Higher Average Scores Research Articles

Abstract 4147628: A Mixed Methods Analysis of Patient Knowledge in Peripheral Artery Disease

Introduction: Patient knowledge of lower extremity peripheral artery disease (PAD) is low compared to other cardiovascular diseases. Research Questions/Hypothesis: We hypothesize that demographic and socioeconomic factors impact patient knowledge of PAD. Goals/Aims: To obtain qualitative description of and identify factors associated with patient knowledge of PAD. Methods/Approach: We performed a convergent parallel mixed methods study of participants with an established PAD diagnosis. Participants completed an 87-item survey assessing demographics, awareness of PAD diagnosis, and PAD knowledge. Functional health literacy (FHL) was measured using the short Test of Functional Health Literacy Assessment. Multivariable linear regression was used to identify factors associated with PAD knowledge scores. Semi-structured interviews were used to describe understanding of PAD. Transcripts were analyzed with inductive and deductive coding, and a constant comparative approach was used to identify themes. Results/Data: There were 91 participants (77.2% response rate, 49.5% female, 29.7% Black, mean age 68.6 years). Most participants (51.7%) had chronic limb-threatening ischemia and 17.6% had a previous major amputation. While 21.3% had poor FHL and 24.4% were unaware of their PAD diagnosis, the average knowledge score was 79.1%. On bivariate analysis, non-White race, non-ambulatory status, poor FHL, lack of awareness of PAD diagnosis, and not knowing the chronicity of diagnosis were inversely associated with knowledge score. Multivariate linear regression showed that poor FHL, non-White race, and not knowing the chronicity of PAD diagnosis were independently associated with low PAD knowledge. Qualitative analysis of 22 participants revealed that patients have difficulty understanding the name “PAD”, confuse PAD with other comorbidities, and have incorrect beliefs about PAD despite high knowledge scores. Conclusions: Knowledge of PAD is associated with health literacy. However, patients have incorrect beliefs and difficulty understanding the terminology associated with PAD despite a high average knowledge score. Knowledge scores may not adequately reflect understanding. Future research will focus on optimizing patient education, identifying strategies to appropriately gauge patient understanding, and understanding the association between knowledge and behavior in PAD.

Attitude of Healthcare Providers Towards Care of People with Disabilities, in Hail Region, Saudi Arabia.

Disability, whether congenital or acquired, poses significant challenges that affect individuals' physical, mental, psychological, and social functioning. This study aimed to examine the attitudes of healthcare providers in Hai'l City towards people with disabilities. A cross-sectional design was used, involving 321healthcare providers from the Hai'l region, employing the Scale of Attitudes towards Disabled Persons (SADP) for data collection. The data were collected through an online survey and analyzed using SPSS 26. The results indicated a generally positive attitude of healthcare providers towards people with disabilities, with mean scores exceeding 89 across various groups. Older providers (over 35 years old) exhibited the highest positivity rate (92.57), although differences in age, sex, educational level, years of experience, and professional role were not statistically significant. Master's degree holders had the highest average score (93.52), but the differences remained statistically insignificant. The study concludes that while healthcare providers generally have positive attitudes towards people with disabilities, there is a critical need for comprehensive training programs to enhance the quality of care provided. Future research should extend to other regions and employ qualitative methods to gain deeper insights into healthcare providers' attitudes toward and experiences with people with disabilities.

Attitudes of puerperal women toward health literacy and family planning: A cross-sectional studyAttitudes of puerperal women toward health literacy and family planning: A cross-sectional study

The research was conducted to evaluate the correlation between health literacy and family planning attitude of puerperal women. In this cross-sectional study, was carried out with 258 puerperal women in a public hospital in the Mediterranean region of Turkey. The data were collected using the Mother Introductory Information Form, Postpartum Family Planning Attitude Scale, and Health Literacy Scale. The data were evaluated using Independent Groups t-test, ANOVA and Sperman’s correlation analysis. In the study, the puerperal women who had high level of educational status, worked in an income-generating job, had used contraceptives before pregnancy were found to obtained high average scores from the Family Planning Scale. The health literacy levels of those who were employed, had social security and had cesarean delivery were also high. The research shows that there is a positive correlation between health literacy and family planning attitudes of puerperal women.

