Inadequate Time Research Articles

Factors Influencing Physical Medicine and Rehabilitation Trainee Research Engagement.

Research engagement during physical medicine and rehabilitation residency and fellowship training is essential for advancing evidence-based medicine and fostering the development of clinician-scientists. Current Accreditation Council for Graduate Medical Education guidelines regarding research requirements during physical medicine and rehabilitation training are ambiguous, and it is unknown whether physical medicine and rehabilitation trainees receive adequate support to pursue research at the level they desire. This anonymous survey study aimed to identify perceived barriers and facilitators to research engagement among US physical medicine and rehabilitation residents and fellows. Our findings suggest that physical medicine and rehabilitation trainees value research engagement. However, research productivity during physical medicine and rehabilitation residency is limited, with many trainees reporting inadequate support and time to participate in research in a meaningful way. Additional support from residency and fellowship programs, including protected time for research, as well as research-specific education and mentorship should be considered to enhance physical medicine and rehabilitation trainee research engagement.

Pedagogical Approaches in Teaching Secondary Mathematics in the Division of Batangas Province

The study aimed to provide information about the pedagogical approaches utilized in teaching secondary Mathematics in the Division of Batangas Province. Furthermore, it also aimed to find out if there is a significant association between assessments of mathematical performance as well as the extent to which pedagogical approaches are used in teaching mathematics. Descriptive research was employed in this study, with a questionnaire serving as the primary data collection instrument. The subject of the study is the SHS mathematics teachers in the Division of Batangas Province. Among the 149 respondents, the findings showed that most of the respondents assessed their extent of utilization of pedagogical approaches to a great extent. Moreover, based on the result, there was a significant relationship between the learners’ level of performance in General Mathematics and teachers’ extent of utilization of pedagogical approaches in teaching Mathematics in terms of teacher and learner interaction, learning content, mastery of the subject matter, and learning assessment. Besides, most of the respondents in the division agreed that their major problems in the utilization of pedagogical approaches in teaching Mathematics are the scarcity of learning resources (learning gadgets and pedagogical material textbooks), handling large class sizes, heavy workloads of teachers and ancillary activities, curriculum materials (textbooks/modules) are not prepared in a way that can facilitate pedagogical approaches, balancing the different learning needs of students, students’ unwillingness to learn cooperatively, absence of support in different trainings from the administrators and stakeholders, inadequate time to devote to the preparation/ designing of activities anchored in the pedagogical approaches, and resistance of teachers in exploring technology which highlights the importance of pedagogical approaches. This goes to show that there is a need to resolve these challenges to maximize teachers’ potential in utilizing the pedagogical approaches in teaching Mathematics. On top of that, some recommendations will be very useful not only to the teachers but also to the future researchers who will benefit the most from this study. As a result of the study, the researcher conceptualized and will utilize Project WERPA (Worksheets, E-games, Remediation, and peer assistance) to effectively intensify the application of pedagogical approaches in teaching secondary Mathematics. Keywords: Collaborative, Constructivist, Integrative, Inquiry-based and Reflective Approach

Abstract 15394: Caregivers’ Growing Contributions to Heart Failure Self-Care: An Updated Systematic Review

