Level Of Participation Research Articles

Engagement of forest-dependent communities in the sustainable management of Akure forest reserve

Sustainable forest management is linked to stakeholder involvement, openness, accountability of decision-makers, adherence to the rule of law, predictability, efficient and effective management of natural resources. It is essential in accomplishing the goal of good governance. This study was conducted to evaluate the involvement of the forest-dependent people in the management of the Akure forest Reserve in Ondo state, Nigeria. Two-hundred structured questionnaires were distributed to respondents in four specifically chosen communities out of the twelve communities bordering the Reserve. A total of fifty structured questionnaires were distributed to respondents in each of the four chosen localities. Data were examined using descriptive statistics and chi-square analysis. The results revealed that the majority of the community's population consists of males (72.5%) and individuals aged 43 and above (38.5%), followed by individuals aged 31-36, accounting for 28.0% of the population. The majority of the residents (40.5%) visit the reserve on a daily basis, while thirty percent (30%) visit weekly to collect firewood and for agricultural production. The level of participation of community dwellers in Forest Management and Conservation is significantly influenced by their age (χ²= 9.456, df = 6, p = 0.024), marital status (χ² = 11.873, df = 2, p = 0.003), and occupation (χ²= 44.237, df = 4, p = 0.000). The primary endeavours undertaken by the inhabitants of the reserve are agricultural in nature. Age, household size, marital status and monthly income were the primary factors influencing their decision not to participate in forest governance in the Reserve

Utilization of Language Strategies in Teaching Grade 10 Mathematics of Narvacan National Central High School

This study aimed to evaluate the utilization of Language Strategies in teaching Grade 10 Mathematics at Narvacan National Central High School during the 4th quarter of the SY 2022-2023. Specifically, it focused on the profile of the students, their level of performance in language strategies, and their mathematics performance. It further determined the relationship between the students’ profile and the level of performance in language strategies, the students’ profile and their level of participation, the students’ performance in language strategies and their mathematics performance, and the problem encountered by the teachers in teaching mathematics using language strategies. This study used a quantitative research approach employing the correlational research design. The research design is a combined description, evaluative and correlational design. This study made use of a questionnaire consisting of two parts, the performance of the students when using language strategies and the 4th quarter grades of the learners in Mathematics. Hence, it is recommended students will participate in every activity or discussion related to the different language strategies. The performance of the students may be improved by sustaining the utilization of Language Strategies in Teaching Mathematics. Teachers and school heads are encouraged to innovate programs or activities that address issues related to low comprehension and low retention of students.

Forest Worker Households in the NFPP: Enhancing Sustainable Livelihoods through Capital and Transformation

The persistent conflict between strict conservation and community welfare highlights the growing need to address sustainable livelihoods in forest protection programs. The Natural Forest Protection Program (NFPP) is a comprehensive forest protection program spearheaded by the Chinese government. It is designed to facilitate the conservation and restoration of forest ecosystems through a range of interventions, including logging ban, management, tending, and afforestation efforts. Drawing upon longitudinal micro-level household survey data spanning five consecutive years from 2017 to 2021, this research quantifies the sustainable livelihood levels of frontline participants in the NFPP by examining two dimensions: livelihood capital stock and livelihood transformation capacity. Additionally, it investigates the internal differentiation phenomenon within this cohort. The findings suggest that forest worker households engaged in tasks related to forest management, tending, and afforestation are the frontline participants in the NFPP, in contrast to management, technical, and service personnel. Moreover, these forest worker households exhibit a pattern characterized by a higher livelihood capital stock but a lower livelihood transformation capacity compared to non-forest worker households. Furthermore, within forest worker households, there is a significant group differentiation phenomenon, resulting in inter-group differentials in the sustainable livelihood levels based on geographical and seniority stratification criteria. The developers of the global forest protection program should prioritize addressing the sustainable livelihood issues of frontline participants in the program, especially the real problem of mismatches between livelihood capital stock and livelihood transformation capacity. This can be achieved through designing income incentives, stimulating consumption, and other means to enhance the relatively disadvantaged position of frontline participants while balancing the coordination and fairness of the protection program based on the aspects of both protection and development.

