Main Domains Research Articles

IMPLEMENTASI TAKSONOMI BLOOM DALAM DOKUMEN STANDARD KURIKULUM DAN PENTAKSIRAN (DSKP) PENDIDIKAN ISLAM SEKOLAH MENENGAH: SATU ANALISIS

Islamic Education teachers still do not fully understand the components found in Curriculum and Assessment Standard Document (DSKP). This shows that GPI less emphasize on the details of DSKP including the application of Bloom's Taxonomy from the cognitive, affective and psychomotor aspects. Therefore, this article aims to explain in detail the components found in the DSKP including the domains of Bloom's Taxonomy applied in the DSKP as well as analyse the appropriateness of Bloom's Taxonomy used in the Islamic Education DSKP in secondary schools. Based on content analysis from primary and secondary sources, the study found that there are 7 components in DSKP of Islamic Education besides 3 main domains of Bloom's Taxonomy which are cognitive, affective, and psychomotor that applied in the DSKP through content standards, learning standards and performance standards. The findings of the study also show that Bloom's Taxonomy is suitable for implementation in the DSKP of Middle School Islamic Education. However teachers need to be creative in adapting teaching and assessment methods according to the fields of Islamic Education. It is hoped that this article will be able to provide a comprehensive overview of secondary school Islamic Education DSKP as well as provide ideas to GPI in implementing Islamic Education teaching and learning by applying all components in DSKP. The implication of the study is to help GPI, especially novice teachers in understanding DSKP which is the main reference for teachers in the planning and implementation of teaching and learning.

Precision Agriculture

The ability to manage fields not as a single unit but by dividing them into separate areas distinguishes precision farming from traditional agriculture. Technologies and techniques used to improve the crop farming is the main domain we are working under precision agriculture.Optical sensors that use the reflectivity of light placed on growing plants to monitor and record the data about soil and crops in real time are available. Electrochemical sensors,are those that monitor plant, soil, and external factors that have a direct impact on plant growth.. A prototype of an intelligent Agriculture Robot tailored exclusively for seed sowing tasks is exhibited. It is a four-wheeled vehicle driven by an LPC2148 microcontroller. Its operation is based on precision agriculture, which allows for effective seed planting at appropriate depths and distances within crops and rows that are specific to each crop species.This work presents a system for diagnosing cotton leaf diseases in India using image processing. The system uses SVM to classify diseases based on color and texture of images obtained from cotton fields using a digital camera. The images undergo pre-processing, including segmentation and feature extraction. The goal is to reduce loss of yield and productivity by early disease identification.

Economic benefits of substance use disorder treatment: A systematic literature review of economic evaluation studies from 2003 to 2021

IntroductionThe economic burden of substance use disorder (SUD) is significant, comprising costs of health care and social services, criminal justice resources, loss of productivity, and premature mortality. This study assembles and synthesizes two decades of evidence describing the benefits of SUD treatment across five main outcome domains; 1) health care utilization; 2) self-reported criminal activity by offense type; 3) criminal justice involvement collected from administrative records or self-reported; 4) productivity assessed through working hours or wages earned; and 5) social services (e.g., a day spent in transitional housing). MethodsThis review included studies if they reported the monetary value of the intervention outcomes, most commonly through a cost-benefit or cost-effectiveness framework. The search included studies from 2003 to the present day as of this writing (up to October 15, 2021). Summary cost estimates were adjusted using the US Consumer Price Index (CPI) to reflect the 12-month benefits per client in USD 2021. We followed the PRISMA methodology for study selection and assessed quality using the Checklist for Health Economic Evaluation Reporting Standards (CHEERS). ResultsThe databases yielded 729 studies after removing duplicates, and we ultimately selected 12 for review. Studies varied widely regarding analytical approaches, time horizons, outcome domains, and other methodological factors. Among the ten studies that found positive economic benefits, reductions in criminal activity or criminal justice costs represented the largest or second largest component of these benefits (range $621 to $193,440 per client). ConclusionsConsistent with previous findings, a reduction in criminal activity costs is driven by the relatively high societal cost per criminal offense, notably for violent crimes, such as aggravated assault and rape/sexual assault. Accepting the economic rationale for increased investment in SUD interventions will require recognizing that more benefits accrue to individuals by avoiding being victims of a crime than to governments through budget offsets resulting from savings in non-SUD program expenses. Future studies should explore individually tailored interventions to optimize care management, which may yield unexpected economic benefits to services utilization, and criminal activity data to estimate economic benefits across a broad range of interventions.

