Participation Of Partners Research Articles

Nickel-Catalyzed Migratory Cross-Coupling Reactions: New Opportunities for Selective C-H Functionalization.

ConspectusMigratory cross-coupling via metal migration is a process of significant academic and industrial interest. It provides an attractive alternative for the selective installation of a functional group at remote C-H positions from simple precursors, thus enabling the direct synthesis of challenging structures not accessible with traditional cross-coupling. In particular, with the merger of 1,n-Ni/H shift and cross-coupling of nickel, the Ni-catalyzed migratory functionalization of simple precursors has undergone particularly intense development and emerged as a valuable field of research in the past few years. This Account will outline the recent progress made in this arena in terms of migration-functionalization modes, diverse functionalizations, and strategies for regio- and stereocontrol. Mechanistic studies and synthetic applications are also discussed.In detail, we systematically categorize our work into two parts based on the migration modes. In the first part, a platform is created for Ni-catalyzed migratory sp3 C-H functionalization of alkenes or alkyl halides via iterative 1,2-Ni/H shift-selective cross-coupling. The key reactive Ni(II)H species for chain-walking could be generated in situ either in a polarity-reversed fashion relying on stoichiometric reductants (X-Ni(II)-H) or in a redox-neutral fashion with the participation of nucleophilic coupling partners (FG-Ni(II)-H). One significant advantage associated with the polarity-reversed NiH system is the use of relatively stable, abundant, and safe olefin surrogates or alkyl halides instead of the sensitive organometallics required in traditional cross-coupling reactions. Another advantage is that diverse functionalizations, including carbonation and more challenging amination and thiolation could be smoothly achieved with suitable electrophiles or their precursors. Finally, to address the challenging multifaceted selectivity and reactivity issues in asymmetric migratory cross-coupling reactions, we have developed a feasible ligand relay catalytic strategy. In this dynamic ligand exchange process, one ligand promotes rapid migration while the other promotes highly regio- and stereoselective coupling. This innovative strategy overcomes the formidable challenge stemming from the difficulty of designing a single ligand to efficiently promote both steps of chain-walking and asymmetric coupling. In the second part, a new platform for Ni-catalyzed migratory sp2 C-H functionalization via 1,4-Ni/H shift-selective cross-coupling has been reported. Starting from readily available aryl or vinyl coupling partners, the in situ-generated aryl- or vinylnickel(II) species could undergo a rapid and reversible 1,4-Ni/H shift along an sp2 backbone, and subsequent selective coupling with various coupling partners would allow regio- and stereoselective access to diverse 1,4-migratory functionalization products. The key to success was the discovery of an appropriate ligand to efficiently promote both migration and subsequent selective cross-coupling. A vinyl-to-aryl 1,4-Ni/H shift successfully enables the modular ipso/ortho difunctionalization of aryl coupling partners, while an aryl-to-vinyl 1,4-Ni/H shift enables regio- and stereoselective access to functionalized trisubstituted alkenes.We hope that this Account will inspire broad interest and future development of migratory cross-coupling reactions. We strongly believe that continued efforts in this fascinating field will overcome many of the remaining challenges, including cutting-edge ligand/catalyst design to enhance reactivity and selectivity, conceptually new migration modes for additional transformations, and in-depth mechanistic studies for rational reaction design.

Preventing HIV Infection in Pregnant Women in Western Uganda Through a Comprehensive Antenatal Care-Based Intervention: An Implementation Study.

We implemented and assessed a comprehensive, antenatal care (ANC)-embedded strategy to prevent HIV seroconversions during pregnancy in Uganda. HIV-negative first-time ANC clients were administered an HIV risk assessment tool and received individual risk counseling. Those attending ANC without partners obtained formal partner invitation letters. After three months, repeat HIV testing was carried out; non-attending women were reminded via phone. We analyzed uptake and acceptance, HIV incidence rate, and risk behavior engagement. Among 1081 participants, 116 (10.7%) reported risk behavior engagement at first visit; 148 (13.7%) were accompanied by partners. At the repeat visit (n = 848), 42 (5%, p < 0.001) reported risk behavior engagement; 248 (29.4%, p < 0.001) women came with partners. Seroconversion occurred in two women. Increased odds for risk behavior engagement were found in rural clients (aOR 3.96; 95% CI 1.53-10.26), women with positive or unknown partner HIV-status (2.86; 1.18-6.91), and women whose partners abused alcohol (2.68; 1.15-6.26). Overall, the assessed HIV prevention strategy for pregnant women seemed highly feasible and effective. Risk behavior during pregnancy was reduced by half and partner participation rates in ANC doubled. The observed HIV incidence rate was almost four times lower compared to a pre-intervention cohort in the same study setting.

