Primary Institutions Research Articles

ISLAMIC EDUCATION-BASED MANAGEMENT OF ELEMENTARY SCHOOLS IN DEVELOPING RELIGIOUS MODERATION

Primary school Islamic education institutions that organize teaching and learning activities must be involved in developing human resources and improving quality in Indonesia. To achieve this goal, primary school Islamic education institutions must be managed optimally. This research is a library study (library search) which requires researchers to be able to understand the subject matter under study, especially references to various relevant empirical phenomena. The result of this research is the implementation of the management of Islamic educational institutions by applying the functions of Islamic education administration (planning, organizing, directing, and supervising) comprehensively and consistently by internalizing the values of religious moderation as a smart and advanced education seeking strategy

Nurses' practices and their influencing factors in palliative care.

In 2017, the Chinese government launched a pilot project in palliative care, in which Shanghai was a pioneer. Nurses play a key role in palliative care services as they are the main providers improving the quality of services for patients and their families. However, little is known about practices and influencing factors in the field of palliative care from a nursing perspective in China. This is an original empirical study that has meticulously analyzed the interrelationship and intensity between practices and other factors among nurses in the initial stage of palliative care in primary healthcare institutions in Shanghai, China. A descriptive-correlational study design was used to sample 2,829 eligible palliative care nurses by purposive sampling survey in 225 healthcare institutions in Shanghai, China. Descriptive analyses were performed using IBM SPSS 24.0 software. Structural equation modeling was applied to analyze the data by AMOS 20.0. Data were collected using the well-designed Knowledge, Attitudes, and Practices of Hospice Care (KAPHC) scale. The final model showed a good model fit. Self-efficacy directly influenced practices (β = 0.506, P < 0.01) and indirectly influenced practices (β = 0.028, P < 0.01) through intention. Subjective norm directly influenced practices (β = 0.082, P < 0.01) and indirectly influenced practices (β = 0.030, P < 0.01) through intention. Intention (β = 0.152, P < 0.01) and knowledge (β = 0.068, P < 0.01) directly influenced practices. Perceived susceptibility (β = -0.027, P < 0.01), perceived benefits (β = -0.017, P < 0.01), and perceived barriers (β = -0.014, P < 0.01) indirectly influenced practices through intention. This study provided evidence of the associations of knowledge, perceived susceptibility, benefits, barriers, subjective norm, self-efficacy, intention, and practices among nurses concerning palliative care and interventions improving their actual work practices. Our findings revealed that self-efficacy, intention, and subjective norms greatly influenced practices. It is imperative to take interventions that focus precisely on self-efficacy, intention, and subjective norms to improve nurses' practices.

Behavioral deviations: healthcare-seeking behavior of chronic disease patients with intention to visit primary health care institutions

BackgroundAlthough primary health care (PHC) has been proven to be effective in preventing and treating chronic diseases, the visits rate of PHC institutions is still not ideal. Some patients initially express a willingness to visit PHC institutions but end up seeking health services at non-PHC institutions, and the reasons for this behavior remain unclear. Therefore, the objective of this study is to analyze the factors that contribute to behavioral deviations among chronic disease patients who originally intended to visit PHC institutions.MethodsData were collected from a cross-sectional survey among chronic disease patients with original intention to visit PHC institutions in Fuqing City, China. The analysis framework was guided by Andersen’s behavioral model. Logistic regression models were employed to analyze the factors affecting the behavioral deviations among chronic disease patients with a willingness to visit PHC institutions.ResultsA total of 1,048 individuals were finally included and about 40% of the participants with the original willingness to seek care from PHC institutions finally chose non-PHC institutions in their subsequent visits. The results of logistic regression analyses indicated that at the predisposition factor level, older participants (aOR60-69 = 0.602, P < 0.01; aOR70-75 = 0.475, P < 0.01) were less likely to have behavioral deviations. At the enabling factor level, compared to those covered by Urban Employee Basic Medical Insurance (UEBMI) and not reimbursed, those covered by Urban–Rural Resident Basic Medical Insurance (URRBMI) (aOR = 0.297, P < 0.01), and those answering that reimbursement from medical institutions was convenient (aOR = 0.501, P < 0.01) or very convenient (aOR = 0.358, P < 0.001) were less likely to have behavioral deviations. At the need factor level, participants who visited PHC institutions due to illness last year (aOR = 0.348, P < 0.001) and with polypharmacy (aOR = 0.546, P < 0.01) were less likely to have behavioral deviations compared to those without the visit of PHC institutions and not taking polypharmacy, respectively.ConclusionsThe deviations between the original willingness of PHC institution visits and subsequent behavior among chronic disease patients were associated with a number of predisposing, enabling, and need factors. Developing the health insurance system, strengthening the technical capacity of PHC institutions, and steadily developing a new concept of orderly healthcare-seeking behavior among chronic disease patients, will help promote their access to PHC institutions as well as improve the effectiveness of the tiered medical system for chronic disease care.