메타버스와 인공지능을 반영한 최신 음악교육매체 기반예비교사 교육과정 적용 및 경험 탐색

The study aims to examine experiences and draw implications by designing and applying a pre-service teacher curriculum based on the latest media in music education that reflects of the metaverse and artificial intelligence. Using backward design as stage, 15-session curriculum was planned, and appropriate media were selected for each session. To analyze the experience of pre-service teachers, the survey was planned with 8 TPACK questions of technological pedagogical content knowledge and 9 questions of instructional self-efficacy, and the subjective experience was closely examined by analyzing reflective journals, performance tasks, observation diaries, and learning management systems (LMS). As a result, a significant increase in the mean TPACK scores of pre-service teachers was observed. Observations indicated that tailored learning tools could be developed using media functions, and media-based instruction methods were effectively recognized. Descriptive analysis of the self-efficacy survey revealed high average scores, particularly in 'motivation' and 'instruction planning suitable for social flow,' while 'strategies for underachievement' showed relatively low scores. To improve the media-based curriculum: First, media-based curricula should be implemented considering the various levels of prospective teachers and should have sufficient time. Second, suitable media must be selected in elementary classrooms, considering student differences, and a curriculum addressing underachievement is needed. Third, a stable digital environment should be ensured through regular checks of equipment, with additional support for headsets during sound editing. This study hopes to help pre-service teachers enhance their technological pedagogical content knowledge and develop media-based music education for the digital age.

The Effect of Cooperative Learning Model Type Think Pair Share (TPS) on Student Learning Outcomes

This study aims to examine the effect of the Think Pair Share (TPS) Cooperative Learning Model on the learning outcomes of Class X students in the Accounting Expertise program at SMK Negeri 1 Gowa. The research employs an experimental design with a posttest-only control group, involving two groups: an experimental group utilizing the TPS model and a control group receiving conventional instruction. The sample consists of 68 students, divided equally between the two groups, selected through purposive sampling. Data collection techniques include observation, documentation, and tests, while data analysis is performed using SPSS 27.0 for Windows, encompassing descriptive statistics, validity tests, and hypothesis testing. The findings indicate that the TPS Cooperative Learning Model was implemented effectively, with a high average score of 91.2% in the experimental group. Descriptive analysis reveals that the learning outcomes in the experimental group averaged 86.24, significantly higher than the control group’s average of 61.76. Regression analysis shows a significant positive effect of the TPS model on learning outcomes, with a regression equation of Y' = 40.312 + 0.499X and a determination coefficient of 44.1%, indicating that the TPS model accounts for 44.1% of the variance in learning outcomes. The t-test results confirm that the TPS model significantly enhances learning outcomes (p < 0.05). These results align with previous studies and support the theoretical framework that cooperative learning models, particularly TPS, enhance student engagement and academic performance.

Aligning Large Language Models for Enhancing Psychiatric Interviews Through Symptom Delineation and Summarization: Pilot Study.

Recent advancements in large language models (LLMs) have accelerated their use across various domains. Psychiatric interviews, which are goal-oriented and structured, represent a significantly underexplored area where LLMs can provide substantial value. In this study, we explore the application of LLMs to enhance psychiatric interviews by analyzing counseling data from North Korean defectors who have experienced traumatic events and mental health issues. This study aims to investigate whether LLMs can (1) delineate parts of the conversation that suggest psychiatric symptoms and identify those symptoms, and (2) summarize stressors and symptoms based on the interview dialogue transcript. Given the interview transcripts, we align the LLMs to perform 3 tasks: (1) extracting stressors from the transcripts, (2) delineating symptoms and their indicative sections, and (3) summarizing the patients based on the extracted stressors and symptoms. These 3 tasks address the 2 objectives, where delineating symptoms is based on the output from the second task, and generating the summary of the interview incorporates the outputs from all 3 tasks. In this context, the transcript data were labeled by mental health experts for the training and evaluation of the LLMs. First, we present the performance of LLMs in estimating (1) the transcript sections related to psychiatric symptoms and (2) the names of the corresponding symptoms. In the zero-shot inference setting using the GPT-4 Turbo model, 73 out of 102 transcript segments demonstrated a recall mid-token distance d<20 for estimating the sections associated with the symptoms. For evaluating the names of the corresponding symptoms, the fine-tuning method demonstrates a performance advantage over the zero-shot inference setting of the GPT-4 Turbo model. On average, the fine-tuning method achieves an accuracy of 0.82, a precision of 0.83, a recall of 0.82, and an F1-score of 0.82. Second, the transcripts are used to generate summaries for each interviewee using LLMs. This generative task was evaluated using metrics such as Generative Evaluation (G-Eval) and Bidirectional Encoder Representations from Transformers Score (BERTScore). The summaries generated by the GPT-4 Turbo model, utilizing both symptom and stressor information, achieve high average G-Eval scores: coherence of 4.66, consistency of 4.73, fluency of 2.16, and relevance of 4.67. Furthermore, it is noted that the use of retrieval-augmented generation did not lead to a significant improvement in performance. LLMs, using either (1) appropriate prompting techniques or (2) fine-tuning methods with data labeled by mental health experts, achieved an accuracy of over 0.8 for the symptom delineation task when measured across all segments in the transcript. Additionally, they attained a G-Eval score of over 4.6 for coherence in the summarization task. This research contributes to the emerging field of applying LLMs in psychiatric interviews and demonstrates their potential effectiveness in assisting mental health practitioners.