Detection of Nonsynonymous Single Variants in Human HLA-DRB1 Exon 2 Associated with Renal Transplant Rejection.

Background: HLA-DRB1 is the most polymorphic gene in the human leukocyte antigen (HLA) class II, and exon 2 is critical because it encodes antigen-binding sites. This study aimed to detect functional or marker genetic variants of HLA-DRB1 exon 2 in renal transplant recipients (acceptance and rejection) using Sanger sequencing. Methods: This hospital-based case-control study collected samples from two hospitals over seven months. The 60 participants were equally divided into three groups: rejection, acceptance, and control. The target regions were amplified and sequenced by PCR and Sanger sequencing. Several bioinformatics tools have been used to assess the impact of non-synonymous single-nucleotide variants (nsSNVs) on protein function and structure. The sequences data that support the findings of this study with accession numbers (OQ747803-OQ747862) are available in National Center for Biotechnology Information (GenBank database). Results: Seven SNVs were identified, two of which were novel (chr6(GRCh38.p12): 32584356C>A (K41N) and 32584113C>A (R122R)). Three of the seven SNVs were non-synonymous and found in the rejection group (chr6(GRCh38.p12): 32584356C>A (K41N), 32584304A>G (Y59H), and 32584152T>A (R109S)). The nsSNVs had varying effects on protein function, structure, and physicochemical parameters and could play a role in renal transplant rejection. The chr6(GRCh38.p12):32584152T>A variant showed the greatest impact. This is because of its conserved nature, main domain location, and pathogenic effects on protein structure, function, and stability. Finally, no significant markers were identified in the acceptance samples. Conclusion: Pathogenic variants can affect intramolecular/intermolecular interactions of amino acid residues, protein function/structure, and disease risk. HLA typing based on functional SNVs could be a comprehensive, accurate, and low-cost method for covering all HLA genes while shedding light on previously unknown causes in many graft rejection cases.

One ring to rule them all: The unifying role of prefrontal cortex in steering task-related brain dynamics

Surviving and thriving in a complex world require intricate balancing of higher order brain functions with essential survival-related behaviours. Exactly how this is achieved is not fully understood but a large body of work has shown that different regions in the prefrontal cortex (PFC) play key roles for diverse cognitive and emotional tasks including emotion, control, response inhibition, mental set shifting and working memory. We hypothesised that the key regions are hierarchically organised and we developed a framework for discovering the driving brain regions at the top of the hierarchy, responsible for steering the brain dynamics of higher brain function. We fitted a time-dependent whole-brain model to the neuroimaging data from large-scale Human Connectome Project with over 1000 participants and computed the entropy production for rest and seven tasks (covering the main domains of cognition). This thermodynamics framework allowed us to identify the main common, unifying drivers steering the orchestration of brain dynamics during difficult tasks; located in key regions of the PFC (inferior frontal gyrus, lateral orbitofrontal cortex, rostral and caudal frontal cortex and rostral anterior cingulate cortex). Selectively lesioning these regions in the whole-brain model demonstrated their causal mechanistic importance. Overall, this shows the existence of a ‘ring’ of specific PFC regions ruling over the orchestration of higher brain function.

Experiences of environmental services workers in a tertiary hospital in Asia during the COVID-19 pandemic: a qualitative study.