Racial and Ethnic Demographic Reporting in Phase 2 Proton Therapy Clinical Trials: A Review.

Equitable inclusion of racial and ethnic participation in clinical trials is crucial to improving disparities in health care, especially for historically marginalized populations. Our study aims to describe the racial and ethnic demographics of patients enrolled in published phase 2 clinical trials involving proton therapy in the United States. Published manuscripts were identified in PubMed, Embase, World of Science, and Cochrane. Phase 2 trials evaluating proton therapy for US patients were included. For each article in the study, data were collected comprising authors, title, and publication year, and clinical trial numbers were verified. Additional data included tumor site, primary institution, sample size, reported race/ethnicity, and raw number/percentile of race/ethnicity. Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were used. Overall, 970 titles were identified; 636 remained after duplicate screening, and 75 full-text articles were assessed. We identified 38 eligible manuscripts for inclusion comprising 2648 patients. Only 15 (39%) of the publications reported race/ethnicity. Of these, 8 (21%) and 10 (26%) documented Hispanic or Black trial participants, respectively; however, only 6 (16%) documented trial participation for both Hispanic and Black patients. Of the 1409 patients with a documented race/ethnicity, 89.0% (n = 1254) were non-Hispanic white, 5.3% (n = 75) were Black, and 2.2% (n = 31) were Hispanic. Other and unknown race/ethnicity comprised the remaining patients (3.5%; n = 49). We identified underreporting of demographic data in published phase 2 proton therapy trials, which unfortunately mirrored underreporting for cancer drug clinical trials. We also noted dramatic Black and Hispanic patient underrepresentation across the trials in which race and ethnicity are reported. Findings highlight the urgent need to identify and address barriers to proton therapy trials for Black and Hispanic patients ensuring clinical trials in radiation oncology are representative of the patients seen in clinical practice.

Assessing Pediatric Care in Primary Health Settings: An Observational Study

Introduction: pediatric primary care is essential for the early diagnosis and treatment of children's health problems. About the state of pediatric treatment in primary care facilities in Ecuador, there is little data, nonetheless. Objective: to examine the current state of pediatric care in primary care settings and pinpoint areas for focused interventions to raise the standard, accessibility, and satisfaction of pediatric care in Quito, Ecuador. Methods: an observational study was carried out utilizing a purposive sample of primary care institutions in Quito, Ecuador. Structured observations, provider interviews, parent/guardian interviews, and a review of medical records were used to gather the data. Results: the study indicated that the facilities assessed provided pediatric care of varying quality, with 40 % offering high-quality care, 35 % offering moderate-quality care, and 25 % offering low-quality care. Barriers to care included lengthy wait periods, a paucity of healthcare providers, and a lack of readily accessible specialty services. Parents and guardians reported a wide range of patient satisfaction: 40 % expressed strong satisfaction, 35 % expressed moderate satisfaction, and 25 % expressed dissatisfaction. Conclusions: in the Ecuadorian city of Quito, differences in the quality, availability, and satisfaction of pediatric care in primary care settings are highlighted. To overcome these difficulties and enhance the overall quality of pediatric care in the nation, targeted interventions and policy modifications are required

STRATEGI KEPALA SEKOLAH DALAM MENGELOLA IKLIM SEKOLAH DI LEMBAGA PENDIDIKAN DASAR

This research aims to describe the management of school climate, state heads of schools in managing school climate, and challenge the management of school climate in primary education institutions. The method used in this research is the descriptive qualitative research method. The results are: In managing the school climate, the principal formulates ethical values, inspires enthusiasm, adjusts school goals, and fosters commitment, mutual respect and trust, and cooperation. Then, the principal's strategy in managing the school climate is carried out by setting an example, increasing motivation, and increasing discipline, and commitment. Meanwhile, the challenges in managing the school climate are absenteeism, matching the teacher's educational background, and communication between parents and teachers in the learning process.