Multiple Myeloma Treatment-Related Decision-Making and Preferences of Patients and Care Partners in the United States

BACKGROUND Multiple myeloma is a largely incurable disease characterized by periods of response followed by relapse and/or refractoriness to therapy. With many new treatments available, patients now have more flexibility to assess treatment benefits and risks and what aspects of a treatment are most important to them. The purpose of this non-interventional qualitative study was to examine treatment-related decision-making in patients with MM and care partners with varying experience with refractoriness. METHODS Patients with MM and care partners were recruited through the Gryt Health Cancer Community, social media, and participant referrals to join a qualitative study centered around a semi-structured interview. Adult patients with MM who self-reported treatment for MM in the United States were eligible; adults who self-reported being the primary care partner to an adult with a MM diagnosis who had received treatment in the United States were also eligible. Participants were stratified based on refractoriness to at least one proteasome inhibitor, immunomodulatory drug, and/or anti-CD38 monoclonal antibody (non-refractory; single or double refractory; triple refractory). An Institutional Review Board approved this study. RESULTS The study was completed by 42 participants, of which 32 were patients with MM (12 non-refractory; 10 single or double refractory; 10 triple refractory) and 10 were MM care partners (3 non-refractory; 3 single or double refractory; 4 triple refractory) (Table). Each care partner was paired to a patient participant, and 80% lived in the same household as the patient. All care partners had provided support since the MM diagnosis, if not before, and at minimum had been providing support for at least 2 years. More than half (60%) of care partners were currently working full-time, relative to only 20% of the paired patients. Patients and care partners made comments supportive of MM being approached as a chronic disease, which suggests an abrupt shift in perspective compared to historical sentiment. Participants wanted to retain or improve their quality of life (QoL) and focus less on the disease itself. Reasons for this shift in perspective include an increased sense of hope brought about by new treatments and community support, documented improvements in long-term survival, and better techniques for monitoring disease relapse, particularly minimal residual disease (MRD) status. More than 70% of participants expressed that treatment-related decision-making was shared, particularly as they were further from diagnosis, and felt comfortable asking their doctor(s) questions related to treatment options, even if treatment options were only discussed on an as-needed basis. Care partners were more actively involved in decision-making around significant events, such as diagnosis, stem cell transplant, and relapses. When making treatment decisions, participants were most concerned about extending remission and overall survival (OS), improving QoL, and minimizing MM symptoms and treatment-related side effects (Figure). Extending remission and OS and improving QoL were rated very important underscoring the value of shared decision-making as patient engagement is key in monitoring and enhancing QoL. Location of care and/or treatment, financial burden, possibility of hospitalization, potential impact on other medical conditions, and frequency and duration of treatment were of lesser concern. Participants were least concerned about the mode of administration of the treatment; none of the patients with double or triple refractory disease considered mode of administration to be fairly or very important. Those with triple refractory disease were more likely to be concerned about frequency and duration of treatment compared with other patients. Patient and care partner participants were generally aligned on priorities when making treatment decisions but had the least alignment on financial burdens with patients expressing more concern. CONCLUSIONS With the availability of new treatment options, patients are seeking therapies that both extend remission and OS and improve QoL, placing more importance on the need for patient engagement in the decision-making process. Treatment of MM is now often being approached from a chronic care perspective, perhaps reflective of changing attitudes about MM as a more treatable disease today.

