Level Of Quality Research Articles

Sleep hygiene efficacy on quality of sleep and mental ability among insomniac patients

ABSTRACT Background: Insomnia affects both quality of life and productivity at work, and it raises the risk of other diseases, such as depression, that coexist with insomnia. Nowadays, it is highly advised to treat insomnia with behavioral and psychological therapeutic methods to ensure the quality of your sleep. Aim: This study aimed to find the efficacy of sleep hygiene techniques in improving sleep quality and mental ability among insomnia clients. Methods: Self-structured questionnaires used to evaluate sleep quality and the McQuaig Mental Ability Test to test mental ability were used to collect data during the study’s six-week duration, which involved the recruitment of 50 participants using a purposive sample technique. A paired sample t-test and Pearson correlation were used for the statistical analysis. Results: Data analysis shows that sleep quality (t = 33.35) (P = 0.0000) and mental ability (t = 35.33) (P = 0.0001) are both highly significant at P =0.0001. Correlation regression data of sleep hygiene elements such as schedule, avoiding caffeine and beverages, relaxation routine, and sleep-stimulating environment shows that there is a positive correlation with the quality of sleep at r = 0.9, 0.89, 0.75, and 0.68, whereas P = 0.000, 0.01, and 0.023, respectively. Similar to this, there is a positive association between mental ability and good sleep habits such as a relaxing routine, a sleep-promoting environment, and a schedule with r = 0.91, 0.88, and 0.92, respectively, with P values of 0.0001, 0.001, and 0.001. Conclusion: The results of the study provide compelling evidence that good sleep hygiene can help enhance insomniacs’ mental ability and sleep quality. Furthermore, those with moderate levels of sleep quality, those between the ages of 18 and 38, and those with higher education benefited more than others.

Developing a green economy towards sustainability: Research in Vietnam in the context of digital transformation

In recent years, the Party and State have paid great attention to promoting green economy, circular economy and sustainable development. Thereby, many policies have been issued to orient economic development towards sustainability, environmental protection, climate change adaptation, improving investment quality and efficiency, and focusing on attracting high-quality projects. However, in reality in Vietnam, the trend of green economic development is only at the starting point, the green economic development process is still lacking in synchronization and facing barriers in terms of capital, human resources, science and technology resources... In the face of environmental and social consequences, from developing the brown economy, countries have gradually shifted to a green economy - an economy that cares about happiness, social justice and the environment in addition to economic goals. Vietnam is no exception to this trend. Green economic development has been of interest to the Party and the State since the early years of the Doi Moi period and has achieved certain successes. However, the construction of a green economy in Vietnam still faces many limitations due to many reasons, such as: lack of capital resources, labor quality, science and technology level not meeting requirements... This poses synchronous and long-term solutions with each specific step towards a green economy. The article reflects the current situation and solutions for green economic development in Vietnam. Keywords: Sustainability, Green Economy, Digital Transformation.

Astragalin alleviates oligoasthenospermia via promoting nuclear translocation of Nrf2 and reducing ferroptosis of testis

Oligoasthenospermia (OAS) is a global human developmental disease and the most common type of male infertility. There are currently no sufficiently effective therapeutic strategies for OAS. Wuziyanzong Pill (WZYZP) is a traditional Chinese prescription for the clinical treatment of male infertility, and its efficacy is well known in China. Therefore, due to the complexity of traditional Chinese medicine, the specific mechanism of action of WZYZP on OAS has not been elucidated. Astragalin (AG), one of the main active substances in WZYZP, has good antioxidant effect. The aim of this research is to investigate whether AG, the active substance in WZYZP, can treat OAS by promoting Nrf2 nuclear translocation and inhibiting ferroptosis. The OAS model was established by intraperitoneal injection of cyclophosphamide, and the therapeutic effects of AG and WZYZP on OAS were evaluated by detecting sperm quality, sex hormone levels and testicular pathological changes after intragastric administration of AG and WZYZP. Western blot was used to measure the expression levels of TFR1, SLC7A11, GPX4 and FTH1. The nuclear translocation of Nrf2 was detected by immunofluorescence staining and nuclear/intracellular expression of Nrf2. The results showed that AG could improve sperm quality and serum sex hormone levels in OAS rats, reduce the expression of testicular Fe2+ and TFR1, up-regulate testicular SLC7A11, GPX4 and FTH1, and inhibit testicular ferroptosis. At the same time, AG can promote the expression and nuclear translocation of Nrf2 in the testis of OAS rats. AG can alleviate OAS via promoting nuclear translocation of Nrf2 and inhibiting ferroptosis of testis.

