Mode Choice Research Articles

Brachytherapy in Brain Metastasis Treatment: A Scoping Review of Advances in Techniques and Clinical Outcomes.

Brain metastases pose a significant therapeutic challenge in the field of oncology, necessitating treatments that effectively control disease progression while preserving neurological and cognitive functions. Among various interventions, brachytherapy, which involves the direct placement of radioactive sources into or near tumors or into the resected cavity, can play an important role in treatment. Current literature describes brachytherapy's capacity to deliver targeted, high-dose radiation while minimizing damage to adjacent healthy tissues-a crucial consideration in the choice of treatment modality. Furthermore, advancements in implantation techniques as well as in the development of different isotopes have expanded its efficacy and safety profile. This review delineates the contemporary applications of brachytherapy in managing brain metastases, examining its advantages, constraints, and associated clinical outcomes, and provides a comprehensive understanding of advances in the use of brachytherapy for brain metastasis treatment, with implications for improved patient outcomes and enhanced quality of life.

Exploring Intention & Reactance in Social Norm Interventions for Rail Business Travel

Abstract Shifting continental business travel from carbon-intensive modes to rail is crucial for emissions reduction. Behavioral interventions are a way to achieve this, but a gap exists in understanding their efficacy for sustainable business travel behavior. Based on online experiments with frequent business travelers, we scrutinize the impact of descriptive social norm interventions on mode choice intention, considering potentially negative employee reactions. While revealing factors influencing reactance and intention, contrary to expectations derived from the theory of planned behavior, behavioral interventions literature, and psychological reactance theory, our social norm treatments did not significantly impact mode choice intention and resulted in low reactance levels. Despite these unexpected results indicating that our interventions did not yield the desired changes, our study underscores the challenges of influencing sustainable business travel behavior and emphasizes the need for tailored interventions and incentives in practice, suggesting avenues for further research.

Jejunostomy feeding plus oral feeding versus intravenous nutrition plus oral feeding after esophageal cancer resection: a comparative retrospective cohort study.

There are multiple choices for the nutritional management mode after esophageal cancer surgery. Currently, there is still controversy regarding which nutritional management mode has an impact on the postoperative recovery and overall survival (OS) of patients. This study aims to compare the differences between two commonly used clinical nutritional management modes: jejunostomy feeding plus oral intake (JF plus OI) and intravenous nutrition plus oral intake (IN plus OI), in terms of short-term efficacy and 3-year OS, in order to further explore the optimal mode of enteral nutrition management after esophageal cancer surgery. We evaluated esophageal cancer patients who underwent radical surgery at Union Hospital of Fujian Medical University between January 1, 2010 and January 1, 2020. The purpose of this analysis was to compare the perioperative complications, Nutritional Risk Screening 2002 (NRS2002) nutritional scores at 1 week, 2 weeks, 1 month, and 3 months after surgery, as well as the 3-year OS rates, between two different nutritional management approaches: JF plus OI and IN plus OI following esophageal cancer surgery. Among the 822 patients included, 668 and 154 patients belonged to JF plus OI and IN plus OI groups, respectively. After propensity score matching, 149 patients per group were evaluated. The amount of gastric drainage fluid was higher in the IN plus OI group (P<0.05), and the incidence of postoperative gastrointestinal emptying disorder and intestinal obstruction was significantly higher in the JF plus OI group (P<0.05). The IN plus OI group had a higher incidence of perioperative hypoproteinemia (P<0.05), and a higher risk of malnutrition in 2 weeks after surgery (P<0.05). The 3-year OS was not significantly different (P>0.05). JF plus OI may be the preferable nutritional management approach after esophageal cancer resection as it can potentially reduce perioperative nutritional deficiency. However, attention should be paid to the risk of gastrointestinal emptying and intestinal obstruction associated with JF.

Dorsal Anterior Cingulate Cortex Coordinates Contextual Mental Imagery for Single-Beat Manipulation during Rhythmic Sensorimotor Synchronization.