Birinci Basamak Sağlık Kuruluşuna Başvuran Yetişkinlerin Diyabet Risk Skorları: Kesitsel Bir Çalışma

Objective: Diabetes is a serious public health problem that has increased in frequency in recent years. The aim of this study is to determine the diabetes risk scores of individuals who apply to a primary health care institution.&#x0D; Material-method: This descriptive and cross-sectional study was conducted with 982 individuals between 01.12.2021 and 12.03.2022. Data were collected from the sociodemographic characteristics questionnaire and the Finnish Diabetes Risk Score (FINDRISC) questionnaire. Those with a diabetes risk score of 15 or higher were considered high risk.&#x0D; Results: The mean age of the individuals participating in the study was 37.93±8.63. The mean FINDRISC score of the participants was 8.52±6.83 and 22.8% of them were in the high-risk group. The women included in the study, those who are married, have a low education level, have a low income, have a high BMI, do not exercise, and have a family history of diabetes have a higher risk of diabetes.&#x0D; Conclusion: Approximately one in four people in the study appear to be at high risk. Primary health care institutions need to conduct risk screenings more frequently. Lifestyle interventions to reduce the preventable risk factors of individuals should be developed and supported.&#x0D; Keywords: Diabetes, FINDRISC, Primary care, Adults, Score

Development Trend and Investment Prospect of Intelligent Medication Management in China

With the implementation of the policy of “hierarchical diagnosis and treatment” in China and the gradual establishment of local medical associations, the service capacity of basic medical and health institutions has been improved, and some patients with common diseases will make more use of primary medical resources to relieve the overload of leading hospitals, thus giving rise to the extensive demand for the information management system of primary medical and health institutions, and promoting the expansion of the downstream market of the industry. Catalyzed by the epidemic, new domestic bases are expected to further drive the expansion of the intelligent medication management industry. Therefore, this paper analyzes the current development status of this industry including analysis on which specific area is now the most profitable and which one has the greatest potential in the future. The analysis also includes plights, new trends, and market demands in the industry. Most importantly, the main target is to discuss the prospect of development and potential in investment in this industry in China.

Current status and time trends of lipid and use of statins among older adults in China-real world data from primary community health institutions.

Elevated serum total cholesterol and low-density lipoprotein cholesterol (LDL-C) levels are established risk factors for cardiovascular diseases, a leading cause of death in China, especially in aged population. We sought to assess the latest levels of serum lipids, prevalence of dyslipidemia and achievement of LDL-C lowering targets among Chinese aged population. The data was obtained from the annual health check and medical records in primary community health institutions of Yuexiu District, Guangzhou, Southern China. A sample of approximately 135,000 participants provides comprehensive estimates of the status of cholesterol level and statins use in older adults in China. Clinical characteristics were compared by different age grades, genders and years. Independent risk factors associated with statin use were determined by stepwise logistic regression analysis. The mean levels of TC, HDL-C, LDL-C, TG were 5.39, 1.45, 3.10, and 1.60 mmol/L, respectively, while the prevalence of high TC, high TG, high LDL-C, and low HDL-C were 21.99, 15.52, 13.26, and 11.92%, respectively. Although statin use showed an increasing trend in both participants > 75 years and ≤75 years of age, the achievement of treatment goals fluctuated between 40.94 and 48.47%, and even seemed to have a downward trend. Stepwise multiple logistic regression analysis further indicated that age, medical insurance, ability of self-care, hypertension, stroke, CAD, and high LDL-C were shown to be associated with statins use (P < 0.05). Those aged ≤75 years old seemed to be less likely to use statin, and those without medical insurance or ability of self-care seemed to be less likely to use statin, too. Patients with hypertension, stroke, CAD and high LDL-C were more inclined to use statins. Chinese aged population currently experienced high serum lipid levels and prevalence of dyslipidemia. Although an increasing trend was shown in the proportion of high CVD risk and statin use, the achievement of treatment goals seemed to have a downward trend. Improvement of lipid management is necessary in order to reduce the burden of ASCVD in China.

