 253) showed a preference for a 3-year cumulative patency, 8% access infection rate, 35% access thrombosis rate and 1.5 access maturity time, with only the 3-year cumulative patency reaching statistical significance. Among the three respondent groups, the general population found cumulative patency less important than healthcare providers and patients did. Patients demonstrated the highest WTP for cumulative patency, indicating a willingness to pay an extra RMB$24,720(US$3,708) for each additional year of patency time. Patients and healthcare providers had a strong preference for vascular access with superior patency. While the general population preferred vascular access with lower thrombosis rates. These results indicate that most patients prefer autogenous arteriovenous fistula (AVF) as an appropriate choice for vascular access due to its superior patency and lower complications than other vascular access types.

To internalize or not? Addressing key differences between Turkish migrant and native workers in construction employment

PurposeMigration is on the rise due to globalization and human mobility. This has led to increased impacts that have affected many industries, including the construction industry. A large number of migrants are employed in the construction sector, and employers are challenged to make sure all employees are properly integrated to meet the demands needed for construction projects. This article addresses key differences between migrant and native workers to help hiring departments in the construction industry analyse workers' attitudes based on cultural and motivational factors to have the workforce they need to succeed.Design/methodology/approachThe research used both quantitative and qualitative surveys. A two-part questionnaire, designed through a comprehensive literature review, was carried out to identify key differences between native and migrant workers. The data were obtained and then analysed using different statistical approaches, including factor analysis protocol, factor structure model, reliability analysis, relative importance index and nonparametric test analysis. A semi-structured interview was then conducted to discuss all the findings.FindingsThe study indicated that migrant workers, compared to natives, tend to give more importance to their working environment, particularly accommodation, work safety and relations with teammates. Also, migrants typically take a socialistic approach instead of an individual approach while at work and reveal an extensive range of behaviours based on a sense of belonging. It might be more important for migrants to have a place in society, to have a settled life and to be integrated into an established order than to improve their rights and benefits. On the other hand, the study argued that native workers tend to prioritize their benefits at work, such as regular payments for overtime and insurance premiums. Their behaviours might carry a more neutral and individual attitude as well as specific cultural traces.Research limitations/implicationsThe study is limited to a sample of participants in the Turkish construction sector. Further research based on more cultural models and motivational factors with a larger group of respondents from different countries could offer better results. The results of the study might not apply to a broad context due to many other factors that affect worker behaviours, such as geography, cultural structures and working conditions. Despite these drawbacks, the present paper may help employers and other stakeholders understand the best way to incorporate migrants into the construction industry.Originality/valueThis research is very important for the construction industry in various countries that are currently employing thousands of migrants. Being able to address the key differences between migrants and native workers based on cultural and motivational factors might help with engagement and create a level of harmony in the field for greater productivity.

Effectiveness of Food Processing Instructional Videos (Food Pro I-Vid) In Enhancing the Performance of Grade 9 TLE Learners

This research determined the effectiveness of developed instructional videos in enhancing the performance of the learners. This study utilized quasi-experimental research design and match pairing method. The participants were grouped into control and experimental groups where each group has 30 students. Pre-test results revealed that the two groups of respondents had the same mean scores while on the posttest mean scores, the experimental group had a higher mean score than the comparison group. For the formative test mean scores of the two groups of respondents, it showed that there was a significant difference between the formative mean scores of the experimental and comparison groups. It revealed that there was a significant difference between the posttest mean scores of the experimental and comparison groups. The test of difference between the pretest and posttest means scores of both the experimental and comparison groups showed that there was a highly significant difference between the results of pretests and posttests on both experimental and comparison groups. The results showed a significant difference between the performance of the two groups of respondents. Hence this Food Pro I-Vid is an effective tool to enhance the teaching and learning among the students in TLE.

Preferences in Clinical Care of Individuals With Differences of Sex Development.

To identify the most important attributes related to the process of achieving, and outcomes associated with, successful care for differences of sex development (DSD). We developed a best-worst scaling survey administered to 520 DSD stakeholders, including individuals or family members of those with DSD, health care specialists, and patient support and advocacy representatives. Fourteen process-related attributes and 16 outcome-related attributes were identified through qualitative research. We estimated relative importance scores and coefficients from regression analysis to understand the relative importance of attributes and conducted latent class analysis to explore heterogeneity in preferences. The 3 most important process attributes were (1) good communication between care team and patient/family, (2) care team educated patient/family about condition, and (3) care team incorporates the values of patient/family. The 3 most important outcome attributes were (1) patient satisfaction, (2) patient mental health, and (3) treatment maintains physical health. Latent class analyses showed that respondents had heterogeneous preferences. For process-related attributes, we identified 3 respondent groups: "Patient autonomy and support" (46% of respondents), "Education and care transitions" (18%), and "Shared decision-making" (36%). For outcome-related attributes, we identified 2 respondent groups: "Preserving function and appearance" (59% of respondents) and "Patient health and satisfaction" (41%). Outcomes such as patient satisfaction and health were the most important outcome attributes, and good communication and education from the care team were the most important process attributes. Respondents expressed heterogeneous preferences for selected DSD care attributes that providers should consider to improve satisfaction with and quality of DSD care.