The Coronavirus Disease 2019 (COVID-19) pandemic has had a significant impact on all walks of life, in particular, environmental services workers in healthcare settings had higher workload, increased stress and greater susceptibility to COVID-19 infections during the pandemic. Despite extensive literature describing the impact of the pandemic on healthcare workers such as doctors and nurses, studies on the lived experiences of environmental services workers in healthcare settings are sparse and none has been conducted in the Asian context. This qualitative study thus aimed to examine the experiences of those who worked for a year of the COVID-19 pandemic. A purposive sample of environmental services workers was recruited from a major tertiary hospital in Singapore. Semi-structured interviews were conducted in-person, lasting around 30min, and included open-ended questions pertaining to five main domains: work experiences during COVID-19, training and education needs, resource and supplies availability, communication with management and other healthcare staff, and perceived stressors and support. These domains were identified based on team discussions and literature review. The interviews were recorded and transcribed for thematic analysis, as guided by Braun and Clarke. A total of 12 environmental services workers were interviewed. After the first seven interviews, no new themes emerged but an additional five interviews were done to ensure data saturation. The analysis yielded three main themes and nine subthemes, including (1) practical and health concerns, (2) coping and resilience, and (3) occupational adaptations during the pandemic. Many expressed confidence in the preventive efficacy of proper PPE, infection control practice and COVID-19 vaccination in protecting them against COVID-19 and severe illness. Having prior experience with infectious disease outbreaks and previous training in infection control and prevention appeared to be useful as well for these workers. Despite the various challenges presented by the pandemic, they could still find meaning in their everyday work by positively impacting the wellbeing of patients and other healthcare workers in the hospital. Besides uncovering the concerns shared by these workers, we identified helpful coping strategies, resilience factors and certain occupational adaptations, which have implications for future pandemic planning and readiness.

Awareness and knowledge of breast cancer rehabilitation among Saudi Arabia physical therapists.

This study aimed to evaluate the physical therapists' knowledge and awareness of breast cancer, treatment modalities, contraindications, and clinical guidelines. A cross-sectional survey was conducted from December 2020 to May 2021 in Saudi Arabia. The sample size was determined using the Raosoft sample size calculator, which indicated the need for 67 participants. All physical therapists of both sex in private and public hospitals in Ha'il and non-Ha'il regions were included in the study. Data was collected by a structured Google form questionnaire, consisting of 4 main domains with a maximum score of 43. 57 physical therapists participated in the current study, out of which 31 were from the Ha'il region (42.1% male, 57.9% female) with a mean age of 29±7 years and a mean experience 6±7years. The referral of breast cancer patients was only 22.8%. Interestingly only 22.8% of the hospital has specific setups for oncology rehabilitation, and 12.3% have reported positive about continuing professional development (CPDs) workshops for breast cancer organized by their hospitals. 5.3% of patients with breast cancer are aware of the benefit of oncology rehabilitation, while 22.8% of patients come for follow-up sessions in the rehabilitation department. According to multiple regression, only gender was statistically significant for prediction, p<0.05. Females increased the mean score by 5.996 more than males. Female therapists are 38.2% more aware than males. Although physical therapists have a low level of knowledge and an average level of awareness, with a higher number of women than men, attitudes toward physical therapy are quite high, and the profession is practiced exceptionally well.

Mechanisms of Techno-Moral Change: A Taxonomy and Overview

The idea that technologies can change moral beliefs and practices is an old one. But how, exactly, does this happen? This paper builds on an emerging field of inquiry by developing a synoptic taxonomy of the mechanisms of techno-moral change. It argues that technology affects moral beliefs and practices in three main domains: decisional (how we make morally loaded decisions), relational (how we relate to others) and perceptual (how we perceive situations). It argues that across these three domains there are six primary mechanisms of techno-moral change: (i) adding options; (ii) changing decision-making costs; (iii) enabling new relationships; (iv) changing the burdens and expectations within relationships; (v) changing the balance of power in relationships; and (vi) changing perception (information, mental models and metaphors). The paper also discusses the layered, interactive and second-order effects of these mechanisms.

A novel pediatric Eosinophilic Esophagitis Symptoms and Adaptive Behavior Scale for different ages: GaziESAS v2.0.

High-quality scales (HQS) suitable that measure symptoms and adaptive behaviors (AB) with proven validity and reliability are needed for different age groups of children with eosinophilic esophagitis (EoE). To develop a high-quality pediatric EoE symptoms and AB scale for different age groups. Children (7-11 years), teens (12-18 years), and parents of 2-18-year-old children with EoE were included. A HQS should have encompassed: the identification of domain and item generation; content validity (CnV) and field test for construct validity (CsV) and reliability. Convergent validity (CgV) was examined for CsV. Correlations between the Pediatric Eosinophilic Esophagitis Symptom Score, version 2.0 (PEESS v2.0) and Gazi University Eosinophilic Esophagitis Symptoms and Adaptive Behavior Scale (GaziESAS) version 2.0 (v2.0) were examined for CgV. Reliability was determined through internal consistency (Cronbach-α) and test-retest reliability (intraclass correlation coefficients: ICC). Nineteen children, 42 teens, and 82 parents completed the study. GaziESAS v2.0 was composed of 20 items with two main domains: symptoms (subdomains: dysphagia and nondysphagia) and AB. CnV indexes were excellent for all items. The CgV varied from good to excellent correlation (r = 0.6 to r = 0.9). GaziESAS v2.0 showed good reliability (Cronbach-α >0.7 and ICC >0.6). GaziESAS v2.0 is the first pediatric HQS that measures the frequency of symptoms and AB in EoE within the last month with separate forms for children, teens, and parents.