THE IMPACT OF PUBLIC-PRIVATE PARTNERSHIP ON THE QUALITY OF VOCATIONAL (VOCATIONAL-TECHNICAL) EDUCATION

Relevance. This paper explores the key factors influencing the quality of vocational (vocational-technical) education through public-private partnerships. It delves into the involvement of partnership entities – the state, private business, and the community – in modernizing the content, forms, means, and structure of vocational training for future qualified professionals, in line with the needs of the contemporary labor market. Objective: To characterize the potential directions of public-private partnership impact on enhancing the quality of vocational (vocational-technical) education. Methods: The study involves processing scientific sources, legislative and regulatory documents, and empirical data on enhancing the quality of vocational (vocational-technical) education in the context of public-private partnership projects. It includes a scientific summary based on theoretical analysis and synthesis of scientific approaches to the development of the researched problem, particularly identifying the impact directions of public-private partnership projects on the quality of vocational education. Results: Based on the analysis of legislative and normative-legal documents in the field of vocational (vocational-technical) education and public-private partnerships, scientific sources, and empirical data, the potential directions of public-private partnership projects on the quality of vocational education are characterized. These include developing modern professional and educational standards for specific specialties based on a competence approach, modernizing the material-technical base of educational institutions, implementing contemporary production and pedagogical technologies, and providing various types of financial support to vocational (vocational-technical) education institutions. Conclusions: The paper identifies and describes the potential directions of public-private partnership impact on the quality of vocational (vocational-technical) education, including: joint participation in financing V(VT)E; modernization of infrastructure and material-technical base of V(VT)E; updating standards for educational programs in line with labor market needs; introducing modern forms, methods, and technologies of learning; ensuring adaptability of management systems, transparency of agreements, monitoring, and evaluation of V(VT)E quality, and establishing effective feedback with students, teachers, and employers. The paper concludes with the necessity of improving legal regulation for the participation of public and private partners in ensuring the quality of vocational (vocational-technical) education.

Desalination of seawater in Morocco: Case study of Chtouka and Dakhla public‐private partnership projects

AbstractSituated between the southern Mediterranean and the Sahara Desert, Morocco has a semi‐arid climate characterized by low and irregular rainfall and a succession of dry years. With demographic and economic growth, the country's water needs are constantly increasing. The desalination of sea water is an option adopted by the government to cope with the drying up of water resources. A number of projects have been launched to secure the country's drinking water and irrigation needs. In this study, the contributions of the public‐private partnership (PPP) set‐up are assessed from the institutional, financial, technical, and management points of view, as well as the contribution of this set‐up to the success of major desalination projects for irrigation. To achieve the objective, the study focused on two desalination projects for irrigation, one in the Chtouka plain and another in the Dakhla area, based on an assessment of the various components of the two projects, and the key success factors for each of them. The study reveals that the PPP arrangement brings several advantages to these desalination projects for irrigation, principally: the participation of the private partner in the financing, the sharing of risks between the two public and private parties, and the sustainable management of the various components of the project. The Dakhla project also offers added value compared with other desalination PPP projects, because it is the first project to be included in Law No. 86‐12 on PPP contracts. At the same time, the PPP structure presents risks in terms of controlling delays caused by external events. Thus, the inauguration of new desalination PPP projects, as part of the Generation Green strategy, is proving to be a relevant solution for guaranteeing additional resources for irrigation and improving the technical, economic, and financial conditions for managing the irrigation water service.

The responsible business model canvas: designing and assessing a sustainable business modeling tool for students and start-up entrepreneurs