External Validation of Novel Method of Seizure Onset Zone Localization Based on Neural Resonance (P2-1.006)

<h3>Objective:</h3> We aimed to validate a recently published technique that used neural resonance to localize seizure onset zones (SOZ) with a retrospective dataset collected at an external institution. Further, we critically examined the need for a larger, tailored prospective validation study. <h3>Background:</h3> Accurate localization of the SOZ could improve surgical outcomes in medically refractory epilepsy patients. A recent study successfully used a novel metric of neural resonance to retrospectively identify SOZ regions and predict surgical success. The technique leverages distinct electrophysiological features of evoked responses during single pulse electrode stimulation (SPES) and incorporates them into a dynamical model. We aimed to validate these findings with a retrospective cohort of six patients to assess whether neural resonance predicted surgical outcomes. <h3>Design/Methods:</h3> We collected intracranial electroencephalographic (iEEG) data from six patients that underwent intracranial monitoring, single-pulse electrical stimulation protocol, and resection surgery between June 2020 and May 2021. Four out of six patients were stimulated in both SOZ regions and non-SOZ regions and thus were tested using the logistic regression model trained on the original dataset at the primary study institution. <h3>Results:</h3> Three of the four patients had successful surgical outcomes. Of the four patients tested with the logistic regression model, only one out of four was predicted correctly; the model predicted success for one true success and the failure patient. <h3>Conclusions:</h3> We hypothesize that the non-reproducibility of the original findings are resultant of differences in a research-driven SPES protocol and a clinically driven stimulation protocol. The external validation dataset stimulated a fewer number of sites, used a different clinical EEG and stimulation system, and varied stimulation parameters in a different subspace. However, this work highlights the need for a large, prospective validation dataset that is multi-center and encompasses a wide range of parameters; the gathering of this dataset is currently underway. <b>Disclosure:</b> Mr. Barnagian has nothing to disclose. Dr. Smith has nothing to disclose. Dr. Kang has nothing to disclose. Mark Hays has nothing to disclose. Dr. Gonzalez has nothing to disclose. Dr. Sarma has stock in Neurologic Solutions, Inc.. Dr. Barot has nothing to disclose.

Attitudes and influencing factors of nursing assistants towards hospice and palliative care nursing in chinese nursing homes: a cross-sectional study

BackgroundHospice and palliative care nursing (HPCN) in China is mainly available at public primary care institutions, where nursing homes (NHs) are rarely involved. Nursing assistants (NAs) play an essential role in HPCN multidisciplinary teams, but little is known about their attitudes towards HPCN and related factors.MethodsA cross-sectional study was designed to evaluate NAs’ attitudes towards HPCN with an indigenised scale in Shanghai. A total of 165 formal NAs were recruited from 3 urban and 2 suburban NHs between October 2021 and January 2022. The questionnaire was composed of four parts: demographic characteristics, attitudes (20 items with four sub-concepts), knowledge (nine items), and training needs (nine items). Descriptive statistics, independent samples t-test, one-way ANOVA, Pearson’s correlation, and multiple linear regression were performed to analyse NAs’ attitudes, influencing factors, and their correlations.ResultsA total of 156 questionnaires were valid. The mean score of attitudes was 72.44 ± 9.56 (range:55–99), with a mean item score of 3.6 ± 0.5 (range:1–5). The highest score rate was “perception of the benefits for the life quality promotion” (81.23%), and the lowest score rate was “perception of the threats from the worsening conditions of advanced patients” (59.92%). NAs’ attitudes towards HPCN were positively correlated with their knowledge score (r = 0.46, P < 0.01) and training needs (r = 0.33, P < 0.01). Marital status (β = 0.185), previous training experience (β = 0.201), location of NHs (β = 0.193), knowledge (β = 0.294), and training needs (β = 0.157) for HPCN constituted significant predictors of attitudes (P < 0.05), which explained 30.8% of the overall variance.ConclusionNAs’ attitudes towards HPCN were moderate, but their knowledge should be improved. Targeted training is highly recommended to improve the participation of positive and enabled NAs and to promote high-quality universal coverage of HPCN in NHs.

Automated detection of myopic maculopathy using five-category models based on vision outlooker for visual recognition.