Effects of habitat fragmentation on ecosystem services and their trade-offs in Southwest China: A multi-perspective analysis

Exploring the relationships between habitat fragmentation on ecosystem services (ESs) is important for ecological conservation and spatial pattern optimisation. However, analyzing the influence of different habitat fragmentation processes on ESs and their trade-offs from a multiple perspective is still relatively lacking. Therefore, taking Southwest (SW) China as an example, this paper evaluated the dynamics and trade-off relationship of four main types of ESs (i.e., carbon storage (CS), grain production (GP), water retention (WR), soil retention (SR)) during 2000–2020, and analyzed the effects of four habitat fragmentation processes (i.e., decreasing habitat area, increasing habitat density, increasing habitat shape complexity and decreasing habitat cohesion) on ESs and their trade-offs by using geographically and temporally weighted regression model. The results showed that ESs showed a deterioration trend during 2000–2020, with GP, WR, CS, SR, and total ecosystem services (TES) declined by 66.45 %, 54.33 %, 41.68 %, 76.25 % and 65.83 %, respectively. The GP-SR, GP-CS and GP-WR pairs exhibited trade-offs, while other ES types pairs exhibited synergies with each other. Increasing habitat density and increasing in habitat shape complexity were the two strongest fragmentation processes influencing ESs and their trade-offs. The effects of various habitat fragmentation processes on ESs and their trade-offs have obvious spatial heterogeneity. With changes in terrain relief, proportion of karst area, habitat quality, and urbanization level, the association of habitat fragmentation-ESs and habitat fragmentation-ESs trade-offs existed different sensitivities. The results can provide effective guidance for landscape planning and ecosystem management in the SW.

Linkages between industry, agriculture, growth, renewable energy and the environment and the role of institutional quality, evidence from selected South and East Asian economies

This study aims to reveal the influence of industrial progress and agricultural value addition on environmental harm and explores how the unique moderating role of institutional quality handles this association; using the panel ARDL approach on a panel of South and East Asian economies from 1980 to 2020. The baseline model proposes that for each 1% increase in agricultural added value and industrial progress, carbon dioxide emissions may fluctuate considerably positively by 0.563% and 0.758% respectively. In the long term, the plausibility of the upturned U-shaped association between economic growth and carbon dioxide emissions in South and East Asian economies has been confirmed in the analysis. The use of renewable energy considerably condenses long-term emission levels. Institutional quality is found to have a strong moderating effect on the link between the main model regressors (renewable energy use, industrial growth, GDP per capita, and agricultural value addition) and CO2 emissions. Institutional quality supports the enhancement of industrial and agricultural capabilities and the improvement of environmental worth. Finally, the threshold results indicate that the influence of the main regression variables of the model (renewable energy utilization, industrial growth, per capita GDP, and agricultural added value) on carbon dioxide emissions has fully penetrated the institutional quality level. Strong, high-quality institutions, rather than weak institutions, can improve the aptitude of industry and agriculture to mitigate environmental degradation. In this pursuit, it becomes increasingly important to develop policies that support renewable energy based on institutional values.