Introduction: In 2015, a seminal systematic review captured the body of literature surrounding the contributions of family caregivers to heart failure (HF) self-care. Since then, the body of HF caregiving research has expanded, necessitating an updated systematic review to inform research, practice, and policy. Goals: To provide an updated systematic review of the empiric literature on informal, unpaid caregivers contributions to HF patients’ self-care. Research Questions: 1) What specific activities do caregivers of people with HF take part in related to HF self-care?; 2) Have these caregiving activities changed over time?; 3) What are the gaps in the science? Methods: The review followed PRISMA guidelines; the protocol was pre-registered in PROSPERO. Comprehensive database search strategies were developed (PubMed, CINAHL, Embase, and Cochrane CENTRAL). The team independently screened and abstracted data; quality was assessed using CASP checklists. Meta-synthesis techniques using critical realist approaches were used to interpret activities, then relationships were analyzed. During data synthesis, activities were benchmarked against the Theory of Self-care in Chronic Illness (TSCI). Results: In total, 2154 research reports were identified, 64 of which were eligible for inclusion (2013-2022). Caregiver contributions to HF self-care activities occurred in TCSI domains of self-care maintenance (91%), monitoring (54%), and management (46%). Activities performed directly on or to the patient were reported more frequently than those performed for the patient. Frequently reported activities like transportation and activity of daily living are not included by the TCSI. Gaps due to ambiguous activity descriptions, inadequate caregiving time quantification, and underrepresented monitoring, supportive, and communication activities were elucidated. Conclusions: Findings support updating the TSCI to include activities antecedent to HF self-care. Identified gaps highlight the need to define specific caregiving activities, determine caregiver task difficulty and burden, and identify caregiver self-care strategy and education needs. The critical need to expose the hidden work of caregiving is essential to inform policy and practice.

Experiences of Teachers of Students With Visual Impairments in Learning and Teaching a New Braille Code for Mathematics and Science

Introduction: In 2016, the United States transitioned to two new braille codes for science, technology, engineering, and mathematics (STEM). Little is known about the experiences of teachers of students with visual impairments in learning and supporting their students in learning these new braille codes: Nemeth Code within Unified English Braille (UEB) Contexts and UEB Technical. Methods: Thirteen certified teachers of students with visual impairments participated in one of three focus groups during the spring of 2020. The audio files were transcribed and then analyzed. Results: Some participants reported that they were still in the process of transitioning to Nemeth Code within UEB Contexts or UEB Technical. The majority of participants learned a new code through self-study and were introducing the symbols incrementally to their students. The participants reported that their students had been successful in learning Nemeth Code within UEB Contexts or UEB Technical, but there were challenges, including inadequate lead time, in supporting their students in STEM classes. Discussion: Affordable training and professional development for learning a new code were needed. Additional resources, including grade-level charts and curricula for K-12 students, should be created for both codes. Implications for Practitioners: Teachers of students with visual impairments are an essential part of the STEM educational team for students who read braille. Supporting student learning requires specialized knowledge of the braille codes used in STEM courses and technologies for producing tactile materials. Sharing of instructional materials, existing resources, and teacher expertise throughout mentorship would benefit the field of visual impairment.

Adherence to recommended vaccination policies for pre- and post-solid organ transplantation patients: A national questionnaire survey in Japan

BackgroundPre-transplant vaccination is recommended for patients undergoing solid organ transplantation (SOT). While appropriate vaccination protocols are implemented at some facilities, transplantation is sometimes performed with inadequate preoperative vaccine management. Vaccination rates vary across facilities, but those of SOT centers in Japan have never been investigated. This study aimed to conduct a nationwide questionnaire survey to assess pre- and post-transplant vaccination policies among SOT facilities in Japan. MethodsThe survey was conducted from September to November 2022. All registered (n = 221) solid organ (namely, the lungs, liver, kidneys, pancreas, heart, and small intestine) transplant facilities were asked to complete a web-based survey. ResultsThe survey response rate was 70.2 %. Live and inactivated vaccines were recommended at 64.9 % and 68.9 % of the responding facilities, respectively. The following vaccines were incorporated into the vaccination protocols of facilities: pneumococcal vaccine, 31.7 % (13-valent pneumococcal conjugate vaccine) and 65.4 % (23-valent pneumococcal polysaccharide vaccine); hepatitis B virus vaccine, 67.3 %; severe acute respiratory syndrome coronavirus 2 vaccine, 73.1 %; influenza vaccine, 73.1 %; and zoster vaccines, 23.1 %. The reasons for unresponsiveness to vaccinations included inadequate time before transplantation (60.3 %), cost burden (41.1 %), high number of vaccinations (21.9 %), no recognition of the need for vaccination (17.9 %), and the requirement to explain the need for vaccination (15.2 %). ConclusionsOur study revealed gaps in vaccination practices across nationwide facilities in Japan. The findings indicate the importance of promoting scheduled efficiency and encouraging the national health system to reduce vaccine costs with the support of public subsidies.

