Discerning the underlying trends in electrocatalytic hydrogen evolution activity of MOF/MOF-derived materials using data-driven approach

Green national policy, constrained practice: The sustainability gap in Rwandan medical imaging.

This study aimed to examine the effect of cross-court training on improving the accuracy of table tennis forehand drive strokes in Batanghari athletes aged 15–17 years. The research employed a quantitative experimental approach using a one-group pretest–posttest design, which allows for direct comparison of performance before and after the intervention. The population consisted of all Batanghari table tennis athletes (n = 33), from which 11 athletes were selected as samples using purposive sampling based on predefined criteria, including age range, active participation in regular training, and absence of injury. The research instrument was a forehand drive accuracy test, in which each athlete performed 50 strokes directed toward a designated diagonal target area on the opponent’s table. The intervention consisted of cross-court training conducted over 16 training sessions with a frequency of three sessions per week, designed to enhance directional control, coordination, and stroke consistency. Data were analyzed using descriptive statistics and inferential statistics through a paired sample t-test with the aid of SPSS version 26.0. The results revealed a significant improvement in forehand drive accuracy following the training intervention. The pretest mean score was 32.00 ± 1.897, while the posttest mean score increased to 35.45 ± 1.695, indicating a mean improvement of 3.45 points. Hypothesis testing showed a significance value of p < 0.001 (p = 0.000), confirming that the improvement was statistically significant. In conclusion, cross-court training has a significant positive effect on enhancing the accuracy of table tennis forehand drive strokes in athletes aged 15–17 years. These findings support the use of cross-court training as an effective and practical method in youth table tennis coaching programs, particularly for developing technical accuracy and stroke consistency.

Influences of vegan status on protein intake, lean body mass, and strength in lightly active, young women: A cross-sectional study.

To evaluate the impact of self-initiated and community-driven "grassroots" interprofessional teams relative to formally designated family health teams (FHTs) supported by government transition programs and non-team practices in Ontario. Retrospective matched cohort study. Health administrative data spanning 2016 to 2021 from ICES in Ontario. Grassroots practices were matched to FHTs and non-team physician practices in the health administrative data set. Patient attachment, visits, continuity, and preventive care metrics were compared using descriptive and inferential statistics. Grassroots clinics had significantly more attached patients per physician (n=1371) than FHTs (n=1227; P<.0001) and non-team clinics (n=586; P<.0001). Annual patient visits per physician were also higher in grassroots clinics (n=2792) compared to FHTs (n=2321; P=.0002) and non-team clinics (n=1378; P<.0001). Continuity of care measures were higher for grassroots and FHTs than non-team practices (P=.02). Preventive care delivery was significantly higher in grassroots clinics compared to non-team practices for most metrics (P<.01) except for lipid screening (P=.18). Grassroots team-based care in Ontario is associated with positive impacts on primary care access and delivery of preventive services, inspiring confidence in these developments. Initiatives that encourage family practices to pursue their own conceptualization of effective team-based care may be beneficial, although there is a need for further research to assess the broader effects and scalability of such models.

Virtual reality (VR) has been adopted in the education field, providing students with innovative methods to acquire and practice skills. With the increasing importance of English education in vocational colleges, learning method (LM) should be transformed and improved to enhance learning efficiency. VR is recognized as a valuable tool to improve learning outcomes, yet its application in English education for vocational colleges remains in the early stages. This study investigates the factors affecting VR adoption and examines whether gender difference among students impacts its practical application. Quantitative research method was conducted utilizing questionnaire to examine the factors affecting vocational students’ VR adoption in their English learning. Total 520 vocational students were selected as respondents to complete the questionnaire, and the data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (independent sample t-test) to identify the differences between gender. The findings revealed that identified factors moderately influence VR adoption and no significant gender differences regarding the challenges vocational students face when using VR to learn. This study contributes to promoting VR adoption in English learning and helps to stimulate students’ interest in actively using VR, thereby enhancing learning outcomes and driving the transformation of educational methods.

Knowledge, attitudes and practices of diagnostic radiographers regarding non-accidental injuries in Zambia.