PurposeBusiness model (BM) canvases have been used in educational institutions and business incubators for over a decade to assist students and start-up entrepreneurs in developing their business projects. Given the urgency of tackling sustainability challenges, several tools have emerged to stimulate sustainable business modeling (SBM). However, these tools are often too complex for nonexperts in business modeling or sustainability, and thus insufficiently user-friendly for educational contexts. This study aims to address this pedagogical gap by describing the design process of the responsible business model canvas (RBMC).Design/methodology/approachThe authors relied on a design science research methodology involving the active participation of end users, entrepreneurship educators, business coaches and external partners. The authors proposed four criteria and ten subcriteria to analyze existing SBM canvases based on their user-friendliness and to design the initial prototype of the RBMC. The RBMC was subsequently tested in various settings, including classroom assignments and business incubation programs, with over 1,000 university students. The tool was refined and assessed throughout the development process, incorporating feedback from focus groups with start-up entrepreneurs.FindingsThrough the development process, the authors created a user-friendly tool to help novice student and start-up entrepreneurs integrate sustainability into their BMs: the RBMC. The canvas consists of 14 building blocks grouped into four areas: consistency (mission, vision, values), desirability (value propositions, customer segments, users and beneficiaries, customer relationships and channels), feasibility (key activities, key resources, key partners and stakeholders and governance) and viability (cost structure, revenues streams, negative impacts and positive impacts).Research limitations/implicationsThe research methods and user-friendliness criteria in this study can be applied in other contexts to design tools to support sustainable entrepreneurship education. While the RBMC is currently being used in several educational institutions throughout the world, its impacts in different pedagogical and cultural settings require further validation.Practical implicationsThe RBMC is a user-friendly tool to introduce students and start-up entrepreneurs to SBM. It helps raise users’ awareness about sustainability concerns, challenging them to consider issues they might have otherwise overlooked. Some participants even shifted their outlook and were motivated to develop a long-term vision integrating compensatory, mitigative or corrective actions into their BMs.Originality/valueThe RBMC is the outcome of a balanced approach that combines both pragmatic (i.e. user-friendliness) and normative (i.e. sustainability) perspectives. It provides users with a systematic approach for integrating and applying sustainability issues in their business projects.

Agreement Between Published Reference Resources for Neurofilament Light Chain Levels in People With Multiple Sclerosis.

To examine the agreement between published reference resources for neurofilament light chain (NfL) applied to a large population of people with multiple sclerosis (MS). Six published reference resources were used to classify NfL in participants in the Multiple Sclerosis Partners Advancing Technology and Health Solutions (MS PATHS) network as elevated or normal and to derive age-specific NfL Z-scores. NfL values were classified as elevated if they exceeded the >95th percentile (i.e., Z-score >1.645) of the age-specific reference range. Furthermore, age-specific NfL Z-scores could be derived for 4 of 6 reference resources. NfL measurements were assessed from 12,855 visits of 6,687 people with MS (median 2 samples per individual [range 1-7]). The mean ± SD age was 47.1 ± 11.7 years, 72.1% of participants were female, disease duration was 15.0 ± 10.6 years, body mass index was 28.6 ± 6.9 kg/m2, and serum NfL was 12.87 ± 12.86 pg/mL. Depending on the selection of the reference resource, the proportion of NfL measurements classified as elevated varied from 3.7% to 30.9%. The kappa coefficient across the 6 reference resources used was 0.576 (95% CI 0.571-0.580) indicating moderate agreement. Spearman correlations between Z-scores derived from the various reference resources exceeded 0.90; however, concordance coefficients were lower, ranging from 0.72 to 0.89. Interpretation of blood NfL values may vary markedly depending on the selection of the reference resource. Borderline elevated values should be interpreted with caution, and future studies should focus on standardizing NfL measurement and reporting across laboratories/platforms, better characterizing the effects of confounding/influencing factors, and defining the performance of NfL (including as part of multimodal predictive algorithms) for prediction of disease-specific outcomes.

IMPLEMENTING THE MEANING OF HOSPITALITY AT PURA LUHUR BATUKAU TABANAN, BALI, THROUGH THE GO GREEN GO CLEAN COMMUNITY PARTNERSHIP PROGRAMME