Teachers’ Perceptions on their Readiness to Teach HIV/AIDS Education in Schools

South Africa is the highest HIV prevalence country in the world with young people (15-24 years) making up the largest proportion of HIV infected people. Kwazulu-Natal is the worst affected province nationally. Poor teacher training and the stigma around HIV/AIDS are contributing factors. Therefore an effective school-based HIV/AIDS education intervention program should encompass effective teacher training and curriculum development. A cross-sectional study was conducted among teachers to identify the factors that support or hinder their role in HIV/AIDS education. A self-administered questionnaire was used for interviewing teachers from stratified randomly-selected 2 primary and 2 secondary schools in the province of KwaZulu-Natal’s Pietermaritzburg region. Teachers from 2 out of the 4 selected schools were trained under an HIV/AIDS education intervention program funded by Community Care Project while those from the other 2 selected schools were not trained. This was meant to compare (using tables and graphs) the teachers’ perceptions, ability, skills, and their participation in HIV/AIDS education between the trained and untrained teachers. While about 56% of the untrained teachers never taught about HIV, it was only 5% of the trained teachers who never taught about HIV. While 97% (95% CI 93.85–100) of the trained teachers use interactive teaching methods, it was only 41% (95% CI 28.21-53.99) on the untrained teachers. Higher number of untrained teachers (70%) reported facing difficulty while talking about HIV issues compared to the trained teachers (9%). So trained teachers were more likely to participate, less likely to face difficulties, and more likely to use interactive teaching methods in HIV/AIDS classes compared to the untrained teachers. Inadequate time allocation to HIV/AIDS classes was found to be a barrier to HIV/AIDS education. This suggests the need to provide teachers with more support in terms of training and logistics.

Problems and Causes in Writing Research in Independent Study Course of English Major Students

The objectives of this study were 1) to study problems in writing researchin Independent Study Course of the English major students, Faculty ofHumanities and Social Sciences at Buriram Rajabhat University (BRU) and2) to study the causes of the problems. The samples were 70 fourth yearEnglish major students, Faculty Humanities and Social Science, BRU,semester 1, academic year 2019, selected by adapting the sample size table(Krejcie& Morgan). The instrument was a questionnaire. The collected datawere analyzed by using frequency, percentage, mean and standard deviation.The results showed that over all the students had problems in writingresearch in Independent Study course at “moderate” level (x̄= 3.11, S.D.=0.62). The three most problems were grammatical problems (x̄ =3.27, S.D.=0.52), followed by content problem (x̄ =3.18, S.D.=0.62) andsentence structure problems (x̄= 3.12, S.D.=0.66), respectively. The causesof the problems in writing research in Independent Study course of thestudents were found at “moderate” level (x̄= 3.34, S.D.= 0.78). Whenconsidering in aspect, the three most causes of the problems were lack ofpractice (x̄ = 3.48, S.D =0.78) followed by Inadequate time (x̄ =3.40,S.D.=0.80) and lack learner’s motivation (x̄ =3.32, S.D.=0.70), respectively.In organizing the teaching and learning activities in this course, it shouldfocus on grammar, content and sentence structure, and there should be moreexercises provided for students to practice writing. In term of timeinsufficient, additional appointments may be considered with the studentsaside from the study time in the period.