Psychoeducation of higher education seekers with using of the resource-oriented model of stress resiliency in war conditions

The article presents the study results of resiliency modalities and the content of psychoeducational measures for higher education seekers in war conditions. The purpose of the study was to increase the effectiveness and to balance resiliency modalities use by higher education seekers in war conditions while using psycho-educational measures. 174 seekers of higher education were examined, including 144 students of the 4th-6th year of the medical faculty and the faculty of medicine and pharmacy of the Dnipro State Medical University, specializing in 222 «Medicine» (main group) and 30 students of the 4th-5th year of the metallurgical and electro-metallurgical faculties of the Ukrainian State University of Science and Technology (comparison group). A psy­chodiagnostic method using the resource-oriented model of stress resiliency "BASIC Ph" was employed. The first stage involved a statistical analysis of resiliency modalities and their average scores in both groups. In all participants of the main group, it was found that the highest average score was registered in the resiliency modality “Cognitive strategy”. The lowest score was observed for the “Social support” modality. In all participants of the comparison group, it was found that the “Cognitive strategy” modality, as in the main group, had a clear advantage over other modalities, and the lowest score was already observed for the “Emotions” modality. These results formed the basis for creating psychoeducational measures for stress resiliency among higher education seekers in wartime. Psychoeducation for higher education seekers was conducted from September to November 2023, including lectures and individual conversations upon request. The «BASIC Ph» model of stress resiliency was utilized as a framework for determining optimal human resource utilization during crises, with six modalities forming individual style of resiliency. It is crucial to identify dominant modalities and develop those that are less effective. The identified stress resiliency modalities provided a conceptual basis for developing of psychoeducational measures to enhance their effective and balanced use in war situations among higher education seekers. During psychoeducational work with higher education seekers, their resiliency models were analyzed, interpreted, and balanced. Study results should be taken into account in psychological support efforts for higher education seekers in war and post-war time.

Relationship Between Job Satisfaction and Various Factors of the Job Demand-Control-Support Model Among Iranian Nurses: Structural Equation Modeling Modeling Study

Background: Stress at work is a significant occupational risk that diminishes performance and job satisfaction. Objectives: This study aimed to assess the relationship between job satisfaction and various factors of the job demand-control-support (JDCS) model among 840 nurses working in public hospitals affiliated with Mazandaran University of Medical Sciences, Iran. Methods: The Job Content Questionnaire and the Minnesota Satisfaction Questionnaire were utilized to assess various aspects of the JDCS model and job satisfaction, respectively. The structural equation model (SEM) was employed to explore the relationships between variables. A significance level of P &lt; 0.05 was considered. Results: The findings revealed that the highest average scores were for skill discretion (30.92 ± 10.34) and decision authority (30.82 ± 6.91), while the lowest mean scores were related to social support (21.37 ± 7.60) and job insecurity (7.78 ± 1.49), indicating high levels of job stress among participants. The study identified direct and positive relationships between demand and control (r = 0.58, P = 0.021), control and support (r = 0.51, P = 0.032), and demand and support (r = 0.87, P = 0.009). Social support had a positive influence on job satisfaction (standardized = 0.75, P = 0.008) and a negative effect on job insecurity (standardized = -0.56, P = 0.009). Control negatively impacted job insecurity (standardized = -0.1, P = 0.02) and positively affected job satisfaction (standardized = 0.012, P = 0.012). Additionally, "job insecurity" moderated the effect of "control" on "job satisfaction" (standardized = 0.02, P = 0.005). Conclusions: Higher job demands and control contribute to increased dissatisfaction and insecurity among nurses. Conversely, nurses who receive more social support feel more secure and satisfied. To enhance job satisfaction and reduce insecurity, efforts should focus on increasing support and managing control and demand, as these factors significantly influence job performance and satisfaction.