The purpose of writing this article is to make the community service of STPBI at Pura Luhur Batukau Tabanan a success, which is oriented towards expanding the benefits of tourism, especially in the study of hotel management science. In hotel management science, hospitality practices and cleanliness are factors that influence guest comfort. On the one hand, the environment of Pura Luhur Batukau looks less clean, and PKM Go Green Go Clean is carried out to reduce this comfort problem. The problems focus on: 1) What is the PKM Go Green, Go Clean at Pura Luhur Batukau Tabanan, Bali? 2) What is the meaning of hospitality in the PKM Go Green, Go Clean at Pura Luhur Batukau Tabanan, Bali?. This problem was solved using qualitative methods. All primary data was collected through interviews and participant observation in PKM Go Green, Go Clean activities. Meanwhile, secondary data was obtained based on a literature study. All data was analysed qualitatively using practice theory and reception theory. The research results show: 1) PKM Go Green Go Clean was carried out in the form of community service and providing hotel cleaning equipment at Pura Luhur Batukau Tabanan, Bali. This activity was held with the participation of PKM Go Green Go Clean partners and representatives of the STPBI academic community. 2) The meaning of hospitality is manifested in the form of expressions of friendliness and friendly service. The meaning of hospitality is implied in the cleaning activities and the rest activities at Pura Luhur Batukau.

Health promotion intervention among women with recent gestational diabetes mellitus: penetration, participation, and baseline findings from the Face-it randomized controlled trial

IntroductionFace-it is a randomized controlled trial for women with recent gestational diabetes mellitus (GDM) and their families designed to evaluate the effect of a health promotion intervention on type 2...

PISANGAUL LAMPUNG: INOVASI DIGITAL AGROSOCIOPRENEURSHIP BERBASIS PEMANFAATAN POTENSI TANAMAN PISANG DI DESA SUMUR SEBAGAI SENTRA OLEH-OLEH KHAS LAMPUNG

South Lampung Regency is one of the largest banana producers in Lampung province. One of the districts that is the largest banana-producing industrial center in South Lampung Regency is Sumur Village, Ketapang District. Sumur Village has good banana plantation potential, but utilization into processed products has not been carried out optimally. Usually bananas are directly sold to the market in a raw state. This can cause a lack of development of residents' creativity in utilizing resources and cause the economic value obtained by the community in the village to be less than optimal. Based on these problems, the PKM PisanGaul team held assistance in processing bananas into banana chips, banana brownies, banana ice cream, banana heart nugets and crackers from pisanng weevils, The mentoring activities carried out aim to open new insights of the community and also build an entrepreneurial spirit. The target of this community service is mothers in Sumur Village. In the implementation of this activity using two methods, namely socialization and training methods. After the training program was carried out, PKM partner participants consisting of PKK mothers and the general public of Sumur Village, had begun to be skilled in carrying out banana plant processing techniques into derivative products. So based on the Community Service activities that have been carried out with the title Pisangaul Lampung Digital Innovation of Agrosociopreneurship based on the utilization of the potential of banana plants in Sumur Village as a typical souvenir center of Lampung, it can be concluded that this training activity can: Improve the knowledge and skills of PKK mothers and the general public of Sumur Village in the field of processing and utilizing banana plants into various derivative products that have high selling value. Not only that, in this activity, direct sales of training products have also been carried out to several tourist attractions in the area and also through social media (Instagram) and websites that we have developed previously so that products processed by the people of Sumur Village are expected to be known by all people in Indonesia.

Educational interventions targeting pregnant women to optimise the use of caesarean section: What are the essential elements? A qualitative comparative analysis

BackgroundCaesarean section (CS) rates are increasing globally, posing risks to women and babies. To reduce CS, educational interventions targeting pregnant women have been implemented globally, however, their effectiveness is varied. To optimise benefits of these interventions, it is important to understand which intervention components influence success. In this study, we aimed to identify essential intervention components that lead to successful implementation of interventions focusing on pregnant women to optimise CS use.MethodsWe re-analysed existing systematic reviews that were used to develop and update WHO guidelines on non-clinical interventions to optimise CS. To identify if certain combinations of intervention components (e.g., how the intervention was delivered, and contextual characteristics) are associated with successful implementation, we conducted a Qualitative Comparative Analysis (QCA). We defined successful interventions as interventions that were able to reduce CS rates. We included 36 papers, comprising 17 CS intervention studies and an additional 19 sibling studies (e.g., secondary analyses, process evaluations) reporting on these interventions to identify intervention components. We conducted QCA in six stages: 1) Identifying conditions and calibrating the data; 2) Constructing truth tables, 3) Checking quality of truth tables; 4) Identifying parsimonious configurations through Boolean minimization; 5) Checking quality of the solution; 6) Interpretation of solutions. We used existing published qualitative evidence synthesis to develop potential theories driving intervention success.ResultsWe found successful interventions were those that leveraged social or peer support through group-based intervention delivery, provided communication materials to women, encouraged emotional support by partner or family participation, and gave women opportunities to interact with health providers. Unsuccessful interventions were characterised by the absence of at least two of these components.ConclusionWe identified four key essential intervention components which can lead to successful interventions targeting women to reduce CS. These four components are 1) group-based delivery, 2) provision of IEC materials, 3) partner or family member involvement, and 4) opportunity for women to interact with health providers. Maternal health services and hospitals aiming to better prepare women for vaginal birth and reduce CS can consider including the identified components to optimise health and well-being benefits for the woman and baby.