Beban Kerja dan Kelelahan Kerja pada Perawat di Ruang Rawat Inap RSUD Prof. Dr. W. Z. Johannes Kupang

Heavy workload requires a nurse to be able to carry out nursing care properly. shift work can cause nurse fatigue due to lack of sleep and inadequate recovery time between shifts. Work fatigue is one of the risks that affect performance decline which can increase the error rate at work. The purpose of this study was to determine the relationship between workload and work shifts with work fatigue in nurses in the Inpatient Room of RSUD Prof. Dr. W. Z. Johannes Kupang in 2023. This type of research is an analytic observational using a cross sectional design. The population in this study were nurses who served in the inpatient room of Prof. Dr. W. Z. Hospital. Johannes in 2023 with a sample of 66 nurses. Sampling using is simple random sampling. Data analysis used was univariate analysis and bivariate analysis with chi-square statistical test. Based on statistical tests, it was found that there was a significant relationship between workload and fatigue (p = 0.004) and work shifts with fatigue (p = 0.014) at RSUD Prof. Dr. W. Z. Johannes Kupang in 2023. It is recommended for hospitals to distribute nurses and organize shift rotations properly, so as to produce more effective work productivity in providing health services

Taḥlīlu al-ʾAkẖṭāʾ al-Naḥwiyyah Limādati al-Insyāiʾ al-Faṣli al-Rābiʿ al-Dīnīyah Limaʿhadi Taḥfīẓ Al-Qurʾān Lilbanāti Al-Amien Prenduan Sumenep Madura

This paper is based on a problem that occurred in class Grade Four of Madrasah Diniyah Pondok Pesantren Tahfidz Al-Qur'an Lilbanat Al-Amien Prenduan academic year 2021-2022. Authors found that learning insya’ material in that was less effective, this paper aims to find out how nahwu errors form in insya' material Grade Four of Madrasah Diniyah Pondok Pesantren Tahfidz Al-Qur'an Lilbanat Al-Amien Prenduan, what are the factors that cause nahwu errors in insya' material, and what are the solutive efforts to minimize nahwu errors in insya' material. The method used is qualitative research with a descriptive research type, the data analysis carried out is collecting data, identifying errors, classifying errors, explaining errors, and using observation, interview, and documentation methods. The results obtained in this study are First, the nahwu errors that occurred in Grade Four of Madrasah Diniyah Pondok Pesantren Tahfidz Al-Qur'an Lilbanat Al-Amin Prenduan are writing the perfect sentence or jumlah mufidah/tarkibul jumal, using zamir, using idafah arrangements, writing na'at and man'ut arrangements, and writing i'rab signs. Second, the factors that cause nahwu errors in insya' material are internal factors and external factors. Internal factors include the lack of student interest in learning the material of insya', lack of theoretical understanding of the nahwu rules in insya' material, lack of knowledge about mufradat (vocabulary), and afraid of speaking in Arabic. External factors include inadequate time allocation and non-conducive class situations. Solutive efforts to minimize mistakes in writing insya' are familiarizing students speaking Arabic in class, increasing practice or work on questions, correcting immediately, and re-teaching the wrong material.

Bladder cancer patient and provider perspectives on smoking cessation

BackgroundSmoking is the most common risk factor for bladder cancer and is associated with adverse clinical and cancer-related outcomes. Increasing understanding of the patient and provider perspectives on smoking cessation may provide insight into improving smoking cessation rates among bladder cancer survivors. We sought to inform strategies for providers promoting cessation efforts and help patients quit smoking. MethodsUsing a modified Delphi process with multidisciplinary input from bladder cancer providers, researchers, and a patient advocate, 2 surveys were created for bladder cancer patients and providers. Surveys included multiple-choice questions and free answers. The survey was administered electronically and queried participants’ perspectives on barriers and facilitators associated with smoking cessation. Survey responses were anonymous, and participants were provided with a $20 Amazon gift card for participating. Patients were approached through the previously established Bladder Cancer Advocacy Network (BCAN) Patient Survey Network, an online bladder cancer patient and caregiver community. Providers were recruited from the Society of Urologic Oncology (SUO) and the Large Urology Group Practice Association (LUGPA). ResultsFrom May to June 2021, 308 patients and 103 providers completed their respective surveys. Among patients who quit smoking, most (64%) preferred no pharmacologic intervention (“cold turkey”) followed by nicotine replacement therapy (28%). Repeated efforts at cessation commonly occurred, and 67% reported making more than one attempt at quitting prior to eventual smoking cessation. Approximately 1 in 10 patients were unaware of the association between bladder cancer and smoking. Among providers, 75% felt that barriers to provide cessation include a lack of clinical time, adequate training, and reimbursement concerns. However, 79% of providers endorsed a willingness to receive continuing education on smoking cessation. ConclusionsBladder cancer patients utilize a variety of cessation strategies with “cold turkey” being the most used method, and many patients make multiple attempts at smoking cessation. Providers confront multiple barriers to conducting smoking cessation, including inadequate time and training in cessation methods; however, most would be willing to receive additional education. These results inform future interventions tailored to bladder cancer clinicians to better support provider efforts to provide smoking cessation counseling.