Flexible pulse-by-pulse regulation of sensorimotor synchronization is crucial for voluntarily showing rhythmic behaviors synchronously with external cueing; however, the underpinning neurophysiological mechanisms remain unclear. We hypothesized that the dorsal anterior cingulate cortex (dACC) plays a key role by coordinating both proactive and reactive motor outcomes based on contextual mental imagery. To test our hypothesis, a missing-oddball task in finger-tapping paradigms was conducted in 33 healthy young volunteers. The dynamic properties of the dACC were evaluated by event-related deep-brain activity (ER-DBA), supported by event-related potential (ERP) analysis and behavioral evaluation based on signal detection theory. We found that ER-DBA activation/deactivation reflected a strategic choice of motor control modality in accordance with mental imagery. Reverse ERP traces, as omission responses, confirmed that the imagery was contextual. We found that mental imagery was updated only by environmental changes via perceptual evidence and response-based abductive reasoning. Moreover, stable on-pulse tapping was achievable by maintaining proactive control while creating an imagery of syncopated rhythms from simple beat trains, whereas accuracy was degraded with frequent erroneous tapping for missing pulses. We conclude that the dACC voluntarily regulates rhythmic sensorimotor synchronization by utilizing contextual mental imagery based on experience and by creating novel rhythms.

Postoperative pain management following minimally invasive abdominal cancer surgeries -An audit.

There is limited data comparing pain management following various minimally invasive oncological surgeries (MIOS). This retrospective audit was planned to determine the severity of pain and to study the analgesic modalities offered to these patients. Secondary objectives included studying opioid requirements, non-opioid analgesics, their side effects, and the influence of comorbidities on the choice of pain modalities. Following approval and registration of trial (CTRI/2018/10/016220), data were collected retrospectively from adult patients who underwent elective MIOS for abdominal tumors from August 2017 to July 2018. Pain scores (PS) on the day of surgery, and the average, worst PS, and the morphine equivalent (ME) dose in the perioperative period was recorded. Emergency surgeries and thoracic-abdominal MIOS were excluded. The association between the type of surgery, pain modalities, and PS were compared using Chi-square test. ME dose consumption of patients and type of surgery were compared using ANOVA with Bonferroni's correction. Out of the 349 patients' data that were analyzed, 76% had mild, 22% had moderate, and 2% had severe pain after surgery. Port site infiltration was done in 27% of cases and epidural analgesia in 46 patients (13%). PS and opioid consumption (ME = 5.7 ± 5.2 mg) was significantly higher following pelvic surgeries when compared to other urological and diagnostic MIOS. American Society of Anesthesiologists Physical Status did not affect PS or choice of pain management technique. Most of the patients experience mild pain at movement in the immediate postoperative period, pelvic MIOS (abdominoperineal resection/exenteration surgeries) have higher PS and opioid consumption than other MIOS.

Radiation-Induced Lymphopenia is a Causal Mediator of Survival After Chemoradiation Therapy for Esophagus Cancer

Purpose: Radiation-induced lymphopenia (RIL) is common during chemoradiotherapy. Severe lymphopenia is associated with reduced survival. Proton beam therapy (PBT), with its substantially more compact dose distributions, spares circulating lymphocytes and immuno-organs at risk to a greater extent than does photon therapy. Recent studies comparing PBT to photon radiotherapy, specifically intensity-modulated radiation therapy (IMRT), for esophageal cancer (EC) showed that the incidence of grade 4 RIL (G4RIL) is significantly reduced among patients receiving PBT for esophageal cancer. However, whether the extent of this reduction has a direct causative link with improved survival is unknown. This study applies causal mediation analysis to answer this question. Methods and Materials: We retrospectively assessed 734 patients treated with concurrent chemoradiotherapy for biopsy-proven EC from 2004 through 2017. To address the potential for bias in the choice of radiation modality, propensity score analysis was used to evaluate and reduce imbalances between the PBT and IMRT cohorts. Causal mediation analysis was applied to decompose the total effect of radiation modality on overall survival (OS) into indirect (mediated through G4RIL) and direct effects. Results: We found that PBT was associated with significantly lower incidence of G4RIL and prolonged OS compared with IMRT (odds ratio [OR]= 0.41, 95% confidence interval [CI] 0.28 to 0.60, P<0.001). In the propensity-matched cohort of 506 patients (253 PBT, 253 IMRT), G4RIL risk reduction with PBT vs. IMRT translated into a 5% reduction in the relative rate of death (P=0.032). Mediation of G4RIL explained ∼14.5% of the difference in OS. Conclusions: G4RIL was found to mediate survival; however, statistically significant direct effect of PBT on survival was not observed. In other words, the survival benefit from protons over photons in this EC cohort was lost in the absence of G4RIL risk reduction.