Although medical consultation is not mandatory when drawing up living wills, it is recommended. General practitioners (GPs) can be suitable contact persons for drawing up and updating advance directive documents. The aim of this study is to record the frequency and type of GP counselling on advance directive documents. It also aims to record the subjective level of competence and knowledge of GPs with regard to counselling on advance directive documents. An online survey was conducted between October and November 2024. The target group was all general practitioners practising in Lower Saxony. An adapted version of a field-tested questionnaire was used, including a case vignette-based knowledge test on advance care planning documents. The data were evaluated using descriptive and inferential statistics. Data from 502 GPs were included. 85.1% of respondents stated that they advise their patients on advance directive documents. Reasons for not counselling patients include a lack of need of patients or a lack of qualification of GPs. The participants rated their subjective counselling competence as rather high. Uncertainties were reported in dealing with patients' emotions and fears. The objective knowledge test showed an average score of 22.5 out of a possible 30 points. A high level of knowledge was particularly evident in relation to the conditions for the effectiveness of living wills. There are knowledge gaps in the area of representation law. The majority of GPs surveyed counsel patients on advance directive documents. However, there are clear knowledge gaps and uncertainties that may influence the quality of counselling.

Construction and multivariate influence pattern analysis of Mass Energy Coupling Coefficient (MEC) for steel rolling reheating furnaces

Network analyses of cognitive performance in psychiatric disorders: A scoping review.

To determine the association between diabetic neuropathy (DN) and quality of life (QoL) in patients with type 2 diabetes mellitus (DM2). Family Medicine Unit No. 33 (UMF 33), El Rosario, Azcapotzalco, Mexico City, Mexico. Observational, analytical, cross-sectional. 365 participants aged 18 years or older with a diagnosis of DM2, ascribed to a specialized diabetes care program. A sociodemographic questionnaire and two standardized instruments were applied: the Michigan Neuropathy Screening Instrument (MNSI), in its questionnaire (MNSIQ) and physical examination (MNSIEF) components and the SF-12v2 questionnaire to assess QoL through its physical (PCS) and mental (MCS) components. Frequencies and percentages were analyzed. The chi-square test was used for inferential statistics. According to the MNSIQ, 35.6% presented signs of ND, while the MNSIEF it was detected in 99.2% of the participants. 59.5% reported good physical QoL, while 61.4% reported poor mental QoL. Although descriptive differences were notable, the statistical power was limited to demonstrate consistent associations between ND and QoL. The findings suggest a discordance between patient self-perception and physical examination. ND could have a negative impact on QoL, especially on the mental component (MCS). Active screening for ND in primary care settings may enhance comprehensive care and improve perceived well-being in people with DM2.

Despite growing recognition that ICU discomfort extends beyond pain, no study has empirically compared the proportion and interrelationships of psychological discomfort, physical discomfort and pain using clinically meaningful thresholds. The aim of this study was to examine the relationships between psychological discomfort, physical discomfort and pain based on patients' recalled discomfort reported within 24 h after ICU discharge. Patients completed the Inconforts des Patients de REAnimation (IPREA) questionnaire, a general discomfort visual analogue scale (VAS) and a general pain VAS (0-100 mm) anchored by 'no pain' and 'worst imaginable pain' within 24 h after ICU discharge from surgical, medical and cardiac ICUs of a tertiary hospital. A secondary analysis was conducted on the data, and IPREA items were grouped into three domains: psychological discomfort, physical discomfort without pain and pain. Descriptive and inferential statistics examined relationships between the three domains. The proportion of scores at the moderate threshold (40-69/100) and at or above the severe threshold (≥ 70/100) for pain, psychological and physical discomfort was determined. Eighty patients participated in the study. Median scores were 21.43 (IQR 8.57-39.64) for psychological discomfort, 28.82 (IQR 11.11-44.33) for physical discomfort without pain and 50.00 (IQR 10.00-70.00) for pain. The proportion of discomfort scores at the moderate threshold (40-69/100) was 21.25%, 27.50% and 32.50% for psychological discomfort, physical discomfort without pain and pain, respectively, at or above the severe threshold (≥ 70/100) in 3.75%, 3.75% and 27.50%, respectively. Psychological discomfort correlated moderately with physical discomfort without pain (rs = 0.65, p < 0.001) and weakly with pain (rs = 0.37, p < 0.001). Friedman's test showed significant overall differences (χ2(2) = 16.84, p < 0.001); after Bonferroni correction, psychological discomfort versus pain remained significant. Discomfort in ICU patients extends beyond pain, underscoring the need for multidimensional nursing assessment. Routine multidimensional assessment of discomfort can improve patient-centered ICU care and prevent misinterpretation of non-pain discomfort as pain. These findings reinforce the importance of incorporating psychological and physical discomfort assessments into daily ICU practice.