A Descriptive study on effect of work life factors on personal and social life of workforce at Hyderabad Police Division”

WLB plays a very important role in directly affecting the personal and work life of the employees and indirectly affects the productivity of the organization. Work pressure and increasing stress up on the police in the modern days has been identified as the cause for the problems at work and personal life. Some of the problems identified were stress related diseases, less productivity, work conflict with family engagements, inadequate time spent with the children etc. The study is an attempt to identify some of the causal factors which will till to the work life balance because identification will enable us to plan strategies to manage balance.
 The police men and the police stations chosen are through simple random method the sample includes police men working in Hyderabad police stations with an experience of 3 to 4 years in their respective field located in Hyderabad. Hyderabad is the fast growing area in India with large number of police stations catering service not only the Hyderabad people but also to different places of Telangana like cyber-crimes, white color offences etc. Hence it was felt worth studying work life balance of the critical police work force of this Hyderabad unit. The main sample comprised of 110 policemen and was collected in the year 2022.The selection of police stations and policemen from the police stations was as per the criteria of statistical sample selection. The tools which would be administered are two 1) Personal data schedule 2) Interview schedule

A hierarchical spatio‐temporal object knowledge graph model for dynamic scene representation

AbstractSpatio‐temporal knowledge is essential in understanding the dynamic aspects of complex scenes. However, existing knowledge graphs have limitations, such as inadequate time description, inflexible expression of semantic relationships, and difficulties in accessing GIS platforms. The article proposes the spatio‐temporal object knowledge graph (STOKG), consisting of the object concept layer, spatio‐temporal object layer, and dynamic version layer. To demonstrate the practical usefulness of the STOKG model, the Henan epidemic knowledge graph is created using epidemiological data from early 2020, which shows the dynamic evolution of the spatio‐temporal objects of cases from the geography and semantic perspectives. Finally, the STOKG model is compared with the existing models in terms of accuracy, completeness and repetitiveness. The experimental results show that the STOKG model provides a more flexible and comprehensive approach to representing spatio‐temporal knowledge, which is useful for applications in fields such as geography, epidemiology, and environmental science.

Nutrition and Physical Activity Counseling by General Practitioners in China.

To reduce unhealthy lifestyles in China, it is critical to implement effective strategies. Counseling provided by physicians is important for assisting patients in improving their lifestyles, and general practitioners (GPs) are the main providers of lifestyle counseling to patients. However, few studies have focused on the lifestyle counseling practices by GPs in China, particularly in regard to nutrition and physical activity. The aims of this study are: (i) to examine the current practice of Chinese GPs in counseling patients regarding nutrition and physical activity; (ii) to understand the common barriers to such counseling by Chinese GPs; and (iii) to study the association between GPs' personal lifestyle choices and their practices in lifestyle counseling. A cross-sectional, self-reported online questionnaire was conducted among GPs in Hunan province, China. A total of 198 GPs completed the questionnaire. The majority of GPs provide nutrition and physical activity counseling to less than 40% of their patients, spending less than three minutes per counseling session. The main reported barriers to counseling on nutrition and physical activity are inadequate time and a lack of knowledge or experience. GPs primarily acquire knowledge through medical books and journals, followed by science popularization. Furthermore, GPs who maintain healthier lifestyle habits, possess a better understanding of lifestyle guidelines, conduct longer office visits, and exhibit higher self-efficacy are more likely to provide counseling to patients. This study highlights the need for improvement in nutrition and physical activity counseling among Chinese GPs. GPs' personal nutrition and physical activity habits may measurably influence their counseling practice. We recommend that GPs themselves adopt healthier lifestyle habits to potentially improve their counseling practice. Moreover, proactive measures should be taken to assist GPs in overcoming barriers encountered with lifestyle counseling.