Differences in mothers’ and fathers’ parenting styles

Aim: To examine parental experiences and investigate dif-ferences between mothers’ and fathers’ parenting practices.Methods: We used a qualitative methodology in this study. We conducted semi-structured interviews with both moth-ers and fathers from fifteen families between April and May 2021 in the Makarska Riviera region in southern Croatia. All interviews were conducted face-to-face, mostly in cafés and participants’ homes; they lasted 15 minutes on average.Results: Most fathers were stricter and had more authority over their children, while mothers were more permissive. Although both parents were involved in raising their chil-dren, the mothers had a slightly higher level of participa-tion. The parents used their free time to interact with their children. They set boundaries and expected their children to respect them, but also provided affection, warmth, and security. They addressed all parenting dilemmas by mutual agreement. Compared to their own parents, they used a soft-er approach with their children and preferred the authori-tative parenting style.Conclusions: It appears that parental practices have changed over time – the older, rigid, authoritarian parenting style has been supplanted by authoritative parenting. Nowadays, fathers are becoming increasingly involved in the family sphere and child-rearing, indicating a shift toward modern, equal parenting.

Determine the Level of Using Management by Objectives Method in Hospitals Ali Al-Ruwaie

Background: Background: Management by objectives has a greater role for employees in setting goals, positively affecting their performance and commitment to the hospital. It provides each employee with a clear set of tasks to help achieve them. Objectives: To evaluate the extent to which the management method of objectives and feedback is being utilized in Dr. Ali Al-Ruwaie Hospital for Psychiatric and Mental Diseases. Additionally, the study aims to determine the level of trust and participation between the hospital's management and subordinates. Methodology: A cross-sectional study was conducted for a random sample in Dr. Ali Al-Ruwaie Hospital for Psychiatric and Mental Diseases, Benghazi-Libya, and the number of employees was 115. We used a two-part questionnaire to collect data: Part I: Asking the physician's demographic characteristics (gender, age, qualifications, years of experience, education level...etc.). The second part: using the method of management by objectives in the hospital, perceptions, trust and participation between the boss and subordinates, feedback between the boss and subordinates, and commitment of subordinates in achieving goals. Results: A total of 99 employees were recruited to assess the level of using the management by goals method in Dr. Ali Al-Ruwaie Hospital. The arithmetic averages ranged between 3.06 to 4.72, with a general arithmetic mean of 3.94, indicating a high level of practice in the hospital. The dimension of "commitment of subordinates to achieving the goal" ranked first with an arithmetic mean of 4.725 and a standard deviation of 0.752, showing a high level of use. The trust dimension between the subordinate chief came in second with an arithmetic mean of 4.308 and a standard deviation of 0.646, also indicating a high level of use. The sharing between the boss and the subordinate ranked third with an arithmetic mean of 3.716, a standard deviation of 0.610, and an average level of use. Lastly, the feedback dimension ranked fourth with an arithmetic mean of 3.066 and a standard deviation of 0.587, also showing an average level of use. Conclusion: To improve the quality of management in hospitals and increase production efficiency in various service units, it is recommended to implement the management by objectives method. This modern scientific method has proven to yield positive results for all parties involved and will help improve the standards of citizens.