Refining the 15-minute community living circle: An innovative evaluation method for medical facility allocation in Chengdu

The equitable distribution of public medical facilities is a cornerstone of urban planning, shaping the essence of urban livability. The globally embraced "15-Minute Community Living Circle" has offered a guiding light, but its traditional emphasis on walking often oversimplifies the complex modal choices urban residents make, especially when health emergencies necessitate rapid access. Our study revitalizes this paradigm by infusing it with a multi-modal perspective, spotlighting Chengdu—a city emblematic of the urban metamorphosis typical in burgeoning metropolises. Leveraging real-time isochrone data, our study enhances the 15-Minute Community Living Circle concept by incorporating multiple transportation modes, aligning it more closely with the realities of urban mobility. Analyzing data from 85 comprehensive hospitals and 76 streets in Chengdu, we provide a detailed assessment of spatial accessibility and efficiency. This nuanced examination reveals a distinct disparity: the city center emerges as a hub of high accessibility, contrasting starkly with the more limited access characterizing its outskirts. As urbanization accelerates and populations converge towards city centers in developing nations, these findings are both a diagnosis and a call to action. Our methodology, synergizing the multi-modal essence with the 15-minute community philosophy, offers not just an in-depth appraisal of Chengdu's medical infrastructure but pioneers a versatile blueprint for urban centers globally, reshaping how we envision equitable healthcare access in urban landscapes.

Mode Choice and Value of Time on Long-Distance Vacation Trips

Long-distance travel for leisure purposes, especially international travel, has grown dramatically over the past decades. Although its share of the total number of trips is small, it accounts for a significantly larger share of total distance and greenhouse gas emissions, with the accompanying adverse environmental consequences. One remedy might be to urge tourists to travel on vacation by rail rather than car, which is less harmful to the environment. However, it is not clear how to persuade them to do so, since knowledge of the determinants of mode choice for international vacation travel is quite limited. To fill this gap, we collected survey data among tourists, mostly international, visiting the Austrian Alps and estimated a choice model between personal vehicle and rail. The results revealed a cost dumping effect, and the significant influence of factors related to overall travel convenience, luggage transport, travel party size, and the accessibility of the destination by rail. The tourists reacted with little elasticity to changes in cost and travel time, and exhibited a higher value of time than in other studies on long-distance travel, which was also higher than the hourly wage in their home countries. This article delivers valuable evidence that could contribute to improved long-distance rail services, more accurate project appraisals, and better marketing campaigns and transportation policies to make rail more competitive against the personal vehicle, and facilitate more sustainable vacation travel.