Aging, characterization and sorption behavior evaluation of tire wear particles for tetracycline in aquatic environment

Accounting for more than half of the total primary microplastic (MP) emissions, and one-sixth of the total marine MP pollution in China in 2015, tire wear particles (TWP) are inevitable to age and interact with co-existing species, thus pose a potential risk to the surroundings. The impacts of simulated ultraviolet radiation weathering and liquid-phase potassium persulfate oxidation of TWP on the surface physicochemical properties were comparatively explored. The characterization results demonstrated that the content of carbon black, particle size and specific surface area of the aged TWP all decreased, while the changes of the hydrophobicity and polarity were inconsistent. The interfacial interactions with tetracycline (TC) in aqueous were investigated, the well fitted pseudo-second-order kinetics, Dual-mode Langmuir and Scatchard isotherm models indicated the attachment of TC dominated by surface adsorption at lower concentration, and there's a positive synergistic effect among the main sorption domains. Moreover, the results of the influences of co-existing salts and natural organic matter revealed that the potential risks of TWP elevated by the adjacent media in natural compartment. This work provides new insights into the way that TWP interact with contaminants in the real environment.

Abstract 30: Development of a Breast Cancer Survivorship Health System Needs Assessment Questionnaire (BSH-Q) for Malaysian Health Institutions

Abstract Purpose: There is a need to develop and implement a Breast Cancer Survivorship Care Plan in Malaysia based on the available healthcare resources and services. The objective of the study is to develop a Breast Cancer Survivorship Health System Needs Assessment Questionnaire (BSH-Q) using the Delphi method. Methods: The three rounds of e-Delphi surveys were conducted from November, 2020 to April, 2021. Development of BSH-Q was accomplished amongst key stakeholders (multidisciplinary healthcare professionals involved in cancer care in public hospitals, NGOs and breast cancer survivors). The first Delphi round was intended to explore the barriers, facilitators and needs of healthcare providers focused on five main survivorship care domains. The questions were open ended, allowing expert participants to brainstorm their ideas. Delphi round two involved a ranking exercise of the newly developed questionnaire based on the first Delphi round. A five point Likert scale was used to rate the importance of each item. This was followed with a pilot study to determine the feasibility of the research process, and face validity of the questionnaire. The pilot study was tested on healthcare providers working in University Malaya Medical Centre representing the five respective domains: Rehabilitation, life-style, psychosocial, financial, and genetic counselling. The participants were selected based on their involvement in managing the healthcare issues related to the five domains. Results: A total of 55 participants responded to the Delphi survey. Following the first Delphi survey, a total of 95 questions were developed in the domains of psychosocial, lifestyle, financial, rehabilitation, genetic counselling, cancer surveillance and management. In the second Delphi survey, 39 participants responded, they selected a total of 196 questions as important and finally 182 relevant questions were developed for the final BSH-Q version. The newly developed BSH-Q underwent a pilot study with no major modifications to the questionnaire. Conclusion: The Delphi survey method is suitable to develop the BSH-Q questionnaire. The newly developed BSH-Q is a valuable tool for Malaysia to analyse existing services in the country to provide a needs assessment too for the development of an implementation framework cancer survivorship care in Malaysia. Citation Format: Tania Islam, Syahidatul Akmal Azmi, Suniza Jamarish, Fatiha Hana Shaharuddin, Julia Patrick Engkasan, Nur Aishah Taib. Development of a Breast Cancer Survivorship Health System Needs Assessment Questionnaire (BSH-Q) for Malaysian Health Institutions [abstract]. In: Proceedings of the 11th Annual Symposium on Global Cancer Research; Closing the Research-to-Implementation Gap; 2023 Apr 4-6. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2023;32(6_Suppl):Abstract nr 30.