To propose a five-category model for the automatic detection of myopic macular lesions to help grassroots medical institutions conduct preliminary screening of myopic macular lesions from limited number of color fundus images. First, 1,750 fundus images of non-myopic retinal lesions and four categories of pathological myopic maculopathy were collected, graded, and labeled. Subsequently, three five-classification models based on Vision Outlooker for Visual Recognition (VOLO), EfficientNetV2, and ResNet50 for detecting myopic maculopathy were trained with data-augmented images, and the diagnostic results of the different trained models were compared and analyzed. The main evaluation metrics were sensitivity, specificity, negative predictive value (NPV), positive predictive value (PPV), area under the curve (AUC), kappa and accuracy, and receiver operating characteristic curve (ROC). The diagnostic accuracy of the VOLO-D2 model was 96.60% with a kappa value of 95.60%. All indicators used for the diagnosis of myopia-free macular degeneration were 100%. The sensitivity, NPV, specificity, and PPV for diagnosis of leopard fundus were 96.43, 98.33, 100, and 100%, respectively. The sensitivity, specificity, PPV, and NPV for the diagnosis of diffuse chorioretinal atrophy were 96.88, 98.59, 93.94, and 99.29%, respectively. The sensitivity, specificity, PPV, and NPV for the diagnosis of patchy chorioretinal atrophy were 92.31, 99.26, 97.30, and 97.81%, respectively. The sensitivity, specificity, PPV, and NPV for the diagnosis of macular atrophy were 100, 98.10, 84.21, and 100%, respectively. The VOLO-D2 model accurately identified myopia-free macular lesions and four pathological myopia-related macular lesions with high sensitivity and specificity. It can be used in screening pathological myopic macular lesions and can help ophthalmologists and primary medical institution providers complete the initial screening diagnosis of patients.

Pedagogical Leadership in the Educational Management of Peruvian Educational Institutions

Purpose: determine the relationship of pedagogical leadership and educational management considering a primary level educational institution. Theoretical framework: The literature has reported good findings on pedagogical leadership independently from educational management, which is one of the reasons why it was decided to investigate both categories. Design/methodology/approach: Under an exploratory and basic study, with a qualitative, relational approach, the bibliographic analysis was performed, using a documentary guide. Findings: After reviewing and analyzing the articles published in Scopus and other academic platforms, it was shown that pedagogical leadership and educational management maintain a very significant relationship, since by having certain skills of managers, teachers and administrative staff, educational management will be adequate, allowing to improve the results in educational institutions. Research, Practical &amp; Social implications: It is suggested that researchers study pedagogical leadership and educational management together, using a mixed survey and interview approach. Originality/value: It was found that as long as the authorities of the educational entities exercise pedagogical leadership in each of the administrative and academic activities, there will be a better teamwork that will allow achieving institutional goals through efficient educational management.

The education of children in an Islamic family based on the Holy Qur’an

Education has been acknowledged as the key factor contributing to personality development and identity formation. To ensure appropriate education, it is thus of utmost importance to reflect on the power of the educational content. As a result, respecting Islamic values from a major authentic source, like the Holy Qur’an, paves the ground to fulfil this goal. On the contrary, the first and foremost educators to convey these values are the family, because each person mainly spends the time of one’s education in this small, primary social institution. Above and beyond, the building block of a society and the starting point of a culture, a civilisation and human history is the family. As a noble book of guidance for the human beings, the Holy Qur’an has accordingly shed light on the role of the family. Against this background, this study, adopting a descriptive analytical approach, aimed to investigate the Islamic family from the perspective of the Holy Qur’an with an emphasis on the education of children. Accordingly, the Holy Qur’an reveals that the main purposes of creating a family are inner peace, generational survival and expansion of the faith and monotheism. A healthy family environment can thus have a profound impact on cultivating moral character and virtues. In view of the Holy Qur’an, the family is the first place to seek relief and perform the acts of worship. No divine religions have also given as much value to the family as Islam, which implies its comprehensiveness. Despite much attention to the family in most societies, it receives special importance in the Qur’anic teachings. This article is a review study that dealt with Qur’anic concepts related to education in the family. Therefore, after categorising different Qur’anic verses, analyses have been presented in each category.Contribution: Islam has set many specific programmes and educational instructions from childbirth and then delegated their implementation to the family. Accordingly, this noble religion offers many guidelines for picking a perfect name, breastfeeding and weaning, loving, observing justice and fulfilling promises in relation to children.