Cyclical Links Between Daily Partner Interactions and Sleep Quality in Older Adult Couples: The Mediating Role of Perceived Partner Responsiveness and Negative Affect.

Researchers have found significant associations between romantic relationship experiences and sleep quality. However, most existing studies are cross-sectional, few have focused on the aging population, and few have considered mechanisms underlying such associations. To address these gaps, 238 older adult couples completed 7-day daily diaries, reporting on their daily relationship, emotional, and sleep experiences. Multilevel structural equation modeling revealed that husbands' higher negative partner interactions and lower positive partner interactions were indirectly associated with their own and their wives' decreased sleep quality that night via lower perceived partner responsiveness and increased negative affect. Moreover, decreased sleep quality was associated with participants' and their partners' increased negative partner interactions and participants' decreased positive partner interactions the next day, with no significant gender differences. This research provides a foundation for future research on cyclical associations between romantic relationship experiences and sleep quality, with implications for relationship-based interventions to improve sleep quality.

Internet of Things for 4.0 Industry Revolution

In this training, participants were given an understanding of the IoT (Internet of Things) for the Industrial Revolution 4.0 and were accompanied by instructors to get to know the technology. The approach method is based on research results that have been published in electrical engineering. We CO (Collaborated Overseas) with UTHM (Universiti Tun Hussein Onn Malaysia) in the CS (Community Service) programme, with the aim of providing guest lectures on the advancement of IoT technology and IR (Industry Revolution) 4.0. Thus, the contribution to this CS activity is to support the improvement of the quality of skilled labor from partner participants to be in line with industry needs. Therefore, the leadership of the institution approved and held the IoT for 4.0 IR training. Universitas Mercu Buana through the Institute for Research and Community Service participated in the field of ICT (Information and Communication Technology) with the long-term target of developing wireless sensors and actuators, and computing methods in embedded systems and the cloud. The conclusion of this CS activity is that participants were very enthusiastic about this activity and and gained the benefits of science, as well as an understanding of telecommunications.

Pelatihan Sistem Informasi Pengelolaan Layanan dan Manajemen Pelanggan untuk Optimalisasi Layanan pada Era Digital

In the digital era, the role of information technology in facilitating services has presented both challenges and opportunities for businesses seeking to provide exceptional customer service. To remain competitive and maintain customer satisfaction, businesses need to implement technology in the form of service management and customer management information systems. Using technology, community service endeavors aim to establish a service management information system and consumer management. For employees and clients, assistance is provided through technology transfer, socialization, training, and technical support. The outcomes of this assistance indicate advancements in consumer data management and the implementation of more effective technology. The PKM implementation team at INSTIKI discovered that active participation from partners and customers contributed to the success of the program. Partner participation helps identify actual needs and issues in the use of information systems, enabling mentoring programs to be tailored to user requirements and optimize service quality in the digital era.

Development of Nature Tourism Innovations with Cultural History Sites Through Sport Tourism (Kayaking) and Based Ecotourism ProgramsDigitization-Android in Simawang District

Another problem faced by the tourism management community in the Simawang district is the lack of knowledge and expertise in tourism management, both in terms of administration, organization and management of existing facilities and infrastructure. The lack of insight and knowledge of the tourism management community in IT development also has an impact on the lack of tourism promotion through social media that is currently developing. The solution to overcome these problems is by implementing a program to increase the insight and knowledge of the tourism management community related to management, administration, promotion, marketing and the ability to use IT. In addition, the solution provided is also in terms of increasing the quality and quantity of tourist objects from existing natural and regional potentials, namely through the development of sport tourism, such as water sports using kayaking. This community service or partnership activity includes; participant recruitment, implementation of training activities, coaching, guidance and development of activities using the Participation Actions Learning System (PALS) method, real development by tourism managers through partner participation in training and coaching and activity evaluation.