Shortage of Mental Health Professionals Doing Research: A Cause for Concern.

Research plays a crucial role in advancing health care. Physician scientists, who bring together clinical and scientific perspectives, are integral to this effort. However, the pursuit of research careers among physicians has declined due to several obstacles, including inadequate support, training, time, and financial constraints. Emergency medicine and psychiatric specialties receive less support than other specialties, and COVID-19 has worsened the challenges. The COVID-19 has made things harder for physician scientists, increasing clinical demands and causing research delays. To tackle this, future physician scientists should receive organized training that includes mandatory research activities during their training. Large-scale studies should identify barriers to research and offer mentoring for young physician scientists. Encouraging female researchers and involving research faculty in residency training is crucial. Collaboration between physician and PhD researchers is essential for the future of medical research. It is vital to address these to advance health care and improve mental health outcomes.

Radiation Treatment Preparation Safety Risk Prediction.

To determine the effect of delays in radiation treatment preparation task timeliness on reported safety events. For 2022, all patients treated at four community-based radiation oncology clinics were included for analysis. Safety reports which occurred during treatment preparation tasks (i.e., between CT simulation and the first treatment) were included for this analysis. Patients with a reported safety event were the report cohort and those without were the control cohort. Treatment preparation tasks are completed sequentially and included contouring, treatment planning, Radiation Oncologist review, Medical Physicist review, Therapist quality check. At baseline, each task was scheduled a standard interval for completion based on treatment technique. The time taken to complete each task was captured using ARIA v16.0 Care Path module (Varian Medical Systems, Palo Alto, CA) and extracted through database query. For each task, two metrics were quantified: Task (1) Completion Timeliness: the time (hours) to complete each task, relative to the time allocated to each task. A negative value indicated more time taken than scheduled. (2) Overall Timeliness: specific task timeliness (hours) relative to overall timeliness for the whole Care Path. A negative value indicated the tasks were behind schedule. A student's t-test with an alpha of 0.05 was used to indicate significance. Over the study period, 66 courses had a reported treatment preparation safety event (report) and 2690 did not (control). Techniques include 54% and 56% 3DCRT, 35% and 35% IMRT, 3% and 3% SRS, and 6% and 8% SBRT, for the report and control groups, respectively. Disease sites include breast, GU, GI, head and neck, CNS, thoracic, skin, secondary, gynecological, sarcoma, and heme. Table 1 displays the timeliness for each of the five tasks. Of the courses with safety events, overall timeliness was significantly behind the control group from the in contouring, treatment planning, Radiation Oncologist review, and Medical Physicist review. Courses with safety events took significantly more time than scheduled early in treatment preparation with a significant increase at treatment planning and significantly less time towards the end with the therapist quality check. Patient courses with reported safety events had significantly longer treatment planning times, and as a result inadequate time to perform each downstream pre-treatment activity. The implication of this analysis is that a flag could be created to indicate risk of a safety event early in the treatment preparation process.