Analisa Keandalan Instrumentasi Pada Pulp Dryer Unit Menggunakan Metode Reliability Centered Maintenance (RCM) di PT. Indah Kiat Pulp and Paper Perawang

<p><strong>PT. Indah Kiat Pulp and Paper Perawang, a backup of Sinarmas, is one of the biggest companies concurring to the Indonesia Stock Trade. One of the most critical units in the production process is the pulp dryer unit, with an estimated production capacity of 657 tons per day. Based on the data obtained, the pulp dryer unit frequently experiences failures that disrupt the production process. This ponder utilizes the RCM (Reliability Centered Maintenance) strategy to decide which gadgets within the mash dryer unit are most inclined to issues by calculating the RPN (Risk Priority Number) for each component, assessing the unwavering quality level of these gadgets, and giving proposals for an ideal support plan. The think about comes about appear the RPN values for mash dryer instrumented from most elevated to least as takes after: temperature <em>sensor</em> at 392, press transmitter at 288, level transmitter at 280, stream transmitter at 252, solenoid valve at 252, consistency transmitter at 245, and on/off valve at 210. The unwavering quality values for each instrumented component that did not meet the edge set by the SII (Indonesian Industrial Standards), which is 0.7, demonstrate the require for support activities. The recommended maintenance schedule for the instrumentation is as follows: temperature <em>sensor</em> at 252 days, press transmitter at 352 days, level transmitter at 352 days, flow transmitter at 352 days, solenoid valve at 352 days, consistency transmitter at 293 days, and on/off valve at 440 days.<em></em></strong></p><p><strong><em>Keywords</em></strong> – <em>FMEA, Inst</em><em>rumentation</em><em>, </em><em>Reliability</em><em>, Pulp Dryer, RCM.</em></p>

Batch-sizing and machinability data systems for milling operations: An optimal sustainable cost of quality approach

Nowadays, manufacturers make every effort to achieve a higher quality of their products at an attractive cost. With all the introduced legislation and incentives in the developed world to address global warming, machining shops in the West also strive to cut greenhouse emissions. This article offers an optimal approach to the micro Computer-Aided Process Planning (CAPP) problem to optimize the internal quality cost and buffering effect while keeping the environmental impact low. To optimize the machining parameters, the mathematical model is developed for different milling operations, face, side, and peripheral. cutting speed, feed rate, axial depth of cut, radial depth of cut, nose radius, and batch sizing while maximizing profit and meeting customer demand. A Mixed-Integer Nonlinear Programming (MINLP) model is formulated and solved using Classical Constrained Nonlinear Optimization (CCNO) and Genetic Algorithms (GAs). Surface roughness, used as a metric to evaluate the desired quality level of a finished machined part type, is modeled as a Gaussian random variable to model the surface roughness of the machined part utilizing a cumulative normal distribution. The ratio of rework and scrap is calculated in terms of the surface roughness of the machined part shifting away from the target and exceeding upper and lower specification limits. The internal failure cost model, addressing both scrap and rework, is developed based on Taguchi’s quadratic loss function. CCNO is employed to validate the results obtained by GAs, relaxing the lot-sizing integrality constraint and, thus, the convexity of the produced relaxed model. An iterative method employing a developed multi-regression model is used to solve for the expended power consumption (an inherent highly nonlinear environmental criterion of the developed model) within both GAs and CCNO. This study reveals that the machining parameters substantially impact the cost components of the objective function as well as the scrap and rework quantities. A stringent quality cost target can force the model to optimize the feed rate and nose radius to minimize the internal failure quality cost while improving the environmental impact, including direct and indirect power consumption and CO2 emissions considerations.