#1265 Circulating neutrophils in diabetic kidney disease—the relationship with long-term cardiovascular outcomes

Abstract Background and Aims Neutrophils play important roles in the pathogenesis of cardiovascular inflammation and affects cardiovascular disease (CVD) outcomes. The relationship of circulating neutrophil counts with cardiovascular disease (CVD) and all-cause mortality in patients with type 2 diabetes mellitus (T2DM) and diabetic kidney disease (DKD) remains unclear. Method We retrieved data from 44,494 participants in the National Health and Nutrition Examination Surveys (NHANES) from 2005 to 2020, and investigated the associations between circulating neutrophil counts, kidney functions and CVD mortality in T2DM and DKD patients. Clinical predictive models and risk scores for long-term mortality were constructed. Results Among the cohort of 44,332 patients (18% with T2DM and 82% without T2DM), a total of 2,220 patients were diagnosed with diabetic kidney disease (DKD) and 775 of them experienced mortality (31.5% related to CVD) during a follow-up of 6.18 (range: 5.94-6.42) years. The weighted mean of peripheral neutrophil count level (×109 /L) in DKD participants was 4.98. DKD patients in the highest quintile of neutrophil count exhibited a positive correlation with urine albumin-creatinine ratio (uACR) and a negative association with estimated glomerular filtration rate (eGFR), when compared to those in the lowest quintile. In the multivariate logistic regression analysis with RCS, circulating neutrophil counts showed a U-shaped association with CVD mortality. Neutrophil counts of 3.68 × 109 /L and 3.69 × 109 /L were associated with the lowest risk of CVD mortality and all-cause mortality respectively in DKD patients. Clinical predictive models showed good diagnostic performance for 5- and 10-year CVD mortality-free survival (all ROC AUC values >0.75). Conclusion In this study, higher peripheral neutrophil count was associated with an increased risk of cardiovascular mortality in DKD individuals. Our clinical predictive models may help identify at-risk patients for more aggressive CVD risk factors control.

Extending the PROMIS item bank "ability to participate in social roles and activities": a psychometric evaluation using IRT.

Our objective was to explore whether the extension of the PROMIS item bank Ability to Participate in Social Roles and Activities (APSRA) with new items would result in more effective targeting (i.e., selecting items that are appropriate for each individual's trait level), and more reliable measurements across all latent trait levels. A sample of 1,022 Dutch adults completed all 35 items of the original item bank plus 17 new items (in Dutch). The new items presented in this publication have been translated provisionally from Dutch into English for presentation purposes. We evaluated the basic IRT assumptions unidimensionality, local independence, and monotonicity. Furthermore, we examined the item parameters, and assessed differential item functioning (DIF) for sex, education, region, age, and ethnicity. In addition, we compared the test information functions, item parameters, and θ scores, for the original and extended item bank in order to assess whether the measurement range had improved. We found that the extended item bank was compatible with the basic IRT assumptions and showed good reliability. Moreover, the extended item bank improved the measurement in the lower trait range, which is important for reliably assessing functioning in clinical populations (i.e., persons reporting lower levels of participation). We extended the PROMIS-APSRA item bank and improved its psychometric quality. Our study contributes to PROMIS measurement innovation, which allows for the addition of new items to existing item banks, without changing the interpretation of the scores and while maintaining the comparability of the scores with other PROMIS instruments.

#1399 Hemodiafiltration or haemodialysis for kidney failure: updated systematic review and individual participant data meta-analysis