Assessing the spatial transferability of mode choice models: A case of shared electric mobility hubs (eHUBS) in Amsterdam and Manchester

Electric mobility hubs (eHUBS) represent an innovative approach to providing diverse shared electric transportation options, aimed at curbing private car use, and mitigating associated environmental impacts. Assessing the impact of eHUBS on travel choices across different cities requires significant resource and time investment due to the need for localized data collection and model development. This paper proposes a potential solution to this challenge by investigating the transferability of mode choice models originally developed for eHUBS in Amsterdam to predict behaviour towards eHUBS in Manchester.Multinomial Logit (MNL) and mixed logit models were transferred using four different procedures, and their effectiveness was evaluated using three assessment measures. The findings indicate that a scaled mixed logit model with an updated Alternative Specific Constant (ASC) outperforms other models in terms of its transfer effectiveness, both for disaggregate and aggregate assessment measures. The interplay between transfer procedures and assessment measures also was examined, with results indicating enhancements in disaggregate transferability measures with the 'scaling' transfer procedure, while 'updating the Alternative Specific Constants (ASCs)' improved predictions of aggregate mode shares. Following the analysis, the paper presents an in-depth discussion to provide a nuanced understanding of transferability and thus offers valuable insights for researchers planning future studies and practical considerations for policymakers.

Car or Cargo Bike? Determinants for the Use of a Small Vehicle Type in Urban Logistics: A Stated Preference Survey Among Commercial Transport Operators

To address the adverse effects of urban freight, downshifting to smaller vehicles, such as cargo bikes, has been indicated as a viable solution. Existing literature on freight mode choice rarely considers vehicles smaller than truck size. We aimed to fill this research gap by quantifying how vehicular, operational, trip-based, contextual, and individual determinants influenced the decision between cargo bikes and cars in urban logistics. To that end, a stated preference survey was conducted among 537 German organizations after they had been familiarized with cargo bikes through a 3-month vehicle trial period. Participants then took part in a survey in which they had to choose between the modes cargo bike, car, or neither of these two alternatives. The survey data were analyzed using a mixed logit model with 4,833 observations. The model estimations demonstrated that the values and signs of parameters were in accordance with both our expectations and the literature. The results indicated that cargo bikes were an attractive alternative to cars for delivery and service trips of short duration in fair weather. The probability of choosing a cargo bike over a car could be further increased by improving bike infrastructure or imposing parking limitations. The preference for cargo bike could be observed for respondents in dense urban centers and low-density parts of the country alike. Around 3 out of 10 respondents decided to buy their own cargo bike after the study, demonstrating the effectiveness of low-threshold testing programs in changing habits toward more sustainable mobility solutions.

Analyzing Young Adult Travelers’ Perception and Impacts of Carpooling on Traffic Sustainability

Since young adults (i.e., aged between 18 and 30) are generally more flexible and conscious of economic and environmental concerns, it is essential to assess their travel perceptions and tendency to shift towards sustainable transportation modes. Therefore, this research aims to evaluate the acceptance of carpooling (CP) in the younger population to alleviate traffic congestion, fuel demand, and pollution. This study was conducted in Islamabad, a fast-growing city in Pakistan with a high percentage of young residents, to evaluate travelers’ perceptions, mode choice decisions, and potential acceptance of CP. An online questionnaire-based survey was developed and distributed to collect a total of 656 responses from the young adult population. Various factors influencing travel perceptions, mode choice, and tendency to carpool were categorized and analyzed using confirmatory factor analysis, stepwise, and mediated multiple regression analysis. Thereafter, the tangible impacts of CP, including reduced traffic congestion, fuel consumption, and emissions resulting from the potential adoption of CP by the younger population, were quantified. The findings imply that young travelers’ mode choice mediates the relationship between travelers’ perception and the tendency to carpool. The outcomes also affirm the impact of demographic variables, including gender and education levels, on the willingness of the young adult population to shift towards carpooling. Furthermore, results predicted that adopting CP, especially by younger adults, may reduce by about 33.6% the number of private vehicles in Islamabad. The findings of this study could offer helpful insights for transport planners, commercial carpool service operators, environmentalists, and policymakers to promote carpool systems, especially among young adults.