Factors associated with knowledge and attitude towards maternity waiting homes among pregnant women: baseline results from a cluster-randomized trial in rural Ethiopia

Ethiopia has implemented maternity waiting homes over the last several decades; however, its utilization is low. This study aimed to assess the factors associated with knowledge of and attitude towards maternity waiting homes among pregnant women in rural Ethiopia. The baseline survey was conducted from September 15 to October 30, 2022, in rural Southern Ethiopia. Survey data were collected from 320 women in their second trimester of pregnancy. The data analysis was performed using SPSS version 25. The mean age of the participants was 27.79 (SD ± 6.242) years. Nearly two-thirds (57.5%) of the participants had no formal education and more than three-fourths (72.5%) were housewives. Only approximately one-fourth (23.75%) of the participants used maternity waiting homes. Furthermore, 33.75% had good knowledge, 28.75% had favorable attitudes, and around one-fourth (26.25%) had good male partner involvement. Age group 30 to 39 years (AOR 4.78, 95% CI 1.12–20.36), household income (AOR 6.41, 95% CI 2.78–14.81), having pregnancy intention (AOR 2.63, 95% CI 1.21–5.73), and history of obstetric complications (AOR 6.72, 95% CI 2.81–16.07) were significantly associated with good knowledge about maternity waiting homes. Similarly, age group 30 to 39 years (AOR 4.23, 95% CI 1.14–15.65), household income (AOR 7.12, 95% CI 3.26–15.55), having pregnancy intention (AOR 2.57, 95% CI 1.21–5.47), and history of obstetric complications (AOR 5.59, 95% CI 2.30–13.59) were significantly associated with favorable attitudes towards maternity waiting homes. Providing health education and promoting male partner participation through educating couples may improve women’s access to maternity waiting homes.

Patient satisfaction with telemedicine and in-person visits in reproductive endocrinology and infertility clinics

Is patient satisfaction higher with telemedicine visits or in-person visits for an initial consultation in the ambulatory fertility setting? A survey study of fertility patients who had an initial consultation visit between January 2018 and September 2022 was conducted using a nationally distributed survey. Patient satisfaction and other outcomes pertaining to patient experience were compared between telemedicine and in-person visits. In total, 682 participants completed the survey nationwide; of these, 425 respondents had an in-person visit and 257 respondents had a telemedicine visit. Age, geographic region, race, education level, employment status, income level and marital status did not differ between the groups. Overall, 69.6% of participants were satisfied with telemedicine visits, with improvement in partner participation. More patients were satisfied with in-person visits compared with telemedicine visits (82.6% versus 69.6%, P<0.001), and more patients preferred in-person visits to telemedicine visits regardless of the type of appointment they had for their initial visit. In a subgroup analysis of patients seen during the coronavirus disease 2019 pandemic, patients who had telemedicine visits were younger, more likely to be White, more educated and had a higher income compared with patients who had in-person visits. Previously, the impact of telemedicine in the fertility setting was largely unknown. This study demonstrated that the majority of patients were satisfied with health care through telemedicine visits. However, patients were more satisfied with in-person visits, and preferred in-person visits to telemedicine visits. Further studies are needed to help clarify the differences in patient satisfaction with visit type, and to assess the role of telemedicine in future fertility care.

Can tourism support resource circularity in small islands? On-field analysis and intervention proposals in Madagascar.