Abstract Background and Aims A recent large European randomised controlled trial (RCT) showed a 23% reduction in all-cause mortality in favour of high dose haemodiafiltration (HDF) compared to high flux haemodialysis (HD). Several reactions critically questioned the main outcome and subgroup results and thereby its implications. Implications, however, should not be viewed based on results of one trial, but rather on the combined available evidence. Therefore, we set out to update our previous 2016 individual patient data meta-analysis (IPA-MA). An IPA-MA was chosen over an aggregated data meta-analysis as it allows more powerful and uniformly consistent analyses of subgroups and outcomes. Method The study was conducted according to PRISMA-IPD guidelines. We performed searches in MEDLINE, Embase and CENTRAL to identify RCTs in kidney failure patients with at least one year follow-up after randomisation, comparing on-line HDF with HD on mortality outcomes. Investigators were invited to share participant level data. The primary outcome was all-cause mortality. Secondary outcomes were cause-specific death (cardiovascular, only cardiac, only non-cardiac, infection-related, sudden death). We ran Cox proportional hazards models using intention to treat samples with a random effect for study, reporting hazard ratios (HR) and 95% confidence intervals (95% CI), overall and stratified by several predefined patient characteristics. Also, we ran Cox models using HDF patient data to estimate relations between achieved convective volume and mortality outcomes. Results Data from five European RCTs (i.e. ESHOL, CONTRAST, French HDF Study, Turkish HDF Study, and CONVINCE) were included, comprising 4153 patients. After a median follow-up of 30 months (Q1-Q3: 24-36), death from any cause occurred in 558 patients (27.2%) in the HD group and in 477 patients (23.3%) in the HDF group (HR: 0.84; 95% CI: 0.74 to 0.95). There was no evidence for a differential effect across subgroups. Cause specific analyses showed, compared to the HD, a lower risk of cardiovascular death in the HDF group (HR: 0.78; 95% CI: 0.63 to 0.96), which seemed to be driven by a lower risk for cardiac death (HR: 0.67, 95% CI: 0.50 to 0.89). The largest survival benefit was found for patients achieving a convective volume of 23 L or above, with a multivariable adjusted HR of 0.63 (95% CI: 0.50 to 0.79) for all-cause death, of 0.58 (95% CI: 0.40 to 0.85) for cardiovascular death and of 0.51 (0.28 – 0.93) for infection related death. The relation between achieved convection volume and mortality outcomes seemed gradual: the higher achieved the volume, the lower the risk compared to HD. Conclusion The combined available individual patient data from RCTs indicate that on-line HDF treatment improves survival with, at present, no clear differences across patient subgroups, when identified based on single characteristics. Our finding “the higher dose of HDF achieved, the lower the risk” seems congruent with that reported previously from observation studies.

Massive open online course on breastfeeding during the COVID-19 pandemic in Mexico.

COVID-19 virus was reported to be transmitted through breastfeeding (BF), creating the need for rapidly available, standardized information and training for health personnel and the community about BF as an urgent action to reduce misinformation and unethical promotion of breast milk substitutes (BMS). In Mexico, a massive open online course (MOOC) was designed and implemented to protect, promote and support BF in emergency contexts. MOOC registration consisted of collection of quantitative data regarding participant characteristics, MOOC coverage, scores achieved and completion rates. A multiple linear regression analysis was performed to relate the absolute and relative skills earned in the MOOC to participant characteristics. In addition, factors associated with completion rate and dissemination of information from the MOOC were analyzed using multiple logistic regression and presented as odds ratios. During a period of 19 months, 52,426 participants across the country, including health personnel and general population, entered the Cursos en Linea del Instituto Mexicano del Seguro Social (CLIMSS) platform, of which 50.5% completed the MOOC. The level of participation was maintained from January 2021 to early 2022 when the perception of the risk of getting sick from COVID-19 and quarantining decreased. In adjusted analysis, completion rate was associated with being older or belonging to a health institution; furthermore, residing in the north of the country doubled the odds of completing the MOOC (odds ratio 2.24; 95% confidence interval 1.95-2.56). A MOOC can be a useful training strategy to disseminate information, especially in emergencies where physical distancing is important and reaching the largest possible population is required.

Implementing automated Medicaid eligibility renewals was not associated with higher levels of program participation

Implementing automated Medicaid eligibility renewals was not associated with higher levels of program participation

Psychometric testing of the Chinese version of the International Classification of Functioning, Disability, and Health Measure of Participation and Activities Screener in people with stroke.