Characterizing the Rhinoplasty Outcomes Most Important to Patients, Surgeons, and the General Population.

Understanding rhinoplasty characteristics important to patients, physicians, and society is essential for evaluating outcomes and designing optimal treatment plans. The authors aimed to elucidate specific rhinoplasty-related outcomes that are most important to patients, surgeons, and the general population. A cross-sectional survey comprising 11 rhinoplasty-specific characteristics, was distributed to patients, facial plastic surgeons, and the general population. Adult patients presenting for rhinoplasty consideration or follow-up after undergoing rhinoplasty were recruited. Characteristics rankings were compared between the 3 respondent groups using Spearman's rank correlation coefficient (ρ). Responses from 150 surgeons, 111 patients, and 102 lay individuals from the general population were included for analysis. When ranking rhinoplasty-specific characteristics in order of importance, patients and the general population ranked "ability to breathe through nose while awake" first and "overall appearance of nose" as second. Surgeons ranked "overall appearance of nose" first and "ability to breathe through nose while awake" second. There were strong correlations between patients' and surgeons' rankings (Spearman's ρ=0.836, P =0.002), between patients' and the general population's rankings (Spearman's ρ=0.773, P =0.007), and between surgeons' and the general population's rankings (Spearman's ρ=0.782, P =0.006). Our results highlight a significant correlation between characteristics of the "ideal" nose as determined by patients, surgeons, and the general population.

Adolescents in urban and rural communities in Rivers state, Nigeria: Factors influencing access and utilization of reproductive health services

Introduction: Reproductive health services (RHS) are used and accessed differently in rural and urban areas, though to what extent is unknown. In Rivers State, Nigeria, we identified and examined the characteristics impacting adolescents' access to and use of RHS in rural and urban areas. Methods: A cross-sectional comparative study design was employed, five hundred and seven adolescents—255 from urban and 252 from rural communities—were surveyed. Access and utilization were measured and using adjusted odd ratios in multivariate logistic regression models, predictors of access and utilization were identified. Results: The corresponding median ages and interquartile ranges were 16.0 (14–19) and 14.0 (12–16) years, respectively. RHS utilization was low, with 57 (22.6 percent) in rural areas and 65 (25.5 percent) in urban areas. There was also a lack of access to services; only 8 (3.17 percent) rural and 81 (31.76 percent) urban residents had economic access to RHS. Access and utilization were predicted by age, level of education, awareness of RHS, sexual experience in both communities, beliefs that condoms can prevent STIs/ HIV, and exposure to mass and socio-media influenced access and utilization of RHS. Specifically, age group (15-19 years) of respondents was found to be a significant predictor of utilization of RHS for both urban (cOR=4.32, 95% CI; 0.82-22.69, p=0.001) and rural (aOR=7.65, 95% CI; 1.99-29.40, p=0.003) adolescents. Conclusion: Adolescents in urban areas have more access (3 in 10) and utilization of RHS compared with their rural (3 in 100) counterparts. There is a need to promote information and education on RHS among adolescents, especially in rural areas.

Effect of Texas Abortion Laws on Reproductive Health Attitudes Among Medical Students, Residents, and Faculty: A TTUHSC Study [ID 2683579

INTRODUCTION: In response to Texas Senate Bill 8 and the overturning of Roe v. Wade, we investigated the effect of new abortion laws on attitudes toward reproductive health and abortion within the TTUHSC community in Lubbock, Texas. As abortion remains a vital aspect of reproductive health care, understanding current and future doctors’ sentiments is essential. METHODS: The Omnibus survey was sent electronically to TTUHSC School of Medicine students as well as medical residents, fellows, and faculty. The survey included 25 question sets that branched according to respondent groups and received 318 responses from the TTUHSC community. Using a single predictor model in RStudio, we analyzed gender influence on attitudes toward post-law changes. All participants provided consent for their responses to be used for research purposes. This project was approved for exempt review by the TTUHSC IRB. RESULTS: Of 76 responses, 63% strongly agreed that medical education should address Texas abortion law changes. Females showed more desire (73%) for education changes (P=.0059). Gender also affected opinions on counseling limitations due to new laws (P=.0167) and obstetrics and gynecology residents’ abortion training (P=.0063). CONCLUSION: Most participants favored educating students about law changes, perceived counseling limitations, and obstetrics and gynecology training for abortions. Females consistently aligned with these sentiments. The gender-based disparities underscore a medical education gap exacerbated by the new laws. Ambiguities in current laws may affect clinical practice. Addressing these findings is crucial and encompasses integrating ethical considerations, legal nuances, and procedures into the medical education framework to produce competent, compassionate practitioners.