Evaluation of the star family doctors training program: an observational cohort study of a novel continuing medical education program for general practitioners within a compact medical consortium: a quantitative analysis

IntroductionTo determine the effectiveness of the Star Family Doctors Training Program, a comprehensive Continuing professional development (CPD) program for general practitioners (GPs) in a compact medical consortium.Patients and MethodsObservational cohort study with a quantitative analyses in primary health care institutions in Sichuan Province. The interventions were as following: (1) The Star Family Doctors Training Program is a full-time, local government allocation program certified by the Health Department of Sichuan Province, emphasizing small group learning and practice, and using standard patients and medical patient simulators; 30 participants were selected by their institutions. (2) The control group underwent a self-financed after-work CPD program using conventional lectures; 50 participants were self-selected. Short-term effectiveness assessed using immediate post-training tests and self-evaluations; long-term (1 year) effectiveness evaluated using self-reported surveys.ResultsThe study involved 80 GPs (28.75% men; mean age: 38.2 ± 9.2 years). The average post-training total score was higher in the STAR group than in the control group (72.83 ± 5.73 vs. 68.18 ± 7.64; p = 0.005). Compared to the controls, STAR participants reported seeing more patients (all p < 0.05), and had more patients who signed family-doctor contracts (p = 0.001) as well as increased patient satisfaction (p = 0.03), respectively. STAR-group trainees appraised the program higher and were more willing to recommend it to colleagues (90% vs. 64%, p = 0.011).ConclusionThe Star Family Doctors Training Program achieved good responses and provides a reference for future CPD programs.

Measuring spatial accessibility of residents' medical treatment under hierarchical diagnosis and treatment system: Multi-scenario simulation in China.

In order to improve the operational efficiency of medical institutions and build a more complete and efficient medical system, the Chinese government is vigorously promoting the reform of hierarchical diagnosis and treatment. We constructed a multi-factor composite selection weight to characterize the residents' medical treatment behavior in the context of hierarchical diagnosis and treatment. By combining the weight with the two-step floating catchment area method, we analyzed the spatial variation characteristics of residents' accessibility to medical care under different scenarios. Results show that the referral rate between medical institutions increases gradually along with the occurrence of public health events. When there is a major public health event, the proportion of the population transferred from the primary medical institutions to the county hospitals and the county hospitals to the municipal hospitals exceeded 65%. In three scenarios, the spatial pattern of accessibility shows obvious consistency and local differences. Among the three-tier medical institutions in China, the service capacity of county hospitals is poor, and the contribution rate of accessibility is less than 20%. The results clearly show the spatial differences in the accessibility of Chinese residents in different scenarios and the impact of public health events on accessibility. This research can provide a reference for the layout optimization of medical resources in the future.

Machine and deep learning-based clinical characteristics and laboratory markers for the prediction of sarcopenia.

Sarcopenia is an age-related progressive skeletal muscle disorder involving the loss of muscle mass or strength and physiological function. Efficient and precise AI algorithms may play a significant role in the diagnosis of sarcopenia. In this study, we aimed to develop a machine learning model for sarcopenia diagnosis using clinical characteristics and laboratory indicators of aging cohorts. We developed models of sarcopenia using the baseline data from the West China Health and Aging Trend (WCHAT) study. For external validation, we used the Xiamen Aging Trend (XMAT) cohort. We compared the support vector machine (SVM), random forest (RF), eXtreme Gradient Boosting (XGB), and Wide and Deep (W&D) models. The area under the receiver operating curve (AUC) and accuracy (ACC) were used to evaluate the diagnostic efficiency of the models. The WCHAT cohort, which included a total of 4057 participants for the training and testing datasets, and the XMAT cohort, which consisted of 553 participants for the external validation dataset, were enrolled in this study. Among the four models, W&D had the best performance (AUC = 0.916 ± 0.006, ACC = 0.882 ± 0.006), followed by SVM (AUC =0.907 ± 0.004, ACC = 0.877 ± 0.006), XGB (AUC = 0.877 ± 0.005, ACC = 0.868 ± 0.005), and RF (AUC = 0.843 ± 0.031, ACC = 0.836 ± 0.024) in the training dataset. Meanwhile, in the testing dataset, the diagnostic efficiency of the models from large to small was W&D (AUC = 0.881, ACC = 0.862), XGB (AUC = 0.858, ACC = 0.861), RF (AUC = 0.843, ACC = 0.836), and SVM (AUC = 0.829, ACC = 0.857). In the external validation dataset, the performance of W&D (AUC = 0.970, ACC = 0.911) was the best among the four models, followed by RF (AUC = 0.830, ACC = 0.769), SVM (AUC = 0.766, ACC = 0.738), and XGB (AUC = 0.722, ACC = 0.749). The W&D model not only had excellent diagnostic performance for sarcopenia but also showed good economic efficiency and timeliness. It could be widely used in primary health care institutions or developing areas with an aging population. Chictr.org, ChiCTR 1800018895.