Clinicians need a validated measure to assess the activity and participation of Chinese people with stroke. To culturally adapt and psychometrically test the Chinese (Cantonese) version of the International Classification of Functioning, Disability and Health Measure of Participation and Activities (C-IMPACT-S) in community-dwelling people with stroke. We followed the standard translation procedures to culturally adapt the C-IMPACT-S. Then we administered the C-IMPACT-S to 100 people with stroke and 50 healthy counterparts for psychometric testing, including the ceiling and floor effects, internal consistency, test - retest, measurement error, minimal detectable change, correlations with other outcome measures, known-group validity and optimal cutoff scores. The C-IMPACT-S has no floor effects but ceiling effects in item 5. It has poor to excellent (Cronbach's α = 0.56-95) internal consistency and fair to excellent (Intraclass correlation coefficients = 0.58-1.00) test-retest reliability. The overall C-IMPACT-S mean score and activity and participation component mean scores had statistically significant no to weak correlations with the Fugl-Meyer Assessment, the Chinese versions of Geriatric Depression Scale, Fatigue Assessment Scale, Lawton Instrumental Activities of Daily Living Scale and Community Integration Measure. The stroke participants had lower C-IMPACT-S scores then their health counterparts. The optimal cutoff scores of the overall C-IMPACT-S and activity and participation domains were 88.02% (sensitivity 72%, specificity 80%), 80.56% (sensitivity 86%, specificity 68%) and 91.67% (sensitivity 68%, specificity 80%), respectively. C-IMPACT-S is a reliable and valid measure for assessing the levels of activity and participation of people with chronic stroke.

Return to athletics after total knee arthroplasty: a survey study of 784 recreational athletes across 12 sports.

Postoperative return to recreational activity is a common concern among the increasingly active total knee arthroplasty (TKA) patient population, though there is a paucity of research characterizing sport-specific return and function. This study aimed to assess participation level, postoperative return to activity, sport function, and limitations for recreational athletes undergoing TKA. A survey of recreational sports participation among primary, elective TKA patients from a single academic center between June 2011 and January 2022 was conducted. Of the 10,777 surveys administered, responses were received from 1,063 (9.9%) patients, among whom 784 indicated being active in cycling (273 [34.8%]), running (33 [4.2%]), jogging (68 [8.7%]), swimming (228 [29.1%]), tennis (63 [8.0%]), skiing (55 [7.0%]), or high-impact team sports (64 [8.2%]) between two years preoperatively and time of survey administration, and were included for analyses. Cycling (62.3% at two years preoperatively vs. 59.0% at latest follow-up) and swimming (62.7% at two years preoperatively vs. 63.6% at latest follow-up) demonstrated the most favorable participation rate changes, while running (84.0% at two years preoperatively vs. 48.5% at latest follow-up) and skiing (72.7% at two years preoperatively vs. 45.5% at latest follow-up) demonstrated the least favorable participation rate changes. The majority of respondents were "satisfied" or "very satisfied" with their return across all sports, though dissatisfaction was highest among runners and joggers. For cycling, running, jogging, and swimming, respondents most commonly reported no change in speed or distance capacity, though among these cyclists reported the highest rates of improved speed and distance. The majority of returning skiers reported improved balance, form, and ability to put on skis. Return to sport is feasible following TKA with high satisfaction. Swimming and cycling represent manageable postoperative activities with high return-rates, while runners and joggers face increased difficulty returning to equal or better activity levels. Patients should receive individualized, sports-specific counseling regarding their expected postoperative course based on their goals of treatment.

Smartphone Use in the Management of Neurological Emergencies: A Simulation-Based Study.