Women academic leaders in Saudi universities: Educational and psychological vision

There is limited understanding of women's leadership roles in Saudi Arabian university education, leading to a gap in scholarly literature despite significant advancements made by Saudi women in this field. However, they encounter several obstacles when striving for leadership roles at universities. This study seeks to examine the state of women's academic leadership within Saudi universities from an educational and psychological perspective, pinpointing the key challenges they face in obtaining such positions. The findings reveal that women leaders face various challenges, with organizational obstacles being the most significant, receiving a high average score of 4. Additionally, cultural and social barriers scored an average of 3.51, also rated highly, followed by psychological barriers with an average score of 3.26, which received a medium rating. Participants suggested comprehensive reforms to mitigate these challenges, notably implementing Saudi Vision 2030 principles and initiatives, which advocate for women faculty members to take on leadership roles at universities. These insights could not only benefit Saudi Arabia but also the wider Arab Gulf region, the Middle East, and other areas with similar conditions.

Development of Physics Websites Based on STEM Assisted of Google Sites on Momentum and Impulse Materials to Improve Creative Thinking Skills

Goals of this study to determine effect of applying physics websites based on STEM assisted of Google Sites to advance student’s creative thinking skills for momentum and impulse materials. Method in this research is R&amp;D by using ADDIE Models, and for experimental using one group research design pretest-posttest design. Collecting data technique are questionnaire and instrument test (pretest and posttest). The Data was obtained in SMA Negeri 1 Berau, with the respondent in this study 32 students from X MIPA 1, data analyzed by Software IBM SPSS Statistics 25 for Descriptive statistics, Sign Test and Reliability test. The research results showed that the instrument which have been developed was reliable. the results obtained that the website developed is practical for learning. The treatment given is able to advance students' creative thinking skills, which showed from the high average post-test score compared to the pre-test. The Profile Student’s creative thinking skills each indicator showing that for indicator originality, flexibility, and elaboration has increase, but there is no difference value for indicator fluency

Evaluation of Videos Related to Vaginal Cone Usage on YouTube as an Online Information Source.

The aim of this study is to examine the quality and content characteristics of educational videos on the use of vaginal cones published on YouTube. Video searches were conducted on the YouTube website using the keyword "usage of vaginal cones". A total of 52 videos were included in the current study. Modified DISCERN (mDISCERN) and Journal of the American Medical Association (JAMA) scales were used to evaluate the reliability of the videos, and the Global Quality Scale (GQS) was used for quality and usefulness. As a result of the content analysis conducted, it was observed that 29 videos were classified as having "poor content" and 23 as "rich content." When we examined the sources of the videos (n = 52), it was found that the majority (58%, n = 30) were produced by nonhealth care sources (medical companies and nonhealth professionals). With statistical significance in mDISCERN and GQS (p = 0.014, p = 0.036), physiotherapists were found to have the highest average scores (4.11 ± 1.05, 3.44 ± 0.73) whereas doctors ranked second in the average standard deviation (3.09 ± 1.04, 2.82 ± 0.98). In JAMA, medical companies were found to have the highest average score with statistical significance (p = 0.015) at 3.4 ± 0.74, followed by doctors at 3 ± 1, and physiotherapists at 2.89 ± 0.78 when averages were analyzed. It is clearly evident that there is a need for higher quality and more reliable vaginal cone content database on YouTube. It is important for patients to be guided by health care professionals and informed about quality content criteria in order to access quality, reliable, and useful information.