Tobacco use is highly prevalent among individuals with schizophrenia and exacerbates craving, a key METHODS: Data were collected from 1769 patients within the FondaMental Expert Centers for Schizophrenia network. Sociodemographic, clinical, addictive, suicidal, and treatment-related variables were analyzed using both univariate and multivariate logistic regression models. Mediation analyses were performed to ensure robust statistical inference. The prevalence of tobacco smoking was 52.8% (n = 878). Higher tobacco craving scores were significantly correlated with increased suicidal ideation (p = 0.004), more frequent suicide attempts (p < 0.001), and higher suicide scores (p < 0.001). In the multivariable analysis, no significant associations were found between craving scores and all suicide outcomes. Regression models confirmed a strong association between tobacco craving and lifetime alcohol use disorder (AUD) (p < 0.001). Mediation analyses showed that AUD does not mediate the craving-suicide relationship (indirect effects p > 0.05). These findings highlight the complex interplay between clinical severity, substance use, and suicidality in shaping craving levels among patients with schizophrenia. Mediation analyses showed that AUD does not explain the craving-suicide relationship, indicating that these represent separate, parallel risk pathways. Assessment of tobacco craving and comorbid substance use, particularly AUD, is essential when assessing suicide risk. These findings have important implications for suicide prevention and treatment strategies in individuals with schizophrenia and co-occurring substance use disorders.

Selective Attention Dynamics in Adults With Attention-Deficit/Hyperactivity Disorder: A Role for Sensory Processing Asymmetry?

To investigate a dilemma of statistical and computational efficiency faced by long-run variance estimators, we propose a decomposition of kernel weights in a quadratic form and some online inference principles. These proposals allow us to characterize efficient online long-run variance estimators. Our asymptotic theory and simulations show that this principle-driven approach leads to online estimators with a uniformly lower mean squared error than all existing works. We also discuss practical enhancements such as mini-batch and automatic updates to handle fast streaming data and optimal parameters tuning. Beyond variance estimation, we consider the proposals in the context of online quantile regression, online change point detection, Markov chain Monte Carlo convergence diagnosis, and stochastic approximation. Substantial improvements in computational cost and finite-sample statistical properties are observed when we apply our principle-driven variance estimator to original and modified inference procedures.

This study aims to examine the relationship between the use of the Ibis Paint X application and the motivation to learn to design fashion at SMK Negeri 1 Salatiga. This research is a quantitative approach research with a correlational design. The population in this study is all students of class XI fashion at SMK Negeri 1 Salatiga which totals 71 students, and the sample in this study uses total sampling, The sampling technique uses total sampling, namely making the population as a sample, there is a total sampling because the population is less than 100. The data collection technique used a Likert scale questionnaire. The data in this study were analyzed using descriptive and inferential statistics. Hypothesis test using Pearson correlation. The results of the study obtained that there was a significant relationship between the use of the Ibis Paint X application and the motivation to learn to design the fashion of grade XI students, the fashion show had a pearson correlation coefficient value of 0.559 and a significance value (sig. 2-tailed) of 0.000. This shows that there is a relationship between the use of the Ibis Paint X application and the motivation to learn to design fashion in grade XI students of fashion at SMK Negeri 1 Salatiga with the correlation category being.

Research on educators' research capability has surged in recent years, as scholars and practitioners remain intrigued by how teachers develop investigative skills alongside pedagogical mastery. To ensure evidence-based decision-making, policy formulation, and program development, school leaders must inspire teachers to contribute empirical evidence. However, previous literature has often neglected the link between teachers' research capability and the administrative support provided by school leaders. To address this gap, an explanatory study was conducted to examine the crucial role of administrative support in enhancing these capabilities. The study was conducted in the Quezon II District of Bukidnon, Philippines, and involved 151 teachers who voluntarily responded to survey instruments. After analyzing datasets using descriptive and inferential statistics, the findings indicated that while administrative support was frequently observed across all dimensions, teachers demonstrated only moderate proficiency in writing research proposals and publishable papers. The tested models revealed a nuanced relationship between support and capability, and the dimensions of administrative support did not significantly explain research capability when analyzed individually. When these dimensions were integrated into hypothesized models, administrative support significantly predicted teachers' research capability, accounting for 10.9%-12.2% of the variance in research capability. Ultimately, school leaders' administrative support plays a vital role in enhancing teachers' capability in writing research proposals and publishable papers. The study infers that each component of support is indispensable; only through a holistic approach can school leaders effectively elevate teachers' research capabilities.