Frequency of Anxiety During Exam / Assessments among Medical Students

Background: The phenomenon of severe anxiety and self-doubt experienced by individuals prior to taking exams or assessments can significantly impair their performance, potentially leading to poor outcomes. Research on the prevalence and contributing factors of assessment-related anxiety among medical students in Pakistan is scarce. Objective: The aim of this study was to ascertain the prevalence of exam-related anxiety among medical students and identify its associated factors. Study Design: Cross sectional study. Settings: Allama Iqbal Medical College/ Jinnah Hospital Lahore Pakistan. Duration: Six months from 09-12-2022 to 09- 06-2023. Methods: After approval of the study proposal and attaining the informed consent of the medical students, they were explained the purpose of study. After inclusion, all the students were asked questions as per PHCC test anxiety questionnaire to determine presence as well as healthy or unhealthy nature of stress. All these students with anxiety were assessed for factors related to this stress including female gender, 1st year of medical college, oral exam, poor time management skills and pre-existing psychological distress. All data was collected in a self- made pro forma. Results: Total of 135 students, mean age was 23.30±2.48 years. Frequency of anxiety was 51.1% (n=69). Frequency of female gender factors in students with anxiety versus without anxiety was 52.3%% (n=56) versus 47.7% (n=51), 1st year in medical college 87.9% (n=58) versus 12.1% (n=8), oral exam 79.7% (n=59) versus 20.3% (n=15), poor time management skills 95.6% (n=43) versus 4.4% (n=2) and pre-existing psychological distress was 92.3% (n=24) versus 7.7% (n=2). Conclusion: The results indicate that a considerable proportion of medical students experience significant exam anxiety, with 51.1% affected. The study further revealed a notable correlation between anxiety and factors such as being in the first year of medical college, facing oral exams, inadequate time management skills, and pre-existing psychological distress. Given its prevalence, the issue of problematic exam anxiety among medical students warrants increased attention.

Sociotechnical Factors Contributing to Burnout among Radiation Oncology Medical Physicists: Survey and Focus Group Results from a Systems-Analysis Approach

While burnout and contributing factors have been studied among physicians and surgeons, there is limited understanding of the factors contributing to radiation oncology medical physicists' (MPs) burnout. Therefore, this study aims to i) explore factors associated with burnout among MPs using a systems-analysis approach, and ii) identify and prioritize key improvement efforts. We administered a survey to MPs at a US academic medical center between May 19-June 2, 2022. The survey included a 2-item Connor-Davidson Resilience Scale, a 2- item abbreviated Maslach Burnout Inventory (MBI) measuring emotional exhaustion (EE) and depersonalization (DP), and 21 general workplace stressors based on the National Academy of Medicine's systems approach to clinicians' burnout. Participants rated workplace stressor severity on a 5-item Likert scale and priorities for improvement on a 4-item Likert scale. Burnout was categorized using a 2-Question Summative Score totaling >3 for EE and DP. Focus groups were held with ∼3 participants per group via a video conferencing platform on June 8-9, 2022. Survey results from top-rated workplace stressors and priorities were summarized and presented to focus groups. Participants were asked open-ended questions to promote discussion and elicit more contextual information about workplace stressors and to rank their highest priority stressors at the end of the focus group. Of the 12 MPs the survey was sent to, 8 responses (67%) were received. Table 1 summarizes the results. The mean resilience score was 6.88, with a standard deviation (SD) of 0.63. 87.5% (n = 7) of MPs identified themselves as burned out. The key workplace stressors contributing most to MPs' burnout were inadequate staffing (mean [SD] 3.1 [1.2]), work-life integration (3.1 [1.2]), excessive workload (2.8 [1.1]), and time pressure (2.6 [1.2]). Specifically, MPs suggested following improvements: i) hire additional physicists to cover clinic responsibilities, ii) limit or compensate for work done post-work hours, iii) improve scheduling workflow, and iv) retain hybrid work model. Survey data demonstrated moderate resilience but high levels of burnout among MPs. Results indicate inadequate staffing as the most severe workplace stressor and highest priority for improvement efforts and remained the top priority even after focus groups. These results warrant further studies with larger sample sizes, assessing factors contributing to burnout among MPs and systems-focused interventions.

Telemedicine in non-communicable chronic diseases care during the COVID-19 pandemic: exploring patients' perspectives.