Perception of medical student about community medicine as subject in Government Medical College Bhavnagar, Western India

The primary goal of teaching community medicine (CM) to medical students is to educate them to practice as community and first-level physicians. Correct attitude and interest toward subject are necessary to gain knowledge and skill for future medical practice. Objectives were to explore the perception of medical students regarding knowledge of subject and willingness to take subjects as future carrier. The study was conducted during the march 2022 involving final year student and interns of government medical college Bhavnagar. Ten in depth interviews of study subjects were taken. Saturation of responses was achieved after eight interviews additional 2 interviews taken to confirm the saturation. All interviews were audio-recorded after obtaining written informed consent, transcribed and analyzed in form of codes and categories. Student perceive health promotion, Research, Health education, early detection of disease were main domains. They refuse to take CM subjects as their carrier. With a dream to become a famous and earning doctor, they do not want CM subject. There is need of clinical exposure and awareness regarding future scope of subjects among students. Future study can evaluate impact of such interventions on medial students.

Routine health check-ups for adolescents in Mwanza City, Tanzania: stakeholders’ recommendations on its content, venue, and mode of delivery

BackgroundRoutine adolescent health screening aiming at the detection of unnoticed medical problems may increase awareness among policy makers and contribute to improved health in this population. Research is needed to inform the World Health Organization (WHO) and national health programs to provide evidence-based guidance on whether public health systems should offer comprehensive adolescent health screening, what should be included in different contexts, and how it should be delivered. We conducted formative research to define the content and delivery strategies for health check-ups to be performed in young (10–14 years) and older (15–19 years) adolescents, and to assess whether such services are likely to be acceptable and feasible in Tanzania.MethodsAs part of a collaborative research program coordinated by WHO in Chitungwiza, Zimbabwe; Mwanza City, Tanzania; and Cape Coast, Ghana a series of key informant interviews were conducted from April to July 2020, using a semi-structured guide with purposively selected stakeholders from government departments, non-governmental and community-based organisations, schools and health facilities. Data transcripts were coded using NVivo 12 software and thematic analysis was performed.ResultsWe report results from 31 key informant interviews to address four main domains: proposed health conditions for routine health check-ups, health interventions to be combined with such check-ups, preferable venues, and the mode for delivering such screening activities. Stakeholders were supportive of introducing routine health check-ups among adolescents. They recommended focusing on non-communicable diseases, physical disabilities, common mental health problems, reproductive health problems, specific communicable diseases, and hygiene-related problems. They also recommended combining counselling and family planning information with these check-ups. Three venues were proposed: schools, community settings (to reach out-of-school adolescents), and youth-friendly health facilities (for conditions requiring a high level of confidentiality).ConclusionsStakeholders were supportive of the proposed routine health check-ups for adolescents, recommending specific health conditions to be screened for in both community and school settings. Based on the above, we plan to conduct implementation research to determine the number of new treatable conditions detected, and the costs of offering such services. In the longer term, evaluation of their health impact and cost-effectiveness will be required to guide policy.

Clinical Assessment of Judgment in Adults and the Elderly: Development and Validation of the Three Domains of Judgment Test-Clinical Version (3DJT-CV).

(1) Background: This article discusses the first two phases of development and validation of the Three Domains of Judgment Test (3DJT). This computer-based tool, co-constructed with users and capable of being administered remotely, aims to assess the three main domains of judgment (practical, moral, and social) and learn from the psychometric weaknesses of tests currently used in clinical practice. (2) Method: First, we presented the 3DJT to experts in cognition, who evaluated the tool as a whole as well as the content validity, relevance, and acceptability of 72 scenarios. Second, an improved version was administered to 70 subjects without cognitive impairment to select scenarios with the best psychometric properties in order to build a future clinically short version of the test. (3) Results: Fifty-six scenarios were retained following expert evaluation. Results support the idea that the improved version has good internal consistency, and the concurrent validity primer shows that 3DJT is a good measure of judgment. Furthermore, the improved version was found to have a significant number of scenarios with good psychometric properties to prepare a clinical version of the test. (4) Conclusion: The 3DJT is an interesting alternative tool for assessing judgment. However, more studies are needed for its implementation in a clinical context.