Need analysis for innovation in integrated learning models for micro-teaching course: Explanatory sequential design

One of the keys to successful learning model development is conducting a comprehensive needs analysis on actual performance, desired performance, and causes of performance gaps. This research aims to analyze student performance needs so that they can become a credible basis for consideration when designing the syntax of learning experiences for integrated learning models for micro-teaching courses. Researchers used an explanatory sequential design when completing the study, so quantitative research became the main focus for data collection and analysis, which was emphasized by qualitative studies. There were 107 research respondents, namely 75 students, two lecturers, and 30 physical education teachers. Data on actual performance, desired performance, and causes of performance gaps on the variables of teaching skills, analytical thinking skills, academic integrity, and transformational leadership were collected using 12 statements. Qualitative data was collected using semi-structured interviews. Data were analyzed descriptively and with Kruskal-Wallis to test differences in actual performance and desired performance of the three groups of respondents. Meanwhile, for qualitative data, researchers used thematic analysis. The results of the Kruskal-Wallis test prove that there are no significant differences between the three groups of respondents in actual performance (0.365 0.05) or desired performance (0.758 0.05). Students, lecturers, and teachers agree that teaching skills, analytical thinking skills, academic integrity, and transformational leadership are important requirements in developing integrated learning models. Meanwhile, the causes of performance gaps are not limited to lack of training experience, lack of opportunity to analyze problems and make decisions, lack of role models, or lack of support from lecturers and colleagues in lectures. Thus, in developing the model, the performance tasks designed must be able to overcome this performance gap by increasing students' experience in operational and clinical exercises during lectures

Blind spots in medical education – International perspectives

Background All individuals and groups have blind spots that can create problems if unaddressed. The goal of this study was to examine blind spots in medical education from international perspectives. Methods From December 2022 to March 2023, we distributed an electronic survey through international networks of medical students, postgraduate trainees, and medical educators. Respondents named blind spots affecting their medical education system and then rated nine blind spot domains from a study of U.S. medical education along five-point Likert-type scales (1 = much less attention needed; 5 = much more attention needed). We tested for differences between blind spot ratings by respondent groups. We also analyzed the blind spots that respondents identified to determine those not previously described and performed content analysis on open-ended responses about blind spot domains. Results There were 356 respondents from 88 countries, including 127 (44%) educators, 80 (28%) medical students, and 33 (11%) postgraduate trainees. At least 80% of respondents rated each blind spot domain as needing ‘more’ or ‘much more’ attention; the highest was 88% for ‘Patient perspectives and voices that are not heard, valued, or understood.’ In analyses by gender, role in medical education, World Bank country income level, and region, a mean difference of 0.5 was seen in only five of the possible 279 statistical comparisons. Of 885 blind spots documented, new blind spot areas related to issues that crossed national boundaries (e.g. international standards) and the sufficiency of resources to support medical education. Comments about the nine blind spot domains illustrated that cultural, health system, and governmental elements influenced how blind spots are manifested across different settings. Discussion There may be general agreement throughout the world about blind spots in medical education that deserve more attention. This could establish a basis for coordinated international effort to allocate resources and tailor interventions that advance medical education.

Veterinary anesthesia: an opportunity to reduce the environmental footprint of clinical care.

Volatile anesthetic agents are potent greenhouse gases with warming potential hundreds to thousands of times greater than CO2. As health systems, both human and veterinary, seek to reduce their environmental impacts, responsible anesthetic stewardship is a topic of great interest. Through an online survey, we explored the levels of awareness, beliefs, interest, needs, and current actions of veterinary anesthesia professionals around the climate impacts of anesthetic care. We found that even within a respondent group with specialized training and experience, there were significant knowledge gaps about anesthesia's environmental impacts. We also found there is much interest in learning more about climate-friendly anesthesia and broader sustainability initiatives for the veterinary profession. Fortunately, there already exist many ways for the profession to reduce our environmental impact while still providing excellent patient care. In this article, we explore 5 broad categories of action: (1) reducing the overall quantity of anesthetic agent used; (2) choosing lower-impact anesthetics; (3) considering the fate of the anesthetic end product; (4) expanding learning through formal education, experience, and research; and (5) reaching beyond anesthesia to implement a range of sustainability initiatives at veterinary workplaces. Together, we have an opportunity to create a healthier future for our world, our patients, and each other.