This study aimed to explore challenges facing patients using Telemedicine consultations in non-communicable chronic disease clinics in primary care settings and to evaluate their satisfaction and willingness to use this service in the future. This is an analytical cross-sectional study enrolling participants who were randomly selected from representative primary care centers in Bahrain and providing Telemedicine consultations. A semi-structured questionnaire permitted data collection using telephone interviews. A total of 251 individuals participated in the study of whom the majority were Bahraini (90.04%), and the mean age was 54.48 ± 10.78 years. Most of the participants 231 (92.03%) were satisfied with the Telemedicine consultation while only 142 (56.80%) were willing to use this service in the future. The main perceived challenges related to Teleconsultations were the lack of physical examination, inadequate time of TM consultation, fear of medical errors, and lack of privacy. The willingness to use TM consultation in the future was mainly determined by the degree of comfort to tell private information (p < 0.01) and to less extent the ease of the communication tool (p = 0.005) on multivariate analysis. TM consultations could be a good complement to conventional consultation formats in the future. The sustainability of this innovative healthcare delivery tool requires addressing acceptability by users, ease of use, patient-centeredness, and technological advances to ensure privacy.

Smoking cessation in dental setting: a narrative review on dental professionals' attitude, preparedness, practices and barriers.

Integration of smoking cessation program into routine oral health care has been advocated by World Health Organization since it brings extensive benefits to oral health. By tobacco cessation, patients are less prone to progression of periodontal disease, have less future tooth loss, have reduced risks of oral mucosal lesions and head and neck cancers. Evidence indicates that dentists are in a favorable position to deliver effective smoking cessation advice to improve patients' oral health. This article aims to present the current situation of smoking cessation in dental setting, including dental management of smoking patients, perceptions of dentists and dental students towards smoking cessation, challenges dental professionals face when carrying out cessation interventions. Patients' perspectives are also evaluated to provide a clearer picture of smoking cessation practice in the dental field. Review of past surveys show most patients welcome smoking cessation advice from dental practitioners. Meanwhile dentists may have wrong assumption that patients would disapprove them if they advise patient to quit smoking. On top of that, main obstacles identified are lack of training, inadequate treatment time and insufficient knowledge towards smoking cessation guidelines and referral routes. With regard to the potential barriers, evidence demonstrates that more trainings on smoking cessation strategies are needed. Future research in this aspect is also indicated to further foster the practice of smoking cessation counselling in dental setting.

Kreativitas Guru Pendidikan Agama Islam dalam Mengatasi Kejenuhan Siswa Belajar Al-Qur’an Hadis di MTsN I Pasaman

The reason the author raised this problem as a scientific work in the form of a thesis is because the author found that in the process of learning Al-Qur'an hadith subjects students often get bored with learning. This is caused by the lack of creativity of Islamic Religious Education teachers in developing their creativity. The use of learning methods and media by Islamic Religious Education teachers are the obstacles or barriers that teachers face in developing their creativity. The problem that the author examines is how the creativity of Islamic religious education teachers overcomes the boredom of students studying Al-Qur'an Hadith at MTsN I Pasaman, and the causes of students' boredom studying Al-Qur'an Hadith at MTsN I Pasaman. And this research aims to determine the creativity of Islamic Religious Education teachers in overcoming the boredom of students studying Al-Qur'an Hadith at MTsN I Pasaman, and to find out the causes of student boredom studying Al-Qur'an Hadith at MTsN I Pasaman. This research is a qualitative descriptive research. The subjects in this research were Al-Qur'an Hadith teachers and students in class VIII 6. This research used three data collection techniques, namely: observation, interviews, and documentation. This research used two informants, namely key informants and supporting informants. The validity of the data in this research uses source triangulation, data triangulation, and time triangulation Based on the results of research carried out, the author found that what causes boredom in students learning Al-Qur'an Hadith is due to the lack of variety in the use of media and learning methods by teachers. Meanwhile, in terms of teacher creativity education religion islam at MTsN I Pasaman it cannot be said to be creative in using and varying learning media in learning Al-Qur'an Hadith, and its implementation or translation is still not good. The teacher's creativity in varying methods and media is only in the learning design stated in the RPP, due to inadequate time conditions. The lack of application of the use of media and methods causes students' boredom in learning Al-Qur'an Hadith to not be resolved properly by teachers.