The use of oral questioning to improve students’ reasoning skills in primary school mathematics learning

Reasoning skills are essential mathematical skills that need to be taught to students starting in primary school and have even become the main domain in global assessments such as TIMSS and PISA. Therefore, this study aimed to explore the implementation of the use of oral questioning in improving students’ reasoning skills in mathematics at the primary school level. Data for the qualitative case study were collected through semi-structured interviews, observations, and field notes. Six mathematics teachers from six different primary schools were selected as participants in the study using the purposive sampling method. The data were then analyzed using a constant comparative method to identify the patterns and themes that emerged. The study found six types of oral questions that are identified as being used by mathematics teachers to help students improve their mathematical reasoning skills and thinking, namely, provocative mathematical questions, puzzle-shaped questions, breaking down hard problems into easier parts, contextual questions, questions to explain the mistakes, and questions asking for clarification. The findings showed that primary mathematics teachers used a variety of oral questions to help students develop their mathematical reasoning skills and, at the same time, assist them in developing higher order thinking skills. This research has implications for expanding the literature and understanding of how primary school teachers perceive that using certain oral questions can help improve students’ mathematical reasoning. In addition, the study’s results revealed the importance of oral questioning in teaching mathematical reasoning skills.

Patient safety in emergency departments: a problem for health care systems? An international survey.

Patient safety in healthcare is one of the cornerstones of quality of care. The emergency department (ED) is by its very nature a place where errors and safety issues are liable to occur. The aim of the study was to assess health professionals' perception of the level of safety in EDs and to identify in which work domains safety appears most at risk. Between 30 January and 27 February 2023, a survey addressing the main domains of safety was distributed to ED health care professionals through the European Society of Emergency Medicine contact network. It addressed five main domains: teamwork, safety leadership, physical environment and equipment, staff/external teams, and organisational factors and informatics, with a number of items for each domain. Further questions about infection control and team morale were added. The Cronbach's alpha measure was calculated to assure internal consistency. A score was developed for each domain by adding the question's value using the following ranking: never (1), rarely (2), sometimes (3), usually (4), and always (5) and was aggregated in three categories. The calculated sample size needed was 1000 respondents. The Wald method was used for analysis of the questions' consistency and X2 for the inferential analysis. The survey included 1256 responses from 101 different countries; 70% of respondents were from Europe. The survey was completed by 1045 (84%) doctors and 199 (16%) nurses. It was noted that 568 professionals (45.2%) had less than 10 years' experience. Among respondents, 80.61% [95% confidence interval (CI) 78.42-82.8] reported that monitoring devices were available, and 74.7% (95% CI 72.28-77.11) reported that protocols for high-risk medication and for triage (66.19%) were available in their ED. The area of greatest concern was the disproportionate imbalance between needs and the availability of staff at times of greatest flow, considered sufficient by only 22.4% (95% CI 20.07-24.69) of doctors and 20.7% (95% CI 18.41-22.9) of nurses. Other critical issues were overcrowding due to boarding and a perceived lack of support from hospital management. Despite these difficult working conditions, 83% of the professionals said they were proud to work in the ED (95% CI 81.81-85.89). This survey highlighted that most health professionals identify the ED as an environment with specific safety issues. The main factors appeared to be a shortage of personnel during busy periods, overcrowding due to boarding, and a perceived lack of support from hospital management.

An adaptive continuous sliding mode feedback linearization task space control for robot manipulators

Two main domains have been followed; joint space control and operational (task) space control for robot manipulators. Task space control is simpler than joint space control as it avoids tackling the robot inverse kinematics which is very complex and challenging. However, in order to design robust and accurate controllers in operational space, both kinematics and dynamics uncertainties must be considered. Additionally, singularities that may occur while mapping between joint space and task space should be addressed. To tackle these issues, a new adaptive task space control approach is developed in this paper. The developed approach is able to overcome uncertainties and mitigate the chattering that commonly occur during the control process. The introduced control system has been proven to be globally stable using a designed Lyapunov function. The simulation results show that the suggested model is able to control the robot manipulators efficiently even in the existence of external disturbances.