Smartphone use in medicine is nearly universal despite a dearth of research assessing utility in clinical performance. We sought to identify and define smartphone use during simulated neuroemergencies. In this retrospective review of a prospective observational single-center simulation-based study, participants ranging from subinterns to attending physicians and stratified by training level (novice, intermediate, and advanced) managed a variety of neurological emergencies. The primary outcome was frequency and purpose of smartphone use. Secondary outcomes included success rate of smartphone use and performance (measured by completion of critical tasks) of participants who used smartphones versus those who did not. In subgroup analyses we compared outcomes across participants by level of training using t-tests and χ2 statistics. One hundred and three participants completed 245 simulation scenarios. Smartphones were used in 109 (45%) simulations. Of participants using smartphones, 102 participants looked up medication doses, 52 participants looked up management guidelines, 11 participants looked up hospital protocols, and 13 participants used smartphones for assistance with an examination scale. Participants found the correct answer 73% of the time using smartphones. There was an association between participant level and smartphone use with intermediate participants being more likely to use their smartphones than novice or advanced participants, 53% versus 29% and 26%, respectively (p < 0.05). Of the intermediate participants, those who used smartphones did not perform better during the simulation scenario than participants who did not use smartphones (smartphone users' mean score [standard deviation] = 12.3 [2.9] vs. nonsmartphone users' mean score [standard deviation] = 12.9 (2.7), p = 0.85). Participants commonly used smartphones in simulated neuroemergencies but use didn't confer improved clinical performance. Less experienced participants were the most likely to use smartphones and less likely to arrive at correct conclusions, and thus are the most likely to benefit from an evidence-based smartphone application for neuroemergencies.

Green Finance, Green Technology Innovation and the Upgrading of China’s Industrial Structure: A Study from the Perspective of Heterogeneous Environmental Regulation

In the era of green economic development, green finance serves as a crucial catalyst for green technological innovation, and both may significantly drive the upgrading of industrial structures. This study combines green finance, green technological innovation, and industrial structure into a research framework, analyzing data from 29 Chinese provinces (2003–2020) to empirically assess their impacts on China’s industrial structure using a two-way fixed-effects model. The results show the following: first, green finance and green technological innovation can significantly promote the upgrading of China’s industrial structure directly and synergistically, a finding corroborated by various robustness tests. Secondly, heterogeneity analysis reveals that there is a “path-dependency effect” in the development of green finance and technology innovation: in areas with higher population density, more developed technological markets, and lower fiscal pressure, the synergistic promotion of the upgrading of industrial structure is stronger. Thirdly, further research indicates that green finance and technology innovation impact the upgrading of industrial structure variably under command-and-control, market-incentive, and voluntary environmental-regulation tools. The most effective policy is the voluntary regulation tool, which involves higher levels of public participation. This study offers valuable insights for fostering green technology innovation, refining environmental policies, and enhancing the optimization and upgrading of industrial structure.

Multilevel analysis on prevalence and associated factors of modern contraceptive uptake in Somaliland: based on The Somaliland Health and Demographic Survey 2020

IntroductionContraception is the deliberate prevention of unwanted pregnancy through various contraceptive methods. Its uptake is low in Sub-Saharan African countries, particularly in east Africa. This might be linked to the high prevalence of unwanted pregnancies and the high fertility rate in the area. Although studies reporting the prevalence and associated factors of modern contraceptive uptake are available in other African countries, no study has been conducted in Somaliland. Therefore, the current study aimed to assess its prevalence and associated factors in Somaliland using Somaliland Health and Demographic Survey (SLHDS) data.Methods and materialsThe study used Somaliland Demographic Health Survey (SLDHS) 2020 data. The survey was a national-level survey using a cross-sectional study design. A total of 3656 reproductive-age women were included in the current study. To determine independent predictors of modern contraceptive uptake, a multi-level multivariable logistic regression analysis was done. Random effect analysis, standard error (SE) and intra-cluster correlation (ICC) were computed.ResultsThe proportion of modern contraceptive uptake among reproductive age groups in Somaliland is 1%. Modern contraceptive uptake is significantly associated with the residence, educational level and wealth index of participants. Women from nomadic communities had lower odds (AOR: 0.25; 95% CI: 0.10, 0.66) of modern contraceptive uptake compared to those from urban areas. Being in the highest wealth quintiles (AOR: 17.22; 95% CI: 1.99, 155.92) and having a tertiary educational level (AOR: 2.11; 95% CI: 1.29, 9.11) had higher odds of using the modern contractive method compared to those with the lowest wealth quintiles and non-formal education, respectively.ConclusionThe prevalence of modern contraceptive uptake in Somaliland was very low. It is associated with the level of education, wealth index and residence of the women.