On increase of land tax in Kazakhstan

Land tax is one of the sources of formation of local budgets, filling their revenue part. The aim is to analyze the legal framework of the existing system of land taxation, to substantiate the need to increase mandatory payments for land. The following methods were used - monographic - to study the foreign experience of land taxation, statistical - to collect data on tax revenues, the state of the land fund, analytical - in the study of methods of tax payment, on the basis of abstract-logical method problems were identified and ways of their solution were proposed. Results - foreign experience of tax regulation has shown that fiscal policy is aimed at creating favorable preferential conditions for agricultural producers and improving soil quality. The existing domestic methodology of tax payments depending on the purposes of application is considered. The analysis of tax payments in dynamics for 7 years is presented. Land tax rates and rent in the context of target use are calculated. It is revealed that the tax for peasant (farm) farms in accordance with the income from the sale of agricultural products is not quite acceptable, as the costs of its production are not taken into account. Conclusions - it is established that a 40-fold increase in the land tax is premature, since to date such a measure is legislatively approved in the amount of 20-fold. It is recommended to increase the tax burden on residential lands for individual residential construction, shopping and entertainment centers and industrial facilities. Involvement in agricultural turnover of 62.5 million hectares of pastures, concentrated in the category of reserve lands, will make it possible to improve their quality level and receive additional money for the state budget.

GUIDELINES FOR THE SERVICE QUALITY DEVELOPMENT OF SMALL BOUTIQUE HOTELS THAT ATTRACT DOMESTIC WORKCATION TOURISTS: THE CASE OF PATTAYA CITY, THAILAND

The aims of this study are to 1) study the level of service quality of small boutique hotels in Pattaya City, (2) study the behaviors of Domestic workcation tourists at small boutique hotels in Pattaya City, and (3) suggest guidelines for the service quality development of small boutique hotels that attract domestic workcation tourists in Pattaya City. Small boutique hotels are presently dispersed around the globe, especially in Pattaya City, Thailand, where small boutique hotels are plentiful. Meanwhile, the concept of ‘workcation’ is more recognizable due to its concept of ‘anywhere is an office’. Although this concept is not new, limited studies concerning workcation tourists were found, particularly studies of service quality among small boutique hotels as well as workcation tourists’ behaviors. A mixed research method was used to accomplish the research objectives. For quantitative research, a validated questionnaire was refined to collect data from targeted samples of 400 domestic workcation tourists who had stayed at small boutique hotels in Pattaya City. For qualitative research, a semi-structured in-depth interview was organized to collect data from 30 small boutique hotel entrepreneurs in Pattaya. The results indicated that domestic workcation tourists prioritize the following service quality factors: tangibility (x̄ = 4.51), responsiveness (x̄ = 4.51), reliability (x̄ = 4.48), assurance (x̄ = 4.29), and empathy (x̄ = 4.35). For behavioral studies, the findings revealed that domestic workcation tourists usually traveled alone, spent only one night at the hotels, stayed over five times per year, preferred July–September as a travel period, obtained hotel information via social media, and regularly made reservations through social media platforms. Having an internet connection was crucial to them. Lastly, three dimensions of guidelines were formulated, including human resource development, organization development, and information technology development. The findings give valuable insights for tourism stakeholders to cater domestic workcation tourists in response to the blooming of small boutique hotels in Pattaya, Thailand and other equivalent areas.

Assessing of Biology Test Question Quality Using Anates Software

This research uses a quantitative descriptive approach. This research aims to determine the quality and appropriateness of Class XI Biology question items consisting of validity, reliability, level of difficulty, distinguishing power and distractor quality. The subjects are SMA N 1 Driyorejo Gresik as many as 30 students. Data collection in this research was carried out through student answer sheets, then the data was processed using Anates Ver 4.0.9. The test results show that the questions are appropriate and of good quality with a correlation of 0.62 and a reality coefficient of 0.76. This resulted in the question criteria being declared as having high validity, with four levels of difficulty and a small number of the quality of the distractor has poor quality test items.