Urinary Retention Evaluation and Catheterization Algorithm for Adult Inpatients

Acute urinary retention (UR) is common, yet variations in diagnosis and management can lead to inappropriate catheterization and harm. To develop an algorithm for screening and management of UR among adult inpatients. In this mixed-methods study using the RAND/UCLA Appropriateness Method and qualitative interviews, an 11-member multidisciplinary expert panel of nurses and physicians from across the US used a formal multi-round process from March to May 2015 to rate 107 clinical scenarios involving diagnosis and management of adult UR in postoperative and medical inpatients. The panel ratings informed the first algorithm draft. Semistructured interviews were conducted from October 2020 to May 2021 with 33 frontline clinicians-nurses and surgeons from 5 Michigan hospitals-to gather feedback and inform algorithm refinements. Panelists categorized scenarios assessing when to use bladder scanners, catheterization at various scanned bladder volumes, and choice of catheterization modalities as appropriate, inappropriate, or uncertain. Next, qualitative methods were used to understand the perceived need, usability, and potential algorithm uses. The 11-member expert panel (10 men and 1 woman) used the RAND/UCLA Appropriateness Method to develop a UR algorithm including the following: (1) bladder scanners were preferred over catheterization for UR diagnosis in symptomatic patients or starting as soon as 3 hours since last void if asymptomatic, (2) bladder scanner volumes appropriate to prompt catheterization were 300 mL or greater in symptomatic patients and 500 mL or greater in asymptomatic patients, and (3) intermittent was preferred to indwelling catheterization for managing lower bladder volumes. Interview findings were organized into 3 domains (perceived need, feedback on algorithm, and implementation suggestions). The 33 frontline clinicians (9 men and 24 women) who reviewed the algorithm reported that an evidence-based protocol (1) was needed and could be helpful to clinicians, (2) should be simple and graphically appealing to improve rapid clinician review, and (3) should be integrated within the electronic medical record and prominently displayed in hospital units to increase awareness. The draft algorithm was iteratively refined based on stakeholder feedback. In this study using a systematic, multidisciplinary, evidence- and expert opinion-based approach, a UR evaluation and catheterization algorithm was developed to improve patient safety by increasing appropriate use of bladder scanners and catheterization. This algorithm addresses the need for practical guidance to manage UR among adult inpatients.

Correlation of the Socio-Demographic Variables to Travel Behaviour and Mode Choice in Cities of Least Developed Countries- Case Study, Urban Neighbourhoods in Aden, Yemen

This case study focuses on the city of Aden, Yemen, where a large segment of the population relies on the semi-formal public transportation due to various sociodemographic and economic factors. The study specifically investigates the inner urban area of Al Mansoura in Aden. To understand travel behavior and mode choice in this area, the research employs a mixed methodology that combines qualitative and quantitative approaches through a case study design. Primary data about the area of interest were collected through field observations, interviews, questionnaires, GIS mapping, and street audits. In addition, a novel mapping of the semi-formal transportation lines was produced for the first time in the city. Both quantitative and qualitative data were analyzed using statistical analysis methods. The results indicate a correlation between sociodemographic variables and travel behavior and mode choice, particularly in terms of income and gender. Low-income individuals tend to use public transport, while those with higher incomes prefer private vehicles. Additionally, females generally drive less than males and generally have less mobility due to cultural and educational factors; fewer responsibilities outside the home. However, a small number of females who use private vehicles tend to work.

ANALYSIS OF TRANSPORTATION MODE CHOICE IN MALANG CITY USING MULTINOMIAL LOGISTICS METHOD

In every urban area, especially in the Malang area, modes of transportation are increasingly diverse, ranging from private vehicles, public transportation, to online-based transportation. This research aims to determine the choice of transportation mode using the multinominal logistics method. With this type of quantitative research and data sources through surveys conducted in 5 sub-districts of Malang City using the multinominal logistics method. The research results showed that 11% of respondents went from home to another place for work using private transportation, 3% of respondents were still students. 88% of working respondents and housewives chose public transportation, 97% of whom were still students. 9% of respondents who work and are housewives use online vehicles while 0% are still students. Keywords: Daily Activities; Household; Multinomial Logistic Regression; Mode Choice; Spatial.