Quality of Life in Patients Living with Andro-gentic Alopecia: A Cross Sectional Observational Study

Alopecia is a chronic dermatological disorder in which people lose some or all of the hair on their head and sometimes on their body as well. It is a chronic inflammatory disease that affects the hair follicles. It is neither life threatening nor painful, though there can be irritation of the skin, as well as physical problems resulting from the loss of eyelashes and eyebrows.This study aim to improve the quality of life and prescription pattern in androgenic alopecia. The goal of the study was to assess the quality of life of subjects living androgenic alopecia and to assess the prescription pattern of subjects with androgenic alopecia.This was a cross sectional observational study. The study was conducted Outpatient department of Dermatology in ESI MC PGIMSR, Rajajinagar. All the subjects (n=36) meeting the inclusion and exclusion criteria were briefed about the purpose of the study and the informed consent was obtained. The subject’s demographic details and responses were collected with the help of a standardized questionnaire. The collected data were entered in Microsoft Excel and appropriate descriptive analysis was performed. It was observed that a majority of the subjects were prescribed with minoxidil 5% (58.33%). On comparing the QOL scores, in each domain it was found that emotion has the highest average while the function has lowest average. scores in subjects of different age groups, it was found that the subjects belonging to the age groups 26-35 groups had high average scores (32.84%) and 36-45 groups had low average scores (28.96%).From this study, we got to know that the quality of life of male gender is affected more rather than female. Minoxidil 5% was most commonly prescribed drug and overall dosage form prescribed were topical agent.

Caring Behaviour Perceived by Nursing Students; Gender Perspective

Objective: This study aims to determine the care perceptions of nursing students according to the gender perspective. Methods: This study type is cross-sectional, quantitative, and descriptive comparative study. In this study total sample of nursing students (n=495), consisting of Turkish students (n=334) and International students (n=161) from class/year one to four in the Faculty of Nursing were analysed. The data of the study were collected using the Student Assessment Forms and the Care Behavior Inventory and evaluated by IBM SPSS version 22.0. Nurses’ and patients’ caring behavior perceived by nursing students and other related factors were compared using both inferential and descriptive statistics. Results: In this study, 69.9% of the participants were female, 30.1% were male. While the total score of the female nursing students was 5.23±0.69, the score of the male nursing students was 5.18±0.81. The difference between the total and subgroups’ score of the students according to their gender was not statistically significant. But, there is significant difference in the sub-dimensions of the scale according to the gender of the participants with their some characteristics. Conclusions: In this study, no significant difference was found between gender and perception of care in the scale total mean score of the participants. On the other hand, the fact that female students have higher average scores on the scale than male students reveal that the gender variable has an effect on the perception of care.

Comparing answers of artificial intelligence systems and clinical toxicologists to questions about poisoning: Can their answers be distinguished?

To present questions about poisoning to 4 artificial intelligence (AI) systems and 4 clinical toxicologists and determine whether readers can identify the source of the answers. To evaluate and compare text quality and level of knowledge found in the AI and toxicologists' responses. Ten questions about toxicology were presented to the following AI systems: Copilot, Bard, Luzia, and ChatGPT. Four clinical toxicologists were asked to answer the same questions. Twenty-four recruited experts in toxicology were sent a pair of answers (1 from an AI system and one from a toxicologist) for each of the 10 questions. For each answer, the experts had to identify the source, evaluate text quality, and assess level of knowledge reflected. Quantitative variables were described as mean (SD) and qualitative ones as absolute frequency and proportion. A value of P .05 was considered significant in all comparisons. Of the 240 evaluated AI answers, the expert evaluators thought that 21 (8.8%) and 38 (15.8%), respectively, were certainly or probably written by a toxicologist. The experts were unable to guess the source of 13 (5.4%) AI answers. Luzia and ChatGPT were better able to mislead the experts than Bard (P = .036 and P = .041, respectively). Text quality was judged excellent in 38.8% of the AI answers. ChatGPT text quality was rated highest (61.3% excellent) vs Bard (34.4%), Luzia (31.7%), and Copilot (26.3%) (P .001, all comparisons). The average score for the level of knowledge perceived in the AI answers was 7.23 (1.57) out of 10. The highest average score was achieved by ChatGPT at 8.03 (1.26) vs Luzia (7.02 [1,63]), Bard (6.91 [1.64]), and Copilot (6.91 [1.46]) (P .001, all comparisons). Luzia and ChatGPT answers to the toxicology questions were often thought to resemble those of clinical toxicologists. ChatGPT answers were judged to be very well-written and reflect a very high level of knowledge.