FUNDAMENTALS OF THE TOURIST DESTINATION MANAGEMENT SYSTEM

In the present period, tourism has become one of the priority areas of development of economic and cultural spheres of life in many countries of the world. Actions in this direction are actively taking place in Kazakhstan, considering the identification of the main development factors specified in the strategic and programmatic planning documents. The purpose of the study: to develop methodological approaches and practical recommendations for managing the process of developing tourist destinations with the active participation of the main tourism entities in order to promote them as a tourist destination in tourism. The basis of management of the tourist destination is to bring the tourist product of the region to the market and ensure its competitiveness in order to achieve a high level of well-being and quality of life. At the same time, the organizational and economic relations arising in the process of managing the development of the tourist destination are the mechanisms for realizing the tourist and recreational potential in the regions and promoting the tourist product. The article deals with the evaluation mechanisms of the management system of tourist destinations.

RESPONSE OF THE ‘POLESIE’ RASPBERRY CULTIVAR TO FOLIAR APPLICATION OF CHITOSAN WITH DIFFERENT MOLECULAR WEIGHTS

This study explored the effects of chitosan, a biodegradable and non-toxic natural polymer derived from chitin, on the yield and quality of raspberries. Various molecular weights (3.3–950 kDa) were assessed to determine the impact on raspberry plants and fruit development. These applications were made during key growth phases – the start of the vegetation period, during flowering and at the fruit-bearing stage – using a foliar method to ensure full coverage of both leaves and fruit without runoff. The results indicated that chitosan application influenced various parameters of fruit quality, including firmness, colour and antioxidant levels. Notably, chitosan with a molecular weight of 21 and 50 kDa significantly enhanced fruit yield and size compared with the control. Conversely, chitosan with a higher molecular weight (500 and 950 kDa) did not improve yield and appeared to induce stress in plants, although they did contribute to increased fruit firmness and potentially extended the shelf life due to their film-forming capabilities. The findings suggest that while chitosan can improve the yield and quality of raspberries, the effectiveness is highly dependent on its molecular weight. These results support the potential of chitosan as an alternative to traditional chemical treatments, promising a reduction in chemical inputs while sustaining or enhancing agricultural productivity and fruit quality.

INVESTIGATING THE RELATIONSHIP BETWEEN SURGICAL TEAM COMMUNICATION AND PATIENT OUTCOMES

Surgical team plays a vital role in the care of patients during the surgery. For safe patient outcomes, surgical team members must effectively communicate within the surgical site. Communication breakdowns in the complex operating room atmosphere can result in unfavorable outcomes. To reduce risks, avoid errors and provide the best possible care for patients, the surgical team must communicate clearly and effectively with one another. Enhancing the quality of surgical treatment requires an understanding of the connection between communication and patient results. Objective: The purpose of this study was to investigate the connection between patient satisfaction outcomes and surgical communication between teams focusing on how the improved communication practices can enhance the patient safety in terms of care quality and satisfaction level in surgical setting. Method: The study comprised of 187 health care providers between the ages of 18 and 65 who were examined for the association between surgical team communication and patient outcomes after ethical approval from Hospital ethical committee. Descriptive cross-sectional study was carried out in the District Headquarters Teaching Hospital, Kohat Development Authority Kohat from January 2022 to July 2022. Data was Analyzed on SPSS and shown in tables. Results: The analysis shows a strong positive correlation (.595) between team communication and patient outcomes, with healthcare professionals that rates the quality of communication at an average of 3.84 out of 5, which is closely linked to a decrease in surgical complications and an increase in patient satisfaction. Sticking and communicating according to communication protocols was rated at 3.76, underlining its importance in patient safety improvements. Conclusions: The study affirms the crucial impact of effective communication among surgical team members on improving patient outcomes and safety in the operating site. The enhanced communication directly relates with faster patient recovery, lesser complications and higher patient satisfaction.