Strengths and Limitations of Different Teaching Modes:

Whether in language teaching or elsewhere, sustainable attainment of a pedagogical goal is closely related to a successful teaching mode. In a bid to have a gambit in a teaching procedure with a proper choice of a teaching mode, a teacher is expected to be well acquainted with the strengths and limitations of the prevailing teaching modes. Regarding this, over the years researchers have made efforts in exploring the immense ideological horizons, while in our country, still, lecture mode is the most commonly found one. Along with making thorough study of different aspects of various teaching modes, this current study scrutinizes some practical cases and examples in the academic context of Bangladesh. It attempts to recommend the optimum success level of lecture mode and to which extent lecture mode needs to be alternated or to be assimilated with others as well as how to minimize the weakness of it and ensure the maximum potentiality of the other teaching modes, basing on the established ideas in this field and the empirical studies done by these authors.

Characterization of anti-seizure medication reduction and discontinuation rates following epilepsy surgery

ObjectiveMany patients pursue epilepsy surgery with the hope of reducing or stopping anti-seizure medications (ASMs), in addition to reducing their seizure frequency and severity. While ASM decrease is primarily driven by surgical outcomes and patient preferences, preoperative estimates of meaningful ASM reduction or discontinuation are uncertain, especially when accounting for the various forking paths possible following intracranial EEG (iEEG), including resection, neuromodulation, or even the absence of further surgery. Here, we characterize in detail the ASM reduction in a large cohort of patients who underwent iEEG, facilitating proactive, early counseling for a complicated cohort considering surgical treatment. MethodsWe identified a multi-institutional cohort of patients who underwent iEEG between 2001 and 2022, with a minimum of two years follow-up. The total number of ASMs prescribed immediately prior to surgery, choice of investigation modality, and subsequent surgical treatment were extracted for each patient. Primary endpoints included decreases in ASM counts from preoperative baseline to various follow-up intervals. ResultsA total of 284 patients were followed for a median of 6.0 (range 2,22) years after iEEG surgery. Patients undergoing resection saw an average reduction of ∼ 0.5 ASMs. Patients undergoing neuromodulation saw no decrease and trended towards requiring increased ASM usage during long-term follow-up. Only patients undergoing resection were likely to completely discontinue all ASMs, with an increasing probability over time approaching ∼ 10 %. Up to half of resection patients saw ASM decreases, which was largely stable during long-term follow-up, whereas only a quarter of neuromodulation patients saw a reduction, though their ASM reduction decreased over time. ConclusionsWith the increasing use of stereotactic EEG and non-curative neuromodulation procedures, realistic estimates of ASM reduction and discontinuation should be considered preoperatively. Almost half of patients undergoing resective surgery can expect to reduce their ASMs, though only a tenth can expect to discontinue ASMs completely. If reduction is not seen early, it likely does not occur later during long-term follow-up. Less than a third of patients undergoing neuromodulation can expect ASM reduction, and instead most may require increased usage during long-term follow-up.

Дослідження режимів розгону автомобіля Skoda Octavia на роликовому стенді

As you know, the main characteristics that determine the state of the power unit are the power level and torque. These parameters affect the dynamic qualities of the car and can also play a role in fuel consumption and emission levels. To check these characteristics, traction roller stands of the inertial type are used. These stands allow you to simulate real traffic conditions and loads. Usually, on such stands, the traction force on the driving wheels is measured, which makes it easy to calculate the power in certain driving modes. However, creating a full-fledged load on the driving wheels of the car being diagnosed requires the use of powerful loading and driving devices. This significantly increases the cost of the stand and its metal content. An alternative to this method is the compressed acceleration method. In this method, the load is created by a relatively small inertial mass together with a loading and driving device of moderate power. The diagnostic parameter in this method can be traction force on the wheels, acceleration, time or path of acceleration of the wheels in the selected speed range. For measurement accuracy, it is better to use acceleration time. However, all the advantages of the method can be manifested only with the correct choice of test modes. During testing, results depend on the accuracy and stability of maintaining the test mode. Acceleration time will be measured more accurately, the slower the wheels and rollers of the stand accelerate. During the tests, it is necessary to choose the high-speed measurement mode to ensure a sufficiently stable torque value. The article analyzes the acceleration modes of a car on a roller stand and their influence on the accuracy of diagnostics. The smallest error is achieved when measuring acceleration time from 50 to 70 km/h in IV gear with additional load or in V gear without load.