Postoperative pain after cesarean section remains a major clinical concern and may increase analgesic requirement, delay mobilization, and affect maternal recovery. Preemptive and multimodal analgesic strategies may improve postoperative pain control after spinal anesthesia. Objective: To evaluate the effect of preoperative intravenous paracetamol, intraoperative intravenous dexamethasone, and their combination on postoperative pain intensity and analgesic requirement in patients undergoing elective cesarean section under spinal anesthesia. Methods: This prospective randomized controlled trial was conducted in the Department of Anesthesia, Noor Hospital, Lahore, among 150 patients undergoing elective cesarean section under spinal anesthesia from August 2025 to January 2026. Patients were randomly allocated into three equal groups of 50 patients each. Group A received intravenous paracetamol 1 g preoperatively, Group B received intravenous dexamethasone 8 mg intraoperatively after cord clamping, and Group C received both intravenous paracetamol and dexamethasone using the same protocol. Postoperative pain was assessed using the Visual Analogue Scale at predefined postoperative intervals. Time to first analgesic request and total analgesic consumption were recorded during the first 6 postoperative hours. Data were analyzed using appropriate descriptive and inferential statistics. Continuous variables were compared among groups using one-way analysis of variance or the Kruskal–Wallis test, as appropriate, while categorical variables were analyzed using the chi-square test. A p-value &lt;0.05 was considered statistically significant. Results: The combination group demonstrated significantly better postoperative analgesic outcomes compared with either drug alone. Patients in Group C had a significantly prolonged time to first analgesic request and reduced total analgesic consumption compared with Groups A and B (p&lt;0.001). Visual Analogue Scale scores were also significantly lower in Group C at all observed postoperative time intervals, indicating improved pain control with combined preoperative paracetamol and intraoperative dexamethasone. Conclusion: Combined preoperative intravenous paracetamol and intraoperative intravenous dexamethasone provided more effective postoperative analgesia than either intervention alone in patients undergoing cesarean section under spinal anesthesia. This multimodal approach may reduce early postoperative pain intensity and analgesic requirement.

The use of technology in English Language Teaching (ELT) has revolutionized the field of education by providing previously unheard-of chances for language acquisition. High school students in Indonesia who are learning English as a foreign language (EFL) stand to gain a great deal from technology-enhanced training. The purpose of this research is to examine how technology-enhanced instruction affects the language competency and learning outcomes of high school students in Indonesia. A quantitative method was used. Thirty-one Indonesian high school students were selected for the study using stratified random sampling. Speaking, reading, and writing language competency tests were among the ways used to obtain the data. Statistical Packages for Social Sciences (SPSS) version 25 was used for data analysis, which included descriptive statistics and inferential statistics (t-tests). This study shows how technology-enhanced instruction can transform ELT in Indonesian high schools and offers stakeholders, educators, and policy-makers useful information for creating successful language learning initiatives. The results highlight the significance of using technology to improve language learning outcomes and have ramifications for language instruction around the world.

Mastery of fashion pattern engineering competencies is a fundamental requirement for success in applied fashion production learning. This study aims to examine the relationship between learning outcomes in the Fashion Pattern Engineering course and the Women’s Fashion Production course among students of the Fashion Education Study Program at Universitas Negeri Semarang, class of 2024. A quantitative ex post facto design was employed, involving 85 students selected through saturated sampling. Data were obtained from official academic records and analyzed using descriptive and inferential statistics, including the Shapiro–Wilk test, Levene’s test, and Spearman rank correlation. The results indicated that the data were not normally distributed but homogeneous. A positive and significant correlation was found (r = 0.447; p &lt; 0.001), categorized as moderate. These findings suggest that pattern engineering competence contributes to student achievement in fashion production. Therefore, strengthening instructional integration and supporting learning factors is necessary to improve learning outcomes.