Innovative research of comprehensive practice classroom teaching of Chinese reading

The innovative research of comprehensive practical classroom teaching of Chinese reading shows that teachers should pay attention to cultivating students 'interest in reading in the teaching process, improve their information screening and integration ability, and introduce diversified teaching strategies to stimulate students' learning initiative and creative thinking. Through the continuous innovation of teaching methods, we can enrich the reading practice activities, and provide students with a broader space for exploration and thinking. Classroom teaching is an important link in the field of education, and it has a key influence on students' learning effect and development. With the rapid change of society and the reform of education system, the traditional classroom teaching model faces many challenges. Therefore, it is of great theoretical and practical significance to study the innovation of comprehensive practical classroom teaching of Chinese reading and improve the teaching effect. First of all, the innovation of the comprehensive practical classroom teaching can promote the improvement of the quality of Chinese education. Through the exploration and application of the comprehensive practice innovation strategy of different Chinese reading, it can better meet students' learning needs, stimulate their interest and initiative in learning Chinese, and improve the effect and quality of Chinese learning. Secondly, the innovation of comprehensive practical classroom teaching of Chinese reading can promote the professional development of Chinese teachers. Teachers are the main implementers and organizers of classroom teaching, and their teaching ability and level are directly related to the quality and effect of classroom teaching. Studying the practical innovation of classroom teaching can help teachers to continuously improve their teaching ideas, teaching methods and teaching skills, and improve their professional quality and teaching level. In addition, the innovation of studying the comprehensive practical classroom teaching of Chinese reading can also promote the in-depth progress of educational reform. Education reform needs to learn from and introduce new educational ideas, teaching methods and teaching means, and all of these need to be verified and implemented through practical innovation. By studying the innovation of comprehensive practical classroom teaching of Chinese reading, it can provide practical experience and theoretical support for the promotion of educational reform.

Mitigating data inaccuracy and supply chain challenges in Western Romania's automotive industry

The purpose of this paper was to emphasize the importance of data accuracy within internal logistics systems and their extended influence on supply chains in automotive industry through 6-month multiple case studies conducted on 3 first tier original equipment manufacturers (OEM) based in Western Romania. The study investigates the most common causes of data inaccuracies among automotive suppliers and their approaches to reduce consequential supply chain issues and be more agile. Data collection and analysis revealed that main issues arise due to ordering quantities mismatching actual customer demand, a wide range of order lot sizes, lead times and delivery reliability concerns and the reluctance to shift away from mainstream cost-effectiveness and towards strategic added value thinking. These issues sourced significant other related operational challenges such as excessive inventory, short-term stockouts and subsequent express shipping services or product-related inconveniences (quality and capacity levels, contracted volumes and dedicated lines). The paper sources different logistics and supply chain strategies used by the 3 OEMs, their features and operational performance, as well as their overall effectiveness, which can be applied by other automotive industry suppliers to improve own results. Introducing more reliable real-time data collection tools and performance metrics has started hauling more focus towards solving these prevalent issues with some ongoing improvement projects showing up to 25% better results. For one of the 3 OEMs introducing a new warehouse management system has already sourced an overall quality increase (5 percentage points) due to a 60% higher utilization of its production equipment.

Operational Problems and Countermeasures of Public Elective Courses in Higher Vocational Colleges and Universities Based on the Perspective of Academic Affairs Management: Taking Guangdong C Vocational College as an Example

With the vigorous development of higher vocational education, public elective courses, as one of the core components of the higher vocational curriculum system, occupy a pivotal position. Based on the perspective of academic affairs management and taking Guangdong C Vocational College as an example, this paper meticulously analyzes the operational problems in the declaration, setting, teaching, and management of public elective courses through questionnaire surveys and other methods. It also puts forward a series of targeted solutions, with a view to continuously improving the teaching quality and management level of public elective courses.

중독회복자의 심리적 고통과 삶의 질 관계에서 회복자본의 매개효과

The aim of this study was to explore the level of quality of life among individuals in addiction recovery and to examine whether psychological distress affects the quality of life and recovery capital has a mediating effect on this relationship. To do this, original data from the ‘Stigma Perceived by Individuals with Addiction Study’ conducted by the Korea Addicts Right Center in 2023 were used. Recovering individuals who used community addiction organizations and facilities for alcohol, drug, and gambling problems participated in a self-report survey both online and offline. Using SPSS PROCESS macro, mediation analysis was conducted with a sample of 226 recovering addicts. First, the level of quality of life among recovering individuals was found to be low. Second, psychological distress had a direct effect on the quality of life among recovering individuals. Third, recovery capital had a mediating effect on the relationship between psychological distress and quality of life. Based on these findings, suggestions were made to alleviate psychological distress and enhance recovery capital to improve the quality of life for individual in addiction recovery.