Road–Rail Intermodal Travel Mode Choice Behavior Considering Attitude Factors

Road–rail intermodal transportation (RRIT) leverages the advantages of multiple transport modes and is crucial for addressing the current issue of imbalanced development in the transportation sector. However, passengers’ behavior in choosing RRIT remains unclear, and it is necessary to optimize travel service quality through analyzing RRIT choice behavior based on user perceptions. This study designed a stated preference experiment that included both direct and multi-modal travel options. A hybrid choice model considering attitude variables was constructed, and four latent attitude variables—convenience, economy, comfort, and riskiness—were extracted to analyze their impact on intercity travel mode choice behavior under conditions of ticket booking uncertainty. The results revealed that the ticket booking success rate is a critical factor in travelers’ decision-making. Passengers tend to choose travel options with higher ticket booking success rates, even if it entails a slight increase in the ticket prices for the high-speed rail to high-speed rail transfer option. The attitude variables significantly influence intercity travel mode choice behavior, with travelers generally exhibiting a preference for risk avoidance in their travel options. Moreover, there are differences among various groups of travelers in their preferences and demands for the convenience, economy, and comfort aspects of travel options. These research findings can enhance our understanding of the key factors influencing the selection of RRIT services, thereby supporting RRIT designers and planners in improving service quality and facilitating the future growth of RRIT.

Travel Mode Choice Prediction to Pursue Sustainable Transportation and Enhance Health Parameters Using R

Travel mode choice (TMC) prediction, improving health parameters, and promoting sustainable transportation systems are crucial for urban planners and policymakers. Past studies show the influence of health on activities, while several studies use multitasking activities and physical activity intensity to study the association between time use and activity travel participation (TU and ATP) and health outcomes. Limited studies have been conducted on the use of transport modes as intermediate variables to study the influence of TU and ATP on health parameters. Therefore, the current study aims to evaluate urban dependency on different transport modes used for daily activities and its influence on health parameters to promote a greener and healthier society and a sustainable transportation system. Pearson’s Chi-squared test was used for transport mode classification, and multinominal logit models were used for regression using R programming. A total of five models were developed for motorized, non-motorized, public transport, physical, and social health to study the correlation between transport modes and health parameters. The statistical analysis results show that socio-demographic and economic variables have a strong association with TMC in which younger, male, workers and high-income households are more dependent on motorized transport. It was found that a unit rise in high-income causes a 4.5% positive increase in motorized transport, whereas it negatively influences non-motorized and public transport by 4.2% and 2.2%, respectively. These insights might be useful for formulating realistic plans to encourage individuals to use active transport that will promote sustainable transportation systems and a healthier society.

Modalitas dalam sambutan Presiden Joko Widodo dalam peluncuran govtech Indonesia linguistik fungsional sistemik

This research examines President Joko Widodo's speech at the launch of GovTech Indonesia using the theory of Systemic Functional Linguistics (SFL). This research aims to determine the use of modalities in the president's speech. The theory used in this research uses the theory of Halliday and Matthiessen (2004). The method used is a qualitative method with descriptive presentation. The findings in this research show that President Joko Widodo's welcoming text at the launch of GovTech Indonesia uses medium to high modalities, with the modalities of want, must, and also will. Overall, the choice of modality in President Joko Widodo's speech text reflects a measurable communication strategy which is the main key to making the message in the President's speech stronger and more influential. This aims to represent President Joko Widodo's ability to carry out his vision, plans and future improvements for the better welfare of the Indonesian state.