Tool for assessment of attitudes for applying a new approach in the decision-making process for reimbursement list in Bosnia and Herzegovina

The healthcare structure in Bosnia and Herzegovina is decentralized, thus facing patients with unequal access to healthcare services especially for medicines. We attempted to develop a tool for assessment of the stakeholders’ opinion, and with the further research we will propose the model that can bring equality in Bosnia and Herzegovina. The developed tool will examine the attitudes and opinions for introducing new methods in the decision-making process during the listing of medicines for the reimbursement list in Bosnia and Herzegovina. An update of the country’s legislation can be presented based on the research results. The tool was developed using the Delphi method. The experts who were included in the Delphi panel are qualified for rating and discussing questions. The questionnaire was validated on a 5-point Likert scale, and additional comments or clarification are optional. Introductory interviews were held face to face with each expert individually; after that the panel was anonymous. After 3 rounds of Delphi, the created tool was checked through a pilot study. The developed tool was categorized into three groups based on the KAP survey (Knowledge, Attitudes, Perceptions). All questions were verified in pilot and with the results for Cronbach’s alpha 0.96. This shows sufficient reliability of the created questionnaire, and it can be administered to a larger group of respondents, which has been planned for further research. The findings provide reliable information useful for planning the country’s legislation updates and planning for the introduction of a new approach in the decision-making process.

Understanding psychological outcomes following exposure to potentially morally injurious events in animal care: development of the Moral Distress-Posttraumatic Growth Scale for Veterinary Professionals

ABSTRACT Aims To generate a taxonomy of potentially morally injurious events (PMIE) encountered in veterinary care and develop an instrument to measure moral distress and posttraumatic growth following exposure to PMIE in the veterinary population. Methods Development and preliminary evaluation of the Moral Distress-Posttraumatic Growth Scale for Veterinary Professionals (MD-PTG-VP) employed data from veterinary professionals (veterinarians, veterinary nurses, veterinary technicians) from Australia and New Zealand across three phases: (1) item generation, (2) content validation, and (3) construct validation. In Phase 1 respondents (n = 46) were asked whether they had experienced any of six PMIE and to identify any PMIE not listed that they had experienced. In Phase 2 a different group of respondents (n = 11) assessed a list of 10 PMIE for relevance, clarity and appropriateness. In Phase 3 the final instrument was tested with a third group of respondents (n = 104) who also completed the Short Post-Traumatic Stress Disorder Rating Interview (SPRINT), a measure of posttraumatic stress, and the Stress-Related Growth Scale–Short Form (SRGS-SF) a measure of perceived posttraumatic growth. Spearman’s correlation coefficients were calculated between respondent scores on each of the MD-PTG-VP subscales, the SPRINT, and the SRGS-SF to assess construct validity. Results A 10-item taxonomy of PMIE encountered in veterinary care was generated in Phase 1. Items were deemed relevant, clear and appropriate by veterinary professionals in Phase 2. These were included in the developed instrument which measures frequency and impact of exposure to 10 PMIE, yielding three subscale scores (exposure frequency, moral distress, and posttraumatic growth). Assessment of construct validity by measuring correlation with SPRINT and SRGS-SF indicated satisfactory validity. Conclusions The MD-PTG-VP provides an informative tool that can be employed to examine professionals’ mental health and wellbeing following exposure to PMIE frequently encountered in animal care. Further evaluation is required to ascertain population norms and confirm score cut-offs that reflect clinical presentation. Clinical relevance Once fully validated this instrument may be useful to quantify the frequency and intensity of positive and negative aspects of PMIE exposure on veterinary professionals so that accurate population comparisons can be made and changes measured over time.

Can Picture Dictionaries Unlock Vocabulary Mastery? Unveiling Insights Through Quasi-Experimental Research

The current study assessed the effectiveness of employing a Picture Dictionary to enhance the vocabulary acquisition of junior high school learners. A significant improvement in vocabulary comprehension was found to have been correlated with learners taking advantage of a visual dictionary compared to those who did not use such a resource. This idea points out that visual dictionaries could be a good option for students to enhance their vocabulary acquisition efforts. This research used a quasi-experimental design and the test as the research instrument to determine the students' vocabulary mastery. In this research, the test is the research instrument to determine the student's vocabulary mastery. This research has been conducted on seventh-grade students in the academic year 2022-2023 with a total sample of sixty respondents. A random sampling technique was employed to determine the group of respondents. The experimental and control groups' average scores differ, as determined by the data analysis. By comparison, the control group attained an average score of 61.7, but the group participating in the experiment attained a mean score 80. The average scores indicate that the group participating in the experiment achieved a mean score greater than the control class.