Caring for Carers: Association between Care-giving and Quality of Life of Family Carers of Spinal Cord Injury Survivors in Pakistan

Caring for someone with a spinal cord injury (SCI) has always been a family endeavor in developed as well as developing countries like Pakistan. Majority of people with SCI need assistance of others to carry out daily life activities i.e., eating, self-care, transportation and this functional dependence of patients on their attendant affect Quality of Life (QOL) of caregivers. Present study was designed to find the relationship between caregiver burden, psychosocial factors and QOL among caregivers. Caregiver Burden Inventory-SCI and WHOQOL was used to measure study variables. Cross-sectional research design having purposive sampling technique was used to gather data from spinal units of various hospitals of Pakistan. Sample size includes N= 255 family caregivers of SCI patients. Correlation analyses were applied to find the relationship between psychosocial factors, caregiver burden and QOL. Results showed that caregiver burden was significantly negatively correlated with quality of life and positively correlated with care-giving hours, duration of injury, and number of helpers involved in care-giving process. Furthermore, female caregivers showed high level caregiver burden and low levels of quality of life as compared to male counterparts. Similarly, married persons scored higher on caregiver burden and whose patients had paraplegic nature of injury. In Pakistan, there are no respite care programs for carers, The abovementioned findings are helpful in planning psychotherapeutic interventions and tailored caregiver training programs to lessen the impact of caregiver burden on caregivers and to boost their quality of life.

STRATEGIES FOR INCREASING THE QUALITY OF HIGHER EDUCATION AND ITS IMPACT ON THE ECONOMY OF KAZAKHSTAN

The purpose of the study is to assess the impact of higher education on the economic development of Kazakhstan using a systems approach. The paper analyzes strategies for improving the quality of higher education and their role in the growth of the country's economy. The study is conducted using regression modeling, data analysis and assessment of the contribution of various factors to improving the quality of education. In the course of the study, the authors offer recommendations on areas of investment in the educational sphere that meet the current needs of the economy of Kazakhstan. The study is based on the hypothesis of the positive impact of investment in education on the long-term economic growth of Kazakhstan. The analysis includes an assessment of the relationship between the quality of educational policy and economic development. The authors conclude that it is necessary to take into account the level of quality of the educational system when developing investment strategies, choosing areas that best meet the current and future needs of the economy.

Spiritual needs and quality of life of patients with heart failure

Background: Patients with heart failure often experience physical problems that disrupt daily activities. These problems have an impact on the patient's spiritual needs and quality of life. Purpose: To find out the relationship between spiritual needs and the quality of life of patients with heart failure. Method: Descriptive quantitative. The research was carried out at the heart clinic at Dr. Moewardi Hospital, Surakarta from January to August 2023. The number of samples was 100 respondents using the method purposive sampling. Data collection was carried out using the SpNQ and MLHFQ questionnaires. Results: Based on data analysis, it was found that the average respondent was 60% male with a maximum age distribution of 61-70 years (39%). Regarding the description of spiritual needs, the majority of respondents had a high level of spiritual needs (79%). In the quality of life variable, the majority of respondents have a good level of quality of life (55%). Based on the results of cross tabulation, a picture of the level of spiritual needs and quality of life of respondents shows that a high level of spiritual needs, in fact, a moderate level of quality of life is greater than a high level of quality of life with a result of 55%. Conclusion: The majority of respondents have a high level of spirituality with levels of good quality of life and moderate quality of life which are not much different.