The Influence of Motivation and Competences on Amil’s Work Productivity at the National Amil Zakat Institution Dompet Dhuafa

Zakat is an important instrument in efforts to eradicate poverty in society. Dompet Dhuafa has implemented a fundraising strategy through technology aimed at increasing the collection of zakat funds. Increasing zakat collection needs to be balanced with the ability to distribute zakat funds and readiness to face potential risks. Amil's work productivity is needed to be able to collect large amounts of zakat funds and at the same time be able to distribute zakat funds. This research aims to analyze the influence of work motivation and amil's competence on amil's work productivity at LAZNAS Dompet Dhuafa. This research uses a quantitative-descriptive approach. Respondents in this study were 75 people using simple random sampling techniques. Data was collected through filling out questionnaires by respondents. The results of the research show that the processing indicators influence the test using PLS-SEM (Structural Equation Model). The results of the research show that the indicators which have the highest average score on each variable include the need for affiliation on the work motivation variable, spiritual competence on the amil competence variable, and ability and improving the results achieved on the work productivity variable, test results of the model of the influence of work motivation and Amil's competence on work productivity shows an R-Square figure of 0.47 while the remaining 0.53 is influenced by other factors not examined in this research. Another finding from the influence test results is that the amil competency coefficient has a significant direct influence of 0.655. This shows that the better the amil's competence, the higher the work productivity produced by the amil. This research has limitations in the variables studied and the number of respondents. This research has high originality because it is in accordance with the challenges faced by national zakat institutions today. Keywords: Amil Zakat, Motivation, Competence, Work Productivity

Development of Independent Curriculum Printable Modules Pancasila Education Subject Class V SD Nurul Islam Cileungsi

This study aims to develop learning media in the form of printed modules for the Merdeka Curriculum in the fifth grade Pancasila Education subject at SD Nurul Islam, Bogor Regency. This research uses a combination of the Borg and Gall development model with Rowntree which results in a development model with the following steps; preliminary study, planning, writing preparation, initial draft development, initial trial, revision of trial results, main product field test, product revision, wide-scale field trial, final product revision and module dissemination and implementation. The feasibility test uses the validation of material experts, media experts and instructional design experts and considers the results of the user test of students and teachers. The material experts' feasibility test yielded results of 91%, the media design experts' 90%, the instructional design experts' 87%, the student users' 94%, and the instructor users' 94%. received the designation of "extremely feasible" overall. These findings suggest that using printed modules to enhance the learning outcomes of fifth-grade Pancasila Education pupils at Nurul Islam Elementary School is rather practical. According to the study of the pretest and posttest findings, students' average pretest score was 55, their average posttest score was 91, and their highest average score was 100. The effectiveness test yielded a value of 0.8 in the high category, or percented to 80, based on the N-Gain score formula findings. A conversion level of &gt; 76 indicates that the N-Gain score attainment level is considered effective. Therefore, using the Merdeka curriculum print module helps students in class V at Nuurl Islam Elementary School achieve better learning results in Pancasila Education courses. Based on these findings, it can be concluded that the development of the Merdeka curriculum print module in Pancasila Education subjects in grade V SD Nurul Islam is feasible and effective to use.

Exploring Risk Perception, Mental Health, Mental Fatigue, Stigma, and the Quality of Life among UAE Healthcare Workers during the COVID-19 Pandemic: A National Multicentric Cross-Sectional Study.

Globally, the COVID-19 pandemic has presented serious mental health challenges for healthcare professionals. This study investigated the mental health, mental fatigue, quality of life, and stigma of social discrimination among healthcare workers in the United Arab Emirates (UAE) during the COVID-19 pandemic. A correlational, cross-sectional, multi-centric design was employed to collect data from 1383 healthcare workers across various healthcare settings. Participants were recruited using combined cluster and purposive sampling techniques. Standardized questionnaires, including the COVID-19 Pandemic Mental Health Questionnaire (CoPaQ), the Mental Fatigue Scale (MFS), the Social Discrimination Scale-Stigma Subscale (SDS), and the WHO Quality of Life Questionnaire-Brief (WHOQOL-BREF), were administered to assess the study variables. The results indicated significant mental health impacts, with high average scores for post-traumatic stress disorder (PTSD) (9.37 ± 6.74) and positive coping by inner strengths (17.63 ± 5.72). Mental fatigue was prevalent (8.15 ± 8.62), and stigma of social discrimination scored notably (23.83 ± 7.46). Quality of life was the highest in the social domain (65.38 ± 24.58). Significant correlations were observed between mental health subscales, mental fatigue, and quality of life domains. These findings highlight the critical need for targeted mental health support programs, improved social support networks, and personalized interventions to mitigate the mental health challenges faced by healthcare workers. Healthcare organizations can guarantee a resilient workforce that can handle future health crises by giving mental health resources and support systems top priority.