Open dumping and burning of solid waste are common practices in low-income countries. On small and touristic islands, the problem is exacerbated due to the additional volume of waste amount generated by tourists. This article presents how, using Nosy Be island in Madagascar as a case study, waste recovery and recycling can be fostered by tourism to tackle the waste challenge. About 95% of the waste of Nosy Be is openly dumped, discarded to sea or openly burned. Field analysis, interviews with local stakeholders and waste flow analysis served as methodological tools to assess the current solid waste management (SWM) system of Nosy Be. Stakeholder mapping and involvement as well as first exchange among local and international actors provided the basis to identify key practice and opportunities. Research findings highlight the importance of active participation and involvement of local partners supported by international experts, to suggest how touristic centres can serve as core of circular approaches. The article presents potential circular models to be implemented in Nosy Be, taking tourism as the entry point including the aspects of financial support, separated waste flows and the interest in 'green tourism marketing'. This case study underlines how international cooperation, touristic activities and common efforts can potentially help low-income communities improve their SWM practices.

The Effect of Chromosomes on Courtship Behavior in Sibling Species of the Drosophila virilis Group.

Prezygotic isolation mechanisms, particularly courtship behavior, play a significant role in the formation of reproductive barriers. The action of these mechanisms leads to the coexistence of numerous closely related insect species with specific adaptations in a shared or adjacent territory. The genetic basis of these mechanisms has been studied using closely related Drosophila species, such as the D. virilis group. However, the investigation of individual courtship behavior elements has been limited until recently, and the effect of genotype on the species-specific features of courtship as a whole has not been thoroughly examined. It should be noted that courtship behavior is not a typical quantitative trait that can be easily measured or quantified in both females and males, similar to traits like wing length or bristle number. Each courtship element involves the participation of both female and male partners, making the genetic analysis of this behavior complex. As a result, the traditional approach of genetic analysis for quantitative traits, which involves variance decomposition in a set of crosses, including parental species, F1 and F2 hybrids, and backcrosses of F1 to parental species, is not suitable for analyzing courtship behavior. To address this, we employed a modified design by introducing what we refer to as 'reference partners' during the testing of hybrid individuals from F1, F2, and backcrosses. These reference partners represented one of the parental species. This approach allowed us to categorize all possible test combinations into four groups based on the reference partner's sex (female or male) and their constant genotype towards one of the parental species (D. virilis or D. americana). The genotype of the second partner in the within-group test combinations varied from completely conspecific to completely heterospecific, based on the parental chromosomal sets. To assess the contribution of partner genotypes to the variability of courtship-element parameters, we employed structural equation modeling (SEM) instead of the traditional analysis of variance (ANOVA). SEM enabled us to estimate the regression of the proportion of chromosomes of a specific species type on the value of each courtship-element parameter in partners with varying genotypes across different test combinations. The aim of the current study was to analyze the involvement of sex chromosomes and autosomes in the formation of courtship structure in D. virilis and D. americana. The genetic analysis was complemented by video recording and formalization of courtship-ritual elements. D. virilis was found to be more sensitive to mate stimuli compared to D. americana. The majority of species-specific parameters, such as latency and duration of courtship elements (e.g., male and female song, following, licking, and circling), were shown to be influenced by the D. virilis genotype. However, not all of these parameters significantly impact copulation success, with the male song, licking, and following being the most significant. In females, the female song was found to have a significant relationship only with copulation duration. The influence of the female genotype on the species-specific parameters of courtship elements is primarily related to autosomes, while the male genotype is associated with the X chromosomes. The study suggests that sexual selection primarily occurs through acoustic and chemoreceptor channels.

Peningkatan Kemahiran Advokat dalam Registrasi Putusan Arbitrase Asing di Indonesia

Indonesia is a country that has ratified the 1981 New York Convention through Presidential Decree Number 34 of 1981, so that foreign or international arbitral awards can be implemented in Indonesia after being registered by the arbitrator or his proxy at the Central Jakarta District Court. Advocates can be appointed as attorney for arbitrators to register international arbitral awards. However, currently there are still few Indonesian advocates who understand the registration and implementation of international arbitral awards in Indonesia. We organize national seminars on arbitration socialization or training, particularly on the registration of foreign arbitral awards. This socialization implementation was designed using a partner participation approach as socialization and training participants. After attending the outreach seminar, the advocates understood and mastered the process of registering international arbitral awards in Indonesia.