Investigating the socio-demographic characteristics and smoking cessation incidence among smokers accessing smoking cessation services in primary care settings of Qatar, a Historical Cohort Study

BackgroundTobacco dependence is a chronic disease that often requires repeated interventions and multiple attempts to quit. Cigarette smoking is the leading preventable cause of mortality. Globally, an estimated 1.3 billion people smoke.In Qatar, Smoking cessation services (SCSs) are provided free of charge to citizens and at a minimal cost to non-citizens. This study aimed to measure the effectiveness of the smoking cessation program adopted by the Primary Health Care Corporation (PHCC) of Qatar. This was achieved through calculating the percentage of smoking cessation service users (survival probabilities) who maintained the non-smoking status after selected follow up periods. Moreover, the study highlighted the possible association of selected explanatory variables with smoking cessation survival probabilities.MethodsIn this historical cohort study 490 participants were recruited by simple random sampling who attended the smoking cessation clinics (SCCs) in PHCC prior to 30/06/2021. The participants were contacted by phone and invited to participate in the study. The participants who agreed to participate in the study were interviewed utilizing a structured questionnaire.ResultsInitially 311 (63.5%) of the participants quitted smoking after receiving SCSs. There were statistically significant differences between quitting smoking and the nationality and the educational level of participants (p ≤ 0.001 and 0.02 respectively). About one fourth (23.3%) of individuals who initially quitted smoking relapsed and resumed smoking as early as 6 months after completing their SCC visits. This relapse rate increased to 38.7, 47.2 and 51.1% after 12, 24 and 36 months respectively. Less than a half (45.8%) maintained the non-smoking status after 42 months from their initially quitting.Conclusion and recommendationsThe findings of the study substantiate the effectiveness of SCSs designed within PHCC both in short- and long-term basis. Younger individuals, smokers with Arab ethnicity, smokers falling within high income and education groups were identified as high-risk groups and need highest focus. The accessibility to the service among the local population can be increased by upscaling the advertisement of the existing services.

PENGARUH SENAM OTAK TERHADAP PENURUNAN TINGKAT KECEMASAN PESERTA UJI KOMPETENSI KEAHLIAN PERDAGANGAN IMPOR PADA LEMBAGA PELATIHAN ASI TRAINING CENTRE KOTA BEKASI JAWA BARAT

An importer must have expertise in this field. One thing that shows is having a certificate of expertise in the field of import trade. To get it, participants must pass certification. Because of these demands, many participants experienced mental disorders, namely anxiety. Anxiety levels often arise due to psychological pressure. In this case, participants are required to pass a skills test in the field of import trade. To reduce anxiety levels, one form of exercise is brain exercise. This research aims to prove the influence of brain exercise on reducing the anxiety level of training participants at the ASI Training Center Institute in Bekasi City. The benefit of this research for physiotherapy is that it adds to the literature to prove that brain exercise can reduce the anxiety level of training participants. The sampling technique used was purposive sampling. This group was divided into two research groups. Treatment group with intervention and control group without intervention. Each group consisted of 15 respondents. Statistical analysis used the independent t test. The research results showed that there were differences between the control group and the treatment group. These results indicate that the value of the treatment group is lower than that of the control group. Thus, it can be concluded that the treatment group was more effective than the control group. So it was concluded that brain exercise had an effect on reducing anxiety levels.Key words: Keywords: Jenga game, Anxiety, saturation, Psychology

Augmenting complex and dynamic performance through mindfulness-based cognitive training: An evaluation of training adherence, trait mindfulness, personality and resting-state EEG.