Insights into the Quality of Mobile Health Apps: Preliminary Results of an Analysis of MARS Scores.

Many mHelath applications have been developed, and the Mobile App Rating Scale (MARS) is a common tool for assessing them. This study aims to provide mean values for MARS scores found in recent literature. We systematically searched for literature in which MARS was used and analyzed them. MARS values for 5,920 applications from 215 studies were compiled. The mean MARS Quality Score is 3.51. The highest average score was achieved in the Functionality category (3.98), followed by Aesthetics (3.52), Information (3.33), Engagement (3.18) and Subjective (2.72). To the best of our knowledge, this is the first study to calculate average values for the five categories of the MARS and the MARS score based on such an extensive collection of data. The study shows that the overall quality of the applications is above the average value of 2.5.

Correlation of internalized stigma with self-esteem, social support and coping styles in patients with rheumatoid arthritis: A cross-sectional study.

To understand the status of internalized stigma in patients with rheumatoid arthritis (RA) and explore its relationship with self-esteem, social support, and coping style. This cross-sectional study selected patients with RA who visited the Rheumatology and Immunology Department of a tertiary hospital from May 2022 to May 2023. The Chinese versions of the Internalized Stigma of Mental Illness Scale-Rheumatoid Arthritis (ISMI-RA), Social Support Rating Scale, Rosenberg Self-Esteem Scale, and Medical Coping Style Questionnaire were administered to assess the internalized stigma, social support, self-esteem, and coping styles, respectively. The Pearson correlation test or Spearman rank correlation was then used to analyze the correlation between these measures. Overall, 69.5% participants reported high level of internalized stigma. The average age of the 174 participants was 52.67 ± 12.24 years, with 87.36 per cent female patients. The mean ISMI-RA score was 54.49 ± 9.62, and the ISMI-RA subscale with the highest average score was alienation. The Pearson's correlations show that internalized stigma was positively associated with the coping styles of avoidance (r = .212, p < .01) and acceptance (r = .560, p < .01), and that internalized stigma was negatively associated with the coping styles of confrontation (r = -.479, p < .01), social support (r = -.570, p < .01), and self-esteem(r = -.512, p < .05). The high level of internalized stigma in RA patients suggests that we should develop interventions to improve patients' self-esteem, encourage them to adopt positive coping styles, and gain more social support for them, so as to alleviate their internalized stigma.

The Impact of Realistic Mathematics Education-based Student Worksheet for Improving Students’ Mathematical Problem-Solving Skills

&lt;p&gt;&lt;span lang="EN-US"&gt;Mathematical problem-solving ability is a critical skill required to meet the challenges of the 21st century, making it imperative for Indonesian students to master these skills. However, international assessments have consistently shown that Indonesian students' competencies, particularly in mathematical problem-solving, remain low. Research attributes this deficiency to the lack of connections between mathematical concepts and real-life applications, which are essential for enhancing problem-solving skills. On the other hand, Realistic Mathematics Education (RME) is a learning approach that emphasizes the integration of real-world contexts in learning activities and has been shown to improve these skills. Therefore, this study aims to develop a student worksheet based on the RME approach to enhance students' problem-solving abilities. The development process followed the ADDIE model, which includes the stages of analysis, design, development, implementation, and evaluation. Various research and development instruments were employed, including validation by material and media experts, student assessments of the electronic worksheets, and pre-test and post-test evaluations. Data collection methods encompassed both non-test and test techniques. The results demonstrate that the developed student worksheets are valid, practical, and effective. The validity was confirmed by high average scores from material and media expert validators, categorizing the worksheets as valid. Practicality was supported by positive student assessments, placing the worksheets in the practical category. These findings indicate that the developed worksheets significantly enhance students' problem-solving abilities. This study provides empirical evidence supporting the effectiveness of the RME approach in improving mathematical problem-solving skills among Indonesian students. It also offers a theoretical and practical framework for advancing mathematics education in Indonesia, advocating for the adoption of learning approaches that better address the demands of the 21st century. Detailed analysis of the product's acceptability and impact will be discussed further in the paper.&lt;/span&gt;&lt;/p&gt;