Basic Concepts of the Teaching Professionalism in Elementary Education Institutions

The teaching profession is considered important as a basic milestone for the progress of a nation, because developed nations have quality education. The quality of education is very dependent on the competence possessed by educators, especially teachers at the elementary age level of SD/MI as the initial level of formal education for the nation's children. This study aims to describe the basic concepts of the teaching profession in primary education institutions SD/MI. This type of research includes a qualitative approach with library research methods. Sources of data and materials for analysis of the study use scientific literature relevant to the topic of discussion, including books, articles, seminar proceedings, and final assignments (thesis, dissertation). The data is obtained from credible sources such as Google Scholar and Sinta. The results of this study concluded that the teaching profession has a code of ethics that students should emulate, which includes teaching skills, mastery of areas of expertise, behavior/personality and teacher communication skills. Because, in it there is an organizational platform, the role of rights and obligations of teachers to guide directing students and evaluating good and specifically directed teaching and learning processes.

THE REVITALIZATION OF AWIG-AWIG OF THE NORTH LOMBOK ADAT LAW PEOPLE TO REALIZE A JUSTICE AND A LEGAL CERTAINTY

The adat criminal law is considered one of the sources of law in the Indonesian criminal law system. Its applicability is based on the provisions of Energy Law No. 1 of 1951, Article 5 paragraph (3) sub b. Such provision determines the applicability criteria of the adat criminal law, which has a limited nature, by observing the description of criminal acts in the Criminal Code. One of the adat people who still implement the adat criminal law is the one who resides in North Lombok; they use awig-awig as the primary institution to manage the relationship in society, the relationship between humans and the universe and the relationship between human and their creator. This study uses normative legal research with normative and sociological juridical approaches. The normative legal research used is abstract legal research, legal principles research, concrete legal research, and systematic legal research. Sociological juridical research is conducted towards the permitted values and principles and the applicability of the criminal adat law among the adat people in North Lombok. In conclusion, this study shows that the revitalization of awig-awig among the adat people in North Lombok is conducted because its implementation is seen and felt as more fulfilling for the adat people to achieve the sense of justice and legal certainty in reaction to the occurring people’s development, on that sense, the people’s development may effectively apply the awig-awig. The implementation of adat sanctions is deemed and perceived to restore cosmic balance, remove dirty deeds or clean up the disturbance to the environment of adat peoples due to the adat violation. Meanwhile, other types of criminal sanctions are considered to have no magical religious value.

World Health Organization survey on the level of integration of traditional Chinese medicine in Chinese health system rehabilitation services

BackgroundTo meet the growing global demand for rehabilitation services, the World Health Organization (WHO) launched Rehabilitation 2030. This study was commissioned by the WHO to investigate the integration degree of traditional Chinese medicine (TCM) in Chinese health system rehabilitation services and the demand for TCM rehabilitation in China. MethodsTwenty TCM rehabilitation experts and relevant government administrators were invited to complete the questionnaire between September 2019 and January 2022. The development of traditional, complementary, and integrative medicine (TCI) rehabilitation in China was assessed primarily based on six different health system components. Results26 policies, regulations, and national strategic plans related to TCI rehabilitation were issued by relevant government departments since 2002; notably, 14 policies related to TCI rehabilitation development were intensively introduced from 2016 to 2021. These policies cover the three main areas of financing, infrastructure development, and service delivery. The National Administration of Traditional Chinese Medicine's investment in TCM clinical capacity infrastructure and scientific research in 2019–2021 increased by 66% compared to 2010–2012, and the average number of TCM hospitals with rehabilitation departments in 2020 increased by 6.5% compared to 2018. The proportion of community health service centers providing TCM services in primary medical and health institutions has increased by 30.8% over the past 10 years. ConclusionLong-term continuous policies, substantial financial investment, and expansion of the scope of TCI rehabilitation services in primary care institutions have effectively contributed to the rapid development of TCI rehabilitation. However, human resources and financing mechanisms for TCI rehabilitation need further improvement.