Human performance applications of mindfulness-based training have demonstrated its utility in enhancing cognitive functioning. Previous studies have illustrated how these interventions can improve performance on traditional cognitive tests, however, little investigation has explored the extent to which mindfulness-based training can optimise performance in more dynamic and complex contexts. Further, from a neuroscientific perspective, the underlying mechanisms responsible for performance enhancements remain largely undescribed. With this in mind, the following study aimed to investigate how a short-term mindfulness intervention (one week) augments performance on a dynamic and complex task (target motion analyst task; TMA) in young, healthy adults (n = 40, age range = 18-38). Linear mixed effect modelling revealed that increased adherence to the web-based mindfulness-based training regime (ranging from 0-21 sessions) was associated with improved performance in the second testing session of the TMA task, controlling for baseline performance. Analyses of resting-state electroencephalographic (EEG) metrics demonstrated no change across testing sessions. Investigations of additional individual factors demonstrated that enhancements associated with training adherence remained relatively consistent across varying levels of participants' resting-state EEG metrics, personality measures (i.e., trait mindfulness, neuroticism, conscientiousness), self-reported enjoyment and timing of intervention adherence. Our results thus indicate that mindfulness-based cognitive training leads to performance enhancements in distantly related tasks, irrespective of several individual differences. We also revealed nuances in the magnitude of cognitive enhancements contingent on the timing of adherence, regardless of total volume of training. Overall, our findings suggest that mindfulness-based training could be used in a myriad of settings to elicit transferable performance enhancements.

Determinants of social participation in people with disability.

In this study, it is aimed to determine personal wellbeing and social participation levels across different physical disability types and levels of mobility. A sample of 85 individuals with physical disabilities, excluding those with mental disabilities were included. Sociodemographics, mobility of the participants, cause, duration of disability were recorded. Personal Wellbeing Index-Adult (PWI-A) scale was used for the assessment of wellbeing and Keele Assessment of Participation (KAP) for social participation. Female, single, unemployed subjects and individuals with neurologic disability showed significantly higher median KAP-scores(p = 0.009, p = 0.050, p<0.001, p = 0.050, respectively).The median KAP-score of the independently mobile group was significantly lower compared to the other two groups (p = 0.001). The factors affecting KAP were determined as employment, mobility level and personal wellbeing (p = 0.002, p = 0.024, p = 0.050, respectively). Mobility level, employment and personal wellbeing are the determinants of social participation in people with disabilities. Neurological disability, female gender, being single, unemployment and mobility limitations are factors that reduce social participation.

SOLID WASTE MANAGEMENT RELATIVE TO IMPLEMENTATION OF POLICIES AND PROGRAMS TOWARDS SAFE AND HEALTHY ENVIRONMENT

This study aims to investigate solid waste management programs and policies implemented to promote a safe and healthy school environment in Anao-Kiling Elementary School, Roxas, Isabela. Fifty internal and 30 external stakeholders served as respondents of the study. This research uses a descriptive-normative approach to assess stakeholders' awareness, implementation levels, and challenges. The data were collected through structured questionnaires and interviews, and analyzed through statistical tools such as percentages, weighted means, ANOVA, Chi-Square C-Test, and Pearson's correlation coefficient. The results showed that there is a high level of awareness among respondents regarding the policies of segregation, reduction, reuse, and recycling. However, challenges remain regarding waste disposal, showing the need for improvements in the overall implementation of the program and advocacy efforts. In addition, the level of stakeholder participation varied, with composting of biodegradable waste showing the highest level of implementation. Internal stakeholders experienced excessive waste, whereas external stakeholders experienced problems such as a lack of time. There was a significant relationship between existing programs, dissemination, and implementation levels. However, the respondents' perceptions and their profile variables did not show a significant correlation. Conclusions emphasize stakeholder representation, adequate dissemination of program information, and the need for targeted solutions to address implementation challenges. As a result of this study, holistic waste management strategies are crucial to creating a sustainable and healthy educational environment.