Socio-demographic Factors Affecting Health-related-quality of Life in Post-renal-transplant Patients

Objective: The objective of this study was to identify the socio-demographic factors affecting health related quality of life in renal transplant recipients. Material and Methods: A census of all registered post-renal-transplant patients was conducted from October 1, 2018, to January 31, 2019. Data were collected on a Kidney Disease Quality of Life questionnaire (SF-1.3) and analysed by Statistical Package for the Social Science (SPSS). Scores in the three main domains, physical component summary (PCS), mental component summary (MCS), and kidney disease component summary, were calculated. Mean scores for gender, type of donor, and employment were compared by unpaired t-test, while mean scores for age, level of education, and duration of transplant were compared by analysis of variance. Results: Out of 315 patients, 277 (87.9%) were males and 38 (12.1%) were females. The mean age was 37.26 (±10.14) years. Live unrelated transplants were 58.41% while live related transplants were 41.58%. Males had a significantly higher average (p-value=0.001) PCS score, but females had significantly higher average (p-value=0.05) MCS score. There was variation with respect to the PCS (p-value=0.031) and MCS (p-value=0.001) scores in the different age categories. The education groups varied significantly with respect to MCS (p-value=0.05). The recipients of live unrelated transplants had significantly lower average PCS score. Conclusion: The female gender, live related donor and variations in ages were associated with lower PCS scores, while male gender, variations in ages, and education were associated with lower MCS scores. This study demonstrates that the Kidney Disease Quality of Life Short Form-1.3 (KDQOL SF-1.3) is a good tool to reveal differences in HRQOL scores in renal transplant recipients.

Educational interventions involving physical manipulatives for improving children's learning and development: A scoping review

AbstractPhysical manipulatives (PMs) are concrete objects used during hands‐on learning activities (e.g., building blocks, fraction tiles, counters), and are widely used in primary‐school teaching, especially during maths instruction. This scoping review collated studies that have examined the effectiveness of educational PM interventions with pre‐primary and primary‐age children. A total of 102 studies met the inclusion criteria and were synthesised in the review. Most studies included a sample of children aged 4–6 years and were conducted in a school setting. They spanned 26 different countries, but almost all took place in high‐ or middle‐income contexts, mainly in the USA. Interventions were grouped into three main learning domains: maths, literacy and science. Considerable heterogeneity was identified across the review studies in terms of the PMs and hands‐on activities used (e.g., block building, shape sorting, paper folding, enactment with figurines). Evidence relating to effectiveness of the intervention programmes was synthesised, with the most promising findings identified in the maths domain. Benefits to children's spatial, literacy and science skills were also reported. Overall, however, the evidence was mixed: other studies found that PMs were not associated with learning benefits, and many were hindered by methodological shortcomings. This calls for caution when drawing conclusions about the overall effectiveness of PM interventions. Nevertheless, the findings illustrate the many ways hands‐on PM activities can be incorporated into children's early learning experiences. Recommendations for further research and for using PMs in practice are made. Context and implicationsRationale for this studyPhysical manipulatives (PMs) are used during hands‐on learning activities and promote children's active involvement in learning. The review sought to map a broad range of interventions using PMs.Why the new findings matterFindings reveal gaps in the research and highlight the many facets to consider when developing and testing educational interventions using PMs.Implications for practitionersRecommendations for using PMs in practice: (a) choose materials and activities that are age‐appropriate and focused on the learning goal; (b) consider the type and amount of instructional guidance needed (adjusted based on learning content and children's needs); and (c) consider the level of physical interaction afforded by PMs and activities and its importance for the learning goal.

Land Use Planning and Green Environment Services: The Contribution of Trail Paths to Sustainable Development

Recently land-use planning and green environment services have been considered as inseparable parts of the design of trail paths for a sustainable development. At present there is need of a holistic overview of land uses and land cover, to be linked with the natural environment and regional development. The key determinants of such an approach embody changes in the wake of drivers and anthropocentric changes as well as changes in global greenhouse gases, causing climate change and affecting global biodiversity. In this study the key determinants and the main research objects of previously developed studies were systematically approached by a search of the literature through the Scopus database using these four fields of keywords: (a) “land use” AND environment AND development, (b) “trail path” in the “article titles” AND the subcategory of “land”, (c) “land use” AND “sustainable development”, and, (d) “sustainable” AND “trail”. The derived documents were collected and organized into the following four main domains, being paired together by: (a) year and country/territory, and, (b) keyword and subject area. The classification of the documents was followed by the calculation of relevant “intensity ratios” as key determinants that disclose the well-defined and the emerging fields of further perspectives regarding land use planning and the particular emerging dynamics of the development of trail paths.